ATI PN Pediatric Midterm Practice
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Verified Answers,Plus
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1. A nurse is caring for a toddler who is hospitalized. Which play activity should the
nurse provide to promote development?
a. Board games
b. Building blocks
c. Crossword puzzles
d. Reading chapter books
b. Building blocks
Rationale: Toddlers learn through parallel play and manipulative toys like blocks,
which promote fine and gross motor skills.
2. A nurse is reinforcing teaching with the parents of a preschooler about injury
prevention. Which statement indicates understanding?
a. “We will store cleaning supplies in a locked cabinet.”
b. “We will let our child ride in the front seat if he wears a seat belt.”
c. “We will give our child medications when he asks.”
d. “We will allow our child to play unsupervised outside.”
a. “We will store cleaning supplies in a locked cabinet.”
Rationale: Poisoning is a major risk at this age. Locking away hazardous substances
is an appropriate safety measure.
3. A nurse is caring for an infant who has just received an immunization. Which is the
priority action?
a. Apply a warm compress
b. Document the site of injection
c. Monitor for signs of allergic reaction
d. Offer a pacifier
, c. Monitor for signs of allergic reaction
Rationale: Safety is priority. The nurse must assess for immediate adverse reactions
such as anaphylaxis after vaccination.
4. A nurse is reinforcing teaching about iron-rich foods to the parent of a 2-year-old
with anemia. Which food should the nurse recommend?
a. Bananas
b. Whole milk
c. Chicken
d. Rice cereal
c. Chicken
Rationale: Chicken is a good source of heme iron, which is more readily absorbed
than non-heme iron.
5. A school-age child is scheduled for a tonsillectomy. Which finding should the nurse
report to the provider?
a. The child had a sore throat 2 weeks ago
b. The child’s hemoglobin is 14 g/dL
c. The child has loose teeth
d. The child reports mild anxiety
c. The child has loose teeth
Rationale: Loose teeth pose an aspiration risk during surgery and should be
reported before anesthesia.
6. A nurse is caring for a child with sickle cell anemia who is experiencing a vaso-
occlusive crisis. Which intervention should the nurse anticipate?
a. Apply cold compresses
b. Administer oxygen
c. Encourage ambulation
d. Restrict fluids
b. Administer oxygen
Rationale: Hypoxia can worsen sickling. Oxygen administration helps prevent
further sickling during a crisis.
7. A nurse is reinforcing teaching with parents of a child with cystic fibrosis. Which
dietary recommendation is appropriate?
a. Low-protein diet
b. High-calorie diet
c. High-fiber diet
d. Low-fat diet
b. High-calorie diet
Rationale: Children with cystic fibrosis need increased calories and protein to
support growth and compensate for malabsorption.
, 8. A nurse is caring for an adolescent with suspected appendicitis. Which finding is a
priority to report?
a. Nausea and vomiting
b. Sudden relief of pain
c. Anorexia
d. Low-grade fever
b. Sudden relief of pain
Rationale: Sudden pain relief may indicate rupture of the appendix, which is a
medical emergency.
9. A nurse is reinforcing teaching to parents about administering ear drops to a 3-year-
old. Which technique should the nurse include?
a. Pull the pinna up and back
b. Pull the pinna down and back
c. Place drops in the inner ear canal
d. Keep the child supine for 1 minute
b. Pull the pinna down and back
Rationale: For children under 3 years, pulling the pinna down and back straightens
the ear canal for proper medication administration.
10. A nurse is assessing a child with dehydration. Which finding indicates severe
dehydration?
a. Sunken eyes
b. Moist mucous membranes
c. Normal skin turgor
d. Mild tachycardia
a. Sunken eyes
Rationale: Sunken eyes are a sign of severe dehydration, along with poor skin
turgor, dry mucous membranes, and lethargy.
11. A nurse is reinforcing teaching about asthma management to a parent of a 5-year-
old. Which statement indicates understanding?
a. “My child should use a rescue inhaler daily, even without symptoms.”
b. “My child should use a peak flow meter at the same time every day.”
c. “Asthma medications can be stopped when symptoms improve.”
d. “My child should avoid all outdoor activities.”
b. “My child should use a peak flow meter at the same time every day.”
Rationale: Regular peak flow monitoring helps detect early changes in airway
status and prevents exacerbations.
