ATI Proctored Exam Dynamic Quizzes, 2023

A nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. When preparing a to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take? Place the steps in order of performance.

1) turn off the IV pump. 2) occlude the IV tubing. 3) remove the tape securing the catheter. 4) apply pressure over the catheter insertion site.

A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. the nurse should identify that which of the following menu items has the highest amount of iron?

1/2 cup raisins.

A nurse is receiving change-of-shift Report on for children. Which of the following children should the nurse assesses first?

A toddler who has a concussion and an episode of forceful vomiting

A nurse is creating a plan of care for a preschooler who has Wilms tumor and is scheduled for surgery. Which of the following interventions should the nurse include?

Avoid palpating the abdomen when bathing the child before surgery

A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following clinical manifestations should the nurse expect? Select all that apply.

B- Ankle clonus. C- exaggerated stretch reflexes. E- contractures.

A nurse is providing teaching to the parent of a school-age child who has oral candidiasis and is to begin taking oral Nystatin. Which of the following instructions should the nurse include?

Check the medication prior to Administration

A nurse is creating an educational plan to teach parents about protecting their children from sun burns. Which of the following instructions should the nurse plan to include?

Choose a waterproof sunscreen with an SPF of at least 15.

A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following one week of treatment, which of the following clinical manifestations indicate to the nurse that the medication is effective?

Decrease edema

A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching?

Encourage the child to perform independent self-care

A nurse is assessing the pain level of a three-year-old toddler. Which of the following pain assessment scales should the nurse use?

FACES Pain rating scale

A nurse is teaching the parents of a newborn about ways to prevent sudden infant death syndrome SIDS. Which of the following instructions should the nurse include?

Give the infant a pacifier at bedtime

The nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia?

Hematocrit 28%

A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the Adolescent indicates an understanding of the teaching?

I should I seal my non washable shoes in plastic bags for a couple of weeks

A nurse is providing teaching about car seat use to the mother of a six-monthold infant. Which of the following statements by the mother indicates an understanding of the teaching?

I should secure the car seat using lower anchors and tethers instead of the seat belt

The nurse is providing discharge teaching to the parent of an 18-month old toddler who has dehydration as a result of acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?

I will monitor my child's number of wet diapers

A Nurse is teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching?

My child will receive antibiotics for several weeks

A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider?

Nasal flaring

A nurse is caring for a school-age child who has peripheral edema. Which of the following assessments should the nurse perform to confirm peripheral edema?

Palpate the dorsum of the child's feet

A nurse is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take?

Provide the child with a book about Adventure

A nurse is assessing a client who has a new diagnosis of celiac disease. Which of the following clinical manifestations should the nurse expect?

Steatorrhea

A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication?

The Adolescents serum potassium level is 4.1

A nurse in the emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as mcburney's point?

The nurse should identify the lower right quadrant of the abdomen

a nurse is teaching a group of parents of toddlers about growth and development. a parent asks, "why does my child's abdomen stick out?" which of the following replies should the nurse provide?

Toddlers do not have well-developed abdominal muscles

A nurse in a provider's office is preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take?

Withhold the measles mumps and rubella MMR vaccine.

A nurse is providing dietary teaching to the parent of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make?

You should offer your child high protein meals and snacks throughout the day

A nurse is assessing a school-age child immediately post-operative following a perforated appendix repair. Which of the following findings should the nurse expect?

absence of peristalsis

A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?

administer IM epinephrine to the child

A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure?

administer an analgesic to the child

a nurse is caring for a toddler who has otitis media and a temp of 39.1 C (102.4 F). which of the following actions should the nurse take first>

administer an antipyretic to the child

A nurse is creating a plan of care for a toddler who has minimal change nephrotic syndrome mcns and 3 + pitting edema. Which of the following interventions should the nurse include in the plan?

administer corticosteroids to the toddler

A nurse is providing teaching to the parents of a toddler about the administration of a prescribed eye drops and eye ointment. Which of the following instructions should the nurse include?

administer the eye drops 3 minutes before the ointment

The nurse is preparing to administer an immunization to a four-year-old child. Which of the following actions should the nurse plan to take?

administer the immunization using a 24-gauge needle

a nurse is providing teaching to the guardians of a 4 month old infant on how to play with the infant. which of the following play activities should the nurse suggest for this infant?

allow the infant to splash in the bathtub

A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation?

an infant who is 8 months old and is not yet making babbling sounds

A nurse is providing discharge teaching to the parents of a three-month-old infant following a cheiloplasty. which of the following instructions should the nurse include?

apply a thin layer of antibiotic ointment on your babies' suture line daily for the next three days

a nurse is caring for a child who has epistaxis. which of the following actions should the nurse perform?

apply continuous pressure to the childs nose for at least 10 min

A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take?

