lOMoAR cPSD| 22461342
ATI PEDIATRIC PROCTORED NEWEST 2026-2027 EXAM TEST
BANK/2023 PEDIATRIC ATI
PROCTORED EXAM QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES (DETAILED ANSWERS) COMPLETE EXAM
|AGRADE
A nurse is teaching a parent of a 12-month-old infant about development during the
toddler years. Which of the following statements should the nurse include?
- Your child should be able to sribble spontaneously using a crayon at 15 months
RATIONALE: The nurse should teach the parent that at the age of 15 months, the toddler should
be able to scribble spontaneously, and at the age of 18 months, the toddler should be able to make
strokesimitatively.
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
- Min physical contact with child initially
RATIONALE: The nurse should initially minimize physical contact with the toddler, and then
progress from theleast traumatic to the most traumatic procedures
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?
- Meningococcal polysaccharide
RATIONALE: The meningococcal polysaccharide immunization is used to prevent infection
by certain groups of meningococcal bacteria. Meningococcal infection can cause life-
threatening illnesses, such asmeningococcal meningitis, which affects the brain, and
meningococcemia, which affects the blood. Both of these conditions can be fatal. College
freshmen, particularly those who live in
, lOMoAR cPSD| 22461342
dormitories, are at an increased risk for meningococcal disease relative to other persons their age.
Therefore, the Centers for Disease Control and Prevention has issued a recommendation that all
incoming college students receive the meningococcal immunization.
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?
- Cow's milk
RATIONALE: According to evidence-based practice, the nurse should instruct the parent that
cow’s milk is the most common food allergy in children. Some children are sensitive to the
protein, called casein, found in cow’s milk. They have difficulty metabolizing the casein and
are, therefore, allergic tocow’s milk.
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?
- I lock my medications in the medicine cabinet."
RATIONALE: Locking up medications and other potential poisons prevents access.
Toddlers have improvedgross and fine motor skills that allow for further exploration of the
environment and possible access to hazardous substances.
A nurse is performing a physical assessment on a 6-month-old infant. Which of the
following highlight reflexes should the nurse expect to find?
- Babinski
RATIONALE: The Babinski reflex, which is elicited by stroking the bottom of the foot and
causing the toes to fan and the big toe to dorsiflex, should be present until the age of 1 year.
Persistence of neonatalreflexes might indicate neurological deficits.
A nurse is preparing to administer recommended highlight immunizations to a 2-month-old
infant. Which of the following immunizations should the nurse plan to administer?
- Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
RATIONALE: The recommended immunizations for a 2-month-old infant include Hib and IPV.
The Hib immunization series consists of 3 to 4 doses, depending on the immunization used, and
at a minimum is administered at the ages of 2 months, 4 months, and 12 to 15 months. The
IPV immunization series consists of 4 doses and is administered at the ages of 2 months, 4
months,6 to 18 months, and 4 to 6 years.
A nurse is developing a plan of care for a school-age child who underwent a surgical
procedure that resulted in a temporary loss of vision. Which of the following interventions
should the nurse include in the plan of care?
- Explain the sound the child is hearing
, lOMoAR cPSD| 22461342
RATIONALE: The noises in a facility can be frightening to a child who is experiencing a
sensory loss. It isimportant to explain these noises to allay the child’s fears.
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?
- FACES scale
RATIONALE: Pain is a subjective experience even for a 3-year-old child. The FACES scale can
be used toaccurately determine the presence of pain in children as young as 3 years of age.
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?
- Legs remained crossed and extended when supine
RATIONALE: Legs crossed and extended when supine is an unexpected finding and requires
further assessment. At 6 months of age, the legs flex at the knees when the infant is supine.
Crossed andextended legs when supine is a finding associated with cerebral palsy
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 significance. The nurse should inform the
mother that peek-a-boo helps develop which of the following concepts in the child?
- Object permanence
RATIONALE: Object permance refers to the cognitive skill of knowing an object still exists
even when it is outof sight. In discovering a hidden object while playing peek-a-boo, the infant
experiences validation of this concept.
A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of
the following actions should the nurse take?
- Wear a mask when assisting the toddler with meals.
RATIONALE: The nurse should wear a mask when within 3 to 6 feet of the toddler to prevent
the transmissionof infections that are spread via large droplet particles expelled in the air.
