2024 PEDS ATI Proctored Exam
1. The nurse is preparing to administer an im- C- administer the immuniza-
munization to a four-year-old child. tion using a 24-gauge nee-
Which of the following actions should the dle; The nurse should ad-
nurse plan to take? minister an immunization for
A- Place the child in a prone position for the a 4-year-old child using a
immunization 24-
B- request that the child's caregiver leave the gauge needle to minimize
room during the immunization the amount of pain experi-
C- administer the immunization using a enced by the toddler.
24-gauge needle
D- inject the immunization slowly after aspi-
rating for 3 seconds
2. A nurse is reviewing the laboratory report of B- sodium 140; The nurse
an infant who is receiving should identify that a sodi-
treatment for severe dehydration. The nurse um level of 140 mEq/L is
should identify which of the within the
following laboratory values indicates effec- expected reference range
tiveness of the current treatment? and indicates the current
A- Potassium 2.9 mEq/L treatment regimen the infant
B- sodium 140 is receiving for dehydration
C- urine specific gravity 1.035 is effective.
D- BUN 25 mg
3. The nurse is providing teaching about Social D- playing dress-up; The
Development to the parents of a nurse should instruct the
preschooler. Which of the following play ac- parents that at the
tivities should the nurse preschool age, play should
recommend for the child? focus
A- Play pat-a-cake on social, mental, and physi-
B- using a push pull toy cal development. Therefore,
C- creating a scrapbook playing dress-up is a
D- playing dress-up recommended play activity
for this child.
4. A nurse is teaching the parents of a newborn D- Give the infant a paci-
about ways to prevent sudden fier at bedtime; The nurse
infant death syndrome SIDS. Which of the should inform the par-
following instructions should the ent that protective factors
, 2024 PEDS ATI Proctored Exam
nurse include? against SIDS include
A- Place the infant in a prone position to breastfeeding and the use of
sleep. a pacifier when the infant is
B- Allow the infant to sleep on a large pillow. sleeping.
C- User soft mattress in the infant's crib. A- The nurse should instruct
D- Give the infant a pacifier at bedtime. the parent to place the infant
in a supine
5. A nurse is assessing an infant who has pneu- A- Nasal flaring; When using
monia. Which of the following the airway, breathing, cir-
findings is the priority for the nurse to report culation approach to client
to the provider? care, the nurse
A- Nasal flaring should place the priority on
B- WBC 11,300 nasal flaring. Nasal flaring
C- diarrhea indicates that the
D- abdominal distension infant is experiencing acute
respiratory distress.
6. A school nurse is assessing a school-age C- assist the child to a
child blood pressure while he is seated side-lying position on the
in a chair. The child starts to experience a floor; The greatest risk to
tonic-clonic seizure. Which of the this child is aspiration, oc-
following actions should the nurse take first? clusion of the airway, and
A- Clear the immediate area around the child bodily
of hazardous objects injury from falling out of
B- loosen the child restrictive clothing the chair. The nurse should
C- assist the child to a side-lying position on ease the child down to
the floor floor in a side-lying posi-
D- apply an oxygen mask to the child tion immediately. This posi-
tion enables the child's
secretions to drain from the
mouth, preventing aspira-
tion, and maintaining a
patent airway.
7. A nurse is receiving change-of-shift Report A- A toddler who has a con-
on for children. Which of the cussion and an episode of
following children should the nurse assesses forceful vomiting; When us-
first? ing the urgent vs. no urgent
, 2024 PEDS ATI Proctored Exam
A- A toddler who has a concussion and an approach to client care, the
episode of forceful vomiting nurse should assess
B- an adolescent who has infective endo- this child first. An episode of
carditis and reports having a headache forceful vomiting is an indi-
C- an adolescent who was placed into Halo cation of increased
traction 1 hour ago and rates his pain intracranial pressure in a
at a 6 on a 0-10 scale toddler who has a concus-
D- school-age child who has acute glomeru- sion.
lonephritis and brown colored urine
8. A nurse in the emergency department is car- A is correct. The nurse
ing for an adolescent who has should identify the lower
severe abdominal pain due to appendicitis. right quadrant of the ab-
Which of the following domen
locations should the nurse identify as mcbur- between the umbilicus and
ney's point? the anterior iliac crest as the
location of Burney's
point.
9. A nurse is providing teaching to the family of B- Encourage the child
a school-age child who has to perform independent
juvenile idiopathic arthritis. Which of the fol- self-care; The nurse should
lowing instructions should teach the family the impor-
the nurse include in the teaching? tance of encouraging the
A- Limit the movement of the child large child to
joints. perform independent
B- Encourage the child to perform indepen- self-care. This will minimize
dent self-care. the child's pain while maxi-
C- Provide the child with a soft mattress for mizing
sleeping. mobility.
D- Schedule a 2-hour daily nap for the child in
the afternoon.
