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ATI PN PEDIATRIC PROCTORED TEST BANK
Actual NGN Questions with Rationalized Answers
100% Guarantee Pass Score
This test bank consists of 370 multiple-choice Ques with Ans
1. A nurse is assisting with the admission of a toddler who has bacterial meningitis
caused by Haemophilus influenzae type B. Which of the followingisolation guidelines
should the nurse plan to initiate?
Airborne Precautions
Contact Precautions
Droplet Precautions
Standard precautions
Ans>> Droplet precautions
The nurse should plan to initiate droplet precautions for this child, because bacterial
meningitis caused by Haemophilus influenzae type B is transmitted through the air via
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large-particle droplets.
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2. A nurse is reinforcing teaching to the guardian of a toddler who is receiving
chemotherapy and has developed stomatitis. Which of the following instruc- tions
should the nurse include in the teaching?
Care of skin integrity
rinse the mouth with chlorihexidine mouthwashHave
client consume more carbs in diet
rinse the mouth with commercial mouthwash
Ans>> Frequently rinse the mouth withchlorihexidine mouthwash
The nurse should encourage the guardian to rinse the toddler's mouth frequentlywith
chlorhexidine mouthwash.
3. A nurse is reinforcing discharge teaching with the guardians of a 6month old infant
following a surgical procedure to repair a hypospadias.Which of thefollowing
instructions should the nurse include?
Bath child in warm water to keep penis moist Wait 1
week before giving the infant a tub bathApply
ointment to penis when it becomes dry
Monitor for redness or cracks around genital area
Ans>> Wait 1 week before giving theinfant a tub bath
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Keep the infants penis as dry as possible until the stent or cather is removed.
The nurse should instruct the guardians to keep the infant's penis as dry as possible
until the stent or catheter is removed. The parent should provide sponge-baths tothe child
until the stent or catheter is removed.
4. A nurse is reviewing the laboratory findings of a school-age child who re- ports
feeling tired and being easily bruised. Which of the following laboratoryvalues should
the nurse report to the provider?
Platelets 85,000
WBC 10,000
HCT 32%
Hgb 12%
Ans>> Platelets 85,000/mm3
This value is below the expected reference range for a school-age child and shouldbe
reported to the provider.
5. A nurse is contributing to the plan of care for a child who has type 1 diabetesmellitus
and is experiencing an acute illness. Which of the following actions should the nurse
include in the plan of care?
Consume 15g of simple carbs when feeling thirsty and blurred visionEncourage
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an increased fluid intake
Have child exercise 3 times a week atleast
Teach child how to perform an accu-check
Ans>> - Encourage an increased fluid intaketo flush out ketones and prevent dehydration;
this can lead to DKA
The nurse should encourage an increased fluid intake to flush out ketones and prevent
dehydration. Children who have diabetes mellitus and an acute illness aremore likely to
experience ketonuria and hyperglycemia. Dehydration increases therisk of the child
developing diabetic ketoacidosis.
6. A nurse is contributing to the plan of care for a child who is in Buck's traction. Which
of the following interventions should the nurse include in theplan?
Have the weights secured to bed
Have buttocks raised
Maintain the leg in an extended position
Keep restraints on child to avoid tampering with weights
Ans>> Maintain the leg in anextended position
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-decreases the risk for further injury to the extremity and minimizes the occurrenceof
muscle spasms
7. A nurse in a pediatric clinic is caring for an infant who has heart failure anda
prescription for digoxin. Which of the following statements by the parent indicates
desired therapeutic effect of the medication?
My baby should be protected for seasonal allergies My
infant has developed therapeutic glucose rangesMy baby's
respiratory rate increased
My baby is breathing easier than she used to
Ans>> My baby is breathing easier thanshe used to
-Digoxin(increases cardiac output and decrease venous pressure and pulmonaryedema,
which will reduce respiratory demands
8. A nurse is caring for a group of children in an acute care setting.The nurseshould
identify that which of the following children is at risk for impaired elimation?
A child who has hyperglycemia
A child who has an abnormal heart rate A
child who has delayed cognitive ability
A child who isn't walking at 3 years old
Ans>> A child who has hyperglycemia
-A client who has hyperglycemia exhibits manifestations of polyuria, lethargy, con-fusion,
thirst, nausea, vomiting, abdominal pain, signs of dehydration, rapid respiration, and fruity
breath. A child who has hyperglycemia is at risk for dehydration
9. A nurse is caring for a toddler who has terminal cancer and is receiving hospice
care.The child's parent tells the nurse, "I'm a bad parent, and I cantdeal with this."
