ATI - TEST 7 PRACTICE ASSESSMENT

Question 1

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for a 6-month-old child. The child’s provider has ordered a diphtheria, tetanus, and pertussis (DTaP) vaccine to be administered. Which of the following should cause the nurse to question the administration of this vaccine?

A. Afebrile otitis media
B. Evidence of sensitivity to egg antigens
C. Temperature of 40.5º C (104.9º F) after last DTaP
D. New Onset of seizure disorder in the child’s sibling

Answer 1

C. Temperature of 40.5º C (104.9º F) after last DTaP

Rationale:
The DTaP vaccine is a 3-in-1 vaccine that protects the child against diphtheria, pertussis, and tetanus. A high fever is a serious side effect. If a dose of DTaP vaccine were to be given again, it might cause a serious or life-threatening adverse reaction.

Question 2

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is speaking to the partner of an older adult client who resides in a long-term care facility. The partner reports that he has had to speak louder than usual for his spouse to be able to hear him. The client has also stopped actively participating in social activities and group conversations. The nurse should recognize that these findings are likely due to which of the following?

A. Mastoiditis
B. Prebycusis
C. Presbyopia
D. Otomycosis

Answer 2

B. Prebycusis

Rationale:
The human ear develops age-related changes in its ability to hear, usually beginning with higher-pitched sounds, and then progressing to the lower-pitched sounds. With human speech, many of the consonants are high tones, such as the letters p, t, s, k, and ch. It becomes very difficult for the older client to understand normal conversation, particularly in noisy environments. These manifestations also indicate a slow onset consistent with prebycusis.

Question 3

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). Which of the following would be appropriate to include in a discussion with the mother?

A. Placing her child on the back when sleeping will decrease the risk of SIDS.
B. SIDS is directly correlated to diphtheria, tetanus, and pertussis vaccines.
C. SIDS rates have been rising over the last 10 years.
D. Sleep apnea is the main cause of SIDS.

Answer 3

A. Placing her child on the back when sleeping will decrease the risk of SIDS.

Question 4

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is planning care for a hospitalized 4-year-old child. The nurse should include providing a

A. plastic stethoscope.
B. brightly colored mobile.
C. jigsaw puzzle.
D. helium-filled latex balloon

Answer 4

A. plastic stethoscope.

Rationale:
Preschool play centers on imitation of adults. Providing a stethoscope allows the child to imitate the staff and helps ease the fear of unfamiliar equipment.

Question 5

ATI - TEST 7 PRACTICE ASSESSMENT

A parent tells the nurse in the pediatric clinic that her toddler drinks a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that this client is at risk for which of the following disorders?

A. Iron-deficiency anemia
B. Rickets
C. Diabetes mellitus
D. Obesity

Answer 5

A. Iron-deficiency anemia

Rationale:
Children between the ages of 12 and 36 months are at risk for iron-deficiency anemia when cow’s milk, which is poor in iron, is a major component of the diet.

Question 6

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse in the emergency department is caring for an infant who digested lye. Which of the following is an appropriate action of the nurse?

A. Observe for increase restlessness.
B. Induce vomiting
C. Administer a chelating agent.
D. Monitor liver enzymes.

Answer 6

A. Observe for increase restlessness.

Rationale:
Chelating agents are indicated used with iron poisonings because they bind with metals and allow them to be excreted from the body. Infants who have ingested a caustic substance should be observed for increasing restlessness, which is an accompanying sign of oxygen deprivation. Swelling of the throat and trachea commonly occur after ingestion of lye.

Question 7

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is planning care for an infant. Which of the following would be most appropriate site to assess a pulse?

A. Carotid artery
B. Apex of the heart
C. Brachial artery
D. Temporal artery

Answer 7

B. Apex of the heart

Rationale:
The brachial artery is difficult to palpate on an infant. Therefore, it is not the most appropriate site to assess a pulse.

Question 8

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for an older adult client with constipation. Which nursing intervention is appropriate?

A. Request that the provider prescribe a routine stool softener
B. Promote active range of motion activities
C. Add fluid and fiber to the diet
D. Institute a bowel hygiene program

Answer 8

C. Add fluid and fiber to the diet

Question 9

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is planning care for an infant that has been diagnosed with phenylketonuria (PKU). Which of the following is an appropriate action of the nurse to take?

