ATI PEDIATRICS DYNAMIC 399 EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025
1- A nurse is performing a well-child assessment on a 7-year-old client who takes great pride in
bringing school papers home. The nurse recognizes that this behavior demonstrates which of
the following of Erikson's stages of psychosocial development?
A. Initiative vs. guilt
B. Industry vs. inferiority
C. Identity vs. role confusion
D. Autonomy vs. shame and doubt
B. Industry vs. inferiority
2- A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of
the following statements by the parent indicates an understanding of the teaching?
A. "My child should consume 1,000 calories per day."
B. "My child should have 4 oz of protein per day."
C. "I should give my child 32 oz (4 cups) of milk per day."
D. "I should feed my child 4 oz (1/2 cup) of vegetables per day."
A. "My child should consume 1,000 calories per day."
3- A nurse is caring for a 4-month-old child who has acute otitis media and a fever of 38.3°C
(101°F). Which of the following medications should the nurse administer?
A. Diphenhydramine
B. Furosemide
C. Amoxicillin
D. Ibuprofen
C. Amoxicillin
,4- A nurse is assessing the fine motor skill development of a 4-year-old child. The nurse should
expect the child to be able to perform which of the following activities?
A. Tying shoelaces into a bow
B. Copying a square
C. Drawing a person with at least 8 parts
D. Printing the letters of her name
B. Copying a square
5- A nurse is creating a plan of care for a child who has aplastic anemia. Which of the following
interventions should the nurse include?
A. Initiate protective-environment isolation for the child
B. Apply pressure for 1-2 min at the puncture site following blood specimen collection
C. Mix the child's ferrous sulfate elixir twice per day into a glass of milk for administration
D. Check the child's blood glucose level every 4 hr
A. Initiate protective-environment isolation for the child
6- A nurse is preparing to administer recommended immunizations to a 2-month-old infant.
Which of the following immunizations should the nurse plan to administer?
A. Human papillomavirus (HPV) and hepatitis A
B. Measles, mumps, and rubella (MMR) and tetanus, diphtheria, and acellular pertussis (DaP)
C. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
D. Varicella (VAR) and live attenuated influenza vaccine (LAIV)
C. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
,7- A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2 hours
ago, and he is currently experiencing the separation anxiety stage of despair. Which of the
following findings should the nurse expect?
A. Crying and screaming
B. Inactivity and thumb sucking
C. Showing interest in nearby toys
D. Attempting to escape and find the parent
B. Inactivity and thumb sucking
8- A nurse is admitting a child who has Wilms' tumor. Which of the following actions should the
nurse take?
A. Initiate contact precautions for the child.
B. Explain to the child's parents that chemotherapy will start 3 months after surgery.
C. Put a "no abdominal palpation" sign over the child's bed.
D. Prepare the child for a spinal tap.
C. Put a "no abdominal palpation" sign over the child's bed.
9- A nurse is providing discharge teaching to the guardian of an adolescent who is postoperative
following a tonsillectomy. Which of the following manifestations should the guardian report to
the provider?
A. Nasal secretions containing dark brown blood
B. Constant clearing of the throat
C. Unpleasant odor from the oral cavity
D. Temperature of 37.7°C (99.8°F) at 48 hr postoperative
B. Constant clearing of the throat
, 10- A nurse is assessing an adolescent who is receiving fentanyl via epidural. Which of the
following assessments should the nurse identify as the priority?
A. Skin around the catheter site
B. Blood pressure
C. Pain level
D. Oxygen saturation
D. Oxygen saturation
11- A nurse is planning to assess an 8-year-old child who was brought to the clinic by a parent.
The parent reports the child has missed school for 3 weeks and refuses to go back due to "not
feeling well." Which of the following actions should the nurse perform during the initial
interview with the child?
A. Ask the child to describe what things were like right before not wanting to go to school
B. Use a direct question and ask the child why going to school is no longer fun
C. Tell the child it is okay not to like school, but she has to go back
D. Reassure the child that things might not be going well right now, but they will soon improve
A. Ask the child to describe what things were like right before not wanting to go to school
12- A nurse is teaching a group of parents of toddlers about growth and development. A parent
asks, "Why does my child's abdomen stick out?" Which of the following replies should the nurse
provide?
A. "You should give your child a stool softener daily."
B. "Toddlers gain weight at a rapid pace."
C. "You should have your child assessed for a spinal deformity."
D. "Toddlers do not have well-developed abdominal muscles."
D. "Toddlers do not have well-developed abdominal muscles."
ANSWERS GRADED A+ 2025
1- A nurse is performing a well-child assessment on a 7-year-old client who takes great pride in
bringing school papers home. The nurse recognizes that this behavior demonstrates which of
the following of Erikson's stages of psychosocial development?
