ATI PROCTORED PEDS
1. A nurse is completing an admission assessment on an adolescent child who is a vegetarian. He
eats milk products but does not like beans. Which of the following items should the nurse suggest
the client order for lunch to provide nutrients most likely to be lacking in his diet?
a. Peanut butter and jelly sandwich
2. A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of
cephazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose?
3. A nurse is preforming a pre-college assessment on an adolescent. Which of the following
immunizations should the nurse anticipate administering?
a. Meningococcal polysaccharide vaccine
4. A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse expect? a. Dependent edema
5. A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The
nurse should instruct the client that this medication can cause which of the following adverse
effects?
a. Body secretions turning a red-orange color
6. A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following
manifestations should the nurse expect? a. Projectile vomiting
7. A nurse receives a call from a parent of a child who has von Willebrand disease and has having a
nosebleed. Which of the following instructions should the nurse give to the parents?
a. “have you child sit with their head tilted forward and hold pressure on her nose for 10
minutes.”
8. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings
should the nurse expect?
a. Pain
9. A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a
client
who is scheduled for surgery in the morning. Which of the following actions should the
nurse include in the demonstration?
a. Place both hands on the sides of her rib cage.
10. A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following
findings
should the nurse expect? (select all that apply). a. Most common: Murmur
b. weak pulses, HTN, dizziness, chest pain
11. A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP).
Which of the following manifestations is the most appropriate for the nurse to monitor?
a. Fever?
12. A nurse is providing teaching to a parent of a child who has Hirschsprung disease is
scheduled
for initial surgery. Which of the following statements indicates an understanding of the
teaching?
a. “I’m glad that my child’s ostomy is only temporary.”
13. A school nurse identifies that a child has pediculosis capitis and educates the child’s parents
about the condition. Which of the following statements by the parents indicated an understanding
of the teaching?
a. “all recently used clothes, bedding, and towels must be washed in hot water.”
14. A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The
nurse should instruct that the transition to whole milk can occur at which of the following ages? a.
12 months
15. A nurse is assessing a 6-month old patient at a well-child visit. Which of the following findings
should the nurse expect?
a. Closed posterior fontanel (8 weeks).
16. A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in
suspension
form. Which of the following actions should the nurse take before administering each
dose? a. ??
17. A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for
acquiring urinary tract infections. Which of the following actions should the nurse include
in the client’s plan of care?
a. Encourage fluid intake at and between meals.
18. A nurse is planning care for a child who has suspected epiglottis. Which of the following actions
should the nurse take?
a. place the child in an upright position
19. A nurse is instructing a group of clients regarding calcium rich food. Which of the following
should the nurse include in the teaching as the best source of calcium? a. 1 cup milk
20. A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The
parent begins to cry and says “ I don’t understand why my child is so upset. I’ve never seen my child
act this way around others before.” Which of the following statements should the nurse make?
a. “This is a normal, expected reaction for a child of this age.”
21. A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the
following strategies should the nurse use to elicit the child’s cooperation? a. Offer the child a choice
of taking it with juice or water.
22. A nurse is caring for a client who requires droplet precautions. Which of the following
personal protective equipment should the nurse wear when setting up the meal tray?
a. Mask
23. A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which
of the
following actions by the client indicates an understanding of the teaching?
a. The client holds his breath 10 seconds after inhaling the medication.
24. A nurse is caring for a 2-month-old infant who is post-operative following surgical repair of a
cleft lip. Which of the following actions should the nurse take?
a. Administer ibuprofen as needed for pain.
25. A nurse is caring for a child who has Kawasaki disease. Which of the following systems should
the nurse monitor in response to this diagnosis? a. Cardiovascular
26. A nurse is providing teaching to a client who has oral candidiasis and a new script for nystatin
suspension. Which of the following statements by the client indicates an understanding of the
teaching?
a. “I will store the medicine at room temp”
27. A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse
should
evaluate the client for which of the following alterations as indications that the client has
an infection? (Select all that apply).
a. ??
