ATI PEDIATRICS PROCTORED EXAM LEVEL 3 2023 RETAKE 70 –QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains*
*• Growth and Development*
*• Pharmacological and Parenteral Therapies*
*• Reduction of Risk Potential*
*• Physiological Adaptation*
*• Psychosocial Integrity*
*• Health Promotion and Maintenance*
*• Fluid and Electrolyte Management*
*• Safety and Infection Control*
*Introduction*
The purpose of this comprehensive assessment is to evaluate the student’s proficiency in pediatric nursing care,
focusing on the specialized needs of infants, children, and adolescents. This exam assesses high-level clinical
judgment, foundational nursing theory, and the application of evidence-based practice within diverse pediatric
settings. The structure incorporates both standard multiple-choice and scenario-based questions designed to
challenge the learner’s ability to prioritize care, manage acute and chronic conditions, and ensure patient safety.
Emphasis is placed on real-world application, ethical decision-making, and regulatory compliance to ensure
candidates are prepared for professional practice and high-stakes proctored environments.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should
the nurse report to the provider?
,A. The infant is unable to sit steadily without support.
B. The infant has a closed anterior fontanel.
C. The infant’s birth weight has doubled.
D. The infant can roll from back to abdomen.
🟢 Correct answer: B. The infant has a closed anterior fontanel.
🔴 RATIONALE: The anterior fontanel typically closes between 12 and 18 months of age. Early closure
(craniosynostosis) can inhibit brain growth and requires medical evaluation.
2. A nurse is caring for a toddler who has a diagnosis of Wilms' tumor. Which of the following actions is the
nurse's priority?
A. Monitor the child's heart rate every 4 hours.
B. Avoid palpating the child's abdomen.
C. Obtain a clean-catch urine specimen.
D. Measure the child's head circumference daily.
🟢 Correct answer: B. Avoid palpating the child's abdomen.
🔴 RATIONALE: Wilms' tumor is an encapsulated kidney tumor. Palpation of the abdomen can cause the capsule
to rupture, potentially spreading cancerous cells throughout the abdomen.
3. A nurse is teaching the parent of a school-age child who has a new prescription for liquid ferrous sulfate.
Which of the following instructions should the nurse include?
A. Administer the medication with a glass of milk.
B. Give the medication with a straw to prevent teeth staining.
C. Expect the child's stools to be light clay-colored.
D. Stop the medication if the child develops constipation.
🟢 Correct answer: B. Give the medication with a straw to prevent teeth staining.
,🔴 RATIONALE: Liquid iron preparations can stain developing teeth; using a straw and rinsing the mouth after
administration helps minimize this risk.
4. A nurse is providing teaching to the parents of a child with cystic fibrosis regarding chest physiotherapy
(CPT). Which of the following statements by a parent indicates understanding?
A. I will perform CPT immediately after my child eats.
B. I will perform CPT twice a day, regardless of symptoms.
C. I will administer the bronchodilator after finishing CPT.
D. I will skip CPT if my child is tired.
🟢 Correct answer: B. I will perform CPT twice a day, regardless of symptoms.
🔴 RATIONALE: CPT is a maintenance therapy required daily to clear thick secretions and prevent infection,
even when the child appears healthy.
5. A nurse is assessing a child with suspected epiglottitis. Which of the following actions should the nurse
take first?
A. Obtain a throat culture.
B. Prepare the child for a lateral neck X-ray.
C. Use a tongue depressor to visualize the throat.
D. Assess the child's oxygen saturation.
🟢 Correct answer: D. Assess the child's oxygen saturation.
🔴 RATIONALE: Assessment of airway patency and oxygenation is the priority. Throat cultures or tongue
depressors are contraindicated as they can trigger a laryngospasm and complete airway obstruction.
6. A nurse is evaluating a 4-year-old child's fine motor development. Which of the following tasks should the
child be able to perform?
, A. Tie shoelaces.
B. Copy a square.
C. Use a cursive script.
D. Build a tower of two blocks.
🟢 Correct answer: B. Copy a square.
🔴 RATIONALE: By age 4, children typically have the fine motor skills required to copy a square and use
scissors. Tying laces usually occurs around age 5.
7. A nurse is caring for an adolescent following a cardiac catheterization. Which of the following is the priority
nursing intervention?
A. Encourage oral fluid intake.
B. Monitor the temperature of the affected extremity.
C. Maintain the child in a side-lying position.
D. Change the pressure dressing every 2 hours.
🟢 Correct answer: B. Monitor the temperature of the affected extremity.
🔴 RATIONALE: Monitoring the affected extremity for pulses, temperature, and color is vital to detect arterial
obstruction or hematoma formation post-procedure.
8. A nurse is teaching the parents of a child who has pediculosis capitis. Which of the following instructions
should the nurse include?
A. Seal non-washable items in plastic bags for 14 days.
B. Use a lice-killing shampoo and repeat in 30 days.
C. Wash bed linens in cold water.
D. Shave the child's head to remove nits.
🟢 Correct answer: A. Seal non-washable items in plastic bags for 14 days.
