Pediatric proctored PRACTICE QUESTIONS 2017 PDF

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This is a compilation of ATI past questions for the year 2017. it is useful for practice for final exams. A lot of useful information are in there....

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Pediatric 1. A nurse is preparing to administer regular insulin to a child who has type 1 diabetes mellitus. Which of the following actions should the nurse take? A. Inject the insulin into the medial side of the forearm. B. Administer the insulin at room temperature. C. Give the insulin using a 21-gauge needle. D. Insert the needle at a 15” angle. 2. 1. A nurse is reinforcing teaching with an adolescent client about the purpose of the glycosylated hemoglobin (HbA1c) test. which of the following should the nurse indicate in the teaching Can see answer 3. 2. A nurse is reinforcing teaching with a parent of a toddler who has conjunctivitis. Which of the following instructions should the nurse include in the teaching? A. Keep the eye covered with a compress. B. Apply eye ointment in the morning. C. Remove secretions by wiping from the outer corner of the eye to the inner canthus. D. Clean the eye with a moist cloth. 4. 3. A nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan? A. Administer meperidine to eliminate a fever B. Decrease daily oral fluid intake C. Maintain bed rest to prevent hypoxemia D. Apply cold compresses to painful joints. 5. 4. A nurse is reinforcing teaching with the parents of a school-age child who has ADHD and a new prescription for a methylphenidate transdermal patch. Which of the following instructions should the nurse include in the teaching? A. Secure the child’s patch 30 min before the desired effect is needed. B. Place a heating pad over the patch to assist with absorption. C. Apply the patch to the child’s abdomen near the waistline D. Keep the patch in place for no more than 9 hr. daily. 6. 4. A nurse is reinforcing with the parents of a toddler about injury prevention. Which of the following growth and development factors should the nurse include in the teaching as a cause of increased injuries in this age group? A. Increased stranger anxiety B. Increased independence from family C. Increased demonstration of deliberate risk taking D. Increased locomotor skills

7. 4. A nurse is preparing to administer an acetaminophen rectal suppository to a child who is vomiting. Which of the following actions should the nurse take? A. Lubricate the suppository with petroleum jelly prior to insertion. B. Hold the child’s buttocks together following insertion. C. Place the child in semi-Fowler’s position prior to insertion D. Inform the child to hold his breath during insertion. 8. 4. A nurse at an urgent care clinic is caring for a child who hit her head on the playground at school 30min ago, which of the following findings is the nurse priority? A. Nasal discharge negative for glucose B. Asymmetric pupils C. Negative Babinski reflex D. 2cm scalp laceration 9. 5. A nurse is collecting data from a 3-month-old infant. Which of the following is an expected developmental finding? A. Displays fear toward strangers B. Holds arms out to be picked up C. Able to hold a rattle D. Rolls from back to side 10. 6. A nurse is administering oral ondansetron to a preschooler who has cancer and is receiving chemotherapy which of the following therapeutic effects should the nurse expect. A. The child’s WBC will be within the inspected reference range B. The child will experience decreased pain C. The child will experience decreased nausea D. The RBC will be within the inspected reference range 11. 8. A nurse is reinforcing teaching with the parents of a7-year-old levalbuterol. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Administer two puffs in each nostril daily. B. Use the medication with a spacer device C. Withhold the medication for a heart rate of 80/min or less. D. Take PRN every 4 hr. for difficulty breathing. E. Wait 1 min between puffs. 12. 9. A nurse is reinforcing discharge teaching with a parent of a child who has varicella zoster. Which of the following instructions should the nurse include in the teaching? A. "Ensure your child is in a warm environment." B. "Apply calamine lotion directly to the vesicles." C. "Administer low dose aspirin for discomfort." D. "The rash starts on the face then progresses to the extremities." 13. 9. A nurse is assisting with screenings during a health fair at an elementary school. Which of the following findings indicates that a child might have scoliosis? A. The child’s knees bow outward when standing erect

