ATI RN PEDIATRIC PROCTORED EXAM 2024–2025 | ACTUAL 70 NGN SCREENSHOT QUESTIONS WITH VERIFI, Exams of Nursing

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ATI RN PEDIATRIC PROCTORED EXAM

2024 – 2025 | ACTUAL 70 NGN

SCREENSHOT QUESTIONS WITH

VERIFIED ATI MARKING SCHEME

ANSWERS | LATEST ATI RN PEDIATRIC

EXAM TEST BANK

Ability to provide exercise Age appropriateness Ability to teach useful skills Safety - --CORRECT ANSWER IS -- - Safety What are appropriate interventions to facilitate socialization of the cognitively impaired child? A. Provide peer experiences B. Provide age-appropriate toys and play activities C. Avoid exposure to strangers who may not understand cognitive development. D. Emphasize mastery of physical skills because they are delayed more often than verbal skills - --CORRECT ANSWER IS -- - A. Provide peer experiences A 6 year old with Leukemia has been admitted to the hospital. He is experiencing a lot of pain. The child asks the nurse if the pain will ever go away. The nurse should make which BEST response? A. "The pain will go away if you want it to '' B. 'Try not to think about it the more you think the worse it is'' C. ''I know it must hurt tell me when it does and I will try to make it hurt a little less'' D. ''Every time it hurts , press the call bell and I will give you something to make it go all away'' - --CORRECT ANSWER IS -- - C. ''I know it must hurt tell me when it does and I will try to make it hurt a little less' A clinic nurse is instructing the parent of an HIV (Human Immunodeficiency Virus) infected child regarding immunizations. The nurse should provide which instructions to the patient?

A. The yearly inactivated influenza vaccine will need to be given after 6 months of age as a split dose B. Expose your child to various people so that he can build up his immune system C. The patient is not given any vaccines D. The western blot test to confirm HIV needs to be performed and results evaluated before immunizations - --CORRECT ANSWER IS -- - A. The yearly inactivated influenza vaccine will need to be given after 6 months of age as a split dose The nurse is planning activity for a 4-year-old child with anemia. Which activity should the nurse plan for this child? A. Puppet play in the child's room B. A walk down to the hospital lobby C. Participation in dance activities in the playroom D. Game of "hide and seek" in the children's outdoor play area - --CORRECT ANSWER IS -- - A. Puppet play in the child's room The nurse is teaching parents about the importance of iron in a toddler's diet. Which explains why iron-deficiency anemia is common during toddlerhood? A. Milk is a poor source of iron B. Dietary iron cannot be started until age 12 months C. Iron cannot be stored during fetal development D. Fetal iron stores are depleted by age 1 month - --CORRECT ANSWER IS -- - A. Milk is a poor source of iron Parents of a child with sickle cell anemia ask the nurse, "What happens to the hemoglobin in sickle cell anemia?" Which statement by the nurse explains the disease process?

A. Cure the disease B. Prevent spread of disease C. Delay disease progression D. Treat Pneumocystis carinii pneumonia - --CORRECT ANSWER IS -- - C. Delay disease progression The nurse has initiated a blood transfusion on a 10 year old child. The child begins to exhibit signs of a transfusion reaction.What would the nurse do first? A. Maintain a patent IV line with normal saline. B. Take the vital signs C. Notify the practitioner. D. Stop the transfusion. - --CORRECT ANSWER IS -- - D. Stop the transfusion. Parents of a school-age child with hemophilia ask the nurse, "Which sports are recommended for children with hemophilia?" Which sports should the nurse recommend? Select all that apply A. Swimming B. Soccer C. Basketball D. golf - --CORRECT ANSWER IS -- - A. Swimming D. golf The school nurse is discussing testicular self-examination with adolescent boys. Why is this important? A. Testicular tumors during adolescence are generally malignant.

