ATI Pediatrics Proctored Exam/ Questions & Answers

1. A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective? a. An increase in ...

1. A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective? a. An increase in venous pressure b. a decrease in peripheral edema c. a decrease in cardiac output d. an increase in potassium levels 2. A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect (select all that apply). a. Increased appetite b. enlarged subclavian lymph node c. Crying d. Restlessness e. Fever 3. a nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis Testing for Cystic Fibrosis. Which of the following statements should the nurse include in the teaching? a. We will measure the amount of protein in your baby's urine over 24 hour period b. The test will measure the amount of water in your baby’s sweat c. a nurse will insert an IV prior to the test d. your baby will need to fast for 8 hours prior to the test 4. A nurse in an urgent care clinic is prioritizing care for children. Which of the following children should the nurse assess first? a. A toddler who has nephrotic syndrome and facial edema b. a preschool-age child who has a muffled voice and no spontaneous cough c. a preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL d. an adolescent who has Crohn's disease and recent weight loss of 5kg mg (11 lb) 5. A nurse is providing teaching to the parents of a toddler who is to undergo a sweat chloride test. Which of the following statements should the nurse include? a. The purpose of the test is to determine if your child has Crohn's disease b. the technician will use a device to produce an electrical current during the test c. during the test, your child will be in a room that is cold d. your child sweat will be collected over 24 hours 6. A nurse in the emergency department is caring for an adolescent who is requesting testing for STI. Which of the following action is appropriate for the nurse to take? a. Request verbal consent from the social worker b. contact the client's parents to obtain phone consent c. postpone the testing until the client's parents are present d. obtain written consent from the client 7. A nurse in the emergency department is assessing the toddler who has hyperpyrexia severe dyspnea and drooling which of the following actions should the nurse take first? a. obtain a blood culture from the toddler b. administering antibiotic to the toddler c. insert an IV catheter for the toddler d. prepare the toddler for nasotracheal intubation 8. A nurse is providing teaching to a 10 year old child with scheduled for an arterial cardiac catheterization. Which of the following information should the nurse include in the teaching? a. You will have your dressing removed 12 hours after the procedure b. you will need to keep your legs straight for 8 hours following the procedure c. you will be on a clear liquid diet for 24 hours following the procedure d. you will be on bed rest for 2 days after the procedure 9. A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The child is now ready to resume oral intake which of the following dietary choices should the nurse offer the child? a. sugar-free Cherry gelatin b. vanilla ice cream c. chocolate milk d. lime flavored ice pop 10. A nurse is caring for an infant who has Patent ductus arteriosus. The nurse should identify that the defect is a switch of the following locations of the heart. ( you will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer) Answer: B 11. A nurse is caring for a 10 month old child was brought to the emergency department by his parents following a head injury. Which of the following actions should the nurse take first? a. Inspect for fluid leaking from the ears (thinking about CSF leakage severe trauma = urgent, after respiratory status is confirmed) b. assess respiratory status c. check pupil reactions d. examine the scalp for lacerations 12. A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care? a. Assign consistent nursing Staff Care for the infant b. Keep infant in a visually stimulating environment