B. The child’s shoulders are uneven when standing erect. C. The child’s neck flexes when bending forward at the waist D. The child’s when bending forward at the 14. 10. A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching? A. Keep the infant at a 30*angle for 1 hr. following each feeding. B. Change the infant's formula to a soy-based formula. C. Limit the infant's formula feedings to every 6 hr. D. Give the infant a bottle immediately before the infant's bedtime. 15. 11. A nurse is assisting in performing a visual screening test on a school-age child. Which of the following is an expected finding by the nurse? A. Nystagmus noted during the lateral gaze. B. Pupils appear white when performing the red reflex test. C. Eye movement noted during the cover test D. Pupils constrict during the light perception test (Not Sure) 16. 12. A nurse is reinforcing teaching with a parent of an infant who is receiving amoxicillin for repeated otitis media. For which of the following findings should the nurse instruct the parent to monitor? A. Thickening of the infant’s fingernails. B. White patches on the infant’s tongue. C. Constipation D. Stiffness 17. 12. A nurse is collecting data from an infant who has respiratory syncytial virus and observes intercostal retraction. Which of the following actions should the nurse perform first? A. Provide bronchodilator therapy. B. Check the pulse oximeter level C. Assist with administering IV fluids. D. Administer oxygen by face mask. 18. 13. A nurse is caring for a child who has cystic fibrosis and is taking dornase alfa. Which of the following actions should the nurse take to evaluate the effectiveness of the medication? A. Monitor the child's I&O B. Weight the child daily. C. Auscultate the child's breath sounds. D. Determine the child's heart rate 19. 14. A nurse is reviewing urinalysis results from a toddler. Which of the following findings indicates the child has a urinary tract infection? A. Specific gravity 1.010

B. pH 5.5 C. Bacteria 150.000 organisms/mL D. WBC 2/mm^3 20. 14. A nurse is reinforcing teaching with a parent of a child who has juvenile idiopathic arthritis. Which of the following statements should the nurse make? A. “Keep your child home from school on days she reports joint pain.” B. “Encourage your child to take long walks to prevent joint stiffness.” C. “Allow your child to take a 2-hour nap in the afternoon.” D. “Use a moist heating pad to relieve your child’s joint pain 21. A nurse is reviewing laboratory results of an adolescent who has diabetes mellitus. For which of the following values should the nurse notify the provider A. Glucose 120 mg/dL B. Hemoglobin 12 g/dL C. Hematocrit 36% D. HbA1c 10.7% 22. 15. A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect? A. Clubbing of the fingers B. Barrel chest C. Rhinorrhea D. Vesicles on the trunk 23. 15. Nurse is preparing a child who has cystic fibrosis for chest physiotherapy. Which of the following times is appropriate for the nurse to administer bronchodilator therapy in relation to chest physiotherapy? A. Immediately after B. Immediately before C. 2 hr. before D. 2 hr. after 24. 16. A nurse is caring for a child who has a hemoglobin level of 9 g/dL. Which of the following findings should the nurse expect? A. Tachypnea B. Bradycardia C. Hypertension D. Muscle tetany 25. 16. A nurse in a well-child clinic is collecting data from four clients. Which of the following findings should the nurse report to the provider as a potential indication of child maltreatment? A. A 6 year-old child who has a fracture of the arm from a bicycle injury B. A 15 month-old child who bites other children while at day care C. A 4 year-old child who has a history of frequent urinary tract infection D. A 14 month-old child who has several small bruise on the shins

26. 16. A nurse is reinforcing teaching with the parent of a child who has hypothyroidism and is to start taking levothyroxine. Which of the following information should the nurse include? A. “Your child will have permanent hair loss due to this medication” B. “Expect your child to take this medication for his lifetime” C. “Avoid giving this medication on an empty stomach” D. “Administer a calcium supplement with this medication” 27. 17. A nurse is caring for a child who has a tracheostomy. Which of the following actions should the nurse take? A. Use sterile technique when charging the cannula. B. Ensure a tracheostomy tube one size larger than the current tube is available at the bedside. C. Cleanse the stoma with full-strength hydrogen peroxide. D. Adjust the tracheostomy ties to allow two fingers to fit between the neck and ties. 28. 17. A nurse is caring for an 18-month old toddler who has Clostridium difficile. Which of the following is an appropriate action for the nurse to take? A. Administer loperamide 1mg PO. B. Place the toddler in a negative-airflow room. C. Use a bleach-based solution to clean the bedside table. D. Encourage family members to use hand sanitizer when exiting the room. 29. 18. A nurse is reinforcing teaching with the parents of a 2 year-old toddler about age appropriate play activities. Which of the following activities should the nurse recommend? A. Finger paints B. Beginner sports C. Hopscotch D. 30-piece puzzle 30. 18. A nurse is conducting a well-child visit for an 11-months-old infant. The child's father reports that the infant has recently started waking up abruptly and crying, and has asks for advice about how to manage this. Which of the following is an appropriate response by the nurse? A. "Rock your child until he falls asleep and then place him back in his crib." B. “Initiate an early bedtime so your child will be in a deeper sleep by the time your go to bed." C. “Offer your child a small feeding and then place him back in his crib." D. "Provide reassurance to your child when he wakes up and then allow him to settle himself back to sleep." 31. 19. A nurse in a provider's office is reinforcing teaching with the parents of a 4-monthold infant about introducing solid foods to the infant's diet. Which of the following statements by the parents indicates an understanding of the teaching? A. "I will introduce fruit juice when my baby is 4 months old."

