NURS 307-ATI PEDS PROCTORED FINAL EXAM STUDY GUIDE LATEST 2023-2024

NURS 307ATI PEDS PROCTORED FINAL

EXAM 2023/NURSING 307 ATI PEDIATRIC

PROCTORED 160 QUESTIONS AND

CORRECT ANSWERS 2023-2024|AGRADE

1. A nurse is preparing to assess a 4-year-old child’s visual acuity. Which of the following

actions should the nurse plan first?

A. Use a tumbling E chart for the assessment

B. Position the child 4.6 meters (15 feet) from the chart

C. Asses both eyes together first, then each eye separately

D. Test the child without glasses before testing with glasses

2. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic

arthritis and a new prescription of prednisone/etanercept. Which of the following

statements should the nurse include in the teaching?

A. Monitor your child for indications of infection

B. Discontinue this medication if gastrointestinal upset occurs

C. Expect that this medication willstimulate growth spurt

D. Limit your child’sintake of potassium-rich foods

3. A nurse on a pediatric unit is caring for four children. The nurse should use droplet

precautions for which of the following children?

A. An adolescent who has hepatitis A

B. A toddler who hasseasonal influenza

C. A preschool-age child who has pediculosis capitis

D. A school-age child who has viral conjunctivitis

4. A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the

following statements should the nurse include in the teaching?

A. Apply a warm, moist compress three times a day

B. Apply a scent baby powder to absorb residual moisture

C. Wear a feminine deodorant pad for vaginal drainage

D. Wear a nylon underwear at night

5. A nurse is creating a plan of care for a school-age child who has nephrotic syndrome.

Which of the following interventions should the nurse include? (SATA)

A. Provide a low sodium diet

B. Encourage increased fluid intake

C. Assess for protein in the urine

D. Initiate contact precautions

E. Obtain a daily weight

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6. A nurse in a pediatric unit is caring for a school-age child following a cardiac

catheterization. Which of the following interventions would the nurse take?

A. Maintain NPO statusfor 24 hoursfollowing the procedure

B. Administer meperidine for pain every 4 hours

C. Perform a sterile dressing change 8 hours afterthe procedure

D. Keep the affected extremity straight for 6 hours.

7. A nurse isteaching a parent of a toddler about administering digoxin. Which of the

following statements by the parent indicates understanding of the teaching?

A. Ishould mix the medication with 4 ounces of child’sfavorite juice

B. I should give me child water after giving the medication

C. I should give my child another dose if he vomitsright after taking the medication

D. I should give the medication with foods that are high in fiber

8. A nurse is caring for a 9-year-old child who has major burnsto her face and upper torso.

Which of the following actions should the nurse take first?

A. Administer a tetanus vaccine

B. Give pain medication

C. Begin enteral feedings

D. Initiate a crystalloid IV bolus

9. A nurse is planning care for a toddler who has developed oral ulcers in response to

chemotherapy. Which of the following should the nurse include in the plan of care?

A. Schedule routine oral care every 8 hours

B. Administer oral viscouslidocaine

C. Moisten the mucous with lemon glycerin swabs

D. Cleanse the gums with saline soaked gauze

10. A nurse in a community health clinic is assessing the needs of a single parent who has

three young children and works full time. Which of the following resources should the

nurse recommend?

A. 12-step support group

B. Respite child-care

C. Child home health care

D. Counseling for depression

11. A nurse is caring for a child who has prescription for fluticasone and has developed

white patches and soresin his mouth. Which of the following is an appropriate action for

the nurse to take?

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A. Encourage the use of a spacer

B. Withhold the medication until the lesions heal

C. Obtain a prescription for oral prednisone

D. Collect a culture from the lesions

12. A nurse is providing teaching to the parents of a child who has impetigo. Which of the

following instructions should the nurse include in the teaching?

A. Seal soft toys in a plastic bag for 14 days

B. Apply bacterial ointment for lesions

C. Administer acyclovir PO two times per day

D. Soak hairbrushes in boiling water for 10 minutes

13. A nurse in an emergency department is caring for a child who is epiglottis. Which of the

following actions should the nurse take?

A. Provide nebulizer aerosol therapy

B. Administer IV antibiotics

C. Inspect the tonsils using a tongue depressor

D. Collect a throat culture

14. A nurse is planning care for a child who is placed in skin traction. Which of the following

is the priority action for the nurse to take?

A. Increase fluid intake

B. Maintain a proper body alignment

C. Use an alternate pressure mattress

D. Monitor pedal pulses

15. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child who is receiving

chemotherapy and weighs 29.4 kg. available is ondansetron 4mg/2mL solution. How

many mL should the nurse administer? (Round the answer to the nearest tenth. Use a

leading zero if it applies. Do not use a trailing zero).

Answer: 2.2 mL

16. A nurse is performing a physical assessment of a school-age child who has acute

glomerulonephritis. Which of the following findings should the nurse expect?

A. Hypotension

B. Increased urinary output

C. Flushed skin

D. Facial edema