apply topical analgesic cream to the site one hour prior to the procedure

A school nurse is assessing a school-age child blood pressure while he is seated in a chair. The child starts to experience a tonic-clonic seizure. Which of the following actions should the nurse take first?

assist the child to a side-lying position on the floor

A nurse is teaching the parents of a toddler who has cognitive impairment about toilet training. which of the following instructions should the nurse include in the teaching?

award the child with a sticker when he sits on the potty chair

a nurse is teaching about clinical manifestations of tracheomalacia to the parent of an infant who had tracheoesophageal fistula repair as a newborn. which of the following findings should the nurse include in the teaching?

barking cough

A nurse is providing teaching to the parents of a preschooler who has heart failure and who is to begin taking Digoxin twice-daily. Which of the following instructions should the nurse include in the teaching?

brush the child teeth after giving the medication

A nurse in the emergency department is caring for a toddler who has partial thickness burns on his right arm. Which of the following actions should the nurse take?

cleanse the affected area with mild soap and water

A school nurse is assessing an adolescent who presents with multiple Burns in various stages of healing. Which of the following behaviors should the nurse identify as suggestive of possible physical abuse?

denies discomfort during assessment of injuries

a nurse is assessing a 4 y/o childs cognitive development during a well child visit. which of the following should the nurse expect the child to display?

development of the superego

a nurse is assessing a preschooler who has recurrent and persistent otitis media. when obtaining the childs hx from her parent, which of the following questions should the nurse ask?

does anyone smoke around or in the same house as your child?

a nurse is panning care for a child who has meningococcal meningitis. which of the following isolation precautions should the nurse plan to implement?

droplet precautions

A nurse at an urgent care clinic is assessing an adolescent client who has an upper respiratory tract infection. Which of the following findings should the nurse recognize as a manifestation of pertussis?

dry, hacking cough

a nurse is caring for a newborn who has spina bifida. the newborns parents are upset by the dx. which of the following actions should the nurse take?

encourage the parents to touch and care for the newborn

a nurse on a pediatric unit is caring for a child who has autism spectrum disorder. which of the following actions should the nurse take?

ensure that staff visits with the child are kept short

The nurse is providing anticipatory guidance to the mother of a toddler. Which of the following expected Behavior characteristics of toddlers should the nurse include in the teaching?

expresses likes and dislikes

a nurse teaching the parent of a 3 y/o toddler about promoting sleep. which of the following pieces of info should the nurse include?

follow a nightly routine and established bedtime

A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the Adolescent in droplet precautions?

for 24 hours following initiation of antimicrobial therapy

a nurse working on a maternal newborn unit is teaching a group of newly licensed nurses about assisting new mothers w breastfeeding. the nurse should include which of the following infant conditions as a contraindication for breastfeeding?

galactosemia

a nurse at a pediatric clinic is assessing a 5 month old infant during a well child visit. which of the following findings should the nurse report to the provider?

head lagging when the infant is pulled from a lying to a sitting position

a nurse is assessing the gross motor skills of a 4 y/o preschooler. the nurse should expect the preschooler to perform which of the following activities?

hopping on 1 foot

a nurse is providing d/c teaching for the parent of a newborn who is prescribed a pavlik harness for developmental dysplasia of the hip. which of the following responses indicates an understanding of the teaching?

i should lightly massage my baby underneath the straps once a day

a nurse is teaching the parent of an infant about injury prevention. which of the following statements by the parent indicates an understanding of the teaching?

i should make sure my babys clothing does not have buttons

a clinic nurse is providing teaching to the parent of a 1 month old infant who has gastroesophageal reflux. which of the following statements by the parent indicates an understanding of the teaching?

i will add rice cereal to my babys feedings

a nurse is teaching a school age child who is to undergo a bone marrow aspiration. which of the following statements should the nurse make?

i will place a pressure dressing over the area following the procedure

A nurse is creating a plan of care for an infant who has an epidural hematoma with a skull fracture. Which of the following actions should the nurse include in the plan?

implements seizure precautions for the infants

a nurse is assessing a 9 month old infant during a well child visit. which of the following findings indicates that the infant has a developmental delay?

inability to vocalize vowel sounds

a nurse is planning to teach a 9/o child who has a new dx of dm. the nurse should identify that school age children are attempting to master which of the following developmental tasks?

industry vs inferiority

a nurse is providing teaching to a parent of a preschooler who has tinea capitis. which of the following instructions should the nurse include in the teaching?

leave the medicated shampoo on the scalp for 5-10 mins

a nurse is caring for an 18 y/o adolescent who is UTD on immunizations and is planning to attend college. the nurse should recommend which of the following immunizations prior to moving into a campus dormitory?

meningococcal polysaccharide

The nurse is caring for a 15 year old client following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion Syndrome of Inappropriate Antidiuretic Hormone Secretion?

mental confusion.

