ATI Pediatrics Actual Exam (Latest) | All
Questions with Correct Answers &
Detailed Rationales | A+ Grade
,A nurse in a provider's office is preparing to administer immunizations to a
toddler during a well-child visit. Which of the following actions should the nurse
plan to take?
a. Administer all scheduled immunizations
b. Withhold MMR vaccine
c. Administer only the DTaP vaccine
d. Delay all immunizations until the next visit
✔️ Correct Answer: B
Rationale:
The MMR (measles, mumps, rubella) vaccine is a live attenuated vaccine and
may be withheld in certain circumstances, such as if the child is
immunocompromised, has a severe illness with fever, or has had a previous
severe allergic reaction to a vaccine component. The nurse should review the
child's health status and any contraindications before administering vaccines.
Options A, C, and D do not address the specific circumstances under which the
MMR vaccine should be withheld.
A nurse is teaching the parent of an infant who has a Pavlik harness for the
treatment of developmental dysplasia of the hip. Which of the following
statements by the parent indicates an understanding of the teaching?
a. "I will place my infant's diapers under the harness straps."
b. "I will remove the harness for bathing and diaper changes."
c. "I will keep the harness on for 23 hours per day."
d. "I will apply lotion under the harness straps to prevent skin breakdown."
,✔️ Correct Answer: A
Rationale:
The parent should place the infant's diapers under the harness straps to keep
the straps dry and prevent skin irritation. The harness should be worn
continuously (23-24 hours per day) and should not be removed for bathing or
diaper changes. Lotions should not be applied under the straps as they can
soften the skin and increase the risk of breakdown.
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL.
Which of the following actions should the nurse plan to take?
a. Schedule the toddler for a yearly rescreening
b. Initiate chelation therapy immediately
c. Admit the toddler to the hospital
d. Refer the family to child protective services
✔️ Correct Answer: A
Rationale:
A serum lead level of 4 mcg/dL is elevated but not at the level requiring
immediate intervention (chel therapy is typically initiated at levels >45 mcg/dL).
The CDC recommends rescreening in 1 year for children with levels between 3-5
mcg/dL. Options B, C, and D are not indicated for a lead level of 4 mcg/dL.
After reviewing the information in the child's medical record, which of the
following findings should the nurse report to the provider? (Select 4)
a. Arterial blood gases
b. WBC count
c. Oxygen saturation
d. Respiratory assessment
e. Heart rate
f. Blood pressure
, ✔️ Correct Answer: A, B, C, D
Rationale:
Arterial blood gases, WBC count, oxygen saturation, and respiratory assessment
are critical findings that should be reported to the provider. These parameters
indicate the child's respiratory and infectious status. Heart rate and blood
pressure are also important but are not among the four specific findings
identified in the scenario.
A nurse is caring for a 15-year-old client who is married and scheduled for a
surgical procedure. The client asks, "Who should sign my surgical consent?"
Which of the following responses should the nurse make?
a. "You can sign the consent form because you are married."
b. "Your parent must sign because you are under 18."
c. "Your spouse must sign on your behalf."
d. "The provider will sign for you."
✔️ Correct Answer: A
Rationale:
Emancipated minors (including those who are married) have the legal right to
consent to their own medical treatment, including surgical procedures. The
client does not need parental or spousal consent. Option A is correct because
the client is legally able to sign their own consent form.
A nurse is teaching a school-age child who has a new diagnosis of type 1
diabetes mellitus. Which of the following statements by the child indicates an
understanding of the teaching?
a. "I will give myself a shot of regular insulin 30 minutes before I eat breakfast."
b. "I will give myself a shot of NPH insulin immediately before meals."
c. "I will check my blood sugar only when I feel sick."
d. "I will stop taking insulin when my blood sugar is normal."
Questions with Correct Answers &
Detailed Rationales | A+ Grade
,A nurse in a provider's office is preparing to administer immunizations to a
toddler during a well-child visit. Which of the following actions should the nurse
plan to take?
a. Administer all scheduled immunizations
b. Withhold MMR vaccine
c. Administer only the DTaP vaccine
d. Delay all immunizations until the next visit
✔️ Correct Answer: B
Rationale:
The MMR (measles, mumps, rubella) vaccine is a live attenuated vaccine and
may be withheld in certain circumstances, such as if the child is
immunocompromised, has a severe illness with fever, or has had a previous
severe allergic reaction to a vaccine component. The nurse should review the
child's health status and any contraindications before administering vaccines.
Options A, C, and D do not address the specific circumstances under which the
MMR vaccine should be withheld.
A nurse is teaching the parent of an infant who has a Pavlik harness for the
treatment of developmental dysplasia of the hip. Which of the following
statements by the parent indicates an understanding of the teaching?
a. "I will place my infant's diapers under the harness straps."
b. "I will remove the harness for bathing and diaper changes."
c. "I will keep the harness on for 23 hours per day."
d. "I will apply lotion under the harness straps to prevent skin breakdown."
,✔️ Correct Answer: A
Rationale:
The parent should place the infant's diapers under the harness straps to keep
the straps dry and prevent skin irritation. The harness should be worn
continuously (23-24 hours per day) and should not be removed for bathing or
diaper changes. Lotions should not be applied under the straps as they can
soften the skin and increase the risk of breakdown.
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL.
Which of the following actions should the nurse plan to take?
a. Schedule the toddler for a yearly rescreening
b. Initiate chelation therapy immediately
c. Admit the toddler to the hospital
d. Refer the family to child protective services
✔️ Correct Answer: A
Rationale:
A serum lead level of 4 mcg/dL is elevated but not at the level requiring
immediate intervention (chel therapy is typically initiated at levels >45 mcg/dL).
The CDC recommends rescreening in 1 year for children with levels between 3-5
mcg/dL. Options B, C, and D are not indicated for a lead level of 4 mcg/dL.
After reviewing the information in the child's medical record, which of the
following findings should the nurse report to the provider? (Select 4)
a. Arterial blood gases
b. WBC count
c. Oxygen saturation
d. Respiratory assessment
e. Heart rate
f. Blood pressure
, ✔️ Correct Answer: A, B, C, D
Rationale:
Arterial blood gases, WBC count, oxygen saturation, and respiratory assessment
are critical findings that should be reported to the provider. These parameters
indicate the child's respiratory and infectious status. Heart rate and blood
pressure are also important but are not among the four specific findings
identified in the scenario.
A nurse is caring for a 15-year-old client who is married and scheduled for a
surgical procedure. The client asks, "Who should sign my surgical consent?"
Which of the following responses should the nurse make?
a. "You can sign the consent form because you are married."
b. "Your parent must sign because you are under 18."
c. "Your spouse must sign on your behalf."
d. "The provider will sign for you."
✔️ Correct Answer: A
Rationale:
Emancipated minors (including those who are married) have the legal right to
consent to their own medical treatment, including surgical procedures. The
client does not need parental or spousal consent. Option A is correct because
the client is legally able to sign their own consent form.
A nurse is teaching a school-age child who has a new diagnosis of type 1
diabetes mellitus. Which of the following statements by the child indicates an
understanding of the teaching?
a. "I will give myself a shot of regular insulin 30 minutes before I eat breakfast."
b. "I will give myself a shot of NPH insulin immediately before meals."
c. "I will check my blood sugar only when I feel sick."
d. "I will stop taking insulin when my blood sugar is normal."
