ATI PEDIATRICS PROCTORED EXAM
2026/2027 COMPREHENSIVE REVIEW
QUESTIONS AND ANSWERS
1. A nurse is caring for an infant who has a prescription for digoxin. Which of the following
findings should the nurse identify as an early sign of digoxin toxicity?
A. Tachycardia
B. Increased appetite
C. Vomiting
D. Hyperkalemia
Answer: C
Conceptual Explanation: Vomiting is a common early sign of digoxin toxicity in infants.
Other signs include bradycardia and poor feeding.
2. A nurse is assessing a child who has epiglottitis. Which of the following findings should the
nurse expect?
A. Barking cough
B. Wheezing
C. Drooling
,D. Low-grade fever
Answer: C
Conceptual Explanation: Drooling is a classic sign of epiglottitis due to the inability to
swallow. Other signs include agitation, absence of cough, and high fever.
3. A nurse is providing teaching to the parents of a child who has cystic fibrosis. Which of the
following dietary instructions should the nurse include?
A. Administer pancreatic enzymes with meals and snacks
B. Decrease salt intake during summer months
C. Limit fat intake to 20% of total calories
D. Provide a low-protein diet
Answer: A
Conceptual Explanation: Children with cystic fibrosis require pancreatic enzymes with all
meals and snacks to assist with the digestion and absorption of nutrients due to pancreatic
insufficiency.
4. A nurse is teaching the parent of a 4-year-old child about appropriate growth and
development. Which of the following milestones should the nurse include?
A. The child should be able to tie their shoelaces
B. The child should be able to use a cursive script
C. The child should be able to hop on one foot
, D. The child should be able to walk up stairs with alternating feet
Answer: C
Conceptual Explanation: Hopping on one foot is a gross motor skill expected of a 4-year-
old. Tying shoelaces and alternating feet on stairs occur earlier or later, but hopping is
characteristic of this age.
5. A nurse is assessing an infant who has pyloric stenosis. Which of the following findings
should the nurse expect?
A. Projectile vomiting
B. Currant jelly-like stools
C. Abdominal distention
D. Weight gain
Answer: A
Conceptual Explanation: Projectile vomiting is a hallmark sign of hypertrophic pyloric
stenosis due to the obstruction of the gastric outlet.
6. A nurse is caring for a school-age child who has acute glomerulonephritis. Which of the
following findings should the nurse expect?
A. Hypotension
B. Periorbital edema
C. Increased urine output
2026/2027 COMPREHENSIVE REVIEW
QUESTIONS AND ANSWERS
1. A nurse is caring for an infant who has a prescription for digoxin. Which of the following
findings should the nurse identify as an early sign of digoxin toxicity?
A. Tachycardia
B. Increased appetite
C. Vomiting
D. Hyperkalemia
Answer: C
Conceptual Explanation: Vomiting is a common early sign of digoxin toxicity in infants.
Other signs include bradycardia and poor feeding.
2. A nurse is assessing a child who has epiglottitis. Which of the following findings should the
nurse expect?
A. Barking cough
B. Wheezing
C. Drooling
,D. Low-grade fever
Answer: C
Conceptual Explanation: Drooling is a classic sign of epiglottitis due to the inability to
swallow. Other signs include agitation, absence of cough, and high fever.
3. A nurse is providing teaching to the parents of a child who has cystic fibrosis. Which of the
following dietary instructions should the nurse include?
A. Administer pancreatic enzymes with meals and snacks
B. Decrease salt intake during summer months
C. Limit fat intake to 20% of total calories
D. Provide a low-protein diet
Answer: A
Conceptual Explanation: Children with cystic fibrosis require pancreatic enzymes with all
meals and snacks to assist with the digestion and absorption of nutrients due to pancreatic
insufficiency.
4. A nurse is teaching the parent of a 4-year-old child about appropriate growth and
development. Which of the following milestones should the nurse include?
A. The child should be able to tie their shoelaces
B. The child should be able to use a cursive script
C. The child should be able to hop on one foot
, D. The child should be able to walk up stairs with alternating feet
Answer: C
Conceptual Explanation: Hopping on one foot is a gross motor skill expected of a 4-year-
old. Tying shoelaces and alternating feet on stairs occur earlier or later, but hopping is
characteristic of this age.
5. A nurse is assessing an infant who has pyloric stenosis. Which of the following findings
should the nurse expect?
A. Projectile vomiting
B. Currant jelly-like stools
C. Abdominal distention
D. Weight gain
Answer: A
Conceptual Explanation: Projectile vomiting is a hallmark sign of hypertrophic pyloric
stenosis due to the obstruction of the gastric outlet.
6. A nurse is caring for a school-age child who has acute glomerulonephritis. Which of the
following findings should the nurse expect?
A. Hypotension
B. Periorbital edema
C. Increased urine output
