ATI
Peds Proctored Exam | Practice Questions, Answers &
Detailed Rationales | ATI Pediatric Nursing Prep
Resource Features
➢ ATI Pediatrics practice questions
➢ Detailed answers
➢ Comprehensive rationales
➢ Pediatric clinical scenarios
➢ Growth-and-development
,ATI Peds Proctored Exam | Practice Questions,
Answers & Detailed Rationales | ATI Pediatric
Nursing Prep
Question 1
A nurse is planning care for a child who has severe diarrhea.
Which of the following actions is the nurse's priority?
• A) Administer an anti-diarrheal medication
• B) Assess fluid balance
• C) Obtain a stool culture
• D) Start a clear liquid diet
Correct Answer: B
Rationale: The priority action for a child with severe diarrhea is to
assess fluid balance because diarrhea can rapidly lead to
dehydration and electrolyte imbalances. Fluid volume deficit is
the most immediate life-threatening complication. Assessment
includes monitoring intake/output, weight, skin turgor, and vital
signs. According to the ABCs and Maslow's hierarchy,
fluid/electrolyte balance is a physiological need that must be
addressed first.
,Question 2
A nurse is caring for a toddler whose parent states that the child
has a mass in his abdominal area and his urine is a pink color.
Which of the following actions is the nurse's priority?
• A) Prepare the child for an abdominal ultrasound
• B) Palpate the abdomen to assess the mass size
• C) Instruct the parent to avoid pressing on the abdominal area
• D) Collect a clean-catch urine sample
Correct Answer: C
Rationale: These signs are concerning for Wilms tumor
(nephroblastoma). Palpation of the abdomen can cause tumor
rupture and seeding of cancer cells. The nurse must instruct the
parent to avoid pressing on the abdominal area and place a "Do
Not Palpate Abdomen" sign. This is the priority safety action.
Question 3
, A nurse is caring for a child who has acute glomerulonephritis.
Which of the following actions is the nurse's priority?
• A) Monitor blood pressure every 4 hours
• B) Check the child's weight daily
• C) Restrict oral fluid intake
• D) Measure abdominal girth
Correct Answer: B
Rationale: Daily weight is the most sensitive indicator of fluid
status in acute glomerulonephritis. Rapid weight gain indicates
fluid retention and worsening renal function. While blood
pressure monitoring is important, daily weight provides the
earliest objective data on fluid balance changes.
Question 4
A nurse is caring for a child who has a suspected diagnosis of
bacterial meningitis. Which of the following is the nurse's priority?
• A) Initiate seizure precautions
• B) Obtain cerebrospinal fluid culture
• C) Administer antibiotics when available
Peds Proctored Exam | Practice Questions, Answers &
Detailed Rationales | ATI Pediatric Nursing Prep
Resource Features
➢ ATI Pediatrics practice questions
➢ Detailed answers
➢ Comprehensive rationales
➢ Pediatric clinical scenarios
➢ Growth-and-development
,ATI Peds Proctored Exam | Practice Questions,
Answers & Detailed Rationales | ATI Pediatric
Nursing Prep
Question 1
A nurse is planning care for a child who has severe diarrhea.
Which of the following actions is the nurse's priority?
• A) Administer an anti-diarrheal medication
• B) Assess fluid balance
• C) Obtain a stool culture
• D) Start a clear liquid diet
Correct Answer: B
Rationale: The priority action for a child with severe diarrhea is to
assess fluid balance because diarrhea can rapidly lead to
dehydration and electrolyte imbalances. Fluid volume deficit is
the most immediate life-threatening complication. Assessment
includes monitoring intake/output, weight, skin turgor, and vital
signs. According to the ABCs and Maslow's hierarchy,
fluid/electrolyte balance is a physiological need that must be
addressed first.
,Question 2
A nurse is caring for a toddler whose parent states that the child
has a mass in his abdominal area and his urine is a pink color.
Which of the following actions is the nurse's priority?
• A) Prepare the child for an abdominal ultrasound
• B) Palpate the abdomen to assess the mass size
• C) Instruct the parent to avoid pressing on the abdominal area
• D) Collect a clean-catch urine sample
Correct Answer: C
Rationale: These signs are concerning for Wilms tumor
(nephroblastoma). Palpation of the abdomen can cause tumor
rupture and seeding of cancer cells. The nurse must instruct the
parent to avoid pressing on the abdominal area and place a "Do
Not Palpate Abdomen" sign. This is the priority safety action.
Question 3
, A nurse is caring for a child who has acute glomerulonephritis.
Which of the following actions is the nurse's priority?
• A) Monitor blood pressure every 4 hours
• B) Check the child's weight daily
• C) Restrict oral fluid intake
• D) Measure abdominal girth
Correct Answer: B
Rationale: Daily weight is the most sensitive indicator of fluid
status in acute glomerulonephritis. Rapid weight gain indicates
fluid retention and worsening renal function. While blood
pressure monitoring is important, daily weight provides the
earliest objective data on fluid balance changes.
Question 4
A nurse is caring for a child who has a suspected diagnosis of
bacterial meningitis. Which of the following is the nurse's priority?
• A) Initiate seizure precautions
• B) Obtain cerebrospinal fluid culture
• C) Administer antibiotics when available