Which of the following responses should the nurse make?
Why do you think that?
I'm not sure I follow you, can you explain? Every now
and then a parent will feel like this.
It's ok, you are not a bad parent.
Ans>> I'm not sure I follow you. Can you explain?
The nurse should use open-ended statements that will allow the parent to share their
feelings and emotions. During times of grief, the parent needs to express emotions.
The use of an open-ended statement relays the message that it is safe to do so withthe
nurse.
10. A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
parent of a 1month old infant. Which of the following statement by theparent indicates
an understanding of the teaching?
I will allow my baby to sleep prone position for comfort
It's ok for my baby to sleep with extra blankets around the cribI can
sleep safely knowing my infant is sleeping next to me
I will allow my baby to have a pacifier while sleeping
Ans>> I will allow my baby to havea pacifier while sleeping
-decreases the risk for SIDS
11. 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?
Instill medication immediately after cleansing the eyeInstill
eye drops a bit above the eye
Apply room temperature water to the eye after eye drops
Restrain child while instilling medication
Ans>> Instill medication immediately aftercleansing the eye
12. A nurse is assisting with the development of a health promotion programfor the
guardians of adolescents. Which of the following information about adolescents should
the nurse recommend to include in the program
Encourage oral contraceptives for safer sex
Include teachings of aspirin over acetaminophen for children and infantsExplain
the number of swimming deaths in adolescents
The leading cause of death in adolescents is physical injury
Ans>> The leading causeof death in adolescents is physical injury
-MVC (motor vehicle crashes) are the leading cause of death in adolescent population.
13. A nurse is reinforcing teaching with the parent of an infant who has a new
diagnosis of human immunodefiency virus (HIV). Which of the followingstatements
made by the parent indicates an understanding of the teaching?
I should wipe the toilet seat after each use
I should bring my child in for immunizations on scheduleNSAIDS
can be deadly to an infant that has HIV
HIV is worse than AIDS leading to a lower CD4 count
Ans>> "I should bring my childin for immunizations on schedule."
Immunizations provide protection from communicable diseases
14. A nurse is reinforcing teaching about home care with the guardian of a14month
old toddler who has spatic cerebral palsy. Which of the followingstatements by the
guardian indicates an understanding of the teaching?
I will perform daily stretching exercises to my toddler's affected musclesHave child
rest throughout the week
Restrain child's arm to avoid muscle spasm injury
Raise the HOB whenever child needs to reposition
Ans>> "I will perform daily stretch-ing exercises to my toddler's affected muscles
Stretching prevents muscle contractures.
15. A nurse is collecting physical data from a 4-year-old child who has diarrhea and has
been vomiting for 24 hr.Which of the following sites should the nursegrasp to determine
the child's skin turgor?
The child's abdomen
The child's deltoid muscle
The child's fatty tissue in the arms
The child's fontanelles
Ans>> The child's abdomen.
The nurse should expect the child who has diarrhea and has been vomiting to exhibita
decrease in skin turgor. To check skin turgor, the nurse should grasp the skin on the child's
abdomen, pull it taut, and release it quickly. A child who has been vomitingand had diarrhea
for 24 hr will have a prolonged period of tenting.
16. A nurse is screening a group of school age children for abuse. The nurseshould
identify that which of the following conditions places a child at risk forphysical abuse?
An adopted child
A child who has ADHD
A child who draws rather than plays
A hispanic house hold
Ans>> A child who has ADHD
due to the increased emotional and physical demands the conditon can place of thechild's
parents
17. A nurse is providing care to parents immediately following their child's
unexpected death. Which of the following actions should the nurse take?
Have child covered in a blanket before family entersTell
them how special their child
Offer the parents the opportunity to bathe and dress the child's body
Step outside and give them privacy
Ans>> Offer the parents the opportunity to batheand dress the child's body
-this can facilitate the grieing process and allow them to provide care for their childone
last time
18. During a well-child visit, the parent of a toddler expresses concern to thenurse that
the toddler takes several hours to fall asleep at night. Which of the following
recommendations should the nurse make?
You should try giving them melatonin before bed time
Provide the toddler with a favorite toy at bedtime
Have them exercise or play to promote sleep before bedtime
Give them hot chocolate before bedtime
Ans>> Provide the toddler with a favorite toyat bedtime.
providing the toddler with a favorite toy at bedtime will help the toddler to feel more
secure and facilitate sleep.
19. A nurse is collecting data from a 10-month-old infant. Which of the follow- ing
findings should the nurse report to the provider?