A. Initiate a controlled diet eliminating protein.
B. Educate parents on blood glucose monitoring.
C. Administer thyroid hormone replacement.
D. Obtain a blood sample for blood type.

Answer 9

A. Initiate a controlled diet eliminating protein.

Rationale:
PKU is managed by eliminating phenylalanine from the diet. All natural food proteins contain phenylalanine. Therefore, initiating a controlled diet eliminating protein is the appropriate action for the nurse to take.

Question 10

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for a 10-year-old client who will need to be hospitalized for an extended period of time. Which of the following nursing actions is appropriate for meeting the client’s psychosocial needs, according to Erikson?

A. Arrange for a teacher to prepare lesson plans for him.
B. Allow him to select his own food from the menu.
C. Encourage visits from his friends.
D. Provide a daily session with a play therapist.

Answer 10

A. Arrange for a teacher to prepare lesson plans for him.

Question 11

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for a hospitalized 2-year-old child who has a tantrum when the parent leaves. To help the child adjust to the stress of the situation, which of the following therapeutic toys is most appropriate for the nurse to provide?

A. Set of building blocks
B. Toy hammer with a pounding board
C. Picture book about hospitals
D. Stuffed animal

Answer 11

B. Toy hammer with a pounding board

Question 12

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is reinforcing teaching to a parent of a toddler about dealing with temper tantrums. Which of the following statements by the parent indicates understanding of the teaching?

A. “I should turn on the television as a distractor.”
B. “I should limit options until he is older.”
C. “I should honor his original request.”
D. “I should ignore the tantrum behavior.”

Answer 12

D. “I should ignore the tantrum behavior.”

Question 13

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is working in an extended-care facility is reinforcing teaching for a group of newly licensed nurses about the expected physiologic changes of aging. Which of the following information should the nurse include? (Select all that apply.)

A. Older adults have more difficulty seeing when there is a low level of light or glare.
B. Vital capacity of the lungs declines nearly 50% between the ages of 20 and 70.
C. Bladder capacity decreases and the kidneys become less efficient with age.
D. Personality changes are common in older adults.
E. Cardiac output decreases with age due to a decreased heart size.
F. Cognitive abilities decline after the age of 70.

Answer 13

A. Older adults have more difficulty seeing when there is a low level of light or glare.
B. Vital capacity of the lungs declines nearly 50% between the ages of 20 and 70.
C. Bladder capacity decreases and the kidneys become less efficient with age.

Question 14

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is reinforcing teaching to the parents of an adolescent client. The nurse correctly states that which coping mechanism is often used to achieve the developmental tasks of adolescence?

A. Rationalization
B. Compensation
C. Identification
E. Denial

Answer 14

C. Identification

Question 15

ATI - TEST 7 PRACTICE ASSESSMENT

During a routine well child check-up, a nurse is reinforcing teaching to a parent who reports having difficulty getting a preschool-age child to go to bed. Which of the following statements indicate to the nurse that the parent understands how to foster a consistent bedtime for the preschooler?

A. “I will allow my child to cry himself to sleep at night.”
B. “I will let my child fall asleep with me, and then move him to his own bed.”
C. “I will make sure the room is dark when placing my child in bed.”
D. “I will encourage my child to fall sleep with his favorite toy.”

Answer 15

D. “I will encourage my child to fall sleep with his favorite toy.”

Question 16

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is selecting a toy for a hospitalized 6-month-old infant. Which of the following toys is developmentally appropriate for this infant?

A. A set of colorful stacking rings of different sizes
B. A colorful crib mobile that plays music
C. A soft toy that squeaks or crackles when squeezed
B. A wooden farm animal puzzle with large pieces

Answer 16

C. A soft toy that squeaks or crackles when squeezed

Question 17

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is collecting data on a child who is descending stairs by placing both feet on each step while holding on to the railing. This is developmentally appropriate at which of the following ages?

A. 3 years
B. 4 years
C. 5 years
D. 6 years

Answer 17

A. 3 years

Question 18

ATI - TEST 7 PRACTICE ASSESSMENT

A hospital worker asks a nurse to suggest an appropriate play activity for a 12-month-old client on contact precautions. Which of the following toys should the nurse suggest to meet the developmental needs of the client?

A. Push-pull toy
B. Crib gym
C. Stuffed animal
D. Coloring book

Answer 18

A. Push-pull toy

Question 19

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is collecting data from an infant. Which of the following developmental skills is a 1-month-old infant able to do?