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?
- Head lags when pulled from a lying to a sitting position
RATIONALE: At the age of 5 months, the infant should have no head lag when pulled to a
sitting position;therefore, the nurse should report this finding to the provider.
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?
- Wash and dry the infant's genitalia and perineum thoroughly.
, lOMoAR cPSD| 22461342
RATIONALE: This is the method used to obtain a routine urine specimen of any sort in a child
who is not toilettrained. The skin should be washed and dried to promote application of the
adhesive of the collection device.
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 parent about the correlation of nutrition with lead
poisoning, which of the following information is appropriate for the nurse to include in the
teaching?
- Ensure the child's dietary intake of calcium and iron is adequate.
RATIONALE: A child who has an elevated blood lead level should have an adequate intake of
calcium and iron to reduce the absorption and effects of the lead. Dietary recommendations
should include milk asa good source of calcium.
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.)
- Observing the parents’ actions when feeding the child is correct. Inappropriate
feeding techniques and meal patterns provided by parents can contribute to a child’s
growth failure.
- Maintaining a detailed record of food and fluid intake is correct. A nutritional goal
for the child who has suspected FTT is to correct nutritional deficiencies, which can be
identified by recording all food and fluid intake.
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?
- The child complains daily about going to school.
RATIONALE: Complaining every day about going to school is an unexpected finding for a 7-
year-old child. The child is in Erikson’s psychosocial development stage of industry vs.
inferiority. Children inthis stage want to learn and master new concepts. If the child complains
daily about going to school, it warrants further evaluation.
A nurse is providing education to the parent of a toddler who is about to receive an MMR
(measles, mumps and rubella) immunization. Which of the following statements by the
parent indicates an understanding of the teaching?
- I will help my child to blow bubble during injection
RATIONALE: Providing distraction, such as helping or allowing a child to blow bubbles while
receiving aninjection, is a technique that can minimize pain and discomfort for the child.
A nurse is providing teaching to the parents of a 4-year-old child about fine motor
development. Which of the following tasks should the nurse include in the teaching as an
expected finding for this age group?
ATI PEDIATRIC PROCTORED NEWEST 2026-2027 EXAM TEST
BANK/2023 PEDIATRIC ATI
PROCTORED EXAM QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES (DETAILED ANSWERS) COMPLETE EXAM
|AGRADE
A nurse is teaching a parent of a 12-month-old infant about development during the
toddler years. Which of the following statements should the nurse include?
- Your child should be able to sribble spontaneously using a crayon at 15 months
RATIONALE: The nurse should teach the parent that at the age of 15 months, the toddler should
be able to scribble spontaneously, and at the age of 18 months, the toddler should be able to make
strokesimitatively.
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
- Min physical contact with child initially
RATIONALE: The nurse should initially minimize physical contact with the toddler, and then
progress from theleast traumatic to the most traumatic procedures
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?
- Meningococcal polysaccharide
RATIONALE: The meningococcal polysaccharide immunization is used to prevent infection
by certain groups of meningococcal bacteria. Meningococcal infection can cause life-
threatening illnesses, such asmeningococcal meningitis, which affects the brain, and
meningococcemia, which affects the blood. Both of these conditions can be fatal. College
freshmen, particularly those who live in
, lOMoAR cPSD| 22461342
dormitories, are at an increased risk for meningococcal disease relative to other persons their age.
Therefore, the Centers for Disease Control and Prevention has issued a recommendation that all
incoming college students receive the meningococcal immunization.
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?
- Cow's milk
RATIONALE: According to evidence-based practice, the nurse should instruct the parent that
cow’s milk is the most common food allergy in children. Some children are sensitive to the
protein, called casein, found in cow’s milk. They have difficulty metabolizing the casein and
are, therefore, allergic tocow’s milk.
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?
- I lock my medications in the medicine cabinet."
RATIONALE: Locking up medications and other potential poisons prevents access.
Toddlers have improvedgross and fine motor skills that allow for further exploration of the
environment and possible access to hazardous substances.
A nurse is performing a physical assessment on a 6-month-old infant. Which of the
following highlight reflexes should the nurse expect to find?
