1. A nurse in the emergency department Check the child's respiratory sta-
is caring for a 2-year-old child who was tus.
found by his parents crying and hold-
ing a container of toilet bowl cleaner.
The child's lips are edematous and in-
flamed, and he is drooling. Which of the
following is the priority action by the
nurse?
Remove the child's contaminated
clothing.
Check the child's respiratory status.
Administer an antidote to the child.
Establish IV access for the child.
Rationale: The nurse should apply the
ABC priority-setting
2. A nurse is teaching a parent of a d. "Your child should be able to
12-month old child about development scribble spontaneously using a
during the toddler years. Which of the crayon at the age of 15 months."
following statements should the nurse
include?
"Your child should be referring to him-
self using the appropriate pronoun by
18 months of age."
"A toddler's interest in looking at pic-
tures occurs at 20 months of age."
C. "A toddler should have davtime con-
trol of his bowel and bladder by 24
months of age.
d. "Your child should be able to scrib-
ble spontaneously using a crayon at
the age of 15 months."
3. A nurse is caring for a toddler and is 25 GTT
preparing to administer 0.9% sodium
chloride 100 mL IV to infuse over 4
hr. The drop factor of the manual IV
tubing is 60 gtt/mL. The nurse should
set the manual IV infusion to deliver
, PEDIATRIC ATI
how many gtt/min? (Round the answer
to the nearest whole number. Use a
leading zero if it applies. Do not use a
trailing zero.)
4. 4. A nurse in a pediatric clinic is as- b. Minimize physical contact with
sessing a toddler at a well-child visit. the child initially.
Which of the following actions should
the nurse take?
a. Perform the assessment in a head to
toe sequence.
b. Minimize physical contact with the
child initially.
c. Explain procedures using medical
terminology.
d. Stop the assessment if the child be-
comes uncooperative.
5. 4. A nurse is caring for an 18-year-old b. Meningococcal polysaccharide
adolescent who is up-to-date on im-
munizations and is planning to attend
college. The nurse should inform the
client that he should receive which of
the following immunizations prior to
moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster
6. 4. A nurse is teaching the parent of a. "I lock my medications in the
a toddler about home safety. Which of medicine cabinet."
the following statements by the par-
ent indicates an understanding of the
teaching?
a. "I lock my medications in the medi-
cine cabinet."
b. "I keep my child's crib mattress at
the highest level."
, PEDIATRIC ATI
c. "I turn pot handles to the side of my
stove while cooking."
d. "I will give my child syrup of ipecac if
she swallows something poisonous."
7. 4. A nurse is performing a physical b. Babinski
assessment on a 6-month-old infant.
Which of the following reflexes should
the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro
8. 4. A nurse is teaching the parent of an a. Cow's milk
infant about food allergens. Which of
the following foods should the nurse
include as being the most common
food allergy in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Eggs
9. 9. A nurse is preparing to adminis- c. Haemophilus influenzae type B
ter recommended immunizations to a (Hib) and inactivated polio virus
2-month-old infant. (IPV)
Which of the following immunizations
should the nurse plan to administer?
a. Human papillomavirus (HPV) and he-
patitis A
b. Measles, mumps, rubella (MMR) and
tetanus, diphtheria, and acellular per-
tussis
(TDaP)
c. Haemophilus influenzae type B (Hib)
and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated
influenza vaccine (LAIV)
, PEDIATRIC ATI
10. 9. A nurse is developing a plan of b. Explain sounds the child is
care for a school-age child who under- hearing.
went a surgical procedure that resulted
in temporary loss of vision. Which of
the following interventions should the
nurse include in the plan of care?
a. Assign an assistive personnel to
feed the child.
b. Explain sounds the child is hearing.
c. Have the child use a cane when am-
bulating.
d. Rotate nurses caring for the child.
11. 9. A nurse is assessing a 3-year-old b. Use the FACES scale.
child who is 1 day postoperative fol-
lowing a tonsillectomy. Which of the
following methods should the nurse
use to determine if the child is experi-
encing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
d. Check the child's temperature.
12. 9. A nurse is assessing a 6-month-old Legs remain crossed and extend-
infant at a well-child visit. Which of the ed when supine
following findings indicates the need
for further assessment?
a. Grabs feet and pulls them to her
mouth
b. Posterior fontanel is closed
c. Legs remain crossed and extended
when supine
d. Birth weight has doubled
13. 9. A nurse is observing a mother Object permanence
who is playing peek-a-boo with her
8-month-old child. The mother asks if
this game has any developmental sig-
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