ATI Peds proctored exam
-Daytime symtoms occur more than twice per week
-Minor limitations occur with normal activity
-Peak expiratory fow (PEF) is greater than or equal to 80% of the predicted value - ANS-A nurse
is caring for a school age child who has mild persistent asthma. Which of the following findings
should the nurse expect? (select all the apply)
-loosen restrictive clothing
-clear the area of hard objects - ANS-A nurse is caring for a child who is having seizure. Which
of the following actions should the nurse take ( SELECT ALL THAT APPLY)
-Vomiting
-Weight Loss
-Wheezing - ANS-A nurse is collecting data from an infant who has Gastroesophageal reflux
(GERD) . Which of the following findings should the nurse expect? ( select all that apply)
. Offer the child an ice pop prior to administering the medication ( numb the tongue ...Nerves ) -
ANS-A nurse is caring for a 4-year old child who refuses to take his medication because of the
bad taste. Which of the following strategies should the nurse use to medication
" I need to catheterize myself twice a day. " ( Catheterize every 4-6 Hours ) - ANS-A nurse is
reincofrcing teaching about elimination with an adolescent who is paralyzed from the waist down
following a spinal cord injury. Which of the following statements by the adolescent indicates a
need for further teaching ?
"Bring your infant into the clinic today to be seen" - ANS-A nurse working at a clinic speaks on
the telephone with a parent of a 2-monthold infant. The parent tells the nurse that the infant has
projectile vomiting followed by hunger after meals. Which of the following response by the nurse
is appropriate?
"I will make sure my child washes her hands before eating" - ANS-A nurse is reinforcing
discharge instructions with a parent of a child who has cystic fibrosis. Which of the following
statements by the parent indicates an understanding of the teaching?
"I'm glad that the ostomy is only temporary " (1st there going to cut the nonfunctioning of the
colon, and then apply temporary colostomy, after a couple of months they will suture it together)
- ANS-A nurse is reinforcing reaching with a parent of a 1 month old infant who is to undergo the
initial surgery to treat Hirschsprung's disease (a ganglionic megacolon, part of the colon isn't
connected to the nerves or not functioning, so there will be an increase size of the colon and
stool gets stuck in there). Which of the following statements should indicate to the nurse that the
parent understanding the goal of surgery?
, 6 months - ANS-A nurse is collecting data from an infant at well-child visit. The nurse should
expect the infant to double his birth weight by which of the following ages?
A private room with contact/droplet precautions - ANS-A nurse is assisting with the admission of
an infant who has resp. Syncytial Virus (RSV) which of the following rooms should the nurse
assign the infant?
A skeletal pin in the distal end of the femur - ANS-A nurse is receiving hand off report for a
toddler who has a fractured right femur and is in 90 degree /90 degree traction. The nurse
should expect to observe which of the following?
A soft toy that squeaks or crackles when squeezed - ANS-A nurse is selecting a toy for a 7
month old infant. Which of the following toys should the nurse choose?
Abdominal mass - ANS-A nurse is collecting data from a 1 year old child who has Wilms tumor.
Which of the following findings should the nurse expect?
Activated Charcoal (absorbs toxins in the stomach , Mixed with Saline for aspiration via NG tube
) - ANS-A nurse is contributing to the plan of care of an unconscious adolescent who ingested a
non corrosive substance that has no recommended antitode. The nurse should recommend to
perform gastric lavage with which of the following substances?
Activated charcoal (can work with toxin, poison. Given through ng tube absorbs toxins) - ANS-A
nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30 tablets of
aspirin. Which of the following substances should the nurse administer to the toddler?
Active psychiatric disorder (Mark, mental problems, patients mind is unstable) - ANS-A nurse is
collecting data from an adolescent. Which of the following represents the greatest risk for
suicide?
Administer albuterol by nebulizer (open the airway, and loosen the secretions it will be more
effective to loosen it up) - ANS-A nurse is caring for a child who is to receive percussion,
vibration, and postural drainage. Which of the following actions should the nurse take first?
Administer antibiotics when available - ANS-A nurse is caring for a child who has a suspected
diagnosis of bacterial meningitis. Which of the following is the nurse's priority?
Administer diphenhydramine to relieve itching - ANS-A nurse is caring for a school age child
who has a new plaster cast on her right arm. Which of the following actions should the nurse
take?
Allow the child to hold a favorite toy. - ANS-A nurse is prepeating to administer IM injection to a
preschool-age child. Which of the following actions should the nurse take?
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