ATI PEDIATRIC EXAM TEST BANK
EVERYTHING ON ATI PEDIATRICS INCLUDING
NCLEX FINAL EXAM PREP 2025/2026
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS
<RECENT VERSION>
1. A nurse is teaching the parent of a 12-month-old infant about nutrition.
Which of the following statements by the parent indicates a need for further
teaching?
a. I can give my baby 4 oz of juice to drink each day.
b. I will offer my baby dry cereal and chilled banana slices as snacks.
c. I am introducing my baby to the same foods the family eats.
d. My infant drinks at least 2 quarts of skim milk each day. - ANSWER
✔ d. My infant drinks at least 2 quarts of skim milk each day.
Rationale: As the infant transitions into toddlerhood, whole milk intake
should average 24 to 30 oz per day. Too much milk can affect intake of solid
foods and result in iron deficiency anemia. Skim milk is not recommended
until after age 2 since it lacks essential fatty acids which are needed for
growth and development.
2. A nurse is assisting a provider during a femoral venipuncture on a toddler.
The nurse should place the child in which of the following positions?
a. Side-lying
b. Semi-recumbent
c. Flexed sitting
d. Supine - ANSWER ✔ d. Supine
Rationale: The client is placed in the supine position, with the client's legs in
a frog position.
,3. A nurse is assessing a 9-month-old infant during a well-child visit. Which of
the following findings indicates that the infant has a developmental delay?
a. Creeps on hands and knees
b. Inability to vocalize vowel sounds
c. Uses crude pincer grasp
d. Stands by holding onto support - ANSWER ✔ b. Inability to vocalize
vowel sounds
Rationale: The infant should begin vocalizing vowel sounds at the age of 7
months, and by the age of 10 months, be able to say at least one word.
4. A nurse is preparing to administer a liquid medication to an infant. Which of
the following actions should the nurse take?
a. Administer the medication while the infant is supine
b. Give the medication at the side of the patient's mouth
c. Add the medication to a full bottle of the infant's formula
d. Administer the medication slowly while holding the nares closed. -
ANSWER ✔ b. Give the medication at the side of the patient's mouth
Rationale: When administering medications to an infant, a needless oral
syringe or medicine dropper is placed in the side of the mouth (buccal cavity
alongside the tongue) to prevent gagging and aspiration.
5. A nurse on a pediatric unit is reviewing the health record of a client who is
demonstrating increasing levels of stress after admission. The nurse should
identify which of the following findings as a risk factor for a stress-related
reaction to hospitalization?
a. Age 10
b. First hospitalization
c. Male gender
d. calm. quiet demeanor - ANSWER ✔ c. Male gender
Rationale: Male clients are at increased risk fr hospitalization-related stress
compared to female clients.
6. A nurse in the emergency department is caring for a 12-year-old child who
has ingested bleach. Which of the following statements by the nurse
indicated an understanding of this ingestion?
a. The absence of oral burns excludes the possibility of esophageal
burns.
b. Treatment focuses on neutralization of the chemical.
, c. Injury by a corrosive liquid is more extensive than by a corrosive
solid.
d. Immediate administration of activated charcoal is warranted. -
ANSWER ✔ c. Injury by a corrosive liquid is more extensive than by
a corrosive solid.
Rationale: The coating action of liquids permits larger areas of contact with
tissues and results in more extensive injury.
7. A nurse is caring for a child who has bacterial endocarditis. The child is
scheduled to receive moderate term antibiotic therapy and requires a
peripherally inserted central catheter (PICC). Which of the following
statements should the nurse include when teaching the child's parent?
a. The PICC line will last several weeks with proper care.
b. The The public health nurse will rotate the insertion site every 3 days.
c. You will need to make certain the arm board is in place at all times.
d. Your child will go to the operating room to have the line placed. -
ANSWER ✔ a. The PICC line will last several weeks with proper
care.
Rationale: PICC lines are the preferred venous access device for short to
moderate term IV therapy. They can remain in place for long periods with
proper care.
8. A nurse is providing anticipatory guidance about accidental ingestion of a
toxic substance to the parents of a toddler. The nurse should instruct the
parents to take which of the following actions first if the child ingests a
hazardous substance?
a. Give the toddler milk.
b. Go to an emergency department.
c. Call the poison control center.
d. Induce vomiting - ANSWER ✔ c. Call the poison control center.
