ATI PEDS PROCTORED FINAL EXAM /PEDS ATI PROCTORED FINAL EXAM TEST BANK 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|AGRADE

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ATI PEDS PROCTORED FINAL EXAM 2023-2024/PEDS

ATI PROCTORED FINAL EXAM TEST BANK 200

QUESTIONS AND CORRECT ANSWERS WITH

RATIONALES|AGRADE

The nurse is preparing to administer an immunization to a four-year-old child.

Which of thefollowing actions should the nurse plan to take?

A- Place the child in a prone position for the immunization

B- request that the child's caregiver leave the room during the immunization

C- administer the immunization using a 24 gauge needle

D- inject the immunization slowly after aspirating for 3 seconds

Answer - c

The nurse should administer an immunization for a 4-year-old child using a 24-

gauge needle tominimize the amount of pain experienced by the toddler.

A- The nurse should place the child in an upright sitting position for the

immunization becausethis decreases the child's fear and anxiety.

B- The nurse should allow the caregiver to stay near the child during the

immunization toprovide a sense of security and reduce the child's anxiety level.

D- The nurse should inject the immunization rapidly and avoid aspiration.

These actions decrease the risk of needle displacement and lower the child's

fear and anxiety level by decreasing the amount of time it takes to

administer the immunization.

A nurse is reviewing the laboratory report of an infant who is receiving

treatment for severedehydration. The nurse should identify which of the

following laboratory values indicates effectiveness of the current treatment?

A- Potassium 2.9 mEq/L

B- sodium 140

C- urine specific gravity 1.035

D- BUN 25 mg

Answer- b

The nurse should identify that a sodium level of 140 mEq/L is within the

expected reference range and indicates the current treatment regimen the infant

is receiving for dehydration is effective.

A- A potassium level of 2.9 mEq/L is below the expected reference range

and indicateshypokalemia.

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C- A urine specific gravity of 1.035 is above the expected reference range and

indicatesconcentrated urine.

D- A BUN level of 25 mg/dL is above the expected reference range and indicates

the kidneys arenot excreting BUN as they should be.

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?

A- Play pat-a-cake

B- using a push pull toy

C- creating a scrapbook

D- playing dress-up

Answer - d

The nurse should instruct the parents that at the preschool age, play should focus

on social, mental, and physical development. Therefore, playing dress-up is a

recommended play activityfor this child.

A- Playing pat-a-cake is a recommended play activity for an infant.

B- Using a push pull toy is a recommended play activity for a toddler.

C- Creating a scrapbook is a recommended play activity for a school-age child.

A nurse is teaching the parents of a newborn about ways to prevent sudden

infant deathsyndrome SIDS. Which of the following instructions should the

nurse include?

A- Place the infant in a prone position to sleep.

B- Allow the infant to sleep on a large pillow.

C- User soft mattress in the infant's crib.

D- Give the infant a pacifier at bedtime.

Answer- d

The nurse should inform the parent that protective factors against SIDS include

breastfeedingand the use of a pacifier when the infant is sleeping.

A- The nurse should instruct the parent to place the infant in a supine position to

sleep. Proneand side-lying positions are risk factors for SIDS.

B- Placing the infant on a large pillow to sleep can increase the risk of suffocation,

asphyxiation,and SIDS.

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C- The nurse should instruct the parent to use a firm mattress and avoid the use of

waterbeds,beanbags, or soft mattresses when placing the infant to bed. The use of a

soft mattress in the infant's crib is a risk factor for SIDS and can lead to

asphyxiation.

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A nurse is assessing an infant who has pneumonia. Which of the following

findings is thepriority for the nurse to report to the provider?

A- Nasal flaring

B- WBC 11,300

C- diarrhea

D- abdominal distension

Answer- a

When using the airway, breathing, circulation approach to client care, the nurse

should placethe priority on nasal flaring. Nasal flaring indicates that the infant

is experiencing acute respiratory distress.

B- The nurse should report a WBC of 11,300/mm3 because it is above the

expected reference range and indicates infection. However, another finding is the

priority for the nurse to report. C- The nurse should report diarrhea because it is a

manifestation of pneumonia in infants and indicates the current treatment is not

effective. However, another finding is the priority for thenurse to report.

D- The nurse should report abdominal distension because it is a manifestation of

pneumonia ininfants and indicates the current treatment is not effective. However,

another finding is the priority for the nurse to report.

A school nurse is assessing a school-age child blood pressure while he is seated

in a chair. Thechild starts to experience a tonic-clonic seizure. Which of the

following actions should the nurse take first?

A- Clear the immediate area around the child of hazardous objects

B- loosen the child restrictive clothing

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

D- apply an oxygen mask to the child

Answer- c

The greatest risk to this child is aspiration, occlusion of the airway, and bodily

injury from falling out of the chair. The nurse should ease the child down to

floor in a side-lying positionimmediately. This position enables the child's

secretions to drain from the mouth, preventingaspiration, and maintaining a patent

airway.

A- The nurse should clear the area around the child of hazardous objects.

However, this is notthe first action the nurse should take.

B- The nurse should loosen the child's restrictive clothing. However, this is not

the first actionthe nurse should take.

D- The nurse should apply an oxygen mask to the child to prevent hypoxia.

However, this is notthe first action the nurse should take.