ATI Pediatrics Exam
A nurse is creating a plan of care for a 6-month-old infant who requires continuous pulse oximetry monitoring. Which of the following interventions should the nurse include?
Cover the oximetry sensor with clothing
A nurse is teaching the parents of a child who has rheumatic fever. Which of the following statements by a parent indicates an understanding of the teaching?
My child may take aspirin for his joint pain
A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of the following statements by the parent indicates an understanding of the teaching?
My child should consume 1000 calories per day
A nurse is providing preoperative education for an 8-year-old child prior to cardiac surgery. Which of the following actions should the nurse take?
Use a doll with tubes and an incision to explain the surgery
A nurse is assessing a newborn at birth to assign Apgar scores. At 1 min of age, the newborn is crying vigorously with limbs flexed and has a heart rate of 120/min. The newborn's trunk is pink, but his hands and feet are cyanotic, and he cries when the soles of his feet are stimulated. Which of the following Apgar scores should the nurse assign this infant?
9
A charge nurse is reviewing the expected growth and development of school-aged children with a group of staff nurses. Which of the following should the nurse include?
A 6-year-old child should be able to count 13 coins
A nurse is conducting a health assessment for a 24-month-old toddler at the local health department. The nurse should expect which of the following findings?
Ability to build a tower of 6 blocks Slightly bowed or curved leg appearance
A nurse is caring for a child who has paralytic poliomyelitis. Which of the following actions should the nurse take?
Administer oral analgesics prior to exercises
A nurse is reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor?
Alcohol consumption
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 in the emergency department is reviewing laboratory results for several children who have manifestations of influenza. Which of the following children should the nurse report to the provider immediately?
An infant with a WBC count of 24,000/mm3
A nurse is caring for a preschooler who was brought to an outpatient clinic with a 2-day history of vesicular, honey-colored crusty region around the nose and mouth. If the provider determines the lesion to be impetigo contagiosa, what should the nurse anticipate teaching the child's parent about the illness?
Apply a topical antibacterial ointment to the lesions Wash the child's bed linens daily with hot water Wash hands before and after contact with the affected area
A school nurse is providing care to a child who has a nosebleed. Which of the following actions should the nurse perform?
Apply pressure to the child's nose using the thumb and forefinger Keep the child calm
A nurse is caring for a child who received penicillin IM 15 minutes ago. The child is now irritable and restless. Which of the following actions should the nurse take first?
Assess for laryngeal edema
A nurse is assessing a 6-month-old infant who had a cardiac catheterization with right femoral entry to diagnose a possible congenital heart defect. Which of the following findings should the nurse report to the provider?
Cool toes on the right foot
A charge nurse is providing education about child maltreatment to a group of newly licensed nurses. Which of the following pieces of information should the charge nurse include in the teaching?
Children who were born prematurely are more likely to be maltreated
A nurse is assessing a toddler who has gastroenteritis. Which of the following findings indicates the toddler is experiencing severe dehydration?
Deep, rapid respirations
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parent about the correlation of nutrition with lead poisoning, which of the following pieces of information is appropriate for the nurse to include?
Ensure the child's dietary intake of calcium and iron is adequate
The nurse is providing teaching to the parent of a 4-year-old child who stutters. Which of the following statements by the parent indicates an understanding of the teaching?
I should ignore the stuttering and not interrupt her
A nurse is planning care for a preschooler who is immediately postoperative following the placement of a ventriculoperitoneal shunt. Which of the following interventions should the nurse include in the plan?
Lay the preschooler on the nonoperative side
A nurse is caring for an infant who is experiencing dehydration. Which of the following assessments is the nurse's priority?
Measure the client's weight daily
A nurse is providing teaching to the parent of a toddler who has bacterial conjunctivitis. Which of the following instructions should the nurse include?
Notify the provider immediately if the sclera becomes inflamed
A nurse is planning care for a 10-month-old infant who has suspected failure to thrive. Which of the following interventions should the nurse include in the plan of care?
Observe the parents' actions when feeding the child Maintain a detailed record of food and fluid intake
A nurse on a pediatric unit is admitting a 4-year-old child. Which of the following toys should the nurse plan to provide for the child to engage in independent play?
Plastic stethoscope
A nurse is caring for an infant who is preoperative for the treatment of an intact myelomeningocele sac. In which of the following positions should the nurse place the infant?
Prone
A nurse is planning care for a 4-year-old child who has nephrotic syndrome. Which of the following actions should the nurse take?
Provide thorough skin care
A nurse is caring for a child who has a ruptured appendix. Which of the following positions should the nurse encourage the child to maintain?
Semi-Fowler's
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following laboratory values should the nurse expect?
Serum cholesterol 700 mg/dL
A nurse is assessing a 3-year-old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate?
Stacking 10 blocks
A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration?
Tachypnea
A nurse is performing a physical assessment on a 12-month-old infant. Which of the following findings should the nurse report to the provider?
The infant's current weight is double his birth weight
A nurse is assessing an 18-month-old toddler during a well-child examination. Which of the following findings should the nurse report to the provider?
The toddler is unable to remove his shoes
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse?
The toddler's birth weight is tripled.
A nurse is assessing a school-age child who reports horseback riding 3 times per week and has injuries reportedly related to a fall from a horse. Which of the following findings should the nurse investigate further as an indication of child maltreatment?
Thin, frail extremities
A nurse in a provider's office is observing children playing in the waiting room. The nurse should expect to identify parallel behavior in which of the following age groups?
Toddlers
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 teaching the parent of a child who has ADHD and a new prescription for methylphenidate sustained-release tablets. Which of the following pieces of information should the nurse include in the teaching?
Weigh your child twice per week while he is taking this medication
A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements should the nurse make?
You can use a vial of insulin for up to 30 days.
A nurse is teaching the parents of a toddler who has enterobiasis about managing this parasitic disease. Which of the following pieces of information should the nurse include in the teaching?
You should keep your child's fingernails trimmed short.
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has a current blood glucose level of 250mg/dL. Which of the following actions should the nurse take?
Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion
A nurse is providing teaching to a 12-year-old client who is recovering from an acute episode of hemophilia A. Which of the following statements should the nurse include in the teaching?
You will be able to participate in physical exercises