1. The nurse is preparing to administer an im- C- administer the immuniza-
munization to a four-year-old child. tion using a 24-gauge nee-
Which of the following actions should the dle; The nurse should ad-
nurse plan to take? minister an immunization for
A- Place the child in a prone position for the a 4-year-old child using a
immunization 24-
B- request that the child's caregiver leave the gauge needle to minimize
room during the immunization the amount of pain experi-
C- administer the immunization using a enced by the toddler.
24-gauge needle
D- inject the immunization slowly after aspi-
rating for 3 seconds
2. A nurse is reviewing the laboratory report of B- sodium 140; The nurse
an infant who is receiving should identify that a sodi-
treatment for severe dehydration. The nurse um level of 140 mEq/L is
should identify which of the within the
following laboratory values indicates effec- expected reference range
tiveness of the current treatment? and indicates the current
A- Potassium 2.9 mEq/L treatment regimen the infant
B- sodium 140 is receiving for dehydration
C- urine specific gravity 1.035 is effective.
D- BUN 25 mg
3. The nurse is providing teaching about Social D- playing dress-up; The
Development to the parents of a nurse should instruct the
preschooler. Which of the following play ac- parents that at the
tivities should the nurse preschool age, play should
recommend for the child? focus
A- Play pat-a-cake on social, mental, and physi-
B- using a push pull toy cal development. Therefore,
C- creating a scrapbook playing dress-up is a
D- playing dress-up recommended play activity
for this child.
4. A nurse is teaching the parents of a newborn D- Give the infant a paci-
about ways to prevent sudden fier at bedtime; The nurse
infant death syndrome SIDS. Which of the should inform the par-
following instructions should the ent that protective factors
, 2024 PEDS ATI Proctored Exam
nurse include? against SIDS include
A- Place the infant in a prone position to breastfeeding and the use of
sleep. a pacifier when the infant is
B- Allow the infant to sleep on a large pillow. sleeping.
C- User soft mattress in the infant's crib. A- The nurse should instruct
D- Give the infant a pacifier at bedtime. the parent to place the infant
in a supine
5. A nurse is assessing an infant who has pneu- A- Nasal flaring; When using
monia. Which of the following the airway, breathing, cir-
findings is the priority for the nurse to report culation approach to client
to the provider? care, the nurse
A- Nasal flaring should place the priority on
B- WBC 11,300 nasal flaring. Nasal flaring
C- diarrhea indicates that the
D- abdominal distension infant is experiencing acute
respiratory distress.
6. A school nurse is assessing a school-age C- assist the child to a
child blood pressure while he is seated side-lying position on the
in a chair. The child starts to experience a floor; The greatest risk to
tonic-clonic seizure. Which of the this child is aspiration, oc-
following actions should the nurse take first? clusion of the airway, and
A- Clear the immediate area around the child bodily
of hazardous objects injury from falling out of
B- loosen the child restrictive clothing the chair. The nurse should
C- assist the child to a side-lying position on ease the child down to
the floor floor in a side-lying posi-
D- apply an oxygen mask to the child tion immediately. This posi-
tion enables the child's
secretions to drain from the
mouth, preventing aspira-
tion, and maintaining a
patent airway.
7. A nurse is receiving change-of-shift Report A- A toddler who has a con-
on for children. Which of the cussion and an episode of
following children should the nurse assesses forceful vomiting; When us-
first? ing the urgent vs. no urgent
, 2024 PEDS ATI Proctored Exam
A- A toddler who has a concussion and an approach to client care, the
episode of forceful vomiting nurse should assess
B- an adolescent who has infective endo- this child first. An episode of
carditis and reports having a headache forceful vomiting is an indi-
C- an adolescent who was placed into Halo cation of increased
traction 1 hour ago and rates his pain intracranial pressure in a
at a 6 on a 0-10 scale toddler who has a concus-
D- school-age child who has acute glomeru- sion.
lonephritis and brown colored urine
8. A nurse in the emergency department is car- A is correct. The nurse
ing for an adolescent who has should identify the lower
severe abdominal pain due to appendicitis. right quadrant of the ab-
Which of the following domen
locations should the nurse identify as mcbur- between the umbilicus and
ney's point? the anterior iliac crest as the
location of Burney's
point.
9. A nurse is providing teaching to the family of B- Encourage the child
a school-age child who has to perform independent
juvenile idiopathic arthritis. Which of the fol- self-care; The nurse should
lowing instructions should teach the family the impor-
the nurse include in the teaching? tance of encouraging the
A- Limit the movement of the child large child to
joints. perform independent
B- Encourage the child to perform indepen- self-care. This will minimize
dent self-care. the child's pain while maxi-
C- Provide the child with a soft mattress for mizing
sleeping. mobility.
D- Schedule a 2-hour daily nap for the child in
the afternoon.