Sits with support by leaning on handsInfant
can jump with both legs
Can read and solve math problems
Prefers video games rather then plush toys
Ans>> Sits with support by leaning onhands
bc an infant should be able to sit unsupported by 8months of age
20. A nurse is caring for a school aged child who has hemophilia A. Which ofthe
following should the nurse recognize as a manifestation of this disorder?
Nausea and vomiting
Itchy and redness on injection siteCold
and cyanosis on site
Join pain and stiffness
Ans>> Join pain and stiffness
oint pain and stiffness can occur as a result of bleeding into the joint, which is a
manifestation of hemophilia A.
21. A nurse is caring for a 1month old infant who has a nasogasatric tube in place for
intermittent feedings. Which of the following actions should thenurse take?
Ask the child to cough to monitor for aspiration Listen to
their heart with the bell on the stethoscope
Position the head of the crib at 30 angle between feedings
Tell child to remain perfectly still while receiving feedings
Ans>> position the head ofthe crib at 30 angle between feedings
place the infant with the head of the crib elevated 30° to 45° to prevent aspiration.
22. A nurse is collecting for an adolescent who has asthma and has received an
albuterol nebulizer treatment. Which of the following findings indicates an
improvement in the adolescent's condition
BP 121/82
RR 20/min
BPM 148
SPO2 94%
Ans>> RR 20/min expected reference
23. A nurse is preparing to assist a provider with a lumbar puncture for aschool age
child. Which of the following actions is the nurse's priority
Have child bend downward to note any asymmetry Explain
the child to breath in and breath out rapidlymaintaining the
child's position
Explain to the child that they shouldn't feel anything during the procedure
Ans>> maintaining the child's position
24. A nurse is preparing to administer furosemide to a toddler who has a heartdefect.
Which of the following actions should the nurse take to identify the toddler?
Ask the child when their last bowel movement wasAsk
the guardian to verify the child's name
Check the child's temperature before giving medication
Check orders then calculate child's weight from pounds to kilograms
Ans>> ask theguardian to verify the child's name
Prior to administration of any medication, the nurse must correctly identify the toddlerusing
two identifiers. The nurse should ask the guardian to verify the identity of thechild and
use the identification band as the second identifier.
25. A nurse is collecting data from an 18month old toddler. Which of the following is a
deviation from expected growth and development that the nurseshould report to the
provider?
The toddler is unable to recognize familiar objects by nameThe
toddler can't say mommy or daddy
The toddler is a picky eater
The toddler can't ride a bicycle yet
Ans>> The toddler is unable to recognize familiarobjects by name
The nurse should report that the toddler is unable to recognize familiar objects
by name, because this is a deviation from expected growth and development. Thetoddler
should be able to accomplish this task by 12 months of age.
26. A nurse is assisting with the care of an adolescent following a cardiac
catherization. Which of the following is the priority finding the nurse shouldreport to
the provider?
adolescent reported 5 out of 10 painthe
adolescent feels lightheaded adolescent
is allergic to penicillin
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
hemorrhage at the catherization 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.
27. A nurse is reinforcing teaching about liquid oral iron supplements with the
guardian of a school-age child who has iron deficiency anemia. Which ofthe following
statements by the guardian indicates an understanding of the teaching?
I will give this medication to my child with a strawTake
the iron supplements with milk
My child is allergic to eggs and cant take the iron supplements
It's ok for the child to take the iron supplements only when lethargy occurs
Ans>> Iwill give this medication to my child with a straw
administer this medication with a straw to prevent staining the child's teeth.
28. A nurse is caring for a school age child who has hypocalcemia. Which ofthe
following manifestations should the nurse expect?
pallor
hypotension
cyanosis
hypothermia
Ans>> hypotension
hypotension is a manifestation of hypocalcemia.
29. A nurse is preparing a toddler for suturing of a minor facial laceration.Thenurse
should place the toddler in which of the following restraints?
Ans>> mummy restraint
The nurse should use a mummy wrap when a short-term restraint is needed for
treatment of the toddler that involves the head and neck. The nurse should alwaysuse
the least amount of restraint necessary.
30. A nurse is preparing to administer phenobarbital to a toddler who has a seizure
disorder and weighs 10 kg (22lb).The prescription read phenobarbitalsodium 2.5 mg/kg
PO BID. Available is phenobabrital 20mg/5mL. How many mL should the nurse
administer with each dose? (Round answer to the nearesthundredth. Use a leading zero if
it applies. Do not use a trailing zero.)
Ans>> 2.5mg/kg
* 10kg = 25mg