A. Initiative vs. guilt
B. Industry vs. inferiority
C. Identity vs. role confusion
D. Autonomy vs. shame and doubt
B. Industry vs. inferiority
2- A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of
the following statements by the parent indicates an understanding of the teaching?
A. "My child should consume 1,000 calories per day."
B. "My child should have 4 oz of protein per day."
C. "I should give my child 32 oz (4 cups) of milk per day."
D. "I should feed my child 4 oz (1/2 cup) of vegetables per day."
A. "My child should consume 1,000 calories per day."
3- A nurse is caring for a 4-month-old child who has acute otitis media and a fever of 38.3°C
(101°F). Which of the following medications should the nurse administer?
A. Diphenhydramine
B. Furosemide
C. Amoxicillin
D. Ibuprofen
C. Amoxicillin
,4- A nurse is assessing the fine motor skill development of a 4-year-old child. The nurse should
expect the child to be able to perform which of the following activities?
A. Tying shoelaces into a bow
B. Copying a square
C. Drawing a person with at least 8 parts
D. Printing the letters of her name
B. Copying a square
5- A nurse is creating a plan of care for a child who has aplastic anemia. Which of the following
interventions should the nurse include?
A. Initiate protective-environment isolation for the child
B. Apply pressure for 1-2 min at the puncture site following blood specimen collection
C. Mix the child's ferrous sulfate elixir twice per day into a glass of milk for administration
D. Check the child's blood glucose level every 4 hr
A. Initiate protective-environment isolation for the child
6- A nurse is preparing to administer recommended immunizations to a 2-month-old infant.
Which of the following immunizations should the nurse plan to administer?
A. Human papillomavirus (HPV) and hepatitis A
B. Measles, mumps, and rubella (MMR) and tetanus, diphtheria, and acellular pertussis (DaP)
C. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
D. Varicella (VAR) and live attenuated influenza vaccine (LAIV)
C. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
,7- A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2 hours
ago, and he is currently experiencing the separation anxiety stage of despair. Which of the
following findings should the nurse expect?
A. Crying and screaming
B. Inactivity and thumb sucking
C. Showing interest in nearby toys
D. Attempting to escape and find the parent
B. Inactivity and thumb sucking
8- A nurse is admitting a child who has Wilms' tumor. Which of the following actions should the
nurse take?
A. Initiate contact precautions for the child.
B. Explain to the child's parents that chemotherapy will start 3 months after surgery.
C. Put a "no abdominal palpation" sign over the child's bed.
D. Prepare the child for a spinal tap.
C. Put a "no abdominal palpation" sign over the child's bed.
9- A nurse is providing discharge teaching to the guardian of an adolescent who is postoperative
following a tonsillectomy. Which of the following manifestations should the guardian report to
the provider?
A. Nasal secretions containing dark brown blood
B. Constant clearing of the throat
C. Unpleasant odor from the oral cavity
D. Temperature of 37.7°C (99.8°F) at 48 hr postoperative
B. Constant clearing of the throat
, 10- A nurse is assessing an adolescent who is receiving fentanyl via epidural. Which of the
following assessments should the nurse identify as the priority?
A. Skin around the catheter site
B. Blood pressure
C. Pain level
D. Oxygen saturation
D. Oxygen saturation
11- A nurse is planning to assess an 8-year-old child who was brought to the clinic by a parent.
The parent reports the child has missed school for 3 weeks and refuses to go back due to "not
feeling well." Which of the following actions should the nurse perform during the initial
interview with the child?
A. Ask the child to describe what things were like right before not wanting to go to school
B. Use a direct question and ask the child why going to school is no longer fun
C. Tell the child it is okay not to like school, but she has to go back
D. Reassure the child that things might not be going well right now, but they will soon improve
A. Ask the child to describe what things were like right before not wanting to go to school
12- A nurse is teaching a group of parents of toddlers about growth and development. A parent
asks, "Why does my child's abdomen stick out?" Which of the following replies should the nurse
provide?
A. "You should give your child a stool softener daily."
B. "Toddlers gain weight at a rapid pace."
C. "You should have your child assessed for a spinal deformity."
D. "Toddlers do not have well-developed abdominal muscles."
D. "Toddlers do not have well-developed abdominal muscles."