B. "I will offer my baby a new food every 7 days." C. "I will offer my baby cereal with 2 percent milk." D. "I will introduce eggs when my baby is 6 months old." 32. 19. A nurse is reinforcing teaching with the parents of a preschooler who has phenketonuria. Which of the following foods should the nurse instruct the parent to resist in the child’s diet(select of that apply) A. Eggs B. Orange juice C. Bread D. Peanut butter 33. 19. A nurse is reinforcing teaching with an adolescent client about a low-cholesterol diet. Which of the following statements by the client indicates an understanding of the teaching? A. “My trans-fat intake won’t affect my cholesterol level.” B. “My cholesterol intake should be 400 milligrams per day.” C. “I should level my intake of foods high in saturated fat.” D. “I will limit my red meat intake to 8 ounces per day.” 34. 20. A nurse is collecting data from a child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective? Answer not clear 35. 20. A nurse is preparing to administer recommended immunization to an 11-year-old 36. 20. A nurse is reinforcing teaching with the mother of an infant who has a cleft palate. Which of the following statement by the mother indicates that the teaching was effective A. I will bottle feed my baby with a normal nipple 37. 21. A nurse is preparing to perform suctioning for an infant who has a partial mucus occlusion of her tracheostomy tube. Which of the following actions should the nurse plan to take? A. Use clean technique when performing suctioning. B. Apply suction in 3 to 4 second increments. C. Select a catheter that fits snugly into the tracheostomy tube. D. Instill 2 mL of CL 9% sodium chloride prior to suctioning. 38. 23. A nurse is caring for a 2 month old infant who has dehydration. In which of the following location should the nurse palpate to determine the infant hydration status?

39. 24. A nurse is providing developmental guidance to the parents of a preschooler. Which of the following information should the nurse include? A. "Expect your child to control strong feelings." B. "Expect your child to participate in bedtime rituals." C. "Expect your child to want to participate in organized competitions." D. "Expect your child to want privacy when dressing." 40. 24. A nurse is caring for a preschooler who is in 90-90 traction. Which of the following is the nurse’s priority action? A. Administer pain medication. B. Cleanse and dress the pin sites. C. Check capillary refill. D. Observe the child every 2 hours 41. 25. A nurse is reinforcing teaching with an adolescent client who has new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching? A. “You should gradually increase lactose products in your diet.” B. “You should drink rice milk instead of cow’s milk.” C. “You should limit your intake of calcium-fortified orange juice.” D. “You should eat flavored yogurt instead of plain yogurt.” 42. 25. A nurse is planning to collect a stool specimen from an infant to check for the presence of ova and parasites. Which of the following actions should the nurse plan to take? A. Transfer the specimen to the collection container using povidone-iodine soaked gauze. B. Maintain the specimen at room temperature after collection until it is transferred to the lab. C. Place a urine collection device on the infant until the specimen is obtained. D. Obtain the specimen by swabbing the infant's rectum using sterile culture swab. 43. 26. A nurse is assisting in the care of an infant who is immediately postoperative. Which of the following behaviors should the nurse recognize as an indication the infant should receive pain medication A. mouth closed and downward

