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ATI PN PEDIATRIC PROCTORED EXAM
Actual NGN Questions with Rationalized Answers
100% Guarantee Pass Score
This test consists of 70 multiple-choice Ques with Ans
1. A nurse is contributing to the plan of care for a child who has sickle cell anemia and is
experiencing a vaso-occlusive crisis. Which of the following isthe priority intervention
for the nurse to recommend to include in the the plan?
Promote oxygen utilization.
Administer antibiotics.
Encourage fluid intake.
Apply a warm compress to the joints.
Ans>> Promote oxygen utilization.
The priority action the nurse should take when using the airway, breathing, circula- tion
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(ABC) approach to client care is promoting oxygen utilization to prevent furthersickling of
the red blood cells and promote adequate oxygenation of the tissue.
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2. A nurse is assisting in the care of a school-age child who has skeletal traction applied
to the right lower leg to repair a femur fracture. Which of thefollowing findings is the
priority for the nurse to report to the provider?
Report of tingling in the right foot. Pain
rating of 7 on a scale of 0 to 10Decrease
in food intake
Increase in crusting at pin sites
Ans>> Report of tingling in the right foot.
The nurse should identify that the greatest risk to the child is nerve injury.Therefore,
tingling in the right foot, which can indicate nerve damage or compartment syndrome, is the priority finding for the nurse to report to the provider.
3. A nurse is assisting with the care of an adolescent following a cardiac
catheterization.Which of the following is the priority finding the nurse shouldreport to
the provider?
Reports pain as a 4 on a 0 to 10 scaleHeart
rate 104/min
Distal pulse 1+
Bleeding noted on the dressing
Ans>> Bleeding noted on the dressing.
Bleeding noted on the dressing is an indication that the client is at greatest risk for
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hemorrhage at the catheterization site; therefore, the nurse should identify bleeding on
the dressing as the priority finding. The nurse should apply continuous pressure
2.5 cm (1 in) above the site and notify the provider.
4. A nurse is reinforcing teaching with the guardian of a school-age child whohas acute
bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the
following instructions should the nurse include?
Remove dried drainage with a cold washcloth.
Instill medication immediately after cleansing the eye.Apply
an occlusive gauze over the child's eye.
Cleanse the eye by gently wiping from the outer aspect of the eye inwardtoward
the nose.
Ans>> Instill medication immediately after cleansing the eye.
The nurse should instruct the guardian to instill the medication in the eye immedi-ately
after cleansing.
5. A nurse is collecting data from a 12-month-old infant during a well-child visit.Which
of the following findings should the nurse report to the provider?
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Heart rate 130/min
Respiratory rate 30/minBP
115/70 mm Hg
Temperature 37.5° C (99.5° F)
Ans>> BP 115/70 mm Hg
The nurse should identify that this blood pressure is above the expected referencerange
for a 12-month-old infant and report this finding to the provider.
6. A nurse is collecting data from a child who has iron deficiency anemia. Which of the
following data signifies that adherence to ferrous sulfate therapyhas occurred?
Occasional vomiting and nausea
Green, tarry stools
Tolerates milk
Weight gain
Ans>> Green, tarry stools
Green, tarry stools are an expected outcome of ferrous sulfate therapy. Therefore,this is
an indication of adherence to the prescribed medication regimen.
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7. A nurse is screening a group of school-age children for maltreatment. The nurse
should identify that which of the following conditions places a child atrisk for physical
maltreatment?
A child who has ADHD
Recurrent
otitis
media
Obesity
Assertiveness
Ans>> A child who has ADHD
The nurse should identify that ADHD places a child at an increased risk for physical
maltreatment, due to the increased emotional and physical demands the condition can
place on the child's parents.
8. A nurse is reinforcing teaching with the parents of a toddler who has strabismus.
Which of the following treatments should the nurse plan to includein the teaching?
Corrective biconcave lenses
Laser surgery
Eye patch
Artificial tears
Ans>> Eye patch
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Treatment of strabismus includes covering the strong eye to strengthen the musclesin the
weak eye.
9. A nurse is preparing a toddler for suturing of a minor facial laceration.Thenurse
should place the toddler in which of the following restraints?
Swaddle restraint
Jacket restraint
Elbow restraints
Wrist restraints
Ans>> Swaddle restraint
The nurse should use a swaddle restraint when a short-term restraint is needed for
treatment of the toddler that involves the head and neck. The nurse should always use
the least amount of restraint necessary.
10. A nurse is reinforcing teaching with the guardians of a school-age childwho has
hearing loss. Which of the following techniques should the nurse recommend to
facilitate communication with the child?
Exaggerate the pronunciation of each word.Keep
hands still when speaking.
Stand away from child when speaking.
Use facial expressions when speaking.
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Ans>> Use facial expressions when speaking.
The nurse should instruct the guardians to use facial expressions when speaking toassist in
conveying the message being spoken.
11. A nurse is preparing to administer phenobarbital to a toddler who has a seizure
disorder and weights 10 kg (22 lb). The prescription reads phenobar-bital sodium
2.5mg/kg PO BID. Available is phenobarbital 20 mg/5 mL. How many mL should the
nurse administer with each dose? (Round to the answerto nearest hundredth. Use a
leading zero if it applies. Do not use a trailing zero.)
Ans>> 6.25 mL
12. A nurse is reinforcing teaching with the parents of preschoolers regardingthe use of
booster seats in a motor vehicle. Which of the following instructions should the nurse
include in the teaching?
Ensure the shoulder-lap portion of the seat belt fits across the child's ab-domen when
sitting in the booster seat.
Use a no-back, belt-positioning booster seat if the motor vehicle does not havehead rests.
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Discontinue using a booster seat when the child is 135 cm (4 feet 5 in) inheight.
Secure the child in the booster seat using the motor vehicle's shoulder-lapseat belt.
Ans>> Secure the child in the booster seat using the motor vehicle's shoul- der-lap seat
belt.
The nurse should instruct the parents to secure both the child and the booster seatwith
the shoulder-lap seat belt inside the motor vehicle, because booster seats do not have
built-in straps.
13. A nurse is monitoring a child who is receiving a transfusion of packedRBCs.
Which of the following responses by the child is an indication of a transfusion
reaction?
"My nose is runny. Can I have a tissue?""I am
hungry. Can I get a snack?"
"I am sleepy. I might take a nap after this."
"I am cold. Can I have an extra blanket?"
Ans>> "I am cold. Can I have an extra blanket?"
The nurse should identify that being cold and having chills is an indication of a
transfusion reaction.
14. A nurse is reinforcing home safety instructions with parents of a toddler.Which of
the following parent statements indicates an understanding of theteaching?