2023 ATI Paediatrics Proctored Exam With Answers (190 Solved Questions)

Name: 2023 ATI Paediatrics Proctored Exam With Answers (190 Solved Questions)
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NGN ATI PEDS PROCTORED EXAM LATEST 2023 / PEDS ATI PROCTORED ACTUAL EXAM ALL 300+
QUESTIONS AND CORRECT DETAILED ANSWERS
1 / 45
1. A nurse is teaching the
mother of a 5-year-old
child who has cystic fi-
brosis about pancreat-
ic enzymes. The nurse
should understand that
further teaching is nec-
essary when the mother
states which of the follow-
ing?
2. . A nurse is admitting an
infant who has severe de-
hydration from acute gas-
troenteritis. Which of the
following findings should
the nurse expect?
3. 2. A nurse is teach-
ing a client about posi-
tive signs of pregnancy.
Which of the following
findings should the nurse
include?
4. . A nurse is caring for a
child who is experiencing
a seizure. Which of the fol-
lowing actions should the
nurse take?
5. . A nurse is assessing
an 8-month-old infant for
cerebral palsy. Which of
the following findings is a
manifestation of the con-
dition?
"I will give my son the enzymes between meals."
Rationale: The parent should give the child pan-
creatic enzymes with every meal and snack.
13% weight loss
Rationale:A weight loss greater than 10% is a
manifestation of severe dehydration in an infant.
Fetal heart tones detected by ultrasound
Rationale: Fetal heart tones are a positive sign
of pregnancy because the presence of fetal
heart tones can only be explained by pregnancy
Position the child laterally
Sits with pillow props
Rationale:Infants who have cerebral palsy re-
quire support when sitting upright.
6.

2 / 45
A nurse is caring for
a toddler who is having
difficulty sleeping dur-
ing hospitalization. Which
of the following actions
should the nurse take to
promote sleep?
7. A nurse is caring for a
child who is experiencing
a seizure. Which of the fol-
lowing actions should the
nurse take?
8. . A nurse is caring for
an infant who has gas-
troesophageal reflux. The
nurse should place the in-
fant in which of the fol-
lowing positions follow-
ing feedings?
9. A nurse is caring for a
child who is having a
tonic-clonic seizure and
vomiting. Which of the
following actions is the
nurse's priority?
10. A nurse is preparing to
teach about communi-
cable diseases. During
which of the following
stages is the period in
which a disease is conta-
gious?
11. A nurse is assessing a
3-month-old infant. Which
of the following findings
Provide bedtime rituals.
Rationale:Establishing a bedtime routine is im-
portant. Reading a familiar book or providing a
favorite stuffed toy or blanket will help decrease
the child's insecurity and fears.
Position the child laterally.
Rationale:Positioning the child laterally facili-
tates airway patency
Place the infant in an infant seat.
Rationale:An infant seat provides elevation and
decreases the risk of aspiration.
Position the child side-lying.
Rationale: This is the priority nursing action. To
prevent aspiration due to vomiting, the nurse
should place the child in a side-lying position.
Communicability period
Rationale: The communicability period is the
time when a disease is contagious and can be
transmitted to others.
Inability to raise head when in prone position
Rationale:A 3-month-old infant should be able

3 / 45
should the nurse report to
the provider?
12. 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 parent?
13. A nurse is assessing a
preschooler. Which of the
following findings should
indicate to the nurse a
need for speech therapy?
(Select all that apply.)
14. A nurse is caring for an
adolescent who was ad-
mitted with anorexia ner-
vosa. Which of the fol-
lowing finding should the
nurse expect?
15. A nurse is caring for a
child who has been phys-
ically abused by a family
member. Which of the fol-
lowing statements should
the nurse to say to the
child?
16. A nurse is caring
for a child who has
Legg-Calve-Perthes dis-
ease and is in Buck exten-
sion traction. Which of the
to raise her head and shoulders from prone
position; therefore, the nurse should report this
finding to the provider
"Have your child sit with her head tilted forward
and hold pressure on her nose for 10 minutes."
The preschooler mispronounces words.
E. The preschooler speaks in a nasally tone
Bloating
Rationale: Bloating is a finding associated with
anorexia nervosa.
"It is not your fault that this happened."
Rationale: The nurse should reinforce to the
child that the abuse is not his fault
Reposition the child every 2 hr.
Rationale: The nurse should reposition the child
should be repositioned every 2 hr to prevent skin
breakdown

