lOM oAR c P S D | 1950 098 6
2023 ATI PEDIATRIC CMS PROCTORED EXAM
VERSION A & B COMPLETE 2 LATEST VERSIONS
QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
ATI PEDIATRIC CMS 2023 VERSION A
1. An 18 month old has a history of diarrhea for 3 days with poor oral intake. He received
intravenous fluids, has tolerated some oral fluids in the emergency room, and is being
discharged home. Instruction and education for these parents should include:
a. BRAT diet (bananas, applesauce, and toast) for 24 hours then soft diet as tolerated
b. Keep child on clear liquids and dry toast for 24 hours
c. Chicken broth for 24 hours
d. Offer a regular diet as child’s appetite warrants
2. A 6-month-old infant is seen in the well-child clinic for a complaint of vomiting and
failure to grow. His birth weight was 7 pounds, and he now weighs 8 pounds, 10
ounces. The infant's mother reports that he is taking 4 to 7 ounces of formula every 4 to
5 hours, but he "spits up a lot after eating and then is hungry again." The child is noted
to be alert but appears malnourished. The mother reports his stools are brown in color,
and he has 1 to 2 bowel movements every day. Based on these findings, the nurse
anticipates the infant has:
a. Meckel diverticulum
b. Hypertrophic pyloric stenosis (HPS)
c. Intussusception
d. Hirschsprung disease
3. Children with celiac disease must limit their intake of products containing gluten in
wheat,rye,oats and barley.Celiac disease puts the child at risk for which of the following
deficiencies? Select all that apply.
a. Iron deficiency anemia
b. Folic acid deficiency
c. Zinc deficiency
d. Vitamin A, D, E, and K deficiency
e. Vitamin B12 deficiency
4. A nurse caring for a 4-month-old infant with biliary atresia (BA) and significant
urticaria can anticipate administering:
a. Diphenhydramine
b. Ursodiol (ursodeoxycholic acid)
c. Loratadine
d. Ranitidine (Zantac)
, lOM oAR c P S D | 1950 098 6
5. Hepatitis A is transmitted by which of the following? Select all that apply.
a. CMV
b. Ingestion of contaminated food
c. Fecal-oral route
, lOM oAR c P S D | 1950 098 6
d. Shaking hands with someone
e. Blood transfusion
6. A formerly preterm infant who had surgery for necrotizing enterocolitis is now 6
months old and has short bowel syndrome. He is unable to absorb most nutrients taken
by mouth and is totally dependent on parenteral nutrition (PN), which he receives via a
central venous catheter. The clinic nurse following this infant is aware that this infant
should be closely observed for the development of:
a. Gastroesophageal reflux (GER)
b. Chronic diarrhea
c. Cholestasis
d. Failure to thrive
7. A 7 year old boy is being discharged from having a tonsillectomy and adenoidectomy
and is being discharged home with his mother. Home care instructions should include
which of the following ? Select all that apply
a. observe the child for continuous swallowing
b. encourage the child to take sips of cool, clear liquids.
d. observe the child for restlessness or difficulty breathing
e. encourage the child to cough every 4 to 5 hours to prevent pneumonia
f. administer an analgesic such as acetaminophen for pain
8. which of the following teaching instructions below should th nurse include in the
teaching plan for a young mother whose baby is diagnosed with congenital
hypothyroidism, regarding Levothyroxine administration
a. crush the medication and place it in a full bottle of formula to disguise the taste
b. administer the medication every other day
c. use an oral dispenser syringe or nipple to give the crushed medication mixed with
small amount of formula
d. Administer medication at the same time everyday
e. Medication is affected by soy based formulas,fiber and iron preparations, hence the
need to inform provider is switched
9. The nurse is caring for a 5 year old with congenital heart anomaly causing chronic
cyanosis.When performing the history and physical examination, what is the nurse
LEAST likely to assess?
a. Obesity from overeating.
b. Clubbing of the nail beds.
c. Squatting during play activities.
d. Exercise intolerance
10. Which of the following factors contributes to infants and children’s INCREASED risk
for upper airway obstruction as compared to adults.
