2024 PEDS ATI Proctored Exam
1. The nurse is preparing to administer an im-
munization to a four-year-old child.
Which of the following actions should the
nurse plan to take?
A- Place the child in a prone position for the
immunization
B- request that the child's caregiver leave the
room dur...
2024 PEDS ATI Proctored Exam 1. The nurse is preparing to administer an im- munization to a four-year-old child. Which of the following actions should the nurse plan to take? A- Place the child in a prone position for the immunization B- request that the child's caregiver leave the room during the immunization C- administer the immunization using a 24-gauge needle D- inject the immunization slowly after aspi- rating for 3 seconds 2. A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify which of the following laboratory values indicates effec - tiveness of the current treatment? A- Potassium 2.9 mEq/L B- sodium 140 C- urine specific gravity 1.035 D- BUN 25 mg 3. The nurse is providing teaching about Social Development to the parents of a preschooler. Which of the following play ac - tivities should the nurse recommend for the child? A- Play pat -a-cake B- using a push pull toy C- creating a scrapbook D- playing dress -up 4. A nurse is teaching the parents of a newborn about ways to prevent sudden infant death syndrome SIDS. Which of the following instructions should the C- administer the immuniza - tion using a 24 -gauge nee - dle; The nurse should ad - minister an immunization for a 4-year-old child using a 24- gauge needle to minimize the amount of pain experi - enced by the toddler. B- sodium 140; The nurse should identify that a sodi - um level of 140 mEq/L is within the expected reference range and indicates the current treatment regimen the infant is receiving for dehydration is effective. D- playing dress -up; The nurse should instruct the parents that at the preschool age, play should focus on social, mental, and physi - cal development. Therefore, playing dress -up is a recommended play activity for this child. D- Give the infant a paci - fier at bedtime; The nurse should inform the par- ent that protective factors 2024 PEDS ATI Proctored Exam nurse include? A- Place the infant in a prone position to sleep. B- Allow the infant to sleep on a large pillow. C- User soft mattress in the infant's crib. D- Give the infant a pacifier at bedtime. 5. A nurse is assessing an infant who has pneu - monia. Which of the following findings is the priority for the nurse to report to the provider? A- Nasal flaring B- WBC 11,300 C- diarrhea D- abdominal distension 6. A school nurse is assessing a school -age child blood pressure while he is seated in a chair. The child starts to experience a tonic -clonic seizure. Which of the following actions should the nurse take first? A- Clear the immediate area around the child of hazardous objects B- loosen the child restrictive clothing C- assist the child to a side-lying position on the floor D- apply an oxygen mask to the child 7. A nurse is receiving change -of-shift Report on for children. Which of the following children should the nurse assesses first? against SIDS include breastfeeding and the use of a pacifier when the infant is sleeping. A- The nurse should instruct the parent to place the infant in a supine A- Nasal flaring; When using the airway, breathing, cir - culation approach to client care, the nurse should place the priority on nasal flaring. Nasal flaring indicates that the infant is experiencing acute respiratory distress. C- assist the child to a side-lying position on the floor; The greatest risk to this child is aspiration, oc- clusion of the airway, and bodily injury from falling out of the chair. The nurse should ease the child down to floor in a side -lying posi - tion immediately. This posi- tion enables the child's secretions to drain from the mouth, preventing aspira - tion, and maintaining a patent airway. A- A toddler who has a con- cussion and an episode of forceful vomiting; When us- ing the urgent vs. no urgent 2024 PEDS ATI Proctored Exam A- A toddler who has a concussion and an episode of forceful vomiting B- an adolescent who has infective endo - carditis and reports having a headache C- an adolescent who was placed into Halo traction 1 hour ago and rates his pain at a 6 on a 0 -10 scale D- school -age child who has acute glomeru - lonephritis and brown colored urine 8. A nurse in the emergency department is car- ing for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as mcbur - ney's point? 9. A nurse is providing teaching to the family of a school -age child who has juvenile idiopathic arthritis. Which of the fol- lowing instructions should the nurse include in the teaching? A- Limit the movement of the child large joints. B- Encourage the child to perform indepen - dent self -care. C- Provide the child with a soft mattress for sleeping. D- Schedule a 2-hour daily nap for the child in the afternoon. approach to client care, the nurse should assess this child first. An episode of forceful vomiting is an indi - cation of increased intracranial pressure in a toddler who has a concus - sion. A is correct. The nurse should identify the lower right quadrant of the ab - domen between the umbilicus and the anterior iliac crest as the location of Burney's point. B- Encourage the child to perform independent self-care; The nurse should teach the family the impor - tance of encouraging the child to perform independent self-care. This will minimize the child's pain while maxi - mizing mobility.
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