4 / 45
following actions should
the nurse take?
17. A nurse is providing care
to children on a gener-
al pediatric unit. Which
of the following children
should the nurse identi-
fy as a potential victim of
abuse?
A child whose parents answer questions for the
child
Rationale: Often the perpetrator of abuse is con-
trolling and will talk for the child to avoid the risk
of the child saying something that could expose
the abuse. A school-age child should be able to
answer most questions. The nurse should gath-
er information when the parents are absent and
to determine if the child interacts differently
18. A nurse is caring for a tod- instruct the parent to avoid pressing on the ab-
dler whose parent states
while bathing the child
she noticed a mass in his
abdominal area and that
his urine is a pink color.
Which of the following ac-
tions is the nurse's priori-
ty?
19. .A nurse is providing
teaching to the parents
of a child who has iron
deficiency anemia and is
taking iron supplements.
Which of the following
dominal area.
Rationale: The priority action is to instruct the
parent to avoid pressing on the child's abdomen.
These symptoms are associated with Wilms' tu-
mor, and trauma to the mass should be avoided
to prevent movement of cancer cells into other
sites.
"Our child's blood count will need to be moni-
tored routinely for several weeks."
Rationale:

5 / 45
21. A nurse is preparing to
administer a vaccine into
the deltoid muscle of a
preschooler. Which of the
following actions should
the nurse take?
22. .A nurse is providing
teaching to a parent
of a preschooler who
has eczema. Which of
the following instructions
should the nurse include
in the teaching?
23. A nurse is providing
teaching to a school-age
child who has a new diag-
nosis of type 1 diabetes
mellitus. Which of the fol-
lowing statements by the
child indicates an under-
standing of the teaching?
24. A nurse is caring for
a pre-school age child
who has epiglottitis with
a barking cough. Which
of the following actions
should the nurse take?
25. .A nurse is caring for
a child on the oncolo-
gy unit. The child's par-
ents are asking the nurse
about the cancer diagno-
crayons, playing ball, riding tricycles, playing
pretend and dress up, sewing cards and beads,
and reading books.
Apply a topical corticosteroid ointment to the
affected area.
Rationale: The child might require a topical cor-
ticosteroid ointment to use during flare-ups to
decrease inflammation
"I should eat a snack half an hour before playing
soccer."
Rationale:Exercise lowers blood glucose levels.
The child should eat a snack half an hour prior to
physical activity. If the exercise is prolonged, the
child might require a snack during the activity.
Monitor oxygen saturation.
Rationale: The nurse should monitor the child's
oxygen saturation levels to check for indications
of respiratory distress or a decline child's condi

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6 / 45
sis. Which of the follow-
ing information should
the nurse provide the par-
ents about the most com-
mon malignant renal and
intra-abdominal tumor of
childhood?
26. A nurse is caring for a
school-age child who has
mild persistent asthma.
Which of the following is
an expected finding? (Se-
lect all that apply.
27. A school nurse is assess-
ing an adolescent who re-
ports feeling shaky and
is having difficulty speak-
ing and concentrating on
the questions the nurse is
asking. The nurse checks
the adolescent's blood
glucose level and identi-
fies a value of 55 mg/dL.
Which of the following
findings should the nurse
expect?
28. A nurse is providing
teaching to a parent
of a child who has
acute group A ß-hemolyt-
ic streptococci. Which of
the following information
should the nurse include
in the teaching?
for a school-age child who has mild persistent
asthma. Which of the following is an expecte
Daytime symptoms occur more than twice a
week.
Minor limitations occur with normal activity
Peak expiratory flow (PEF) is greater than or
equal to 80% of the predicted value.
Tachycardia
Rationale:A blood glucose level of 55 mg/dL
is below the expected reference range and an
adolescent with this blood glucose level is likely
to have tachycardia due to increased circulating
catecholamines and increased adrenergic activ-
ity.
Replace the child's toothbrush after 24 hr on
antibiotics.
Rationale: The child's toothbrush should be re-