2023 ATI PEDIATRIC CMS PROCTORED EXAM
VERSION A & B COMPLETE 2 LATEST VERSIONS
QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
ATI PEDIATRIC CMS 2023 VERSION A
1. An 18 month old has a history of diarrhea for 3 days with poor oral intake. He received
intravenous fluids, has tolerated some oral fluids in the emergency room, and is being
discharged home. Instruction and education for these parents should include:
a. BRAT diet (bananas, applesauce, and toast) for 24 hours then soft diet as tolerated
b. Keep child on clear liquids and dry toast for 24 hours
c. Chicken broth for 24 hours
d. Offer a regular diet as child’s appetite warrants
2. A 6-month-old infant is seen in the well-child clinic for a complaint of vomiting and
failure to grow. His birth weight was 7 pounds, and he now weighs 8 pounds, 10
ounces. The infant's mother reports that he is taking 4 to 7 ounces of formula every 4 to
5 hours, but he "spits up a lot after eating and then is hungry again." The child is noted
to be alert but appears malnourished. The mother reports his stools are brown in color,
and he has 1 to 2 bowel movements every day. Based on these findings, the nurse
anticipates the infant has:
a. Meckel diverticulum
b. Hypertrophic pyloric stenosis (HPS)
c. Intussusception
d. Hirschsprung disease
3. Children with celiac disease must limit their intake of products containing gluten in
wheat,rye,oats and barley.Celiac disease puts the child at risk for which of the following
deficiencies? Select all that apply.
a. Iron deficiency anemia
b. Folic acid deficiency
c. Zinc deficiency
d. Vitamin A, D, E, and K deficiency
e. Vitamin B12 deficiency
4. A nurse caring for a 4-month-old infant with biliary atresia (BA) and significant
urticaria can anticipate administering:
a. Diphenhydramine
b. Ursodiol (ursodeoxycholic acid)
c. Loratadine
d. Ranitidine (Zantac)
, lOM oAR c P S D | 1950 098 6
5. Hepatitis A is transmitted by which of the following? Select all that apply.
a. CMV
b. Ingestion of contaminated food
c. Fecal-oral route
, lOM oAR c P S D | 1950 098 6
d. Shaking hands with someone
e. Blood transfusion
6. A formerly preterm infant who had surgery for necrotizing enterocolitis is now 6
months old and has short bowel syndrome. He is unable to absorb most nutrients taken
by mouth and is totally dependent on parenteral nutrition (PN), which he receives via a
central venous catheter. The clinic nurse following this infant is aware that this infant
should be closely observed for the development of:
a. Gastroesophageal reflux (GER)
b. Chronic diarrhea
c. Cholestasis
d. Failure to thrive
7. A 7 year old boy is being discharged from having a tonsillectomy and adenoidectomy
and is being discharged home with his mother. Home care instructions should include
which of the following ? Select all that apply
a. observe the child for continuous swallowing
b. encourage the child to take sips of cool, clear liquids.
d. observe the child for restlessness or difficulty breathing
e. encourage the child to cough every 4 to 5 hours to prevent pneumonia
f. administer an analgesic such as acetaminophen for pain
8. which of the following teaching instructions below should th nurse include in the
teaching plan for a young mother whose baby is diagnosed with congenital
hypothyroidism, regarding Levothyroxine administration
a. crush the medication and place it in a full bottle of formula to disguise the taste
b. administer the medication every other day
c. use an oral dispenser syringe or nipple to give the crushed medication mixed with
small amount of formula
d. Administer medication at the same time everyday
e. Medication is affected by soy based formulas,fiber and iron preparations, hence the
need to inform provider is switched
9. The nurse is caring for a 5 year old with congenital heart anomaly causing chronic
cyanosis.When performing the history and physical examination, what is the nurse
LEAST likely to assess?
a. Obesity from overeating.
b. Clubbing of the nail beds.
c. Squatting during play activities.
d. Exercise intolerance
10. Which of the following factors contributes to infants and children’s INCREASED risk
for upper airway obstruction as compared to adults.
