ATI PEDIATRIC CMS PROCTORED EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
1. A nurse in the emergency department is caring for a 2-year-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 priority action by the nurse?
Remove the child's contaminated clothing. @#$%^&*(
Check the child's respiratory status.
Administer an antidote to the child. Establish IV access for the child.
Rationale(ANSWER) The nurse should apply the ABC priority-setting(ANSWER) Check the child's respiratory status.
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?
"Your child should be referring to himself using the appropriate pronoun by 18 months of age."
"A toddler's interest in looking at pictures occurs at 20 months of age."
C. "A toddler should have davtime control of his bowel and bladder by 24 months of age.
d. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months."(ANSWER) d. "Your child
should be able to scribble spontaneously using a crayon at the age of 15 months."
3. A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL 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. Use a leading zero if it applies. Do not use a trailing zero.)(ANSWER)
25 GTT
4. 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.(ANSWER) b. Minimize phys- ical contact with the child
initially.
5. 4. A nurse is caring for an 18-year-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(ANSWER) b. Meningococcal polysaccharide
6. 4. A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent
indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something poisonous."-
(ANSWER) a. "I lock my medications in the medicine cabinet."
7. 4. A nurse is performing a physical assessment on a 6-month-old infant. Which of the following reflexes should
the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro(ANSWER) b. Babinski
8. 4. 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(ANSWER) a. Cow's milk
9. 9. 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, rubella (MMR) and tetanus, diphtheria, and acellular per- tussis
(TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV)(ANSWER) c. Haemophilus influenzae type B (Hib) and
inactivated polio virus (IPV)
10. 9. A nurse is developing a plan of care for a school-age child who under- went a surgical procedure that resulted in
temporary loss of vision. Which of the following interventions should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
,b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child.(ANSWER) b. Explain sounds the child is hearing.
11. 9. A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy. Which of the
following methods should the nurse use to determine if the child is experiencing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
d. Check the child's temperature.(ANSWER) b. Use the FACES scale.
12. 9. A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings indicates the need
for further assessment?
a. Grabs feet and pulls them to her mouth
b. Posterior fontanel is closed
c. Legs remain crossed and extended when supine
d. Birth weight has doubled(ANSWER) Legs remain crossed and extended when supine
13. 9. A nurse is observing a mother who is playing peek-a-boo with her
8-month-old child. The mother asks if this game has any developmental sig- nificance. The nurse should inform the mothe
that peek-a-boo helps develop which of the following concepts in the child?
a. Hand-eye coordination
b. Sense of trust
c. Object permanence
d. Egocentrism(ANSWER) Object permanence
14. 9. A nurse is caring for a 15-month-old toddler who requires droplet pre- cautions. Which of the following actions
should the nurse take?
a. Have the toddler wear a disposable gown when in the unit's playroom.
b. Wear sterile gloves when changing the toddler's diapers.
c. Wear a mask when assisting the toddler with meals.
d. Ask visitors to wear an N-95 mask when entering the room.(ANSWER) Wear a mask when assisting the toddler
with meals.
15. 9. A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider?
a. Head lags when pulled from a lying to a sitting position
b. Absence of startle and crawl reflexes
c. Inability to pick up a rattle after dropping it
d. Rolls from back to side(ANSWER) Head lags when pulled from a lying to a sitting position
, 16. 9. A nurse is planning to collect a specimen from a male infant using a urine collection bag.
Which of the following actions should the nurse take?
a. Wash and dry the infant's genitalia and perineum thoroughly.
b. Apply a small coating of water-soluble lubricant to the skin of the infant's perineal area.
c. Avoid placing the scrotum inside the collection bag.
d. Wait several hours after positioning the device before checking it.(ANSWER) Wash and dry the infant's genitalia and
perineum thoroughly.
17. 9. A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL. When
teaching the toddler's parents about the correlation of nutrition with lead poisoning, which of the following information is
appropriate for the nurse to include in the teaching?
a. Decrease the child's vitamin C intake until the blood lead level decreases to zero.
b. Administer a folic acid supplement to the child each day.
c. Give pancreatic enzymes to the child with meals and snacks.
d. Ensure the child's dietary intake of calcium and iron is adequate.(ANSWER) Ensure the child's dietary intake of
calcium and iron is adequate.
18. 9. A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the
following interventions should the nurse include in the plan of care? (Select all that apply.)
a. Observe the parents' actions when feeding the child.
b. Maintain a detailed record of food and fluid intake.
c. Follow the child's cues as to when food and fluids are provided.
d. Sit beside the child's high chair when feeding the child.
e. Play music videos during scheduled meal times.(ANSWER) Observe the parents' actions when feeding the child.
b. Maintain a detailed record of food and fluid intake.
19. 9. A nurse is assessing a 7-year-old child's psychosocial development. Which of the following findings should
the nurse recognize as requiring further evaluation?
a. The child prefers playmates of the same sex.
b. The child is competitive when playing board games.
c. The child complains daily about going to school.
d. The child enjoys spending time alone.(ANSWER) The child complains daily about going to school.