B. Epididymitis is common during adolescence. C. Asymptomatic sexually transmitted diseases may be present D. Testicular tumors, although usually benign, are common during adolescence. - --CORRECT ANSWER IS -- - A. Testicular tumors during adolescence are generally malignant. Which is most descriptive of the pathophysiology of leukemia? A. Excessive red blood cells B. Increased blood viscosity occurs. C. Thrombocytopenia (excessive destruction of platelets) occur D. Unrestricted proliferation of immature white blood cells (WBCs) occurs - --CORRECT ANSWER IS -- - D. Unrestricted proliferation of immature white blood cells (WBCs) occurs The nurse is administering an IV chemotherapeutic agent to a child with leukemia. The child suddenly begins to wheeze and have severe itching. Which is the most appropriate nursing action? A. Observe child closely for next 10 minutes B. Stop drug infusion immediately C. Recheck rate of drug infusion D. Explain to child that this is an expected side effect. - --CORRECT ANSWER IS -- - B. Stop drug infusion immediately The nurse is teaching parents about prevention of urinary tract infections in children. Which factor contribute to risk of getting a urinary tract infection? Select all that apply A. Increased fluid intake B. Frequent emptying of the bladder

C. Encourage immunizations D. Hypothermia - --CORRECT ANSWER IS -- - A. Stay hydrated C. Encourage immunizations The mom of a 8 yr old that has been diagnosisd with Epistaxis states "I don't know what that means or what I am supposed to do the Penn State student nurse gives what information? Select all that apply A. The patient has a nose bleed B. Hold his head back if this occurs C. Lean forward so blood drains out D. May need packing - --CORRECT ANSWER IS -- - A. The patient has a nose bleed C. Lean forward so blood drains out D. May need packing A hospitalized child that has a fever of 101.0 f or (38.3)c Tylenol 75 mg is ordered.The acetaminophen (Tylenol) is 80 mg per 0.8ml. How much will the nurse administer? 0.75mg 1.5mg 2.5mg 3ml - --CORRECT ANSWER IS -- - 0.75mg A child who weighs 20kg is to receive 8g of gamma globulin over 12 hours for the treatment of idiopathic thrombocytopenia purpura. The concentration is 8g in 300ml of normal saline.How many milliliters per hour will the child receive?

12ml 25ml 50ml 40ml - --CORRECT ANSWER IS -- - 25ml The mother of a 9 year old child receiving chemotherapy is requesting medication for nausea The child is ordered 0.15mg /kg Odansetron (zofran) IV NOW The child weighs 74.7 lbs How many milligram of zofran will the child receive? 6mg 10mg 5mg 4mg - --CORRECT ANSWER IS -- - 5mg A 12 year old female is complaining of sever back pain in the flank area and has a fever of 103.4.The renal sonogram shows rt sided backup obstruction and distention the child has most likely has what condition? Hypernephrosis Ureternephrosis Urethranephrosis Hydronephrosis - --CORRECT ANSWER IS -- - Hydronephrosis The father of a 14 yr old girl brings his child in for swelling of his eyes, legs he states that she was ill with a strep infection 10 days ago but did not complete her antibiotics .The nurse takes

A 10-year-old boy on a bicycle has been hit by a car in front of the school. The school nurse immediately assesses airway, breathing, and circulation. What is the next nursing action A. Stabilize neck and spine B. Check scalp and back for bleeding C. Take blood pressure D. Place on side - --CORRECT ANSWER IS -- - A. Stabilize neck and spine Which are clinical manifestations of increased intracranial pressure (ICP) in infants? Select all that apply Irritability Low-pitched cry Sunken fontanel bulging fontanelle - --CORRECT ANSWER IS -- - Irritability bulging fontanelle The nurse has received report on four children. Which child should the nurse assess first? A. An adolescent admitted after a motor vehicle accident is oriented to person and place B. A school-age child in a coma with stable vital signs C. A preschool child with a head injury and decreasing level of consciousness D. A toddler in a persistent vegetative state with a low-grade fever - --CORRECT ANSWER IS -- - C. A preschool child with a head injury and decreasing level of consciousness A child's resting heart rate can be expected to be between 60 and 100 beats per minute once he reaches:

4 years of age. 6 years of age. 10 years of age. 12 years of age. - --CORRECT ANSWER IS -- - 10 years of age. Explanation: Normal heart rate varies with age. Generally, as the heart becomes more efficient, the rate begins to decrease. This occurs with age. Four and six year-old children can be expected to have normal heart rates between 60 and 140 beats per minute. By age 10 years, the usual heart rate more closely approximates that of an adult, 60-100 beats per minute. Which reflexes might a one month-old infant be expected to exhibit? Moro, stepping, rooting Stepping, rooting, tonic neck Babinski, Moro only Fencing, stepping, rooting - --CORRECT ANSWER IS -- - Moro, stepping, rooting Explanation: A one month old infant would be expected to exhibit the Moro, stepping, rooting, and Babinski reflexes. The tonic neck, or "fencing" reflex isn't exhibited until about 2-3 months of age. This is assessed by lying the baby on his back and turning his head to one side. If the reflex is present, he should extend his arm on the side that his head is turned. The opposite arm assumes a flexed position. This pose mimics a fencer and thus, the name. A sexually active adolescent male has a warty growth on the shaft of his penis. It is painless. This is likely: trichomonas. syphilis.

Explanation: Infants who burp frequently probably are swallowing too much air with feeding. This is likely not related to congenital heart disease. Some red flags associated with feeding that should prompt the examiner to assess for congenital heart disease include feedings that are interrupted by choking, gagging, or vomiting. Some infants have rapid breathing with feeding or a persistent cough or wheeze. These should be assessed and CHD should be considered. Which statement below best characterizes scoliosis in an adolescent? It is more common in males and is idiopathic. There can be unequal rib prominences or shoulder heights. The diagnosis can be made when the curvature is 8? or more. There is a strong familial component to this condition. - --CORRECT ANSWER IS -- - There can be unequal rib prominences or shoulder heights explanation: Scoliosis is diagnosed when the degree of curvature is 10? or more. It is more common in girls because they have more rapid vertical growth than boys. There is not a strong familial component to this disease. Rather, it is idiopathic. It is assessed using the Adams Forward Bend test. There can be unequal scapula prominences and heights, waist angles, and chest asymmetry. The most common cause of acute pharyngitis in children is: S. pyogenes. H. influenzae. M. pneumoniae. respiratory viruses. - --CORRECT ANSWER IS -- - respiratory viruses. A patient has suspected scarlet fever. He likely has a sandpaper rash and:

negative throat swab. a positive rapid strept test. diarrhea with abdominal cramps. petechiae on the trunk. - --CORRECT ANSWER IS -- - a positive rapid strept test. Explanation: A patient with scarlet fever (scarlatina) has a common childhood disease that is characterized by sore throat, fever, and a scarlet "sandpaper" rash. The causative organism is Group A beta hemolytic Streptococcus pyogenes. The patient's rapid strept test will likely be positive. If the rapid Strept test is negative, the throat swab should be positive. Diarrhea with abdominal cramps is not specific to scarlet fever. Petechiae represent an extravasation of blood under the skin and are not present with scarlet fever unless some other disease process is present. Petechiae should be considered to be a very serious finding. A positive Trendelenburg's test could be used to identify a child with: scoliosis. Osgood-Schlatter disease. nursemaid's elbow. slipped capital femoral epiphysis. - --CORRECT ANSWER IS -- - slipped capital femoral epiphysis. Explanation: Asking a child with a complaint of hip pain to stand on the affected side is how the Trendelenburg test is assessed. A positive Trendelenburg test occurs when standing on the affected leg causes a pelvic tilt, such that the unaffected hip is lower. This can be assessed and observed in children with slipped capital femoral epiphysis, Legg-Calve-Perthes disease, or developmental dysplasia of the hip. Nursemaid's elbow is a common ligamentous injury in young children. The radial head becomes subluxed. Displacement is usually easy to reduce. A two year-old with sickle cell anemia (SCA) should receive which immunizations?