PEDS ATI PROCTORED STUDY PAPER 2025/2026 QUESTIONS WITH
SOLUTIONS GRADED A+
✔✔A nurse is providing teaching about car seat use to the mother of a six-monthold
infant. Which of the following statements by the mother indicates an
understanding of the teaching?
A- I should secure the car seat using lower
anchors and tethers instead of the seat belt
B- I should position the car seat harness one inch above my baby's shoulders
C- I will make sure that the car seat is placed at a 90-degree angle
D- I will pad my baby's car seat with a blanket for traveling long distances - ✔✔A- I
should secure the car seat using lower
anchors and tethers instead of the seat belt; Lower anchors and tethers, or the LATCH
child safety seat system, should be
used to secure an infant's car seat in the vehicle. This system provides anchors
between the front cushion and the back-rest for the car seat. Therefore, if this
system is available, the seatbelt does not have to be used.
✔✔A nurse is assessing the pain level of a three-year-old toddler. Which of the
following pain assessment scales should the nurse use?
A- FACES Pain rating scale
B- numeric pain rating scale
C- CRIES pain assessment scale
D- non communicating children's pain checklist - ✔✔A- FACES Pain rating scale; 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 the
current level of pain. The nurse can then determine the need for pain management.
✔✔A nurse is caring for a preschooler who is scheduled for hydrotherapy
treatment for wound debridement following a burn injury. Which of
the following actions should the nurse take prior to the procedure?
A- Apply topical antimicrobial ointment to the child wound
B- place a mesh gauze dressing over the child wound
C- administer an analgesic to the child
D- initiate prophylactic antibiotic therapy for the child - ✔✔C- administer an analgesic to
the child; Hydrotherapy for debridement of a wound is an extremely painful procedure
which requires analgesia and/or sedation. When pain is controlled, it leads to reduced
physiological demands on the body caused by stress and decreases the
likelihood of children developing depression and post-traumatic stress disorder.
✔✔A nurse is caring for a 10-year-old child following a head injury. Which
of the following findings should the nurse identify as an indication that
the child is developing diabetes insipidus?
A- Urine specific gravity of 1.045
B- sodium 155
C- blood glucose 45
,D- urine output 35 ml per hour - ✔✔B- sodium 155; A child who has a head injury can
develop diabetes insipidus as a result of
pituitary hypo function leading to a deficiency of antidiuretic hormone.
Under excretion of antidiuretic hormone leads to polyuria and polydipsia and
possibly dehydration. With the excessive loss of free water, sodium levels rise
above the expected reference range.
✔✔A nurse is creating a plan of care for a toddler who has minimal change
nephrotic syndrome mcns and 3 + pitting edema. Which of the following
interventions should the nurse include in the plan?
A- Encourage an increased fluid intake for the toddler
B- place the child in an Airborne infection isolation room
C- increase the toddler's dietary sodium intake
D- administer corticosteroids to the toddler - ✔✔D- administer corticosteroids to the
toddler; The nurse should recognize that corticosteroids are the treatment of choice for
providers caring for children who have MCNS. Therefore, the nurse should
include administration of prescribed corticosteroids in the plan of care for this toddler.
✔✔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 his salmeterol inhaler every 4 hours when he is
having an acute episode of wheezing.
B- You should monitor your child's weight weekly while he is receiving inhaled
corticosteroid therapy
C- pulmonary function test will be performed every 12 to 24 months to
evaluate how yourchild is responding to therapy
D- when using the peak expiratory flow meter, record your child average of three
readings - ✔✔C- pulmonary function test will be performed every 12 to 24 months to
evaluate how your child is responding to therapy; The nurse should inform the parent
that her child will need pulmonary function
tests every 12to 24 months to evaluate the presence of lung disease and how the
child is responding to the current treatment regimen. As children grow,
sometimes their symptoms can improve or decline and treatment needs to change
accordingly.
✔✔A nurse is assessing a three-year-old toddler at a well-child visit. Which of the
following manifestations should the nurse report to the provider?
A- Blood pressure 90/ 50
B- respiratory rate 45/min
C- weight 14.5 kg or 32 lb
D- heart rate 110/min - ✔✔B- respiratory rate 45/min; A respiratory rate of 45/min is
above the expected reference range for a 3-year-old
toddler and can indicate respiratory dysfunction and acute respiratory distress.