A. Display a social smile
B. Following movements with eyes
C. Turn head to noise
D. Make babbling sounds

Answer 19

B. Following movements with eyes

Question 20

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for an older adult client in a long-term care facility. Which of the following measures should the nurse take first when assisting in planning the client’s care?

A. Explaining the roles of the registered nurse, practical nurse, and assistive personnel.
B. Understanding the client’s routine for his own care at home.
C. Determining the client’s mobility.
D. Introducing healthcare team members to the client

Answer 20

B. Understanding the client’s routine for his own care at home.

Question 21

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for a 3-year-old client who has persistent otitis media. To help identify contributing factors, the nurse should ask the parent which of the following questions?

A. “Has your daughter shown any signs of hearing loss?”
B. “Does anyone smoke around or in the same house as your daughter?”
C. “Does your daughter get water in the ears when you bathe her?”
D. “Has your daughter had a fever recently?”

Answer 21

B. “Does anyone smoke around or in the same house as your daughter?”

Question 22

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is reinforcing teaching about nutrition to a parent of a toddler. Which of the following should be included in the teaching?

A. Toddlers have increased appetite.
B. Toddlers have a decreased nutritional need.
C. Offer foods that are mixed together.
D. Fill the plate with multiple food choices.

Answer 22

B. Toddlers have a decreased nutritional need.

Question 23

ATI - TEST 7 PRACTICE ASSESSMENT

The parent of a 4-year-old child tells the nurse that the child believes there are monsters hiding in her bedroom closet at bedtime. Which of the following responses by the nurse is appropriate?

A. “Tell your child that monsters are not real.”
B. “Let your child sleep in your bed with you.”
C. “Keep a night light on in your child’s room.”
D. “Stay with your child until she is asleep.”

Answer 23

C. “Keep a night light on in your child’s room.”

Question 24

ATI - TEST 7 PRACTICE ASSESSMENT

The parent of a toddler asks a nurse at a well-child clinic how to handle his child’s frequent temper tantrums. THe nurse should suggest that the parent

A. tell the child that tempter tantrums are not acceptable.
B. restrain the child physically.
C. ignore the temper tantrums.
D. distract the child by offering to play a game.

Answer 24

C. ignore the temper tantrums.

Question 25

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is assessing the psychosocial development of a toddler. The nurse is aware that this stage is characterized by which of the following?

A. Imaginary playmates.
B. Erikson’s stage of initiative vs. guilt
C. Demonstrations of sexual curiosity
D. Negative behaviors characterized by the need for autonomy

Answer 25

D. Negative behaviors characterized by the need for autonomy

Question 26

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for a 4-year-old child who is newly diagnosed with diabetes mellitus and is distressed after his insulin injection. Which of the following should the nruse use to help the child deal with the injection?

A. A story book about a child with diabetes
B. A video game
C. A needless syringe and a doll
D. A period of play in the playroom

Answer 26

C. A needless syringe and a doll

Question 27

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is reinforcing teaching to an adolescent client regarding administration of Gardasil vaccine. For which of the following sexually transmitted infections does the vaccine provide immunity?

A. Human papillomavirus (HPV)
B. Herpes simplex virus (HSV-2)
C. Chlamydia trachomatis
D. Gonorrhea

Answer 27

A. Human papillomavirus (HPV)

Question 28

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is collecting data on an infant at a well-child check-up. By which of the following ages is the birth weight typically doubled?

A. 3 months
B. 6 months
C. 9 months
D. 12 months

Answer 28

B. 6 months

Question 29

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for a 4-year-old child who refuses to take his medication. Which of the following strategies should the nurse use to elicit the child’s cooperation?

A. Offer the child a choice of crushed pills or elixir.
B. Tell the child the medicine tastes like candy.
C. Hide the medication in ice cream or juice.
D. Document that the child refused to take the medication.

Answer 29

A. Offer the child a choice of crushed pills or elixir.

Question 30

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for an hospitalized adolescent. The nurse understands that which major developmental task is important during adolescence?

A. Building a sense of trust
B. Learning to utilize creative energies
C. Learning to defer gratification
D. Defining a sense of self.

Answer 30

D. Defining a sense of self.

Question 31

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is reinforcing health promotion teaching to an adolescent. Which of the following is the leading cause of death among this age group?

