PEDS ATI PROCTORED ACTUAL
EXAM ALL 70 QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED
A+
,1. A nurse is caring for an adolescent following a lumber puncture which of
the following actions should the nurse take?
a. Initiate NPO status for the adolescent
b. Place the adolescent in a supine position
c. Place a moist, warm pack on the adolescents lower back
d. Apply a eutectic mixture of local anesthetics to the adolescent’s
puncture site.
ANS – Place the adolescent in supine position
(The nurse should place the adolescent in a supine position for 30 min to
an hour following a lumbar puncture to decrease the risk of a post Dural
puncture headache)
2. A nurse is assessing a child who is receiving IV chemotherapy assessment
findings include extravasation of the tissues surrounding the IV insertion
site. In which order should the nurse take the following actions?
- Remove IV line
- Elevate the extremity
- Stop the infusion
- Notify the provider
ANS
- stop the infusion
- elevate the extremity
- notify the provider
- remove the IV line
3. A nurse is discussing the causes of chronic diarrhea with a client. Which of
the following conditions is cause by malabsorption
a. Celiac disease
b. Ulcerative colitis
c. Hirschsprung’s disease
d. Crohn’s disease
, ANS - Celiac Disease
( The nurse should recognize that celiac disease causes chronic diarrhea
due to malabsorption. Other malabsorption conditions include short
bowel syndrome, lactose intolerance and congenital enzyme deficiency)
4. A nurse is caring for an 8 year old child who has sickle cell anemia. Which of
the following actions should the nurse take?
a. Apply cool compresses to the painful area
b. Initiate contact isolation precautions
c. Give the child flavoured popsicles
ANS - Give the child flavored popsicles
(maintaining hydration with a child who had sickle cell anemia is
important to prevent sickling. Children often accept flavored
popsicles as a source of fluid)
5. A nurse is caring for a toddler who has a fever, a high pitched cry, irritability,
and vomiting. Which of the following actions should the nurse take?
a. Administer 81 mg of aspirin to the toddler
b. Give the toddler a cold bath
c. Place the toddler in a supine position
d. Pad the rails of the toddler’s bed
ANS - pad the rails of the toddler’s bed
(when caring for a toddler who has manifestations of bacterial
meningitis, the nurse should implement seizure precautions, which
include padding the side rails of the bed)
6. A nurse is teaching the guardian of a preschooler. The guardian states that
the preschooler has had an imaginary playmate for about 3 months. Which
of the following pieces of information should the nurse give to the
guardian?
, a. Children commonly begin having imaginary friends when they reach
school age
b. Notify your provider if the imaginary friend persists longer than 6
months
c. Have your child take responsibility for actions if he tries to blame the
imaginary friend
d. Set limits by not allowing your child to have imaginary friend present
during family meals.
ANS - have your child take responsibility for actions if he tries to blame
the imaginary friend
( the nurse should inform the guardian that imaginary playmates are
common during the preschool years due to the high level of imagination
among this age group. Although having an imaginary friend is considered
healthy, the preschooler might try to use this imaginary friend as a
means of avoiding responsibility or punishment for unacceptable
behavior. The nurse should inform the guardian of the need to have the
preschooler take responsibility for his actions.)
7. A nurse in a providers office enters an examination room to assess an 8
month old infant for the first time. Which of the following reactions by the
infant should the nurse expect.
a. The infant gives the nurse a social smile
b. The infant turns away when the nurse approaches
c. The infant reaches out to the nurse to be held
d. The infant is responsive and alert as the nurse comes closer
ANS - the infant turns aways when the nurse approaches
(the nurse should expect an 8 month old infant to have a heightened
fear of strangers. The infant is expected to cling to her parent and turn
aways when approached by a stranger. )
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