ATI Peds Exam Study Guide : Questions & Answers: Latest Updated

ATI Peds Exam: Questions & Answers

A nurse is planning care for a newly admitted school-age child who has

generalized seizure disorder. Which of the following interventions should

the nurse plan to include?

(Ans- Ensure the oxygen source is functioning in the child’s room

A nurse is providing dietary teaching to the guardian of a school-age child

who has cystic fibrosis. Which of the following statements should the nurse

make?

(Ans- "You should offer your child high-protein meals and snacks

throughout the day."; well-balanced and high in protein and calories.

Children who have cystic fibrosis require a higher percentage of the

recommended dietary allowances of all nutrients to meet their energy

requirements.

A nurse is providing discharge teaching to the parents of a 6-month-old

infant who is postoperative following hypospadias repair with a stent

placement. Which of the following instructions should the nurse include in

the teaching?

(Ans- "Allow the stent to drain into your infants diaper."

A nurse is caring for a school-age child who has primary nephrotic

syndrome and is taking prednisone. Following 1 week of treatment, which

of the following manifestations indicates to the nurse that the medication is

effective?

(Ans- Decreased edema; experience edema due to the increased

glomerular permeability, which increases protein loss. Prednisone

decreases glomerular permeability, which causes fluid to shift from the

extracellular spaces, resulting in decreased edema.

A nurse is receiving change-of-shift report for four children. Which of the

following children should the nurse assess first?

(Ans- A toddler who has a concussion and an episode of forceful vomiting.;

indication of increased intracranial pressure in a toddler who has a

concussion.

A nurse is providing discharge teaching to the guardians of a toddler who

had lower leg cast applied 24 hr ago. The nurse should instruct the

guardians to report which of the following finding to the provider?

(Ans- Restricted ability to move the toes.; restricted ability of the toddler to

move their toes is an indication of neurovascular compromise and requires

immediate notification of the provider. Permanent muscle and tissue

damage can occur in just a few hours.

A nurse in an emergency department is auscultating the lungs of an

adolescent who is experiencing dyspnea. The nurse should identify the

sound as which of the following?

(Ans- Wheezes

A nurse is caring for a preschooler who has congestive heart failure. The

nurse observes wide QRS complexes and peaked T waves on the cardiac

monitor. Which of the following prescriptions should the nurse clarify with

the provider?

(Ans- Potassium Chloride

A nurse is planning an educational program for school-age children and

their parents about bicycle safety. Which of the following information should

the nurse plan to include?

(Ans- The child should be able to stand on the balls of their feet when

sitting on the bike.; To decrease the risk for injury, parents should ensure

that the bike is the correct size for the child

A nurse is monitoring the oxygen saturation level of an infant using pulse

oximetry. The nurse should secure the sensor to which of the following

areas on the infant?

(Ans- Great Toe

A nurse is an emergency department is caring for a school-age child who

has epiglottitis. Which of the following actions should the nurse take?

(Ans- Monitor the child’s oxygen saturation

A nurse in an emergency department is caring for a school-age child who

has sustained a minor superficial burn from fireworks on their forearm.

Which of the following actions should the nurse take?

(Ans- Apply an antimicrobial ointment to the affected area.

A nurse in a providers office is caring for a school-age child who has

varicella. The parents asks the nurse when their child will no longer be

contagious. Which of the following responses should the nurse make?

(Ans- "When your child’s lesions are crusted, usually 6 days after they

appear."; the child is contagious 1 day prior to lesion eruption and until the

vesicles have crusted over, which usually takes about 6 days.

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?

(Ans- "Pulmonary function tests will be performed every 12 to 24 months to

evaluate how your child is responding to therapy."

A nurse is admitting an infant who has intussusception. Which of the

following findings should the nurse expect? (Select all that apply.)

(Ans- Vomiting; due to the obstruction that occurs when a segment of the

bowel telescopes within another segment of the bowel.

Lethargy; due to episodes of severe pain during which the infant cries

inconsolably, leading to exhaustion and decreased nutritional intake.

A nurse is reviewing the laboratory results of a school-age child who is 1

week postoperative following an open fracture repair. Which of the

following findings should the nurse identify as an indication of a potential

complication?

(Ans- Erythrocyte sedimentation rate 18 mm/hr; bove the expected

reference range of up to 10 mm/hr and is an indication of osteomyelitis.

WBC Count Normal: 5,000 to 10,000/mm3

C-Reactive Protein Normal: Less than 10.0 mg/L

RBC Count Normal: 4.0 to 5.5 million/mm3

A nurse is providing discharge teaching to the parents of a 3-month old

infant following a cheiloplasty. Which of the following instructions should

the nurse include?

(Ans- "Apply a thin layer of antibiotic ointment on the your babys suture

line daily for the next 3 days."

A nurse is discussion organ donation with the parents of a school-age child

who has sustained brain death due to a bicycle crash. Which of the

following actions should the nurse take first?

(Ans- Explore the parents feelings and wishes regarding organ donation.

A nurse is caring for a 1-month-old infant who is breastfeeding and requires

a heel stick. Which of the following actions should the nurse take to

minimize the infants pain?

(Ans- Allow the mother to breastfeed while the sample is being obtained.

A nurse is assessing an adolescent who received a sodium polystyrene

sulfonate enema. Which of the following findings indicates effectiveness of

the medication?

(Ans- Serum potassium level 4.1 mEq/L; The nurse should monitor the

adolescent's serum potassium level following the administration of sodium

polystyrene sulfonate. This medication is used to treat hyperkalemia by

exchanging sodium ions for potassium ions in the intestine. Therefore, a

potassium level within the expected reference range of 3.4 to 4.7 mEq/L

indicates the effectiveness of the medication.