- Babinski
RATIONALE: The Babinski reflex, which is elicited by stroking the bottom of the foot and
causing the toes to fan and the big toe to dorsiflex, should be present until the age of 1 year.
Persistence of neonatalreflexes might indicate neurological deficits.
A nurse is preparing to administer recommended highlight immunizations to a 2-month-old
infant. Which of the following immunizations should the nurse plan to administer?
- Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
RATIONALE: The recommended immunizations for a 2-month-old infant include Hib and IPV.
The Hib immunization series consists of 3 to 4 doses, depending on the immunization used, and
at a minimum is administered at the ages of 2 months, 4 months, and 12 to 15 months. The
IPV immunization series consists of 4 doses and is administered at the ages of 2 months, 4
months,6 to 18 months, and 4 to 6 years.
A nurse is developing a plan of care for a school-age child who underwent a surgical
procedure that resulted in a temporary loss of vision. Which of the following interventions
should the nurse include in the plan of care?
- Explain the sound the child is hearing
, lOMoAR cPSD| 22461342
RATIONALE: The noises in a facility can be frightening to a child who is experiencing a
sensory loss. It isimportant to explain these noises to allay the child’s fears.
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?
- FACES scale
RATIONALE: Pain is a subjective experience even for a 3-year-old child. The FACES scale can
be used toaccurately determine the presence of pain in children as young as 3 years of age.
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?
- Legs remained crossed and extended when supine
RATIONALE: Legs crossed and extended when supine is an unexpected finding and requires
further assessment. At 6 months of age, the legs flex at the knees when the infant is supine.
Crossed andextended legs when supine is a finding associated with cerebral palsy
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 significance. The nurse should inform the
mother that peek-a-boo helps develop which of the following concepts in the child?
- Object permanence
RATIONALE: Object permance refers to the cognitive skill of knowing an object still exists
even when it is outof sight. In discovering a hidden object while playing peek-a-boo, the infant
experiences validation of this concept.
A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of
the following actions should the nurse take?
- Wear a mask when assisting the toddler with meals.
RATIONALE: The nurse should wear a mask when within 3 to 6 feet of the toddler to prevent
the transmissionof infections that are spread via large droplet particles expelled in the air.
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?
- Head lags when pulled from a lying to a sitting position
RATIONALE: At the age of 5 months, the infant should have no head lag when pulled to a
sitting position;therefore, the nurse should report this finding to the provider.
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?
- Wash and dry the infant's genitalia and perineum thoroughly.
, lOMoAR cPSD| 22461342
RATIONALE: This is the method used to obtain a routine urine specimen of any sort in a child
who is not toilettrained. The skin should be washed and dried to promote application of the
adhesive of the collection device.
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 parent about the correlation of nutrition with lead
poisoning, which of the following information is appropriate for the nurse to include in the
teaching?
- Ensure the child's dietary intake of calcium and iron is adequate.
RATIONALE: A child who has an elevated blood lead level should have an adequate intake of
calcium and iron to reduce the absorption and effects of the lead. Dietary recommendations
should include milk asa good source of calcium.
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.)
- Observing the parents’ actions when feeding the child is correct. Inappropriate
feeding techniques and meal patterns provided by parents can contribute to a child’s
growth failure.
- Maintaining a detailed record of food and fluid intake is correct. A nutritional goal
for the child who has suspected FTT is to correct nutritional deficiencies, which can be
identified by recording all food and fluid intake.
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?
- The child complains daily about going to school.
RATIONALE: Complaining every day about going to school is an unexpected finding for a 7-
year-old child. The child is in Erikson’s psychosocial development stage of industry vs.
inferiority. Children inthis stage want to learn and master new concepts. If the child complains
daily about going to school, it warrants further evaluation.
A nurse is providing education to the parent of a toddler who is about to receive an MMR
(measles, mumps and rubella) immunization. Which of the following statements by the
parent indicates an understanding of the teaching?
- I will help my child to blow bubble during injection
RATIONALE: Providing distraction, such as helping or allowing a child to blow bubbles while
receiving aninjection, is a technique that can minimize pain and discomfort for the child.
A nurse is providing teaching to the parents of a 4-year-old child about fine motor
development. Which of the following tasks should the nurse include in the teaching as an
expected finding for this age group?