DETAILED ANSWERS|ALREADY GRADED A+
1. A nurse in the emergency department is caring for a 2-year-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 priority action by the nurse?
Remove the child's contaminated clothing. @#$%^&*(
Check the child's respiratory status.
Administer an antidote to the child. Establish IV access for the child.
Rationale(ANSWER) The nurse should apply the ABC priority-setting(ANSWER) Check the child's respiratory status.
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?
"Your child should be referring to himself using the appropriate pronoun by 18 months of age."
"A toddler's interest in looking at pictures occurs at 20 months of age."
C. "A toddler should have davtime control of his bowel and bladder by 24 months of age.
d. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months."(ANSWER) d. "Your child
should be able to scribble spontaneously using a crayon at the age of 15 months."
3. A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL 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. Use a leading zero if it applies. Do not use a trailing zero.)(ANSWER)
25 GTT
4. 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.(ANSWER) b. Minimize phys- ical contact with the child
initially.
5. 4. A nurse is caring for an 18-year-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(ANSWER) b. Meningococcal polysaccharide
6. 4. A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent
indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something poisonous."-
(ANSWER) a. "I lock my medications in the medicine cabinet."
7. 4. A nurse is performing a physical assessment on a 6-month-old infant. Which of the following reflexes should
the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro(ANSWER) b. Babinski
8. 4. 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(ANSWER) a. Cow's milk
9. 9. 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, rubella (MMR) and tetanus, diphtheria, and acellular per- tussis
(TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV)(ANSWER) c. Haemophilus influenzae type B (Hib) and
inactivated polio virus (IPV)
10. 9. A nurse is developing a plan of care for a school-age child who under- went a surgical procedure that resulted in
temporary loss of vision. Which of the following interventions should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
,b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child.(ANSWER) b. Explain sounds the child is hearing.
11. 9. A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy. Which of the
following methods should the nurse use to determine if the child is experiencing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
d. Check the child's temperature.(ANSWER) b. Use the FACES scale.
12. 9. A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings indicates the need
for further assessment?
a. Grabs feet and pulls them to her mouth
b. Posterior fontanel is closed
c. Legs remain crossed and extended when supine
d. Birth weight has doubled(ANSWER) Legs remain crossed and extended when supine
13. 9. A nurse is observing a mother who is playing peek-a-boo with her
8-month-old child. The mother asks if this game has any developmental sig- nificance. The nurse should inform the mothe
that peek-a-boo helps develop which of the following concepts in the child?
a. Hand-eye coordination
b. Sense of trust
c. Object permanence
d. Egocentrism(ANSWER) Object permanence
14. 9. A nurse is caring for a 15-month-old toddler who requires droplet pre- cautions. Which of the following actions
should the nurse take?
a. Have the toddler wear a disposable gown when in the unit's playroom.
b. Wear sterile gloves when changing the toddler's diapers.
c. Wear a mask when assisting the toddler with meals.
d. Ask visitors to wear an N-95 mask when entering the room.(ANSWER) Wear a mask when assisting the toddler
with meals.
15. 9. A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider?
a. Head lags when pulled from a lying to a sitting position
b. Absence of startle and crawl reflexes
c. Inability to pick up a rattle after dropping it
d. Rolls from back to side(ANSWER) Head lags when pulled from a lying to a sitting position
, 16. 9. A nurse is planning to collect a specimen from a male infant using a urine collection bag.
Which of the following actions should the nurse take?
a. Wash and dry the infant's genitalia and perineum thoroughly.
b. Apply a small coating of water-soluble lubricant to the skin of the infant's perineal area.
c. Avoid placing the scrotum inside the collection bag.
d. Wait several hours after positioning the device before checking it.(ANSWER) Wash and dry the infant's genitalia and
perineum thoroughly.
17. 9. A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL. When
teaching the toddler's parents about the correlation of nutrition with lead poisoning, which of the following information is
appropriate for the nurse to include in the teaching?
a. Decrease the child's vitamin C intake until the blood lead level decreases to zero.
b. Administer a folic acid supplement to the child each day.
c. Give pancreatic enzymes to the child with meals and snacks.
d. Ensure the child's dietary intake of calcium and iron is adequate.(ANSWER) Ensure the child's dietary intake of
calcium and iron is adequate.
18. 9. A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the
following interventions should the nurse include in the plan of care? (Select all that apply.)
a. Observe the parents' actions when feeding the child.
b. Maintain a detailed record of food and fluid intake.
c. Follow the child's cues as to when food and fluids are provided.
d. Sit beside the child's high chair when feeding the child.
e. Play music videos during scheduled meal times.(ANSWER) Observe the parents' actions when feeding the child.
b. Maintain a detailed record of food and fluid intake.
19. 9. A nurse is assessing a 7-year-old child's psychosocial development. Which of the following findings should
the nurse recognize as requiring further evaluation?
a. The child prefers playmates of the same sex.
b. The child is competitive when playing board games.
c. The child complains daily about going to school.
d. The child enjoys spending time alone.(ANSWER) The child complains daily about going to school.
