ATI
Pediatrics Proctored Exam | Practice Questions, Answers
& Detailed Rationales | Pediatric Nursing Exam Prep
Resource Features
➢ ATI Pediatrics practice questions
➢ Detailed answers
➢ Comprehensive rationales
➢ Pediatric clinical scenarios
➢ Growth-and-development
, ATI Pediatrics Proctored Exam | Practice
Questions, Answers & Detailed Rationales |
Pediatric Nursing Exam Prep
Question 1
A nurse in the emergency department is caring for a 2-year-old child
who was found by his parents crying and holding a container of toilet
bowl cleaner. The child's lips are edematous and inflamed, and he is
drooling. Which of the following is the priority action by the nurse?
A) Assess the child's level of consciousness
B) Check the child's respiratory status
C) Induce vomiting
D) Administer activated charcoal
Correct Answer: B) Check the child's respiratory status
Rationale: The priority action when caring for a child with a potential
caustic ingestion is to assess the airway and respiratory status. The child's
edematous and inflamed lips along with drooling indicate possible burns to
the oropharynx and airway, which can lead to airway compromise. Airway
assessment is always the priority in the ABC (Airway, Breathing, Circulation)
,framework. Inducing vomiting or administering activated charcoal is
contraindicated with caustic ingestions as it can cause further tissue
damage. Level of consciousness assessment, while important, is secondary
to ensuring a patent airway.
Question 2
A nurse is teaching a parent of a 12-month-old child about
development during the toddler years. Which of the following
statements should the nurse include?
A) "Your child should be able to scribble spontaneously using a crayon at
the age of 15 months."
B) "Your child should be able to walk up and down stairs by 18 months."
C) "Your child should be able to ride a tricycle by 24 months."
D) "Your child should be able to use a spoon by 18 months."
Correct Answer: A) "Your child should be able to scribble
spontaneously using a crayon at the age of 15 months."
Rationale: At 15 months, toddlers typically develop the fine motor skill of
scribbling spontaneously. This is an expected developmental milestone for
this age. Walking up and down stairs usually occurs around 24 months (not
, 18 months). Riding a tricycle typically occurs around 36 months (not 24
months). Using a spoon independently usually occurs around 18-24
months, but scribbling is the more specific and accurate milestone for 15
months.
Question 3
A nurse is caring for a toddler and is preparing to administer 0.9%
sodium chloride 100 mL IV to infuse over 4 hr. The drop factor of the
manual IV tubing is 60 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the
nearest whole number)
A) 15 gtt/min
B) 20 gtt/min
C) 25 gtt/min
D) 30 gtt/min
Correct Answer: C) 25 gtt/min
Rationale: To calculate the IV flow rate: Total volume (100 mL) ÷ Total time
in minutes (4 hours × 60 minutes = 240 minutes) = 0.4167 mL/min. Then
multiply by the drop factor: 0.4167 mL/min × 60 gtt/mL = 25 gtt/min. The
Pediatrics Proctored Exam | Practice Questions, Answers
& Detailed Rationales | Pediatric Nursing Exam Prep
Resource Features
➢ ATI Pediatrics practice questions
➢ Detailed answers
➢ Comprehensive rationales
➢ Pediatric clinical scenarios
➢ Growth-and-development
, ATI Pediatrics Proctored Exam | Practice
Questions, Answers & Detailed Rationales |
Pediatric Nursing Exam Prep
Question 1
A nurse in the emergency department is caring for a 2-year-old child
who was found by his parents crying and holding a container of toilet
bowl cleaner. The child's lips are edematous and inflamed, and he is
drooling. Which of the following is the priority action by the nurse?
A) Assess the child's level of consciousness
B) Check the child's respiratory status
C) Induce vomiting
D) Administer activated charcoal
Correct Answer: B) Check the child's respiratory status
Rationale: The priority action when caring for a child with a potential
caustic ingestion is to assess the airway and respiratory status. The child's
edematous and inflamed lips along with drooling indicate possible burns to
the oropharynx and airway, which can lead to airway compromise. Airway
assessment is always the priority in the ABC (Airway, Breathing, Circulation)
,framework. Inducing vomiting or administering activated charcoal is
contraindicated with caustic ingestions as it can cause further tissue
damage. Level of consciousness assessment, while important, is secondary
to ensuring a patent airway.
Question 2
A nurse is teaching a parent of a 12-month-old child about
development during the toddler years. Which of the following
statements should the nurse include?
A) "Your child should be able to scribble spontaneously using a crayon at
the age of 15 months."
B) "Your child should be able to walk up and down stairs by 18 months."
C) "Your child should be able to ride a tricycle by 24 months."
D) "Your child should be able to use a spoon by 18 months."
Correct Answer: A) "Your child should be able to scribble
spontaneously using a crayon at the age of 15 months."
Rationale: At 15 months, toddlers typically develop the fine motor skill of
scribbling spontaneously. This is an expected developmental milestone for
this age. Walking up and down stairs usually occurs around 24 months (not
, 18 months). Riding a tricycle typically occurs around 36 months (not 24
months). Using a spoon independently usually occurs around 18-24
months, but scribbling is the more specific and accurate milestone for 15
months.
Question 3
A nurse is caring for a toddler and is preparing to administer 0.9%
sodium chloride 100 mL IV to infuse over 4 hr. The drop factor of the
manual IV tubing is 60 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the
nearest whole number)
A) 15 gtt/min
B) 20 gtt/min
C) 25 gtt/min
D) 30 gtt/min
Correct Answer: C) 25 gtt/min
Rationale: To calculate the IV flow rate: Total volume (100 mL) ÷ Total time
in minutes (4 hours × 60 minutes = 240 minutes) = 0.4167 mL/min. Then
multiply by the drop factor: 0.4167 mL/min × 60 gtt/mL = 25 gtt/min. The