A. Suicide.
B. Homicide
C. Accidents
D. Cancer

Answer 31

C. Accidents

Question 32

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for a toddler who is experiencing separation anxiety. Which of the following is an appropriate action for the nurse to take?

A. Explain to the toddler that her parents will return in one hour.
B. Assist the parents to sneak out of the toddler’s room.
C. Tell the parents about the reaction of the toddler while they were gone.
D. Leave the toddler alone for five minutes to cry it out.

Answer 32

C. Tell the parents about the reaction of the toddler while they were gone.

Question 33

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse in a clinic is preparing to administer pre-kindergarten immunizations to a 5 year-old child. The child’s immunizations are current. Which of the following immunizations should the nurse administer to the client at this visit?

A. Measles, mumps, and rubella (MMR)
B. Haemophilus influenzae type B (HiB)
C. Pneumococcal conjugate vaccine (PCV)
D. Hepatitis B (HBV)

Answer 33

A. Measles, mumps, and rubella (MMR)

Question 34

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is talking with a 13-year old female at her annual health screening visit. Which of the following client comments should concern the nurse?

A. “My parents treat me like a baby sometimes.”
B. “I haven’t gotten my period yet, and all my friends have theirs.”
C. “None of the kids at this school like me, and I don’t like them either.”
D. “There’s a pimple on my face, and I worry that everyone will notice it.”

Answer 34

C. “None of the kids at this school like me, and I don’t like them either.”

Question 35

ATI - TEST 7 PRACTICE ASSESSMENT

A school nurse is completing routine health evaluations for school-aged children. Which of the following should alert the nurse to the possibility of prediculosis?

A. Patches of baldness
B. Blisters on the scalp
C. Reports of scalp itchiness
D. Dry patches on the scalp

Answer 35

C. Reports of scalp itchiness

Rationale:
Prediculosis is an infestation of head lice. Generally, the only symptom is scalp itchiness

Question 36

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for a hospitalized 14-year-old child. Which of the following lunch choices is appropriate?

A. Chicken nuggets and green beans
B. Commercially prepared formula
C. Chicken and strained beans
D. Hamburger and french fries.

Answer 36

A. Chicken nuggets and green beans

Question 37

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is collecting data about a 6-year-old client. Which statement by the client should concern the nurse?

A. “The teacher says my child has to squint to see the board.”
B. “My child has recently lost both front top teeth.”
C. My child often cheats when we play board games.”
D. “Sometimes my child acts bossy with this friends.”

Answer 37

A. “The teacher says my child has to squint to see the board.”

Question 38

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for a hospitalized 4-year-old child who had an incident of bedwetting. The child’s parent expresses concern about the incident. Which of the following nursing responses is appropriate?

A. “Hospitalized children often regress. The toileting skills will return when your child is feeling better.”
B. “I know this can be embarrassing. I have kids myself so I understand, and it doesn’t bother me.”
C. “It’s probably due to the IV fluids and medications we are giving your child for the infection.”
D. “I will discuss your child’s loss of bladder control with the physician, as this may require further investigation.”

Answer 38

A. “Hospitalized children often regress. The toileting skills will return when your child is feeling better.”

Question 39

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is caring for a child who has been physically abused by a family member. Which of the following is an appropriate statement for the nurse to say to the child?

A. “I promise I won’t tell anyone about this.”
B. “Let’s discuss what happen together, with your family.”
C. “Your family is bad for doing this to you.”
D. “It is not your fault that this happened.”

Answer 39

D. “It is not your fault that this happened.”

Question 40

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is reinforcing teaching to a group of adolescents regarding identifying behavorial indicators of depression. Which of the following should the nurse include? (Select all that apply)

A. Irritability
B. Hypersomnia
C. Grandiosity
D. Chronic pain
E. Eurphoria
F. Low self-estem

Answer 40

A. Irritability
B. Hypersomnia
D. Chronic pain
F. Low self-estem

Question 41

ATI - TEST 7 PRACTICE ASSESSMENT

A nurse is collecting data from a child and notes many bruises. Which of the following is an appropriate action for the nurse to take?

A. Report the suspected abuse to the authorities
B. Obtain a detailed history
C. Ask the psychiatric to talk with the parents
D. Separate the child from the parents

Answer 41

B. Obtain a detailed history