12. A nurse is caring for an infant diagnosed with phenylketonuria (PKU). Which food
should be avoided?
a. Fruits
Exam With Actual Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass 2025/2026 /Latest
Update/Instant Download Pdf
1. A nurse is caring for a toddler who is hospitalized. Which play activity should the
nurse provide to promote development?
a. Board games
b. Building blocks
c. Crossword puzzles
d. Reading chapter books
b. Building blocks
Rationale: Toddlers learn through parallel play and manipulative toys like blocks,
which promote fine and gross motor skills.
2. A nurse is reinforcing teaching with the parents of a preschooler about injury
prevention. Which statement indicates understanding?
a. “We will store cleaning supplies in a locked cabinet.”
b. “We will let our child ride in the front seat if he wears a seat belt.”
c. “We will give our child medications when he asks.”
d. “We will allow our child to play unsupervised outside.”
a. “We will store cleaning supplies in a locked cabinet.”
Rationale: Poisoning is a major risk at this age. Locking away hazardous substances
is an appropriate safety measure.
3. A nurse is caring for an infant who has just received an immunization. Which is the
priority action?
a. Apply a warm compress
b. Document the site of injection
c. Monitor for signs of allergic reaction
d. Offer a pacifier
, c. Monitor for signs of allergic reaction
Rationale: Safety is priority. The nurse must assess for immediate adverse reactions
such as anaphylaxis after vaccination.
4. A nurse is reinforcing teaching about iron-rich foods to the parent of a 2-year-old
with anemia. Which food should the nurse recommend?
a. Bananas
b. Whole milk
c. Chicken
d. Rice cereal
c. Chicken
Rationale: Chicken is a good source of heme iron, which is more readily absorbed
than non-heme iron.
5. A school-age child is scheduled for a tonsillectomy. Which finding should the nurse
report to the provider?
a. The child had a sore throat 2 weeks ago
b. The child’s hemoglobin is 14 g/dL
c. The child has loose teeth
d. The child reports mild anxiety
c. The child has loose teeth
Rationale: Loose teeth pose an aspiration risk during surgery and should be
reported before anesthesia.
6. A nurse is caring for a child with sickle cell anemia who is experiencing a vaso-
occlusive crisis. Which intervention should the nurse anticipate?
a. Apply cold compresses
b. Administer oxygen
c. Encourage ambulation
d. Restrict fluids
b. Administer oxygen
Rationale: Hypoxia can worsen sickling. Oxygen administration helps prevent
further sickling during a crisis.
7. A nurse is reinforcing teaching with parents of a child with cystic fibrosis. Which
dietary recommendation is appropriate?
a. Low-protein diet
b. High-calorie diet
c. High-fiber diet
d. Low-fat diet
b. High-calorie diet
Rationale: Children with cystic fibrosis need increased calories and protein to
support growth and compensate for malabsorption.
, 8. A nurse is caring for an adolescent with suspected appendicitis. Which finding is a
priority to report?
a. Nausea and vomiting
b. Sudden relief of pain
c. Anorexia
d. Low-grade fever
b. Sudden relief of pain
Rationale: Sudden pain relief may indicate rupture of the appendix, which is a
medical emergency.
9. A nurse is reinforcing teaching to parents about administering ear drops to a 3-year-
old. Which technique should the nurse include?
a. Pull the pinna up and back
b. Pull the pinna down and back
c. Place drops in the inner ear canal
d. Keep the child supine for 1 minute
b. Pull the pinna down and back
Rationale: For children under 3 years, pulling the pinna down and back straightens
the ear canal for proper medication administration.
10. A nurse is assessing a child with dehydration. Which finding indicates severe
dehydration?
a. Sunken eyes
b. Moist mucous membranes
c. Normal skin turgor
d. Mild tachycardia
a. Sunken eyes
Rationale: Sunken eyes are a sign of severe dehydration, along with poor skin
turgor, dry mucous membranes, and lethargy.
11. A nurse is reinforcing teaching about asthma management to a parent of a 5-year-
old. Which statement indicates understanding?
a. “My child should use a rescue inhaler daily, even without symptoms.”
b. “My child should use a peak flow meter at the same time every day.”
c. “Asthma medications can be stopped when symptoms improve.”
d. “My child should avoid all outdoor activities.”
b. “My child should use a peak flow meter at the same time every day.”
Rationale: Regular peak flow monitoring helps detect early changes in airway
status and prevents exacerbations.
12. A nurse is caring for an infant diagnosed with phenylketonuria (PKU). Which food
should be avoided?
a. Fruits