Therefore, the nurse should report this finding to the provider immediately.
,✔✔A nurse is preparing an adolescent for a lumbar puncture. Which of the
following actions should the nurse take?
A- Place a cardiac monitor on the Adolescent prior to the procedure
B- apply topical analgesic cream to the site one hour prior to the procedure
C- keep the Adolescent in a semi Fowler's position for 4 hours following the
procedure
D- restrict fluids for 2 hours following the procedure - ✔✔B- apply topical analgesic
cream to the site one hour prior to the procedure; The nurse should apply a topical
analgesic to the lumbar site 60 min prior to the
procedure to decrease the adolescent's pain while the lumbar needle is inserted.
✔✔A nurse is providing teaching to the parents of a toddler about the
administration of a prescribed eye drops and eye ointment. Which of the
following instructions should the nurse include?
A- Apply the eye ointment within 30 minutes of your toddler Awakening in the
morning
B- apply the eye ointment from the outer canthus to the inner campus
C- use one hand to pull the upper eyelid upward when instilling the eye drops
D- administer the eye drops 3 minutes before the ointment - ✔✔D- administer the eye
drops 3 minutes before the ointment; The nurse should instruct the parents to
administer the eye drops first and then wait
3 min before administering the eye ointment. This action provides adequate time and
spacing for each separate medication to work.
✔✔The nurse is providing discharge teaching to the parent of an 18-month old
toddler who has dehydration as a result of acute diarrhea. Which of the
following statements by the parent indicates an understanding of the teaching?
A- I will offer my child small amounts of fruit juice frequently
B- I will avoid giving my child solid foods until his diarrhea has stopped
C- I will monitor my child's number of wet diapers
D- I will give my child polyethylene glycol daily for 7 days - ✔✔C- I will monitor my
child's number of wet diapers; The nurse should teach the parent to closely monitor the
child's number of
wet diapers. Monitoring the number of wet diapers per day is the best way
for the parent to monitor adequate output and hydration status.
✔✔A nurse is preparing to collect a sample from a toddler for a sickle turbidity
test. Which of the following actions should the nurse plan to take?
A- Obtain a sputum specimen
B- perform an allen test
C- perform a finger stick
D- obtain a stool specimen - ✔✔C- perform a finger stick; The nurse should perform a
finger stick on a toddler as a component of the sickleturbidity
test. If the test is positive, hemoglobin electrophoresis is required to
, distinguish between children who have the genetic trait and children who have the
disease.
✔✔A nurse is caring for a school-age child who has peripheral edema. Which of
the following assessments should the nurse perform to confirm peripheral
edema?
A- Palpate the dorsum of the child's feet
B- play the child daily using the same scale
C- assess the child's skin turgor
D- observe the child for periorbital swelling - ✔✔A- Palpate the dorsum of the child's
feet; The nurse should palpate the dorsum of the feet by pressing her fingertip against a
bony prominence for 5 seconds to assess for peripheral edema.
✔✔A nurse in the emergency department is caring for a toddler who has partial
thickness burns on his right arm. Which of the following actions should the
nurse take?
A- Insert a nasogastric tube
B- initiate prophylactic antibiotics therapy
C- cleanse the affected area with mild soap and water
D- apply a topical corticosteroid to the affected area - ✔✔C- cleanse the affected area
with mild soap and water; The nurse should wash the affected area with mild soap and
water to remove any
loose tissue that could cause infection.
✔✔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- A toddler who is 18 months old and has unintelligible speech
B- an infant who is 3 months old and has an exaggerated startle response
C- a preschooler who is 4 years old and prefers playing with others rather than alone
D- an infant who is 8 months old and is not yet making babbling sounds - ✔✔D- an
infant who is 8 months old and is not yet making babbling sounds; The nurse should
refer an infant who is not making babbling sounds by the age of 7
months to a provider for more extensive evaluation of hearing.
✔✔A nurse is providing dietary teaching to the parent of a school-age child who
has cystic fibrosis. Which of the following statements should the nurse
make?
A- You should offer your child high protein meals and snacks
throughout the day
B- your child should decrease dietary fats to less than 10% of her caloric intake
C- your child will need to take a 1-gram sodium chloride tablet daily throughout her
lifetime
D- you should calculate your child carbohydrate needs based on her daily activities -
✔✔A- You should offer your child high protein meals and snacks
SOLUTIONS GRADED A+
✔✔A nurse is providing teaching about car seat use to the mother of a six-monthold
infant. Which of the following statements by the mother indicates an
understanding of the teaching?
