ATI Pediatric Proctored Exam 2024 1. A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the following
actions should the nurse plan first?
• Use a tumbling E chart for the assessment
• Position the child 4.6 meters (15 feet) from the chart
• Assess both eyes together first, then each eye separately
• Test the child without glasses before testing with glasses
2. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic
arthritis and a new prescription of prednisone/etarnecept. Which of the following
statement should the nurse include in the teaching?
• “Discontinue this medication if gastrointestinal upset occurs.”
• “Expect that this medication will stimulate a growth spurt.”
• “Limit your child’s intake of potassium-rich foods.”
• “Monitor your child for indications of infection.”
3. A nurse on a pediatric unit is caring for four children. The nurse should use droplet
precautions for which of the following children?
• An adolescent who has hepatitis A
• A toddler who has seasonal influenza
• A preschool-age child who has pediculosis capitis
• A school-age child who has viral conjunctivitis
4. A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the
following statements should the nurse include in the teaching?
• “Apply a warm, moist compress three times per day.”
• “Apply scented baby powder to absorb residual moisture.”
• “Wear a feminine deodorant pad for vaginal drainage.”
• “Wear nylon underwear at night.”
5. A nurse is creating a plan of care for a school-age child who has nephrotic syndrome.
Which of the following interventions should the nurse include? (Select all that apply)
• Provide a low-sodium diet
• Encourage increased fluid intake
• Assess for protein in the urine
• Initiate contact precautions
• Obtain a daily weight
• Excessive crying
• Wheezing
• Regurgitation
38. A nurse is planning care for a child who is experiencing sickle cell crisis. Which of the
following interventions should the nurse include in the plan of care?
• Administer meperidine as needed for pain
• Initiate bed rest
• Limit fluid intake
• Apply cold compresses to affected joints
39. A nurse is providing teaching to a parent of a child who has cystic fibrosis and a new
prescription for dornase alfa. Which of the following instructions should the nurse
include in the teaching?
• “Store the medication in the refrigerator.”
• “Use a spacer with this medication.”
• “Administer every 4 hours as needed for cough.”
• “Mix the medication with albuterol solution prior to administration.”
40. A nurse is caring for a preschool-age child who has a terminal illness. Which of the
following findings should the nurse expect?
• Believes the condition is a punishment
• Expresses interests in the funeral arrangements
• Accepts death is inevitable
• Feels excessive anxiety about physical changes
41. A nurse is reviewing the laboratory values of a school-age child who has nephrotic
syndrome. Which of the following laboratory results should the nurse expect?
• Serum sodium 144 mg/dL
• Serum protein 4.2 g/dL
• Hgb 12 g/dL
• BUN 15 mg/dL
42. A nurse is planning care for a school-age child who has autism spectrum disorder.
Which of the following actions should the nurse include in the plan?
• Give the child three options when making choices
• Stay with the child for long periods of time
• Explain procedures in detail to the child
• Introduce the child to new situations slowly
43. A nurse is preparing to administer morphine 0.2 mg/kg IV to a child who is
postoperative and in pain. The child weighs 34 kg. Available is morphine 1 mg/mL