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains*
*• Growth and Development*
*• Pharmacological and Parenteral Therapies*
*• Reduction of Risk Potential*
*• Physiological Adaptation*
*• Psychosocial Integrity*
*• Health Promotion and Maintenance*
*• Fluid and Electrolyte Management*
*• Safety and Infection Control*
*Introduction*
The purpose of this comprehensive assessment is to evaluate the student’s proficiency in pediatric nursing care,
focusing on the specialized needs of infants, children, and adolescents. This exam assesses high-level clinical
judgment, foundational nursing theory, and the application of evidence-based practice within diverse pediatric
settings. The structure incorporates both standard multiple-choice and scenario-based questions designed to
challenge the learner’s ability to prioritize care, manage acute and chronic conditions, and ensure patient safety.
Emphasis is placed on real-world application, ethical decision-making, and regulatory compliance to ensure
candidates are prepared for professional practice and high-stakes proctored environments.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should
the nurse report to the provider?
,A. The infant is unable to sit steadily without support.
B. The infant has a closed anterior fontanel.
C. The infant’s birth weight has doubled.
D. The infant can roll from back to abdomen.
🟢 Correct answer: B. The infant has a closed anterior fontanel.
🔴 RATIONALE: The anterior fontanel typically closes between 12 and 18 months of age. Early closure
(craniosynostosis) can inhibit brain growth and requires medical evaluation.
2. A nurse is caring for a toddler who has a diagnosis of Wilms' tumor. Which of the following actions is the
nurse's priority?
A. Monitor the child's heart rate every 4 hours.
B. Avoid palpating the child's abdomen.
C. Obtain a clean-catch urine specimen.
D. Measure the child's head circumference daily.
🟢 Correct answer: B. Avoid palpating the child's abdomen.
🔴 RATIONALE: Wilms' tumor is an encapsulated kidney tumor. Palpation of the abdomen can cause the capsule
to rupture, potentially spreading cancerous cells throughout the abdomen.
3. A nurse is teaching the parent of a school-age child who has a new prescription for liquid ferrous sulfate.
Which of the following instructions should the nurse include?
A. Administer the medication with a glass of milk.
B. Give the medication with a straw to prevent teeth staining.
C. Expect the child's stools to be light clay-colored.
D. Stop the medication if the child develops constipation.
🟢 Correct answer: B. Give the medication with a straw to prevent teeth staining.
,🔴 RATIONALE: Liquid iron preparations can stain developing teeth; using a straw and rinsing the mouth after
administration helps minimize this risk.
4. A nurse is providing teaching to the parents of a child with cystic fibrosis regarding chest physiotherapy
(CPT). Which of the following statements by a parent indicates understanding?
A. I will perform CPT immediately after my child eats.
B. I will perform CPT twice a day, regardless of symptoms.
C. I will administer the bronchodilator after finishing CPT.
D. I will skip CPT if my child is tired.
🟢 Correct answer: B. I will perform CPT twice a day, regardless of symptoms.
🔴 RATIONALE: CPT is a maintenance therapy required daily to clear thick secretions and prevent infection,
even when the child appears healthy.
5. A nurse is assessing a child with suspected epiglottitis. Which of the following actions should the nurse
take first?
A. Obtain a throat culture.
B. Prepare the child for a lateral neck X-ray.
C. Use a tongue depressor to visualize the throat.
D. Assess the child's oxygen saturation.
🟢 Correct answer: D. Assess the child's oxygen saturation.
🔴 RATIONALE: Assessment of airway patency and oxygenation is the priority. Throat cultures or tongue
depressors are contraindicated as they can trigger a laryngospasm and complete airway obstruction.
6. A nurse is evaluating a 4-year-old child's fine motor development. Which of the following tasks should the
child be able to perform?
, A. Tie shoelaces.
B. Copy a square.
C. Use a cursive script.
D. Build a tower of two blocks.
🟢 Correct answer: B. Copy a square.
🔴 RATIONALE: By age 4, children typically have the fine motor skills required to copy a square and use
scissors. Tying laces usually occurs around age 5.
7. A nurse is caring for an adolescent following a cardiac catheterization. Which of the following is the priority
nursing intervention?
A. Encourage oral fluid intake.
B. Monitor the temperature of the affected extremity.
C. Maintain the child in a side-lying position.
D. Change the pressure dressing every 2 hours.
🟢 Correct answer: B. Monitor the temperature of the affected extremity.
🔴 RATIONALE: Monitoring the affected extremity for pulses, temperature, and color is vital to detect arterial
obstruction or hematoma formation post-procedure.
8. A nurse is teaching the parents of a child who has pediculosis capitis. Which of the following instructions
should the nurse include?
A. Seal non-washable items in plastic bags for 14 days.
B. Use a lice-killing shampoo and repeat in 30 days.
C. Wash bed linens in cold water.
D. Shave the child's head to remove nits.
🟢 Correct answer: A. Seal non-washable items in plastic bags for 14 days.
