COMPREHENSIVE PEDIATRIC
NURSING ATI PROCTORED EXAM PREP
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. A nurse is assessing a 4-year-old child with suspected epiglottitis. Which of the following
actions should the nurse prioritize?
A. Obtain a throat culture to identify the causative organism.
B. Place the child in a supine position to facilitate breathing.
C. Prepare the child for immediate humidified oxygen via nasal cannula.
D. Avoid any attempt to visualize the throat with a tongue blade.
Answer: D
Conceptual Explanation: In cases of suspected epiglottitis, physical examination of the
throat is contraindicated because it can trigger a laryngospasm and cause complete airway
obstruction.
,2. A nurse is caring for an infant who has pyloric stenosis. Which of the following findings
should the nurse expect?
A. Projectile vomiting followed by immediate hunger.
B. Currant jelly-like stools containing blood and mucus.
C. Distended neck veins and hepatomegaly.
D. Ribbon-like, foul-smelling stools.
Answer: A
Conceptual Explanation: Pyloric stenosis is characterized by projectile vomiting due to
the thickening of the pyloric sphincter, usually followed by the infant being hungry and
eager to feed again.
3. A 6-month-old infant is admitted for intussusception. Which of the following clinical
manifestations is a classic sign of this condition?
A. Steatorrhea and abdominal distension.
B. A weight gain of more than 1 kg in 24 hours.
C. A sausage-shaped abdominal mass.
D. Visible peristaltic waves from left to right.
Answer: C
Conceptual Explanation: Intussusception typically presents with a sausage-shaped
abdominal mass, sudden acute abdominal pain, and red currant jelly-like stools.
, 4. A nurse is educating the parents of a child with Cystic Fibrosis about nutrition. Which of the
following instructions is correct?
A. Administer pancreatic enzymes 2 hours after each meal.
B. Follow a low-protein, low-calorie diet to prevent malabsorption.
C. Limit salt intake during hot weather or strenuous exercise.
D. Administer pancreatic enzymes with all meals and snacks.
Answer: D
Conceptual Explanation: Children with cystic fibrosis require pancreatic enzyme
replacement therapy with every meal and snack to facilitate the digestion and absorption
of nutrients.
5. A child is experiencing a hypercyanotic (‘tet’) spell related to Tetralogy of Fallot. Which
action should the nurse take first?
A. Place the child in the knee-chest position.
B. Administer morphine sulfate intravenously.
C. Apply high-flow oxygen via a face mask.
D. Start an intravenous line for fluid resuscitation.
Answer: A
Conceptual Explanation: The knee-chest position increases systemic vascular resistance,
which helps reduce the right-to-left shunt and improves oxygenation during a tet spell.
NURSING ATI PROCTORED EXAM PREP
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. A nurse is assessing a 4-year-old child with suspected epiglottitis. Which of the following
actions should the nurse prioritize?
A. Obtain a throat culture to identify the causative organism.
B. Place the child in a supine position to facilitate breathing.
C. Prepare the child for immediate humidified oxygen via nasal cannula.
D. Avoid any attempt to visualize the throat with a tongue blade.
Answer: D
Conceptual Explanation: In cases of suspected epiglottitis, physical examination of the
throat is contraindicated because it can trigger a laryngospasm and cause complete airway
obstruction.
,2. A nurse is caring for an infant who has pyloric stenosis. Which of the following findings
should the nurse expect?
A. Projectile vomiting followed by immediate hunger.
B. Currant jelly-like stools containing blood and mucus.
C. Distended neck veins and hepatomegaly.
D. Ribbon-like, foul-smelling stools.
Answer: A
Conceptual Explanation: Pyloric stenosis is characterized by projectile vomiting due to
the thickening of the pyloric sphincter, usually followed by the infant being hungry and
eager to feed again.
3. A 6-month-old infant is admitted for intussusception. Which of the following clinical
manifestations is a classic sign of this condition?
A. Steatorrhea and abdominal distension.
B. A weight gain of more than 1 kg in 24 hours.
C. A sausage-shaped abdominal mass.
D. Visible peristaltic waves from left to right.
Answer: C
Conceptual Explanation: Intussusception typically presents with a sausage-shaped
abdominal mass, sudden acute abdominal pain, and red currant jelly-like stools.
, 4. A nurse is educating the parents of a child with Cystic Fibrosis about nutrition. Which of the
following instructions is correct?
A. Administer pancreatic enzymes 2 hours after each meal.
B. Follow a low-protein, low-calorie diet to prevent malabsorption.
C. Limit salt intake during hot weather or strenuous exercise.
D. Administer pancreatic enzymes with all meals and snacks.
Answer: D
Conceptual Explanation: Children with cystic fibrosis require pancreatic enzyme
replacement therapy with every meal and snack to facilitate the digestion and absorption
of nutrients.
5. A child is experiencing a hypercyanotic (‘tet’) spell related to Tetralogy of Fallot. Which
action should the nurse take first?
A. Place the child in the knee-chest position.
B. Administer morphine sulfate intravenously.
C. Apply high-flow oxygen via a face mask.
D. Start an intravenous line for fluid resuscitation.
Answer: A
Conceptual Explanation: The knee-chest position increases systemic vascular resistance,
which helps reduce the right-to-left shunt and improves oxygenation during a tet spell.
