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Exam (elaborations)

ATI PEDS CMS – Actual Exam Questions with Detailed Answers | Updated for 2026–2027 | A+ Graded Pediatric Nursing Review

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This updated and expert-reviewed document provides actual ATI Pediatric CMS exam questions along with well-elaborated, verified answers for the 2026–2027 testing cycle. It includes clinical scenario-based multiple-choice and select-all-that-apply questions with rationales covering pediatric disorders, safety, medication, growth and development, immunizations, and emergency response. Designed for nursing students seeking a high-yield review with expert feedback, it is ideal for ATI preparation and clinical assessments.

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ATI PEDS CMS ACTUAL EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (2026-2027 UPDATE) ALREADY
A+ GRADED WITH EXPERT FEEDBACK {REVISED}

A nurse is planning care for an adolescent following repair of Meckel
Diverticulum. Which of the following actions should the nurse include in the plan
of care?
a. Administer total parenteral nutrition
b. Initiate long term antibiotic therapy
c. Maintain an Ng tube for decompression
d. Teach the client about ostomy care -Correct ANS- C


A nurse in an emergency department is caring for a preschool-age child who has
acute acetylsalicylic acid poisoning. Which of the following should the nurse
expect?
a. polyuria
b. neck vein distension
c. jaundice
d. hyperpyrexia -Correct ANS- D


A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the
insertion of an IV catheter. Which of the following actions should the nurse plan
to take?
a. Wash the site with alcohol prior to applying the cream
b. Gently rub the cream into the skin (never)
c. Apply the cream 1 hr. before the procedure

,d. Avoid removing the cream prior to the procedure. -Correct ANS- C


A nurse is reviewing the medical record of a 24-month-old child who has acute
lymphocytic leukemia. Which of the following actions should the nurse take? a.
initiate bleeding precautions
b. place the child in knee-chest position
c. Apply viscous lidocaine to the oral mucosa
d. Obtain a rectal temperature every 4 hours -Correct ANS- A


A nurse is creating a plan of care for an adolescent who has muscular dystrophy.
Which of the following interventions should the nurse include in the plan? a.
Avoid influence and pneumococcal vaccines for 24 months
b. Initiate a referral for chest physiotherapy every 4 hr.
c. Recommend the adolescent use a wheelchair to prevent stress the lower
extremities
d. Encourage the adolescent to perform incentive spirometry to maintain lung
capacity -Correct ANS- D


A nurse is teaching the parent of a school-age child about bicycle safety. Which of
the following instructions should the nurse include in the teaching? a. Your child
should walk the bicycle through intersections
b. your child's feet should be three to six inches off the ground when Seated
on the bicycle
c. you should try to keep the bicycle at least three feet from the curb while
riding in the street
d. your child should ride the bicycle against the flow of traffic -Correct ANS- A

, A nurse is preparing to administer ondansetron 0.15 mg/kg IV to child who is
receiving chemotherapy and weighs 29.4 kg. Available is ondansetron 4 mg/2 mL
solution. How many mL should the nurse administer? -Correct ANS- 2.2


A nurse is preparing to administer immunizations to a 3-month-old infant. Which
of the following is an appropriate action for the nurse to take to deliver
atraumatic care?
a. Provide a pacifier coated with an oral sucrose prior to injections
b. Inject the immunizations into the deltoid muscle
c. Use as 20-gauge needle for injections
d. Apply eutectic mixture of local anesthetics cream immediately before the
injections -Correct ANS- A


A nurse at an inpatient facility is planning care for a child who has autism
spectrum disorder. Which of the following interventions should the nurse include
in the plan of care?
a. Vary daily routines when providing care for the child
b. Keep the television on in the child's room for background noise
c. Keep staff visits with the child brief
d. Place the child in a semiprivate room. -Correct ANS- C


A nurse is caring for a 2-month-old infant who has heart failure and is receiving
furosemide. Which of the following findings is the nurse's priority? a. heart rate
162/min
b. negative doll's eye reflex.
c. Sunken anterior fontanel
d. potassium 5.1MEq/L -Correct ANS- A or d

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