Rationale: According to evidence-based practice, the nurse should instruct
the parents to first call the poison control center, which will then identify
what further actions the parents should take.
9. A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is
planning to take the child to the playroom. Which of the following activities
would be appropriate for the child?
a. Cutting figures from colored paper
b. Drawing stick figures using crayons
, c. Riding a tricycle
d. Building towers of blocks - ANSWER ✔ d. Building towers of blocks
Rationale: Building towers of blocks is appropriate activity for a 2-year-old
child. It promotes fine-motor development, and knocking blocks down
provides a means of dealing with the stress of hospitalization.
10.A nurse is assessing a 30-month-old toddler during a well-child visit. Which
of the following findings requires further assessment by the nurse?
a. Primary dentition is complete
b. Unable to hop on one foot
c. Birth weight is tripled
d. Able to state first and last name - ANSWER ✔ c. Birth weight is
tripled
Rationale: The birth weight should triple by 12 months of age. By 30 months
of age, the birth weight should be quadrupled.
11.A nurse is providing discharge teaching to the parents of a 6-month-old
infant who is postoperative following hypospadias repair with a stent
placement. Which of the following instructions should the nurse include in
the teaching?
a. You may bathe your infant in an infant bathtub when you go home
b. Apply hydrocortisone cream to your infants penis daily
c. You should clamp your infants stent twice daily.
d. Allows the stent to drain directly into your infants diaper. - ANSWER
✔ d. Allows the stent to drain directly into your infants diaper.
12.A nurse is monitoring the oxygen saturation level of an infant using pulse
oximetry. The nurse should secure the sensor to which of the following areas
on the infant?
a. Wrist
b. Great toe
c. Index finger
d. Heel - ANSWER ✔ b. Great toe
13.A nurse is caring for a school age-child who has primary nephrotic
syndrome and is taking prednisone. Following 1 week of treatment, which of
the following manifestations indicates to the nurse that the medication is
effective?
a. Decreased edema
EVERYTHING ON ATI PEDIATRICS INCLUDING
NCLEX FINAL EXAM PREP 2025/2026
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS
<RECENT VERSION>
1. A nurse is teaching the parent of a 12-month-old infant about nutrition.
Which of the following statements by the parent indicates a need for further
teaching?
a. I can give my baby 4 oz of juice to drink each day.
b. I will offer my baby dry cereal and chilled banana slices as snacks.
c. I am introducing my baby to the same foods the family eats.
d. My infant drinks at least 2 quarts of skim milk each day. - ANSWER
✔ d. My infant drinks at least 2 quarts of skim milk each day.
Rationale: As the infant transitions into toddlerhood, whole milk intake
should average 24 to 30 oz per day. Too much milk can affect intake of solid
foods and result in iron deficiency anemia. Skim milk is not recommended
until after age 2 since it lacks essential fatty acids which are needed for
growth and development.
2. A nurse is assisting a provider during a femoral venipuncture on a toddler.
The nurse should place the child in which of the following positions?
a. Side-lying
b. Semi-recumbent
c. Flexed sitting
d. Supine - ANSWER ✔ d. Supine
Rationale: The client is placed in the supine position, with the client's legs in
a frog position.
,3. A nurse is assessing a 9-month-old infant during a well-child visit. Which of
the following findings indicates that the infant has a developmental delay?
a. Creeps on hands and knees
b. Inability to vocalize vowel sounds
c. Uses crude pincer grasp
d. Stands by holding onto support - ANSWER ✔ b. Inability to vocalize
vowel sounds
Rationale: The infant should begin vocalizing vowel sounds at the age of 7
months, and by the age of 10 months, be able to say at least one word.
4. A nurse is preparing to administer a liquid medication to an infant. Which of
the following actions should the nurse take?
a. Administer the medication while the infant is supine
b. Give the medication at the side of the patient's mouth
c. Add the medication to a full bottle of the infant's formula
d. Administer the medication slowly while holding the nares closed. -
ANSWER ✔ b. Give the medication at the side of the patient's mouth
Rationale: When administering medications to an infant, a needless oral
syringe or medicine dropper is placed in the side of the mouth (buccal cavity
alongside the tongue) to prevent gagging and aspiration.