28. A nurse is removing PPE after giving direct care to a client who requires isolation. Which of
the
following must be removed first? a. Gloves
29. A nurse is assessing a client who is receiving a unit of RBC. Which of the following findings
is a manifestation of acute hemolytic reaction?
a. Client reports low back pain.
30. A nurse is teaching a group of clients about emergency care for a snake bite. Which of the
following information should the nurse include in the teaching?
a. Raise the affected extremity above the level of the heart.
31. A nurse is assessing a client who has right ventricular failure. Which of the following
findings should the nurse expect?
a. Hepatomegaly
32. A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the
following nursing interventions is unnecessary in the client’s plan of care?
a. Measuring head circumference every shift.
33. A nurse is caring for a pre-school child who has epiglottitis with a barking cough. Which of the
following actions should the nurse take?
a. Monitor O2 sat.
34. A nurse is caring for a child who 2 hr postoperative following a tonsillectomy. Which of the
following fluid items should the nurse offer the child at this time? a. Crushed ice
35. A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on
admission and again in 2 hours. Which of the following assessment should indicate to the nurse that
the client could be developing a serious complication?
a. Increased resp rate from 18 to 44/min.
36. A nurse is providing discharge teaching to a client who has SLE. Which of the following
instructions should the nurse include?
a. Wash hair with mild protein shampoo.
37. A nurse is caring for an infant who has congenital heart defect. Which of the following defects is
associated with increased pulmonary blood flow?
a. Patent ductus arteriosus.
38. A community health nurse in a pediatric clinic is reviewing a history of a 12-year-old client.
Which of the following immunizations should the nurse expect to administer?
1. Meningococcal conjugate
2. HPV, Tdap.
39. A nurse is presenting an in-service about the use of postural drainage for infants who have
cystic fibrosis. Which of the following positions should the nurse identify as being
contraindicated for the infant?
a. Trendelenburg?
40. A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. The
amount
available is 0.125mg tab. The client’s current vital signs are: BP 144/96, hear rate 54/min,
respirations 18/min, and temperature 98.6 F. Which of the following actions should the
nurse take?
a. Withhold for decreased pulse rate.
41. A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by
the mother should concern the nurse?
a. “My teacher says my child has to squint to see the board.”
42. A nurse is conducting a primary survey of a client who has sustained life-threatening
injuries do to a motor-vehicle crash. Identify the sequence of actions the nurse should
take.
1. Open airway using a jaw-thrust maneuver
2. Determine effectiveness of ventilator efforts
3. Establish IV access
4. Glasgow Coma Scale assessment
5. Remove clothing for a thorough assessment.
43. A nurse is reinforcing teaching about food choices with the mother of an 8-month-old
infant. Which of the following statements by the mother indicates a need for further
teaching?
a. “I will give my child strained carrots and mashed egg yolks.”
44. A nurse in an emergency room is caring for a client who sustained partial-thickness burns to
both lower legs, chest, face, and both forearms. Which of the following is the priority action the
nurse should take?
a. Inspect the mouth for signs of inhalation injuries
45. A charge nurse is making a room assignment for a client who has scabies. In which of the
following rooms should the nurse place the client? a. Private room
46. A nurse is reviewing the lab findings for a client who has ITP. Which of the following
findings should the nurse expect to be decreased?
a. Platelets
47. A nurse is assessing a client who has SLE. Which of the following findings should the nurse
expect?
a. Facial rash
48. A client is admitted to the emergency room with a respiratory rate of 7/min. ABG reveal the
following values. Which of the following is an appropriate analysis of the ABGs?
pH 7.22
paCO2 68
Base excess -2 PaO2 78
Sat 80% Bicarb 26
a. Respiratory acidosis
lOMoAR cPSD| 657570
49. A nurse is caring for a group of clients in an infectious disease unit. The nurse should wear
OSHA-approved N95 respirator mask when caring for a client with which of the following
infectious diseases?
a. TB
50. A nurse is teaching a client about taking diphenhydramine. The nurse should explain to
the
client that which of the following is an adverse effect of this medication? a. Sedation
51. A nurse is admitting a child who has leukemia. Which of the following clients should the
nurse place in the same room with this child?
a. Child who has nephrotic syndrome
52. A nurse is instructing the parents of a client who has a new prescription for methylphenidate.
Which of the following instructions should the nurse include? a. Avoid activities that require
alertness such as driving.