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7 / 45
A nurse is caring for a tod- Administer opioids for pain.
dler who is 24 hr post-
operative following a cleft
palate repair. Which of the
following actions should
the nurse take?
30. A nurse is caring for
an infant who has gas-
troesophageal reflux. The
nurse should recognize
that which of the follow-
ing findings are associ-
ated with this condition?
(Select all that apply.
31. A nurse is preparing to
assist with applying a
cast to a preschooler's
arm. Which of the follow-
ing actions should the
nurse take?
32. A nurse is caring for a
school-age child who has
acute glomerulonephritis
with peripheral edema
and is producing 35 mL of
urine per hour. The nurse
should place the client on
Rationale:Administering opioids for pain is an
appropriate action by the nurse. Opioids control
pain in the immediate postoperative period are
followed by administration of acetaminophen
PRN.
Vomiting
Weight loss
Wheezing
. Wrap the arm of the child's doll or toy prior to
the procedure.
Rationale: The nurse should consider the de-
velopmental age before the cast is applied. A
preschooler might fear bodily harm and fanta-
size about the loss of an extremity. Using a doll
or stuffed animal helps to explain the procedure.
During this stage of development, the child is
a "magical thinker" and might believe stuffed
animals are alive. This action shows the child
that it does not hurt the doll or stuffed animal,
and, in turn, will not hurt the child
Low-sodium, fluid-restricted
Rationale:A low-sodium, fluid-restricted diet will
prevent complications.

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8 / 45
which of the following di-
ets?
33. A nurse is assessing a
school-age child whose
blood glucose level is
280 mg/dL. Which of the
following findings should
the nurse expect?
34. .A nurse is caring for
a child who has tinea
pedis. The child's parent
asks the nurse what this
infection is commonly
called. The nurse should
respond with which of
the following common
names?
35. .A nurse in a clinic is as-
sessing a 9-month-old in-
fant. Which of the follow-
ing findings requires fur-
ther intervention?
36. A nurse is caring for a
child who has a suspect-
ed diagnosis of bacterial
meningitis. Which of the
following actions is the
nurse's priority?
37. A nurse in an emergency
department is assessing
an infant who is dehydrat-
Lethargy
Rationale:A blood glucose of 280 mg/dL is
above the expected reference range indicating
hyperglycemia. The nurse should expect the
child to appear lethargic, leading to a decreased
level of consciousness and confusion
Athlete's foot
Rationale:Athlete's foot is the common name for
tinea pedis
Positive Moro reflex
Rationale: The Moro reflex disappears at ap-
proximately 3 to 4 months of age. Therefore, a
9-month-old who has a

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9 / 45
ed. Which of the following
findings should the nurse
expect?
38. A nurse is providing dis-
charge instructions to the
parent of a 10-year-old
child following a cardiac
catheterization. Which of
the following instructions
should the nurse include?
39. A nurse is assessing a
child who is in sickle cell
crisis. Which of the follow-
ing findings should the
nurse expect?
40. .A nurse is caring for
a school-age child who
has a systemic disor-
der and is receiving
antibiotics, immunosup-
pressants, and corticos-
teroids. Both of the child's
parents have a smoking
history. The child reports
soreness in his mouth
and refuses to eat. In-
spection of his mouth
reveals a white, milky
plaque that does not
come off with rubbing.
The nurse should sus-
pect which of the follow-
ing conditions?
41. A nurse is reviewing data
for four children. Which
of the following children

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11 / 45
rule out meningitis. Which
of the following actions
should the nurse include
in the plan of care
46. A nurse is caring for a
10-month-old infant who
is in a cast for de-
velopmental dysplasia of
the hip (DDH). Which of
the following strategies
should the nurse imple-
ment to promote the in-
fant's growth and devel-
opment?
47. A nurse is reviewing
the laboratory results of
an adolescent who has
chronic glomerulonephri-
tis. Which of the following
findings should the nurse
expect?
48. .A nurse is caring for a
child who is postoper-
ative following ventricu-
loperitoneal (VP) shunt
placement. In which of
the following positions
should the nurse place
the client?
49. A school nurse is assess-
ing a child for pediculo-
sis capitis. Which of the
following manifestations
should the nurse recog-
nize as an indication of
this condition?
positioned on her side in a fetal position (knees
curled to abdomen and chin tucked to ch

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12 / 45
50. A nurse is caring for a
child who is having a
seizure. Which of the fol-
lowing actions should the
nurse take? (Select all
that apply.
51. A nurse is providing
teaching to the parents of
a child who has strepto-
coccal pharyngitis about
ways to prevent disease
transmission. Which of
the following responses
by the parents indicates
an understanding of the
teaching?
52. A home health nurse
is teaching a child's
parents about endotra-
cheal suctioning. Which
of the following informa-
tion should the nurse in-
clude in the teaching
53. A nurse is providing care
to a child who has an al-
lergy to eggs. The nurse
should question a pre-
scription for which of the
following immunizations?
54. A nurse is preparing to
administer a vaccine to
a 4-year-old child. Which
of the following vaccines
but stick firmly to the hair shaft instead of flaking
off of the scalp
Assess the client's airway patency.
Remove objects from the client's bed.
Place the client in a side-lying position

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