A- I should secure the car seat using lower
anchors and tethers instead of the seat belt
B- I should position the car seat harness one inch above my baby's shoulders
C- I will make sure that the car seat is placed at a 90-degree angle
D- I will pad my baby's car seat with a blanket for traveling long distances - ✔✔A- I
should secure the car seat using lower
anchors and tethers instead of the seat belt; Lower anchors and tethers, or the LATCH
child safety seat system, should be
used to secure an infant's car seat in the vehicle. This system provides anchors
between the front cushion and the back-rest for the car seat. Therefore, if this
system is available, the seatbelt does not have to be used.
✔✔A nurse is assessing the pain level of a three-year-old toddler. Which of the
following pain assessment scales should the nurse use?
A- FACES Pain rating scale
B- numeric pain rating scale
C- CRIES pain assessment scale
D- non communicating children's pain checklist - ✔✔A- FACES Pain rating scale; 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 the
current level of pain. The nurse can then determine the need for pain management.
✔✔A nurse is caring for a preschooler who is scheduled for hydrotherapy
treatment for wound debridement following a burn injury. Which of
the following actions should the nurse take prior to the procedure?
A- Apply topical antimicrobial ointment to the child wound
B- place a mesh gauze dressing over the child wound
C- administer an analgesic to the child
D- initiate prophylactic antibiotic therapy for the child - ✔✔C- administer an analgesic to
the child; Hydrotherapy for debridement of a wound is an extremely painful procedure
which requires analgesia and/or sedation. When pain is controlled, it leads to reduced
physiological demands on the body caused by stress and decreases the
likelihood of children developing depression and post-traumatic stress disorder.
✔✔A nurse is caring for a 10-year-old child following a head injury. Which
of the following findings should the nurse identify as an indication that
the child is developing diabetes insipidus?
A- Urine specific gravity of 1.045
B- sodium 155
C- blood glucose 45
,D- urine output 35 ml per hour - ✔✔B- sodium 155; A child who has a head injury can
develop diabetes insipidus as a result of
pituitary hypo function leading to a deficiency of antidiuretic hormone.
Under excretion of antidiuretic hormone leads to polyuria and polydipsia and
possibly dehydration. With the excessive loss of free water, sodium levels rise
above the expected reference range.
✔✔A nurse is creating a plan of care for a toddler who has minimal change
nephrotic syndrome mcns and 3 + pitting edema. Which of the following
interventions should the nurse include in the plan?
A- Encourage an increased fluid intake for the toddler
B- place the child in an Airborne infection isolation room
C- increase the toddler's dietary sodium intake
D- administer corticosteroids to the toddler - ✔✔D- administer corticosteroids to the
toddler; The nurse should recognize that corticosteroids are the treatment of choice for
providers caring for children who have MCNS. Therefore, the nurse should
include administration of prescribed corticosteroids in the plan of care for this toddler.
✔✔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 his salmeterol inhaler every 4 hours when he is
having an acute episode of wheezing.
B- You should monitor your child's weight weekly while he is receiving inhaled
corticosteroid therapy
C- pulmonary function test will be performed every 12 to 24 months to
evaluate how yourchild is responding to therapy
D- when using the peak expiratory flow meter, record your child average of three
readings - ✔✔C- pulmonary function test will be performed every 12 to 24 months to
evaluate how your child is responding to therapy; The nurse should inform the parent
that her child will need pulmonary function
tests every 12to 24 months to evaluate the presence of lung disease and how the
child is responding to the current treatment regimen. As children grow,
sometimes their symptoms can improve or decline and treatment needs to change
accordingly.
✔✔A nurse is assessing a three-year-old toddler at a well-child visit. Which of the
following manifestations should the nurse report to the provider?
A- Blood pressure 90/ 50
B- respiratory rate 45/min
C- weight 14.5 kg or 32 lb
D- heart rate 110/min - ✔✔B- respiratory rate 45/min; A respiratory rate of 45/min is
above the expected reference range for a 3-year-old
toddler and can indicate respiratory dysfunction and acute respiratory distress.
