ATI Pediatrics Practice Quiz
A nurse is assessing a 3-year-old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate? a. Stacking 10 blocks b. Printing 1 letter c. Tying shoelaces d. Using 7-word sentences
a
A nurse is assessing a 4-year-old child. The nurse should expect the child to be able to perform which of the following activities? a. Fastening buttons on a shirt b. Tying shoelaces c. Parting and combing hair d. Cutting the meat at dinner
a
A nurse is caring for a child who has sickle cell anemia and is experiencing a vast-occlusive crisis. Which of the following actions should the nurse take? a. Administer ibuprofen b. Limit daily fluid intake c. Apply cold compresses to painful joints d. Withhold live virus immunizations
a
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. 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 becomes uncooperative
b
a nurse on a pediatric unit is caring for a preschooler who is prescribed an IV medication. Which of the following actions should the nurse take to prepare the child for the procedure? a. Use role-play activities with the child b. Provide the child with a detailed explanation of the procedure c. Implement interactive sessions of 30 min each with the child d. Give the child identical IV supplies to play with
a
A nurse is caring for a child who has a possible intussusception. The parents of the child ask the nurse how the diagnosis is determined. Which of the following responses should the nurse make? a. "An abdominal ultrasound will confirm the pocket in the intestine" b. "Genotyping will be done to identify this condition" c. "A biopsy will be done on a small amount of tissue from the colon" d. "An upper GI series should identify the area involved"
a
A nurse is caring for a group or infants with congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis? a. transposition of the great arteries b. Ventricular septal defect c. Coarctation of the aorta d. Patent ductus arteriosus
a
A nurse is planning care for a toddler who has acute gastroenteritis and was recently admitted. Which of the following should the nurse plan to provide for the child? a. Oral rehydration solution b. Bananas or applesauce c. Chicken or beef broth d. Hypertonic IV solution
a
A nurse is preparing to assess a 3-month-old infant during a well child visit. Which of the following observations should the nurse expect? a. The infant looks at his hands b. The infant has pincer grasp c. The infant has no head lag when pulled into a sitting position d. The infant can independently roll from his back to his abdomen
a
A nurse is providing education for the family of a 6-month-old infant about ways to stimulate language development. Which of the following instructions should the nurse include? a. "Explain what you are doing to the infant while providing care" b. "Promote fine-motor development of the tongue by offering a pacifier several times each day" c. "Exercise jaw muscles with foods that require chewing, such as hot dogs and carrots" d. "Leave a television playing in the child's room during nap time"
a
A nurse is providing teaching about home care to the guardian of an adolescent who has hemophilia. Which of the following pieces of information should the nurse provide? a. Encourage the adolescent to participate in non-contact sports b. Provide the adolescent with a firm-bristled toothbrush c. Administer aspirin to the adolescent for episodes of pain d. Provide disposable razors to the adolescent for shaving
a
A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The nurse notes a mehoglobin level of 12 g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values? a. "The infant might be dehydrated" b. "The infant might be anemic" c. "The infant might have received too much fluid" d. "The infant might have leukemia"
a
A nurse in a provider's office receives a phone call from the guardian of an infant who just vomited after administration of digoxin. Which of the following actions should the nurse take first? a. Tell the guardian that a repeat dose of medication should not be given b. Verify the prescribed medication regimen c. Determine if the infant has been exposed to others who are ill d. Ask the guardian about the infant's urinary output
a The greatest risk to the infant is an injury from digoxin toxicity
A nurse is assessing a 6-year-old client at a well-child visit. Which of the following findings requires further assessment by the nurse? a. Presence of space, fine public hair b. Decreased head circumference compared to full height c. Increased leg length in relation to height d. Presence of a loose central incisor
a sexual characteristics developing before age 9 in boys indicates precocious puberty and requires further evaluation
A nurse is caring for an adolescent who has sickle cell anemia. Which of the following manifestations is/are the result of chronic vaso-occlusive phenomena? (select all that apply) a. Enlarged heart b. Enuresis c. Leg ulcers d. Extrahepativ cholestasis e. Retinal detachment
a, b, c, e
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect? a. Platelets 500,000 b. RBCs 2.5 million c. WBC 4,000 d. HCT 60%
b
A nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. Which of the following responses by the adolescent indicates an understanding of the teaching? a. "I can take my brace off to sleep overnight at bedtime" b. "I can take my brace off for about an hour daily to shower" c. "I should loosen the straps on my brace if it is rubbing against my skin" d. "I should place the pads of the brace against my skin with a t-shirt over them"
