ATI Pediatric Proctored Exam 2024 Complete Solutions

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