RN ATI PEDS CMS QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
A nurse is assessing the pain level of a 3 year old toddler. Which of the following assessment scales
should the nurse use?
A. FACES
B. Numeric
C. CRIES
D. Visual analog - ANSWER A. FACES
The nurse should use the FACES pain rating scale for pediatric clients who are 3 years old and older. this
scale allows the toddler to point to the face that depicts their current level of pain. the nurse can then
determine the need for pain management.
A nurse is planning an educational program to teach parents about protecting their children from
sunburns. Which of the following instructions should the nurse plan to include?
A. "allow your child to play outside during the hours between 10:00am and 2:00pm."
B. "choose a waterproof sunscreen with a minimum SPF of 15."
C. "dress you child in loose weave polyester fabric prior to sun exposure."
D. "reapply sunscreen every 4 hours." - ANSWER B. "choose a waterproof sunscreen with a minimum SPF
of 15."
The nurse should instruct parents to apply a waterproof sunscreen with a minimum SPF of 15 for
children. the parents should apply the sunscreen prior to sun exposure to reduce the risk of sunburn.
A nurse is performing hearing screenings for children at a community health fair. Which of the following
children should the nurse refer to a provider for a more extensive hearing evaluation?
A. an 18 month old toddler who has unintelligible speech
B. a 3 month old infant who has exaggerated startle response
C. a 4 year old preschooler who prefers playing with others rather than alone
D. an 8 month old infant who is not yet making babbling sounds - ANSWER D. An 8-month-old who is not
yet making babbling sounds.
,The nurse should refer an infant who is not making babbling sounds by the age of 7 mo to a provider for
amore extensive eval of hearing
A nurse in an emergency department is assessing a 3 month old infant who has rotavirus and is
experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse
identify as an indication that the infant has moderate to severe dehydration?
A. HR 124
B. increased tear production
C. sunken anterior fontanel
D. capillary refill 2 seconds - ANSWER C. sunken anterior fontanel
The nurse should recognize that a sunken anterior fontanel is an indication of moderate to severe
dehydration due to the acute loss of fluid.
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthrisis.
Which of the following instructions should the nurse include in the teaching?
A. "limit movement of the child's large joints"
B. "encourage the child to perform independent self-care."
C. "provide the child with a soft mattress for sleeping."
D. "schedule a 2 hour daily nap for the child in the afternoon." - ANSWER B. "encourage the child to
perform independent self-care."
The nurse should teach the family the importance of encouraging the child to perform independent self-
care. This will minimize the child's pain while maximizing mobility. encouraging an praising the child's
effort for independence will also increase their self-esteem.
A nurse is planning care for a school age child who has a tunneled central venous access device. Which
of the following interventions should the nurse include in the plan?
A. use sterile scissors to remove the dressing from the site
B. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride solution when not in use
C. access the site suing a noncoring angle needle
, D. use a semipermeable transparent depressing to cover the site - ANSWER D. use a semipermeable
transparent depressing to cover the site
The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of
infection.
A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected
behavior characteristics of toddlers should the nurse include?
A. controls impulsive feelings
B. understands right from wrong
C. easily separates from parents for long periods of time
D. expresses likes and dislikes - ANSWER D. expresses likes and dislikes
This is the time in life when a toddler is developing autonomy and self-concept. they will try to assert
themselves and frequently refuse to comply. the parent should allow the child to have some control, but
also set limits for them so they learn from their behavior and learn to control their actions.
A nurse is providing discharge teaching to the parent of a school age child who has moderate persistent
asthma. Which of the following instructions should the nurse include?
A. "you should give your child their salmeterol inhaler every 4 hours when they are having an acute
episode of wheezing."
B. "you should monitor your child's weight weekly while they are receiving inhaled corticosteroids
therapy."
C. "pulmonary function tests will be performed every 12-24 months to evaluate how your child is
responding to therapy."
D. "when using the peak expiratory flow meter, record your child's average of three readings." - ANSWER
C. "pulmonary function tests will be performed every 12-24 months to evaluate how your child is
responding to therapy."
AThe nurse should include this to evaluate the presence of lung disease and how the child is responding
to the current treatment regimen. as children grow, sometimes their manifestations can improve or
decline, and treatment needs to change accordingly.
