ATI PEDS 2024 PROCTORED EXAM /ATI
PEDIATRIC PROCTORED EXAM 2024 NEWEST
3 VERSIONS EACH VERSION WITH 70
QUESTIONS WITH 100% CORRECT ANSWERS
AND
... [Show More] RATIONALES /A+ GRADE ASSURED
A nurse in an emergency department is caring for a
school-age child who is experiencing an anaphylactic
reaction. Which of the following is the
priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's
reaction
D- administer IM epinephrine to the
child - ...ANSWER...D- administer IM epinephrine to the
child;
RATIONALE: When using the urgent vs no urgent
approach to client care, the nurse determines that
the priority action is administering IM epinephrine to the
child. During an
anaphylactic reaction, histamine release causes
bronchoconstriction and
vasodilation. This is an emergency becauseultimately it
causes decreased blood
return to the heart.
A nurse at an urgent care clinic is assessing an
adolescent client who has an
upper respiratory tract infection. Which of the following
findings should the
nurse recognize as a manifestation of pertussis?
A- Inflamed throat with exudate
B- purulent eye drainage
C- dry, hacking cough
D- koplik spots on buccal mucosa - ...ANSWER...C- dry,
hacking cough;
RATIONALE: The nurse should recognize that a dry,
hacking cough is a manifestation of
pertussis. This disease usually begins with indications of
an upper respiratory
tract infection, which includes a dry, hacking cough that
is sometimes more
severe at night.
A nurse is providing teaching about car seat use to the
mother of a six-monthold
infant. Which of the following statements by the mother
indicates an
understanding of the teaching?
A- I should secure the car seat using lower
anchors and tethers instead of the seat belt
B- I should position the car seat harness one inch above
my baby's shoulders
C- I will make sure that the car seat is placed at a 90-
degree angle
D- I will pad my baby's car seat with a blanket for
traveling long distances - ...ANSWER...ARATIONALE: I should secure the car seat using lower
anchors and tethers instead of the seat belt; Lower
anchors and tethers, or the LATCH child safety seat
system, should be
used to secure an infant's car seat in the vehicle. This
system provides anchors
between the front cushion and the back-rest for the car
seat. Therefore, if this
system is available, the seatbelt does not have to be
used.
A nurse is assessing the pain level of a three-year-old
toddler. Which of the
following pain assessment scales should the nurse use?
A- FACES Pain rating scale
B- numeric pain rating scale
C- CRIES pain assessment scale
D- non communicating children's pain checklist -
...ANSWER...A- FACES Pain rating scale;
RATIONALE: The nurse should use the FACES pain
rating scale for pediatric clients who are 3
years old and older. This scale allows the toddler to
point to the face that depicts the
current level of pain. The nurse can then determine the
need for pain management.
A nurse is caring for a preschooler who is scheduled for
hydrotherapy
treatment for wound debridement following a burn injury.
Which of
the following actions should the nurse take prior to the
procedure?
A- Apply topical antimicrobial ointment to the child
wound
B- place a mesh gauze dressing over the child wound
C- administer an analgesic to the child
D- initiate prophylactic antibiotic therapy for the child -
...ANSWER...C- administer an analgesic to the child;
RATIONALE: Hydrotherapy for debridement of a wound
is an extremely painful procedure
which requires analgesia and/or sedation. When pain is
controlled, it leads to reduced physiological demands on
the body caused by stress and decreases the
likelihood of children developing depression and posttraumatic stress disorder.
A nurse is caring for a 10-year-old child following a head
injury. Which
of the following findings should the nurse identify as an
indication that
the child is developing diabetes insipidus?
A- Urine specific gravity of 1.045
B- sodium 155
C- blood glucose 45
D- urine output 35 ml per hour - ...ANSWER...B- sodium
155;
RATIONALE: A child who has a head injury can develop
diabetes insipidus as a result of
pituitary hypo function leading to a deficiency of
antidiuretic hormone.
Under excretion of antidiuretic hormone leads to polyuria
and polydipsia and
possibly dehydration. With the excessive loss of free
water, sodium levels rise
above the expected reference range.
A nurse is creating a plan of care for a toddler who has
minimal change
nephrotic syndrome mcns and 3 + pitting edema. Which
of the following
interventions should the nurse include in the plan?
A- Encourage an increased fluid intake for the toddler
B- place the child in an Airborne infection isolation room
C- increase the toddler's dietary sodium intake
D- administer corticosteroids to the toddler -
...ANSWER...D- administer corticosteroids to the
toddler;
RATIONALE: The nurse should recognize that
corticosteroids are the treatment of choice for
providers caring for children who have MCNS.
Therefore, the nurse should
include administration of prescribed corticosteroids in
the plan of care for this toddler.
A nurse is providing discharge teaching to the parent of
a school-age child who
has moderate persistent asthma. Which of the following
instructions should
the nurse include?
A- You should give your child his salmeterol inhaler
every 4 hours when he is
having an acute episode of wheezing.
B- You should monitor your child's weight weekly while
he is receiving inhaled
corticosteroid therapy
C- pulmonary function test will be performed every 12 to
24 months to
evaluate how yourchild is responding to therapy
D- when using the peak expiratory flow meter, record
your child average of three
readings - ...ANSWER...C- pulmonary function test will
be performed every 12 to 24 months to
evaluate how your child is responding to therapy;
RATIONALE: The nurse should inform the parent that
her child will need pulmonary function
tests every 12to 24 months to evaluate the presence of
lung disease and how the
child is responding to the current treatment regimen. As
children grow,
sometimes their symptoms can improve or decline an [Show Less]