ATI PEDIATRICS ACTUAL EXAM 60 QUESTIONS WITH VERIFIED ANSWERS AND RATIONALES 2024 -2025.A+ GRADE ASSURED 1. A nurse in the emergency department is caring for a 2 -yr 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 following priority action by the nurse? A. Remove the child's contaminated clothing. b. Check the child's respiratory status. c. Administer an antidote to the child. d. Establish IV access for the child .: b. Check the child's respiratory status . Rationale: When applying the ABC priority setting framework, airway is always the highest priority because the airway must be clear and open for oxygen exchange to occur. Breathing is the second highest priority in the ABC priority setting framework because adequate ventilatory effort is essential in order for oxygen change to occur . 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 referring to himself usi ng the appropriate pronoun by the 18 months of age b. A toddler's interest in looking at pictures occurs at 20 months of age c. A toddler should have daytime control of his bowel and bladder by 24 months of age. d. Your child should be able to scribble spontaneousl y using a crayon at the age of 15 months: d. Your child should be able to scribble spontaneously using a crayon at the age of 15 months Rationale: The nurse should teach the parent that at the age of 15 months, the toddler should be Able to scribble sponta neously, and at the age of 18 months, the toddler should be able to make strokes imitatively 3. A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100ml 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 ): 25 gtt Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt 4. A nurse in a pediatric clinic is assessing a toddler at a well -child visit. Which of the following actions should the nurse take? a. Perform the assessment in a head to toe sequence. b. Minimize physical contact with the child initially. c. Explain procedures using medical terminology d. Stop the assessment if the child becomes uncooperative .: b. Minimize physical contact with the child initially. Rationale: The nurse should initially minimize physical contact with the toddler, and then progress from the least traumati c to the most traumatic procedures . 5. A nurse is caring for an 18 -yr old adolescent who is up to date on immunizations and is planning to attend college. The nurse should inform the client that he should receive which of the following immunizations prior to moving into a campus dormitory. a. Pneumococcal polysaccharide b. Meningococcal polysaccharide c. Rotavirus d. Herpes zoster: b. Meningococcal polysaccharide Rationale: The meningococcal polysaccharide immunization is used to prevent infection by Certain groups of meningococcal bacteria. Meningococcal infection can cause life -
threatening Illnesses , such as meningococcal meningitis, which affects the brain, and meningococcemia, Which affects the blood. Both of these conditions can be fatal. College freshmen, particu larly those who live in dormitories, are at an increased risk for meningococcal disease relative to other persons their age. Therefore, the Centers for Disease Control and Prevention has issued a recommendation that all incoming college students receive th e meningococcal immunization. 6. A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children. A. Cow's milk b. Wheat bread c. Corn syrup d. Eggs: a. Cow's milk
threatening Illnesses , such as meningococcal meningitis, which affects the brain, and meningococcemia, Which affects the blood. Both of these conditions can be fatal. College freshmen, particu larly those who live in dormitories, are at an increased risk for meningococcal disease relative to other persons their age. Therefore, the Centers for Disease Control and Prevention has issued a recommendation that all incoming college students receive th e meningococcal immunization. 6. A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children. A. Cow's milk b. Wheat bread c. Corn syrup d. Eggs: a. Cow's milk