b
A nurse is talking with the parent of a 4-month-old infant about growth and development. Which of the following statements indicates that the parent needs further teaching? a. "I need to remind my older kids to keep objects out of the baby's reach" b. "I let my baby play on her stomach when she is awake and I am watching" c. "My baby loves to play with the pillows in her crib" d. "I put my baby in a rear-facing car seat in the back seat of the car"
c
A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements by the parent indicates an understanding of the teaching? a. "I will not dress my child in 1-piece outfits" b. "I need to buy diapers that are tighter than those my infant usually wears." c. "I need to apply paste to the back of the wafer on my child's appliance" d. "I will not need to toilet train my child"
c
A nurse is assessing a toddler who has AIDS. Which of the following findings is an indication of an opportunistic infection? a. Koplik spots b. Peripheral neuropathy c. Chancre d. Candidiasis
d
A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following actions should the nurse take first? a. Give the adolescent ibuprofen b. Elevate the adolescent's leg on pillows c. Place an ice pack on the cast d. Assess for manifestations of circulatory impairment
d
A nurse is providing nutritional teaching to an adolescent client who has celiac disease. Which of the following breakfast foods should the nurse recommend? a. Plain flour pastry b. Wheat cereal c. Scrambled eggs d. Rye toast
c
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? a. Provide education for the child immediately b. Plan a teaching session that will last no longer than 60 min. c. Use a doll with tubes an an incision to explain the surgery d. Discuss methods to cover the scar once healing has occurred
c
A nurse is reviewing the laboratory reports of a child with acute nephrotic syndrome who has been receiving prednisone by mouth for the past week. Which of the following findings should the nurse report to the provider? a. Serum sodium 142 mEq/L b. Serum potassium 4 mEq/L c. WBC count 3,000 d. Platelet count 298,000
c
A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurse's priority? a. A child who has asthma and a pulse oximetry of 94% b. A child who has nephrotic syndrome and 1+ protein on urine dipstick c. A child who has sickle cell anemia and a urine specific gravity of 1.030 d. A child who has insulin-dependent diabetes mellitus and a finger stick glucose reading of 110 mg/dL
c
A nurse is assessing a school-age child who has celiac disease. Which of the findings should the nurse expect? a. Elevated sweat chloride b. Steatorrhea c. Clubbing of the fingers d. Jaundice
b
A nurse is teaching an adolescent about managing asthma and using a peak expiratory flow meter. Which of the following statements by the client demonstrates an understanding of the teaching? a. "I will use my peak flow meter whenever I feel short of breath" b. "I will continue to take my medication when my peak flow rate is in the green zone" c. "I need to use the average of 3 readings when I measure my flow rate" d. "My asthma is being controlled if my flow rate is in the yellow zone"
b
a nurse in an emergency department is assisting with the care of a 4-year-old child who ingested toilet bowl cleaner. The child has hemoptysis, is crying, and states, "it burns". which of the following actions should the nurse perform? (Select all that apply). a. Identify how much cleaner was in the bottle b. Administer activated charcoal c. Perform immediate gastric lavage d. Insert an IV for morphine administration e. Apply a pulse oximeter
a, d, e
a nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following interventions should the nurse include in the plan? a. Maintain the child on bed rest b. Monitor the child for increased temperature c. Administer oxygen to the child d. Monitor the child for bleeding
b
A nurse in an emergency department is caring for an 8-year old who is up-to-date with current immunization recommendations and has a deep puncture injury. Which of the following should the nurse anticipate administering? a. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine b. Single injection of tetanus immune globulin (TIG) mixed with pediatric tetanus booster (DT) c. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine d. Adult tetanus booster (Td)
b
A nurse is assessing a 4-year-old child's cognitive development during a well-child visit. Which of the following should the nurse expect the child to display? a. Conservation b. Development of superego c. Concrete operational thought d. Separation anxiety
b
A nurse is reviewing the laboratory report of a 2-year-old child who has diarrhea and has been vomiting for 24 hours. Which of the following findings should the nurse report to the provider? a. HCT 40% b. Potassium 2.5 mEq/L c. Serum creatinine 0.4 mg/dL d. BUN 6 mg/dL
b
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? a. Head lagging when the infant is pulled from a lying to a sitting position b. Absence of starter and crawl reflexes c. Inability to pick up a rattle after dropping it d. Rolling from back to side
a the 5-month-old infant should have no head lag when pulled to sitting.