5. A nurse on a pediatric unit is reviewing the health record of a client who is
demonstrating increasing levels of stress after admission. The nurse should
identify which of the following findings as a risk factor for a stress-related
reaction to hospitalization?
a. Age 10
b. First hospitalization
c. Male gender
d. calm. quiet demeanor - ANSWER ✔ c. Male gender
Rationale: Male clients are at increased risk fr hospitalization-related stress
compared to female clients.
6. A nurse in the emergency department is caring for a 12-year-old child who
has ingested bleach. Which of the following statements by the nurse
indicated an understanding of this ingestion?
a. The absence of oral burns excludes the possibility of esophageal
burns.
b. Treatment focuses on neutralization of the chemical.
, c. Injury by a corrosive liquid is more extensive than by a corrosive
solid.
d. Immediate administration of activated charcoal is warranted. -
ANSWER ✔ c. Injury by a corrosive liquid is more extensive than by
a corrosive solid.
Rationale: The coating action of liquids permits larger areas of contact with
tissues and results in more extensive injury.
7. A nurse is caring for a child who has bacterial endocarditis. The child is
scheduled to receive moderate term antibiotic therapy and requires a
peripherally inserted central catheter (PICC). Which of the following
statements should the nurse include when teaching the child's parent?
a. The PICC line will last several weeks with proper care.
b. The The public health nurse will rotate the insertion site every 3 days.
c. You will need to make certain the arm board is in place at all times.
d. Your child will go to the operating room to have the line placed. -
ANSWER ✔ a. The PICC line will last several weeks with proper
care.
Rationale: PICC lines are the preferred venous access device for short to
moderate term IV therapy. They can remain in place for long periods with
proper care.
8. A nurse is providing anticipatory guidance about accidental ingestion of a
toxic substance to the parents of a toddler. The nurse should instruct the
parents to take which of the following actions first if the child ingests a
hazardous substance?
a. Give the toddler milk.
b. Go to an emergency department.
c. Call the poison control center.
d. Induce vomiting - ANSWER ✔ c. Call the poison control center.
Rationale: According to evidence-based practice, the nurse should instruct
the parents to first call the poison control center, which will then identify
what further actions the parents should take.
9. A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is
planning to take the child to the playroom. Which of the following activities
would be appropriate for the child?
a. Cutting figures from colored paper
b. Drawing stick figures using crayons
, c. Riding a tricycle
d. Building towers of blocks - ANSWER ✔ d. Building towers of blocks
Rationale: Building towers of blocks is appropriate activity for a 2-year-old
child. It promotes fine-motor development, and knocking blocks down
provides a means of dealing with the stress of hospitalization.
10.A nurse is assessing a 30-month-old toddler during a well-child visit. Which
of the following findings requires further assessment by the nurse?
a. Primary dentition is complete
b. Unable to hop on one foot
c. Birth weight is tripled
d. Able to state first and last name - ANSWER ✔ c. Birth weight is
tripled
Rationale: The birth weight should triple by 12 months of age. By 30 months
of age, the birth weight should be quadrupled.
11.A nurse is providing discharge teaching to the parents of a 6-month-old
infant who is postoperative following hypospadias repair with a stent
placement. Which of the following instructions should the nurse include in
the teaching?
a. You may bathe your infant in an infant bathtub when you go home
b. Apply hydrocortisone cream to your infants penis daily
c. You should clamp your infants stent twice daily.
d. Allows the stent to drain directly into your infants diaper. - ANSWER
✔ d. Allows the stent to drain directly into your infants diaper.
12.A nurse is monitoring the oxygen saturation level of an infant using pulse
oximetry. The nurse should secure the sensor to which of the following areas
on the infant?
a. Wrist
b. Great toe
c. Index finger
d. Heel - ANSWER ✔ b. Great toe
13.A nurse is caring for a school age-child who has primary nephrotic
syndrome and is taking prednisone. Following 1 week of treatment, which of
the following manifestations indicates to the nurse that the medication is
effective?
a. Decreased edema