Therefore, the nurse should report this finding to the provider immediately.
,✔✔A nurse is preparing an adolescent for a lumbar puncture. Which of the
following actions should the nurse take?
A- Place a cardiac monitor on the Adolescent prior to the procedure
B- apply topical analgesic cream to the site one hour prior to the procedure
C- keep the Adolescent in a semi Fowler's position for 4 hours following the
procedure
D- restrict fluids for 2 hours following the procedure - ✔✔B- apply topical analgesic
cream to the site one hour prior to the procedure; The nurse should apply a topical
analgesic to the lumbar site 60 min prior to the
procedure to decrease the adolescent's pain while the lumbar needle is inserted.
✔✔A nurse is providing teaching to the parents of a toddler about the
administration of a prescribed eye drops and eye ointment. Which of the
following instructions should the nurse include?
A- Apply the eye ointment within 30 minutes of your toddler Awakening in the
morning
B- apply the eye ointment from the outer canthus to the inner campus
C- use one hand to pull the upper eyelid upward when instilling the eye drops
D- administer the eye drops 3 minutes before the ointment - ✔✔D- administer the eye
drops 3 minutes before the ointment; The nurse should instruct the parents to
administer the eye drops first and then wait
3 min before administering the eye ointment. This action provides adequate time and
spacing for each separate medication to work.
✔✔The nurse is providing discharge teaching to the parent of an 18-month old
toddler who has dehydration as a result of acute diarrhea. Which of the
following statements by the parent indicates an understanding of the teaching?
A- I will offer my child small amounts of fruit juice frequently
B- I will avoid giving my child solid foods until his diarrhea has stopped
C- I will monitor my child's number of wet diapers
D- I will give my child polyethylene glycol daily for 7 days - ✔✔C- I will monitor my
child's number of wet diapers; The nurse should teach the parent to closely monitor the
child's number of
wet diapers. Monitoring the number of wet diapers per day is the best way
for the parent to monitor adequate output and hydration status.
✔✔A nurse is preparing to collect a sample from a toddler for a sickle turbidity
test. Which of the following actions should the nurse plan to take?
A- Obtain a sputum specimen
B- perform an allen test
C- perform a finger stick
D- obtain a stool specimen - ✔✔C- perform a finger stick; The nurse should perform a
finger stick on a toddler as a component of the sickleturbidity
test. If the test is positive, hemoglobin electrophoresis is required to
, distinguish between children who have the genetic trait and children who have the
disease.
✔✔A nurse is caring for a school-age child who has peripheral edema. Which of
the following assessments should the nurse perform to confirm peripheral
edema?
A- Palpate the dorsum of the child's feet
B- play the child daily using the same scale
C- assess the child's skin turgor
D- observe the child for periorbital swelling - ✔✔A- Palpate the dorsum of the child's
feet; The nurse should palpate the dorsum of the feet by pressing her fingertip against a
bony prominence for 5 seconds to assess for peripheral edema.
✔✔A nurse in the emergency department is caring for a toddler who has partial
thickness burns on his right arm. Which of the following actions should the
nurse take?
A- Insert a nasogastric tube
B- initiate prophylactic antibiotics therapy
C- cleanse the affected area with mild soap and water
D- apply a topical corticosteroid to the affected area - ✔✔C- cleanse the affected area
with mild soap and water; The nurse should wash the affected area with mild soap and
water to remove any
loose tissue that could cause infection.
✔✔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- A toddler who is 18 months old and has unintelligible speech
B- an infant who is 3 months old and has an exaggerated startle response
C- a preschooler who is 4 years old and prefers playing with others rather than alone
D- an infant who is 8 months old and is not yet making babbling sounds - ✔✔D- an
infant who is 8 months old and is not yet making babbling sounds; The nurse should
refer an infant who is not making babbling sounds by the age of 7
months to a provider for more extensive evaluation of hearing.
✔✔A nurse is providing dietary teaching to the parent of a school-age child who
has cystic fibrosis. Which of the following statements should the nurse
make?
A- You should offer your child high protein meals and snacks
throughout the day
B- your child should decrease dietary fats to less than 10% of her caloric intake
C- your child will need to take a 1-gram sodium chloride tablet daily throughout her
lifetime
D- you should calculate your child carbohydrate needs based on her daily activities -
✔✔A- You should offer your child high protein meals and snacks