53. A nurse is caring for a client who is experiencing anaphylactic shock in response to the
administration of PCN. Which of the following meds should the nurse administer first?
a. Epinephrine
54. A nurse is providing teaching to a parent of a toddler about appropriate snacks. Which of
the
following foods should the nurse include?
a. Sliced bananas
55. A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the
following instructions should the nurse include? (select all that apply).
a. Lubricate lips with water soluble solution, blow nose gently, brush teeth with a soft toothbrush.
56. A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following
actions should the nurse take?
a. Keep thermometer in toddler’s room.
57. A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth
extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of
the following products?
a. Fresh frozen plasma /
58. A nurse is assessing a school-aged child whose blood glucose level is 280. Which of the
following
findings should the nurse expect? a. Pallor?
59. A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites
should the nurse examine to identify cyanosis in this client?
a. Conjuctivae
60. A nurse is caring for a client who has congestive heart failure and is taking digoxin daily.
The
client refused breakfast and is complaining of nausea and weakness. Which of the
following action should the nurse take first?
a. Check vitals.
61. A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid
arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this
medication?
a. Decreases inflammation.
62. A nurse is caring for a client who just had a cardiac catherization. Which of the following nursing
interventions should the nurse include in the clients plan of care?
a. Have client remain in bed for up to 6 hours, check peripheral pulses in affected extremity, keep
leg and hip extended.
63. A nurse in an urgent care center is caring for a client who is having an acute asthma
exacerbation. Which of the following actions is the nurse’s highest priority?
a. Administering a nebulized beta-adrenergic
64. A nurse is assessing a 9-month-old infant. Which of the following findings require further
interventions?
a. Positive moro reflex
65. A nurse is caring for a client who has HIV. Which of the following lab values is the nurse’s
priority?
a. CD4-T-cell count 180
66. A nurse is providing dietary teaching to a client who has a burn injury and adheres to a vegan
diet. The nurse should recommend which of the following foods as the best source of protein to
promote wound healing?
a. 1 c lentils
67. A nurse is caring for a client who has hemophilia A and hemarthrosis of the left knee. Which of
the following actions should the nurse take? a. Obtain a stool specimen
68. A nurse is assessing a client who has infective endocarditis. Which of the following findings
should be the priority for the nurse to report to the provider?
a. Dyspnea.
69. A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of
anemia. Which of the following lab values gives the nurse an assessment of the adequacy
of the client’s protein uptake and synthesis?
a. Albumin
70. A child is admitted with suspected diagnosis of Wilms’ tumor. The nurse should place a
sign with
which of the following warnings over the child’s bed?
a. “Don’t palpate the abdomen”
71. A nurse in the ER is caring for a client who has extensive partial and full-thickness burns of the
head, neck, and chest. While planning the client’s care, the nurse should identify which of the
following risks as the priority for assessment and intervention?
a. Airway obstruction
72. A client tells the nurse that he is concerned because his provider told him he has a heart
murmur. The nurse should explain to the client that a murmur a. Indicated turbulent blood flow
through a valve.
73. A nurse is administering nasal decongestant drops for a client. Which of the following actions
should the nurse take?
a. Tell the client to blow her nose gently before the instillation.
74. A nurse is caring for an 8-year-old who has acute rheumatic fever. Which of the following
assessments is the nurse’s priority immediately after admission?
a. Auscultating the rate and characteristics of the child’s heart sounds.