A nurse in the emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?

monitor the child's oxygen saturation

a nurse is providing teaching to the guardian of a child who has Kawasaki disease. which of the following statements by the guardian indicates an understanding of the teaching? select all that apply

my child will likely be irritable for the next few weeks. i will ensure my child does not receive any live vaccines for at least 18 months. i will keep a record of my child's temp until she has no fever for several days.

a nurse is teaching a group of parents and guardians about otitis media. which of the following should the nurse identify as a risk factor for this illness?

passive smoking

A nurse is preparing to collect a sample from a toddler for a sickle turbidity test. Which of the following actions should the nurse plan to take?

perform a finger stick

a nurse is caring for an adolescent following a lumbar puncture. which of the following actions should the nurse take?

place the adolescent in a supine position

a nurse is caring for a 4 m/o infant who has tetralogy of fallot and experiences a hypercyanotic spell. which of the following actions should the nurse take?

place the infant in knee chest position

The nurse is providing teaching about Social Development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child?

playing dress-up

a school nurse is assessing an adolescent who returned to school following a case of mononucleosis. the child has a note from his provider excusing him from gym class. which of the following findings should the nurse identify as the reason for this excusal?

potential for sustaining abdominal trauma

a nurse is preparing to perform a routine heel puncture on a newborn. which of the following actions should the nurse take?

prepare concentrated sucrose for oral administration

a nurse is caring for a 6 m/o infant who has intussusception. which of the following actions should the nurse take?

prepare the child for a barium enema

A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include?

pulmonary function test will be performed every 12 to 24 months to evaluate how your child is responding to therapy

The nurse is providing dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods tote child?

rice pudding

A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. which of the following actions should the nurse plan to take?

schedule the toddler for a yearly screening

a nurse is caring for a 6 week old infant following a pyloromyotomy. which of the following forms of feeding should the nurse anticipate for the infant 6 hr after the procedure?

small, frequent bottle feedings of electrolyte solution

will resume 24 hrs after pyloromyotomy surgery if small, frequent feedings of electrolyte solution are retained by the infant

small, incremental formula feedings

A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify which of the following laboratory values indicates effectiveness of the current treatment?

sodium 140

A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus?

sodium 155

a nurse is caring for a 1 y/o infant who has chronic otitis media. the nurse should identify that which of the following areas is at risk of a delay in development?

speech patterns

A nurse in an emergency department is performing a physical assessment on a 2-week old male infant. Which of the following manifestations is the priority for the nurse to report to the provider?

substernal retractions

A nurse in an Emergency Department is assessing a three-month-old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration?

sunken anterior fontanel

A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses on the clinical manifestations of child maltreatment. Which of the followingclinical manifestations should the charge nurse include as suggestive of potential physical abuse?

symmetric Burns of the lower extremities

A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following? Click the audio button to listen.

tachypnea

a nurse is caring for a 2 y/o child who has frequent utis. when educating the parents about the prevention of utis, which of the following instructions should the nurse include?

teach the child to wipe from front to back

a nurse on a pediatric mental health unit is caring for a school-age child. which of the following questions or statements should the nurse provide to foster a rapport and encourage conversation?

tell me about your favorite video game

A nurse is assessing the vital signs of a 10 year old child following a burn injury. Which of thefollowing clinical manifestations indicate early septic shock?

temperature 39.1 degrees Celsius or 102.4 degrees Fahrenheit

a nurse is assessing a 3 y/o child during a well-child exam. which of the following findings should the nurse report to the provider?

the child cannot walk on tiptoe

a nurse in a providers office enters an exam room to assess an 8 month old infant for the first time. which of the following reactions by the infant should the nurse expect?

the infant turns away when the nurse approaches

a nurse is creating a plan of care for an 18 m/o toddler who has cerebral palsy. which of the following interventions should the nurse include?

use manual jaw control when feeding the toddler

a nurse on a pediatric unit is caring for a preschooler who is prescribed an iv med. which of the following actions should the nurse take to prepare the child for the procedure?

use role play activities w the child

a nurse is caring for a child with a vesicular rash that has been present for 6 days. the nurse should expect that the child has which of the following conditions?

varicella

a nurse is planning to collect a specimen from a male infant using a urine collection bag. which of the following actions should the nurse take?

wash and dry the infants genitalia and perineum thoroughly

A nurse in a provider's office is caring for a school-age child who has varicella. The parent askthe nurse when her child will no longer be contagious. Which of the following responses should the nurse make?

when your child lesions are crusted, 6 days after they appear

A nurse is caring for a hospitalized preschooler. The child's mother is going home for a few hours while another relative stay with the child. Which of the following statements should the nurse make to explain to the child when her mother will return?

your mommy will be back after you eat