ATI Pediatrics - Pediatric Safety and Injury Prevention Practice Pack
2026 |Questions |Answers |Rationbales
1. Which of the following is the most appropriate action to prevent Sudden
Infant Death Syndrome (SIDS)?
A. Place the infant in a side-lying position for sleep
B. Place the infant in a supine position on a firm mattress
C. Ensure the infant’s crib mattress is soft and cushioned
D. Keep the infant’s room temperature above 75 degrees Fahrenheit
Answer: B
Rationale: The American Academy of Pediatrics recommends the ‘Back to Sleep’ campaign,
where infants are placed on their backs (supine) on a firm surface to reduce the risk of
SIDS.
2. A nurse is teaching a parent about car seat safety for a 12-month-old infant
weighing 20 lbs. Which instruction is correct?
A. The infant should remain in a rear-facing car seat in the back seat
B. The infant should be in a forward-facing car seat in the back seat
C. The infant can sit in the front seat if the airbag is deactivated
D. A booster seat is appropriate once the child reaches 20 lbs
Answer: A
Rationale: Children should remain in a rear-facing car seat until they reach the highest
weight or height allowed by their car seat manufacturer, typically until at least age 2.
,3. What is the maximum recommended temperature for a home water heater
to prevent scald burns in children?
A. 100 degrees Fahrenheit (38 degrees Celsius)
B. 120 degrees Fahrenheit (49 degrees Celsius)
C. 140 degrees Fahrenheit (60 degrees Celsius)
D. 150 degrees Fahrenheit (65 degrees Celsius)
E. 120 degrees Fahrenheit (49 degrees Celsius)
Answer: E
Rationale: Water heaters should be set to no higher than 120 degrees F (49 degrees C) to
prevent accidental scalding, as a child’s skin is thinner and burns more quickly.
4. To prevent aspiration, which food item should be avoided for a 2-year-old
child?
A. Mashed potatoes
B. Whole grapes
C. Yogurt
D. Cooked carrots
Answer: B
Rationale: Whole grapes, popcorn, hot dogs, and hard candies are significant choking
hazards for toddlers and should be sliced or avoided entirely.
5. When teaching a parent about crib safety, the nurse should state that crib
slats should be no further apart than:
A. 1 inch (2.5 cm)
B. 3.5 inches (9 cm)
C. 2.375 inches (6 cm)
D. 4 inches (10 cm)
Answer: C
, Rationale: Crib slats should be no more than 6 cm (2.375 inches) apart to prevent the
infant’s head from getting caught between the slats.
6. A nurse is providing teaching about lead poisoning prevention. Which of the
following should be included?
A. Wash the child’s hands and toys frequently
B. Use hot tap water for preparing infant formula
C. Mop floors with a dry cloth to trap dust
D. Avoid giving the child foods high in Vitamin C and Iron
Answer: A
Rationale: Frequent hand and toy washing reduces the ingestion of lead-contaminated
dust. Hot tap water should be avoided as it leaches more lead from pipes, and nutrients like
Iron and Vitamin C actually help reduce lead absorption.
7. Which of the following is a primary safety concern for a 4-year-old child?
A. Pedestrian and bicycle safety
B. Stranger danger education
C. SIDS
D. Substance abuse awareness
Answer: A
Rationale: While all are important, preschool and school-age children are at increased risk
for pedestrian and bicycle-related injuries, making safety education in these areas a
priority.
2026 |Questions |Answers |Rationbales
1. Which of the following is the most appropriate action to prevent Sudden
Infant Death Syndrome (SIDS)?
A. Place the infant in a side-lying position for sleep
B. Place the infant in a supine position on a firm mattress
C. Ensure the infant’s crib mattress is soft and cushioned
D. Keep the infant’s room temperature above 75 degrees Fahrenheit
Answer: B
Rationale: The American Academy of Pediatrics recommends the ‘Back to Sleep’ campaign,
where infants are placed on their backs (supine) on a firm surface to reduce the risk of
SIDS.
2. A nurse is teaching a parent about car seat safety for a 12-month-old infant
weighing 20 lbs. Which instruction is correct?
A. The infant should remain in a rear-facing car seat in the back seat
B. The infant should be in a forward-facing car seat in the back seat
C. The infant can sit in the front seat if the airbag is deactivated
D. A booster seat is appropriate once the child reaches 20 lbs
Answer: A
Rationale: Children should remain in a rear-facing car seat until they reach the highest
weight or height allowed by their car seat manufacturer, typically until at least age 2.
,3. What is the maximum recommended temperature for a home water heater
to prevent scald burns in children?
A. 100 degrees Fahrenheit (38 degrees Celsius)
B. 120 degrees Fahrenheit (49 degrees Celsius)
C. 140 degrees Fahrenheit (60 degrees Celsius)
D. 150 degrees Fahrenheit (65 degrees Celsius)
E. 120 degrees Fahrenheit (49 degrees Celsius)
Answer: E
Rationale: Water heaters should be set to no higher than 120 degrees F (49 degrees C) to
prevent accidental scalding, as a child’s skin is thinner and burns more quickly.
4. To prevent aspiration, which food item should be avoided for a 2-year-old
child?
A. Mashed potatoes
B. Whole grapes
C. Yogurt
D. Cooked carrots
Answer: B
Rationale: Whole grapes, popcorn, hot dogs, and hard candies are significant choking
hazards for toddlers and should be sliced or avoided entirely.
5. When teaching a parent about crib safety, the nurse should state that crib
slats should be no further apart than:
A. 1 inch (2.5 cm)
B. 3.5 inches (9 cm)
C. 2.375 inches (6 cm)
D. 4 inches (10 cm)
Answer: C
, Rationale: Crib slats should be no more than 6 cm (2.375 inches) apart to prevent the
infant’s head from getting caught between the slats.
6. A nurse is providing teaching about lead poisoning prevention. Which of the
following should be included?
A. Wash the child’s hands and toys frequently
B. Use hot tap water for preparing infant formula
C. Mop floors with a dry cloth to trap dust
D. Avoid giving the child foods high in Vitamin C and Iron
Answer: A
Rationale: Frequent hand and toy washing reduces the ingestion of lead-contaminated
dust. Hot tap water should be avoided as it leaches more lead from pipes, and nutrients like
Iron and Vitamin C actually help reduce lead absorption.
7. Which of the following is a primary safety concern for a 4-year-old child?
A. Pedestrian and bicycle safety
B. Stranger danger education
C. SIDS
D. Substance abuse awareness
Answer: A
Rationale: While all are important, preschool and school-age children are at increased risk
for pedestrian and bicycle-related injuries, making safety education in these areas a
priority.
