PEDIATRICS FINAL ATI 2022 ACTUAL
EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
⩥ The preferred site for an intramuscular injection in small infant is:
1. dorsogluteal
2. ventrogluteal
3. vastus lateralis
4. deltoid Answer: Correct answer: 3
Rationale: IM injections are given into the vastus lateralis muscle of the
thigh in all infants. The site is free of major nerves and blood vessels.
Page reference: Page 503
⩥ The physician orders 10 mg of Demerol for an infant after surgery. If
the label reads 50 mg/ml, the nurse would administer
1. 2.0 mL
2. 0.8 mL
3. 0.5 mL
4. 0.2 mL Answer: Correct answer: 4
Rationale:
Page reference: Page 509 Box 22-2
,⩥ Which of the following medication can be crushed when administered
to a pediatric patient?
1. Potassium chloride (Slo-K" capsule
2. Colace gel tablets ( Docusate)
3. Ditropan XL tablets (oxybutynin)
4. Simethicone tablet Answer: Correct answer: 4
Rationale: Most pediatric medications are available in liquid,
suspension, or chewable tablets. Only scored tablets should be divided.
Extended-release tablets and medication in capsule form, such as
Ditropan XL (oxybutynin) and potassium chloride (Slo-K), should not
be chewed or crushed. Gel tablets, such as Colace (docusate sodium)
should not be cut or dissolved.
Page reference: Page 501
⩥ The mother and grandmother of a child are at the bedside, rubbing the
skin of a child when the nurse enters the room, the visitors a startled and
drop the item they were rubbing against the child's skin. The nurse picks
up the item and recognizes it as a penny. The best response of the nurse
is to?
1. ask, "What on earth are you doing to that child with this penny?"
2. Give a penny back to mother leave the room to give them their
privacy.
3. Tell them that they could hurt the child with the penny and there are
many germs on coins.
,4. Return the paint to the mother an open dialogue about the practices
are using. Answer: Correct answer: 4
Rationale: Cultural practices need to be considered, and an open
dialogue about these practices will help the health care team to
understand the reasoning behind them. As long as patient safety is not
compromised, the caregivers should allow these practices to take place.
Communication should reflect a nonjudgmental attitude on the part of
the caretaker. If the cultural practice compromises safety or is against
hospital policy, the health care provider should educate the patient and
family members as to why the practice should not take place in the
hospital setting.
Page reference: Page 490 (See also Chapter 24 Page 575.)
⩥ What is the most effective position for the nurse to place a toddler in
to administer medications?
Semi-sitting position on a nurse's lap
Sitting in a high chair
Semi-Fowler's in a crib
Standing after providing an explanation Answer: Semi-sitting position
on a nurse's lap
Toddlers are usually going to resist and this will allow for the most
effective method to administer medications.REF: Page 501
, ⩥ A child on the pediatric unit has an order for a 24-hour urine
specimen. Six hours after initiating the specimen collection the parents
inform nursing staff that the child was incontinent. What instruction
does the nurse provide to the parents at this time?
Lost specimens necessitate restarting the test.
The specimen can now be sent to the laboratory.
They should continue collecting the child's urine.
The child will now require a straight catheterization to obtain urine.
Answer: Lost specimens necessitate restarting the test.
At times a 24-hour urine specimen may be requested to determine the
rate of urine production and measure the excretion of specific chemicals
from the body. The nurses on each shift must closely supervise this test
to maintain its accuracy, because lost specimens necessitate restarting
the test.REF: Page 497
⩥ The nurse enters the room of a 2-month-old patient and observes the
infant actively feeding with a propped formula bottle. What fact related
to propping bottles should the nurse consider when preparing education
for the family at this time?
It is an effective technique for feeding.
It significantly increases choking risk.
It is a common cultural practice and requires respect.
EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
⩥ The preferred site for an intramuscular injection in small infant is:
1. dorsogluteal
2. ventrogluteal
3. vastus lateralis
4. deltoid Answer: Correct answer: 3
Rationale: IM injections are given into the vastus lateralis muscle of the
thigh in all infants. The site is free of major nerves and blood vessels.
Page reference: Page 503
⩥ The physician orders 10 mg of Demerol for an infant after surgery. If
the label reads 50 mg/ml, the nurse would administer
1. 2.0 mL
2. 0.8 mL
3. 0.5 mL
4. 0.2 mL Answer: Correct answer: 4
Rationale:
Page reference: Page 509 Box 22-2
,⩥ Which of the following medication can be crushed when administered
to a pediatric patient?
1. Potassium chloride (Slo-K" capsule
2. Colace gel tablets ( Docusate)
3. Ditropan XL tablets (oxybutynin)
4. Simethicone tablet Answer: Correct answer: 4
Rationale: Most pediatric medications are available in liquid,
suspension, or chewable tablets. Only scored tablets should be divided.
Extended-release tablets and medication in capsule form, such as
Ditropan XL (oxybutynin) and potassium chloride (Slo-K), should not
be chewed or crushed. Gel tablets, such as Colace (docusate sodium)
should not be cut or dissolved.
Page reference: Page 501
⩥ The mother and grandmother of a child are at the bedside, rubbing the
skin of a child when the nurse enters the room, the visitors a startled and
drop the item they were rubbing against the child's skin. The nurse picks
up the item and recognizes it as a penny. The best response of the nurse
is to?
1. ask, "What on earth are you doing to that child with this penny?"
2. Give a penny back to mother leave the room to give them their
privacy.
3. Tell them that they could hurt the child with the penny and there are
many germs on coins.
,4. Return the paint to the mother an open dialogue about the practices
are using. Answer: Correct answer: 4
Rationale: Cultural practices need to be considered, and an open
dialogue about these practices will help the health care team to
understand the reasoning behind them. As long as patient safety is not
compromised, the caregivers should allow these practices to take place.
Communication should reflect a nonjudgmental attitude on the part of
the caretaker. If the cultural practice compromises safety or is against
hospital policy, the health care provider should educate the patient and
family members as to why the practice should not take place in the
hospital setting.
Page reference: Page 490 (See also Chapter 24 Page 575.)
⩥ What is the most effective position for the nurse to place a toddler in
to administer medications?
Semi-sitting position on a nurse's lap
Sitting in a high chair
Semi-Fowler's in a crib
Standing after providing an explanation Answer: Semi-sitting position
on a nurse's lap
Toddlers are usually going to resist and this will allow for the most
effective method to administer medications.REF: Page 501
, ⩥ A child on the pediatric unit has an order for a 24-hour urine
specimen. Six hours after initiating the specimen collection the parents
inform nursing staff that the child was incontinent. What instruction
does the nurse provide to the parents at this time?
Lost specimens necessitate restarting the test.
The specimen can now be sent to the laboratory.
They should continue collecting the child's urine.
The child will now require a straight catheterization to obtain urine.
Answer: Lost specimens necessitate restarting the test.
At times a 24-hour urine specimen may be requested to determine the
rate of urine production and measure the excretion of specific chemicals
from the body. The nurses on each shift must closely supervise this test
to maintain its accuracy, because lost specimens necessitate restarting
the test.REF: Page 497
⩥ The nurse enters the room of a 2-month-old patient and observes the
infant actively feeding with a propped formula bottle. What fact related
to propping bottles should the nurse consider when preparing education
for the family at this time?
It is an effective technique for feeding.
It significantly increases choking risk.
It is a common cultural practice and requires respect.