ANSWERS WITH SOLUTIONS 2024
A nurse is assessing the pain level of a 3 year old toddler. Which of the following assessment scales
should the nurse use?
A. FACES
B. Numeric
C. CRIES
D. Visual analog - ANSWER A. FACES
The nurse should use the FACES pain rating scale for pediatric clients who are 3 years old and older. this
scale allows the toddler to point to the face that depicts their current level of pain. the nurse can then
determine the need for pain management.
A nurse is planning an educational program to teach parents about protecting their children from
sunburns. Which of the following instructions should the nurse plan to include?
A. "allow your child to play outside during the hours between 10:00am and 2:00pm."
B. "choose a waterproof sunscreen with a minimum SPF of 15."
C. "dress you child in loose weave polyester fabric prior to sun exposure."
D. "reapply sunscreen every 4 hours." - ANSWER B. "choose a waterproof sunscreen with a minimum SPF
of 15."
The nurse should instruct parents to apply a waterproof sunscreen with a minimum SPF of 15 for
children. the parents should apply the sunscreen prior to sun exposure to reduce the risk of sunburn.
A nurse is performing hearing screenings for children at a community health fair. Which of the following
children should the nurse refer to a provider for a more extensive hearing evaluation?
A. an 18 month old toddler who has unintelligible speech
B. a 3 month old infant who has exaggerated startle response
C. a 4 year old preschooler who prefers playing with others rather than alone
D. an 8 month old infant who is not yet making babbling sounds - ANSWER D. An 8-month-old who is not
yet making babbling sounds.
,The nurse should refer an infant who is not making babbling sounds by the age of 7 mo to a provider for
amore extensive eval of hearing
A nurse in an emergency department is assessing a 3 month old infant who has rotavirus and is
experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse
identify as an indication that the infant has moderate to severe dehydration?
A. HR 124
B. increased tear production
C. sunken anterior fontanel
D. capillary refill 2 seconds - ANSWER C. sunken anterior fontanel
The nurse should recognize that a sunken anterior fontanel is an indication of moderate to severe
dehydration due to the acute loss of fluid.
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthrisis.
Which of the following instructions should the nurse include in the teaching?
A. "limit movement of the child's large joints"
B. "encourage the child to perform independent self-care."
C. "provide the child with a soft mattress for sleeping."
D. "schedule a 2 hour daily nap for the child in the afternoon." - ANSWER B. "encourage the child to
perform independent self-care."
The nurse should teach the family the importance of encouraging the child to perform independent self-
care. This will minimize the child's pain while maximizing mobility. encouraging an praising the child's
effort for independence will also increase their self-esteem.
A nurse is planning care for a school age child who has a tunneled central venous access device. Which
of the following interventions should the nurse include in the plan?
A. use sterile scissors to remove the dressing from the site
B. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride solution when not in use
C. access the site suing a noncoring angle needle
, D. use a semipermeable transparent depressing to cover the site - ANSWER D. use a semipermeable
transparent depressing to cover the site
The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of
infection.
A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected
behavior characteristics of toddlers should the nurse include?
A. controls impulsive feelings
B. understands right from wrong
C. easily separates from parents for long periods of time
D. expresses likes and dislikes - ANSWER D. expresses likes and dislikes
This is the time in life when a toddler is developing autonomy and self-concept. they will try to assert
themselves and frequently refuse to comply. the parent should allow the child to have some control, but
also set limits for them so they learn from their behavior and learn to control their actions.
A nurse is providing discharge teaching to the parent of a school age child who has moderate persistent
asthma. Which of the following instructions should the nurse include?
A. "you should give your child their salmeterol inhaler every 4 hours when they are having an acute
episode of wheezing."
B. "you should monitor your child's weight weekly while they are receiving inhaled corticosteroids
therapy."
C. "pulmonary function tests will be performed every 12-24 months to evaluate how your child is
responding to therapy."
D. "when using the peak expiratory flow meter, record your child's average of three readings." - ANSWER
C. "pulmonary function tests will be performed every 12-24 months to evaluate how your child is
responding to therapy."
AThe nurse should include this to evaluate the presence of lung disease and how the child is responding
to the current treatment regimen. as children grow, sometimes their manifestations can improve or
decline, and treatment needs to change accordingly.
