ATI RN PEDIATRICS PROCTOR FINAL
2026/2027 EXAM QUESTIONS AND
ANSWERS
1. A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus. Which
of the following findings should the nurse identify as a manifestation of hypoglycemia?
A. Acetone breath odor
B. Increased urination
C. Deep, rapid respirations
D. Sweating and pallor
Answer: D
Conceptual Explanation: Hypoglycemia manifests as sweating, pallor, irritability, and
shakiness. Acetone breath and Kussmaul respirations are signs of hyperglycemia and DKA.
2. A nurse is planning care for a toddler who has a diagnosis of Tetralogy of Fallot and is
experiencing a hypercyanotic spell. Which of the following actions should the nurse take
first?
A. Administer 100% oxygen via face mask
,B. Place the child in a knee-chest position
C. Administer morphine sulfate intravenously
D. Provide a calm, quiet environment
Answer: B
Conceptual Explanation: The knee-chest position increases systemic vascular resistance,
which helps shunt blood into the pulmonary artery to improve oxygenation during a ‘tet’
spell.
3. A nurse is providing teaching to the parents of a school-age child who has cystic fibrosis.
Which of the following instructions should the nurse include regarding the administration of
pancreatic enzymes?
A. Give enzymes once daily in the morning
B. Dissolve the enzymes in a glass of warm milk
C. Limit enzyme intake if the child has fatty stools
D. Administer enzymes with every meal and snack
Answer: D
Conceptual Explanation: Pancreatic enzymes must be taken with all meals and snacks to
ensure adequate digestion and absorption of nutrients due to pancreatic insufficiency.
, 4. A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider as a possible delay in development?
A. The infant is unable to crawl
B. The infant does not have a pincer grasp
C. The infant cannot stand alone
D. The infant cannot say 10 words
Answer: B
Conceptual Explanation: A pincer grasp is typically developed by 8 to 10 months. Failure
to have a pincer grasp by 12 months is a significant developmental delay.
5. A nurse is providing discharge teaching to the parents of a child who just had a
tonsillectomy. Which of the following signs should the nurse instruct the parents to report
immediately?
A. Halitosis (foul mouth odor)
B. Referred ear pain
C. Low-grade fever
D. Frequent swallowing
Answer: D
Conceptual Explanation: Frequent swallowing is a classic sign of post-operative
hemorrhage following a tonsillectomy, as the child is swallowing blood.
2026/2027 EXAM QUESTIONS AND
ANSWERS
1. A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus. Which
of the following findings should the nurse identify as a manifestation of hypoglycemia?
A. Acetone breath odor
B. Increased urination
C. Deep, rapid respirations
D. Sweating and pallor
Answer: D
Conceptual Explanation: Hypoglycemia manifests as sweating, pallor, irritability, and
shakiness. Acetone breath and Kussmaul respirations are signs of hyperglycemia and DKA.
2. A nurse is planning care for a toddler who has a diagnosis of Tetralogy of Fallot and is
experiencing a hypercyanotic spell. Which of the following actions should the nurse take
first?
A. Administer 100% oxygen via face mask
,B. Place the child in a knee-chest position
C. Administer morphine sulfate intravenously
D. Provide a calm, quiet environment
Answer: B
Conceptual Explanation: The knee-chest position increases systemic vascular resistance,
which helps shunt blood into the pulmonary artery to improve oxygenation during a ‘tet’
spell.
3. A nurse is providing teaching to the parents of a school-age child who has cystic fibrosis.
Which of the following instructions should the nurse include regarding the administration of
pancreatic enzymes?
A. Give enzymes once daily in the morning
B. Dissolve the enzymes in a glass of warm milk
C. Limit enzyme intake if the child has fatty stools
D. Administer enzymes with every meal and snack
Answer: D
Conceptual Explanation: Pancreatic enzymes must be taken with all meals and snacks to
ensure adequate digestion and absorption of nutrients due to pancreatic insufficiency.
, 4. A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider as a possible delay in development?
A. The infant is unable to crawl
B. The infant does not have a pincer grasp
C. The infant cannot stand alone
D. The infant cannot say 10 words
Answer: B
Conceptual Explanation: A pincer grasp is typically developed by 8 to 10 months. Failure
to have a pincer grasp by 12 months is a significant developmental delay.
5. A nurse is providing discharge teaching to the parents of a child who just had a
tonsillectomy. Which of the following signs should the nurse instruct the parents to report
immediately?
A. Halitosis (foul mouth odor)
B. Referred ear pain
C. Low-grade fever
D. Frequent swallowing
Answer: D
Conceptual Explanation: Frequent swallowing is a classic sign of post-operative
hemorrhage following a tonsillectomy, as the child is swallowing blood.
