ATI PEDIATRICS PROCTORED EXAM 2023 RETAKE
TESTBANK
216 QUESTIONS AND ANSWERS GUARANTEED
PASS
„LATEST UPDATE 2026!!!"
____________________________________________________
1. A nurse is assessing a 4-month-old infant. Which finding should the nurse
report to the provider?
A) Unable to roll over
B) Birth weight doubled
C) Anterior fontanel open
D) Moro reflex present
RATIONALE – Moro reflex should disappear by 3-4 months; persistence at 4
months may indicate neurologic impairment.
ANSWER – D) Moro reflex present
____________________________________________________
,2. A 2-year-old is hospitalized. The parent must leave for work. The child
screams "Don't go!" and then becomes quiet and withdrawn. This behavior
indicates:
A) Protest phase
B) Despair phase
C) Detachment phase
D) Regression
RATIONALE – Despair phase: withdrawn, quiet, sad, no longer crying.
ANSWER – B) Despair phase
3. A child with cystic fibrosis is being discharged. Which statement by the
parent indicates understanding of pancreatic enzyme administration?
A) “I will give the enzymes if my child has abdominal pain.”
B) “I will give the enzymes with meals and snacks.”
C) “I will crush the beads and mix in a full bottle of formula.”
D) “I will stop enzymes if my child has diarrhea.”
,RATIONALE – Pancreatic enzymes must be given with all meals and snacks to
digest fats.
✔ ANSWER – B) “I will give the enzymes with meals and snacks.”
4. A 5-year-old with a Wilms tumor (nephroblastoma) is admitted. Which
nursing action is contraindicated?
A) Monitoring blood pressure
B) Palpating the abdomen
C) Checking urine for blood
D) Measuring abdominal girth
RATIONALE – Do NOT palpate abdomen – may rupture tumor and cause
seeding.
✔ ANSWER – B) Palpating the abdomen
5. A 10-year-old with asthma has a peak flow reading of 55% of personal best.
What action should the nurse take first?
A) Administer rescue inhaler (albuterol)
, B) Call the provider
C) Send child to emergency room
D) Repeat reading in 30 minutes
RATIONALE – Yellow zone (50-80%) requires rescue inhaler; reassess after 15-
20 minutes.
✔ ANSWER – A) Administer rescue inhaler (albuterol)
6. A 3-month-old is brought to the clinic with fever and poor feeding. The
nurse notes a bulging anterior fontanel. What is the priority?
A) Administer acetaminophen
B) Notify the provider immediately
C) Encourage oral fluids
D) Obtain a urine specimen
RATIONALE – Bulging fontanel + fever = meningitis until proven otherwise;
immediate provider notification.
✔ ANSWER – B) Notify the provider immediately
TESTBANK
216 QUESTIONS AND ANSWERS GUARANTEED
PASS
„LATEST UPDATE 2026!!!"
____________________________________________________
1. A nurse is assessing a 4-month-old infant. Which finding should the nurse
report to the provider?
A) Unable to roll over
B) Birth weight doubled
C) Anterior fontanel open
D) Moro reflex present
RATIONALE – Moro reflex should disappear by 3-4 months; persistence at 4
months may indicate neurologic impairment.
ANSWER – D) Moro reflex present
____________________________________________________
,2. A 2-year-old is hospitalized. The parent must leave for work. The child
screams "Don't go!" and then becomes quiet and withdrawn. This behavior
indicates:
A) Protest phase
B) Despair phase
C) Detachment phase
D) Regression
RATIONALE – Despair phase: withdrawn, quiet, sad, no longer crying.
ANSWER – B) Despair phase
3. A child with cystic fibrosis is being discharged. Which statement by the
parent indicates understanding of pancreatic enzyme administration?
A) “I will give the enzymes if my child has abdominal pain.”
B) “I will give the enzymes with meals and snacks.”
C) “I will crush the beads and mix in a full bottle of formula.”
D) “I will stop enzymes if my child has diarrhea.”
,RATIONALE – Pancreatic enzymes must be given with all meals and snacks to
digest fats.
✔ ANSWER – B) “I will give the enzymes with meals and snacks.”
4. A 5-year-old with a Wilms tumor (nephroblastoma) is admitted. Which
nursing action is contraindicated?
A) Monitoring blood pressure
B) Palpating the abdomen
C) Checking urine for blood
D) Measuring abdominal girth
RATIONALE – Do NOT palpate abdomen – may rupture tumor and cause
seeding.
✔ ANSWER – B) Palpating the abdomen
5. A 10-year-old with asthma has a peak flow reading of 55% of personal best.
What action should the nurse take first?
A) Administer rescue inhaler (albuterol)
, B) Call the provider
C) Send child to emergency room
D) Repeat reading in 30 minutes
RATIONALE – Yellow zone (50-80%) requires rescue inhaler; reassess after 15-
20 minutes.
✔ ANSWER – A) Administer rescue inhaler (albuterol)
6. A 3-month-old is brought to the clinic with fever and poor feeding. The
nurse notes a bulging anterior fontanel. What is the priority?
A) Administer acetaminophen
B) Notify the provider immediately
C) Encourage oral fluids
D) Obtain a urine specimen
RATIONALE – Bulging fontanel + fever = meningitis until proven otherwise;
immediate provider notification.
✔ ANSWER – B) Notify the provider immediately