B. eyes tightly closed C. brown D. arms flaccid 44. 27. A nurse is supervising a school age child for indication of attention deficit hype disorder (ADHD),which of the following findings should the nurse identify as a manifestation of ADHD Answer not clear 45. 27. A nurse is assisting with the care of an adolescent who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following actions should the nurse take? A. Apply cold compresses to the affected joints. B. Administer morphine on a regular schedule. C. Restrict daily fluid intake to 1,000 mL D. Limit the intake of food that contains purine. 46. 28. A nurse is reinforcing teaching with a school age child who has a new diagnosis of type 1 diabetic mellitus which of the following is the best strategy for teaching selfadministration of insulin A. Question and answer session B. Role playing C. Demonstration D. Age appropriate pamphlets 47. 29. A nurse is assisting with the plan of care for an infant who has heart failure which of the following actions should the nurse recommend to include in the plan of care? A. Allow for frequent rest periods B. Administer digoxin for a pulse of 30min C. Ensure infant bottle feed for 45min D. Maintain the infant in a supine position 48. 31. A nurse is preparing to obtain a 24-hr urine specimen from a preschooler using a collection container without a preservative. Which of the following actions should the nurse take? A. Obtain the final void in a separate container. B. Store the urine specimen at room temperature. C. Start the collection over if stool contamination occurs D. Begin the collection time with the first specimen obtained 49. 32. A nurse is reinforcing teaching with a group of adolescent about safety. Which of the following information should the nurse include in the teaching? A. Sun protection is not necessary when using self-tanning cream B. The risk of injury from firearms decreases C. Medroxyprogesterone provides protection against gonorrhea D. Driving skills can be impaired when friends are present.

50. 33. A nurse is preparing to administer recommended immunization to a 8 year child who is severely immunocompromised, which of the following immunization should the nurse give A. Live attenuated influenza vaccine (LAIV) B. mumps and rubella C. varicella D. Diphtheria, Tetanus, and Pertussis 51. A nurse is reinforcing teaching with an adolescent who has recurring kidney stones. Which of the following statements should the nurse make? A. “You should eat the five servings of fruits and vegetables per day.” B. “You should take a vitamin C supplement each day.” C. “You should limit your fluid intake to 1 liter each day.” D. “You should maintain a diet of at least 3,500 mg of sodium per day.” 52. 34. A nurse is reinforcing teaching with a parent of a school age child who has enuresis, which of the following instructions is appropriate for nurse to include in the teaching A. Woke the child to void at a set time each night B. Decrease the amount of fiber in the child diet C. Provide the child with pull-up diapers to wear to bed D. Restrict the child intake of water during the day 53. 34. A nurse in a provider’s office is collecting data from a 6-weeks-old infant who developed an uncomplicated cephalhematoma at birth. Which of the following locations should the nurse assess to determine if the infant’s lesion has absorbed (You will find hot spots to select in the artwork below in the form of arrows. Select only the hot spot that corresponds to your answer.)

54. 34 A nurse is reinforcing teaching with a parent of a 3-month-old infant who is breastfed and has acute diarrhea. Which of the following nutrients should the nurse recommend the parent feed the infant? (Select all that apply.) A. chicken broth B. breast milk C. oral rehydration solution D. clear soda E. apple juice

55. 35. A nurse is caring for a child who is on long-term prednisone therapy. Which of the following is an appropriate action for the nurse to take? A. Monitor blood glucose levels. B. Limit potassium in the child’s diet. C. Repeat the measles, mumps, and rubella immunization. D. Administer the medication on an empty stomach 56. 35. A nurse is reinforcing teaching about sibling adaptation with a parent of a child who has cystic fibrosis. Which of the following instructions should the nurse include in the teaching? A. Encourage phone calls between the siblings. B. Avoid having the sibling visit the child on the facility. C. Designate one parent to stay at home with the sibling. D. Avoid discussing the child’s diagnosis with the sibling. 57. 36. The parent of a child who is dying tells the nurse that she is frightened about how she will cope with losing her child and reports feelings of anger, depression, and fatigue. The nurse should identify these findings as an indication that the parent is experiencing which of the following types of grief? A. Anticipatory B. Complicated C. Delayed D. Chronic 58. 36 A nurse is caring for a toddler who has a full-thickness burn. Which of the following actions should the nurse take? A. encourage 8 hr. of sleep per day B. Place an antimicrobial dressing on the wound. C. Position a heading pad on the wound for 20 min twice per day. D. Apply povidone-iodine to the wound daily. 59. 36. A nurse is assisting with the plan of care for a school-age child who is newly admitted to the facility. Which of the following actions should the nurse recommend to include...