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? a. Infants b. Toddlers c. Preschoolers d. School-age children
b Toddlers demonstrate parallel play
A nurse is providing discharge teaching to parents whose infant had a ventriculoperitoneal shunt placement for the treatment of hydrocephalus. Which of the following statements by the parents indicates an understanding of the teaching? a. "We will check his abdomen daily for signs of fluid accumulation" b. "We will notify the doctor right away if he has a fever" c. "We should keep a helmet on him when he's awake" d. "we can expect him to have occasional seizure episodes"
b child is at risk for infection after ventriculoperitoneal shunt insertion especially 1-2 months after placement
A nurse is caring for a 3-year-old child who has cyanotic cardiac defect. The child cries when her parents leave the room, worsening her cyanosis and dyspnea. a. Orthopneic b. Knee-chest c. Sims' d. Semi-Fowler's
b knee-chest is similar to squatting, and facilitates oxygenation of the lungs.
A nurse is assessing a 1-week-old infant at a well-child visit. The nurse should notify the provider about which of the following assessment findings? a. A flat, dark pink area between the eyes that blanches b. An area of deep blue pigmentation over the buttocks c. A blue coloring of the sclera d. A patchy, red rash with raised centers
c
A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of the following should the nurse report to the provider? a. Temperature 37.5 C (99.5 F) b. Apical pulse rate 140/min c. BP 86/40 d. Respiratory rate 32/min
c
A nurse is assessing a 6-month-old infant who was recently admitted with acute committing and diarrhea. Which of the following findings indicates the infant has moderate dehydration? a. Bulging anterior fontanel b. Bradycardia c. Tachypnea d. Polyuria
c
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? a. Bruising of the right elbow b. Dislocated left shoulder revealed by X-ray c. Thin, frail extremities d. Abrasions on both wrists
c
A nurse is performing a nutritional screening for a 12-year-old client who weighs 41 kg (90 lb) and has a height of 1.5 m (60 in). Which of the following values is the client's body mass index (BMI)? a. 1.5 b. 3.6 c. 18.2 d. 27.3
c
A nurse is planning care for a school-aged child who has juvenile idiopathic arthritis (JIA). Which of the following actions should the nurse include in the plan? a. Encourage the child to sleep for 1 hour each afternoon b. Apply cold compress to the child's affected joint each morning c. Encourage the child to participate in physical activities d. Limit the child's intake of foods that are high in uric acid
c
A nurse is preparing to perform a routine heel puncture on a newborn. Which of the following actions should the nurse take? a. Administer tolmetin b. Apply a eutectic mixture of local aesthetics (EMLA) cream to the newborn's heal after the procedure c. Prepare concentrated sucrose for oral administration d. Place the newborn in an extended position
c
A nurse is caring for a toddler who has otitis media and a temperature of 39.1 C (102.4 F). Which of the following actions should the nurse take first? a. Reduce the temperature of the child's room b. Redress the child in minimal clothing c. Apply cool compresses to the child's forehead d. Administer an antipyretic to the child
d
A nurse is creating a plan of care for a preschooler who was admitted for the treatment of measles. Which of the following activities should the nurse include in the client's care plan? a. Constructing a model airplane b. Playing a video game in the playroom c. Pulling a wagon with toys in the hallway d. Putting together a puzzle with large pieces
d
A nurse is providing teaching to the parent of a child who has ADHD and a new prescription for methylphenidate sustained-release tablets. Which of the following statements by the parent indicates an understanding of the teaching? a. "I should expect my child to gain weight while taking this medication" b. "I should expect this medication to decrease my child's heart rate" c. "I should crush the medication and put it in my child's food" d. "I should give this medication to my child half an hour before breakfast"
d
A nurse is reviewing laboratory findings of an adolescent who has an acute renal failure. Which of the following findings should the nurse expect? a. Hypokalemia b. Hypercalcemia c. Decreased plasma creatinine level d. Metabolic acidosis
d
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching? a. Restrict the child's potassium intake b. Administer acetaminophen to the child twice daily c. Weigh the child once each week d. Keep the child away from people who have an infection
d Children with nephrotic syndrome are at higher risk for infection
A nurse is assessing an adolescent who is receiving fentanyl via epidural. Which of the following assessments should the nurse identify as the priority? a. Skin around the catheter site b. Blood pressure c. Pain level d. Oxygen saturation
d Important to continue to monitor for manifestations of opioid induced respiratory depression
A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the following actions should the nurse take? a. Give acetaminophen 240 mg PO immediately following the seizure b. Sponge the child's skin with a mixture of cold water and rubbing alcohol c. Administer rectal diazepam if the seizure lasts longer than 2 minutes d. Place the child in a side-lying position
d Placing the child in a side-lying position facilitates drainage of oral secretions, which decreases the risk of aspiration.
