ATI Pediatrics Proctored Exam 2023
RN Nursing Comprehensive Test Bank 2026/ 2027
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
1. The nurse is preparing to administer an immunization to a four-year-old
child.
Which of the following actions should the nurse plan to take?
A. Place the child in a prone position for the immunization.
B. Request that the child's caregiver leave the room during the immunization.
C. Administer the immunization using a 24-gauge needle.
D. Inject the immunization slowly after aspirating for 3 seconds.
Answer: C. Administer the immunization using a 24-gauge needle. The nurse
should administer an immunization for a 4-year-old child using a 24-gauge needle
to minimize the amount of pain experienced by the toddler.
2. A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify which of the
following laboratory values indicates effectiveness of the current treatment?
A. Potassium 2.9 mEq/L
B. Sodium 140 mEq/L
C. Urine specific gravity 1.035
D. BUN 25 mg/dL
,Answer: B. Sodium 140 mEq/L. The nurse should identify that a sodium level of
140 mEq/L is within the expected reference range and indicates the current
treatment regimen the infant is receiving for dehydration is effective.
3. The nurse is providing teaching about social development to the parents of
a preschooler. Which of the following play activities should the nurse
recommend for the child?
A. Play pat-a-cake
B. Using a push-pull toy
C. Creating a scrapbook
D. Playing dress-up
Answer: D. Playing dress-up. The nurse should instruct the parents that at the
preschool age, play should focus on social, mental, and physical development.
Therefore, playing dress-up is a recommended play activity for this child.
4. A nurse is teaching the parents of a newborn about ways to prevent sudden
infant death syndrome (SIDS). Which of the following instructions should the
nurse include?
A. Place the infant in a prone position to sleep.
B. Allow the infant to sleep on a large pillow.
C. Use a soft mattress in the infant's crib.
D. Give the infant a pacifier at bedtime.
Answer: D. Give the infant a pacifier at bedtime. The nurse should inform the
parent that protective factors against SIDS include breastfeeding and the use of a
pacifier when the infant is sleeping. Additionally, the nurse should instruct the
parent to place the infant in a supine position for sleep.
5. A nurse is assessing an infant who has pneumonia. Which of the following
findings is the priority for the nurse to report to the provider?
,A. Nasal flaring
B. WBC 11,300
C. Diarrhea
D. Abdominal distension
Answer: A. Nasal flaring. When using the airway, breathing, circulation (ABC)
approach to client care, the nurse should place the priority on nasal flaring. Nasal
flaring indicates that the infant is experiencing acute respiratory distress.
6. A school nurse is assessing a school-age child blood pressure while he is
seated in a chair. The child starts to experience a tonic-clonic seizure. Which
of the following actions should the nurse take first?
A. Clear the immediate area around the child of hazardous objects.
B. Loosen the child's restrictive clothing.
C. Assist the child to a side-lying position on the floor.
D. Apply an oxygen mask to the child.
Answer: C. Assist the child to a side-lying position on the floor. The greatest
risk to this child is aspiration, occlusion of the airway, and bodily injury from
falling out of the chair. The nurse should ease the child down to the floor in a side-
lying position immediately. This position enables the child's secretions to drain
from the mouth, preventing aspiration and maintaining a patent airway.
7. A nurse is caring for a child who has nephrotic syndrome. Which of the
following findings should the nurse expect?
A. Generalized edema
B. Hypertension with hematuria
, C. Hyperactive bowel sounds
D. Increased urine output
Answer: A. Generalized edema. Nephrotic syndrome is characterized by massive
protein loss in the urine, leading to hypoalbuminemia and generalized edema,
especially around the eyes and dependent areas.
8. A nurse is assessing a child who has acute epiglottitis. Which of the
following findings should the nurse expect?
A. Barking cough
B. Drooling with difficulty swallowing
C. Wheezing on expiration
D. Thick nasal secretions
Answer: B. Drooling with difficulty swallowing. Acute epiglottitis causes rapid
airway swelling. Drooling, dysphagia, muffled voice, and high fever are classic
findings. The nurse should avoid examining the throat with a tongue blade.
RN Nursing Comprehensive Test Bank 2026/ 2027
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
1. The nurse is preparing to administer an immunization to a four-year-old
child.
Which of the following actions should the nurse plan to take?
A. Place the child in a prone position for the immunization.
B. Request that the child's caregiver leave the room during the immunization.
C. Administer the immunization using a 24-gauge needle.
D. Inject the immunization slowly after aspirating for 3 seconds.
Answer: C. Administer the immunization using a 24-gauge needle. The nurse
should administer an immunization for a 4-year-old child using a 24-gauge needle
to minimize the amount of pain experienced by the toddler.
2. A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify which of the
following laboratory values indicates effectiveness of the current treatment?
A. Potassium 2.9 mEq/L
B. Sodium 140 mEq/L
C. Urine specific gravity 1.035
D. BUN 25 mg/dL
,Answer: B. Sodium 140 mEq/L. The nurse should identify that a sodium level of
140 mEq/L is within the expected reference range and indicates the current
treatment regimen the infant is receiving for dehydration is effective.
3. The nurse is providing teaching about social development to the parents of
a preschooler. Which of the following play activities should the nurse
recommend for the child?
A. Play pat-a-cake
B. Using a push-pull toy
C. Creating a scrapbook
D. Playing dress-up
Answer: D. Playing dress-up. The nurse should instruct the parents that at the
preschool age, play should focus on social, mental, and physical development.
Therefore, playing dress-up is a recommended play activity for this child.
4. A nurse is teaching the parents of a newborn about ways to prevent sudden
infant death syndrome (SIDS). Which of the following instructions should the
nurse include?
A. Place the infant in a prone position to sleep.
B. Allow the infant to sleep on a large pillow.
C. Use a soft mattress in the infant's crib.
D. Give the infant a pacifier at bedtime.
Answer: D. Give the infant a pacifier at bedtime. The nurse should inform the
parent that protective factors against SIDS include breastfeeding and the use of a
pacifier when the infant is sleeping. Additionally, the nurse should instruct the
parent to place the infant in a supine position for sleep.
5. A nurse is assessing an infant who has pneumonia. Which of the following
findings is the priority for the nurse to report to the provider?
,A. Nasal flaring
B. WBC 11,300
C. Diarrhea
D. Abdominal distension
Answer: A. Nasal flaring. When using the airway, breathing, circulation (ABC)
approach to client care, the nurse should place the priority on nasal flaring. Nasal
flaring indicates that the infant is experiencing acute respiratory distress.
6. A school nurse is assessing a school-age child blood pressure while he is
seated in a chair. The child starts to experience a tonic-clonic seizure. Which
of the following actions should the nurse take first?
A. Clear the immediate area around the child of hazardous objects.
B. Loosen the child's restrictive clothing.
C. Assist the child to a side-lying position on the floor.
D. Apply an oxygen mask to the child.
Answer: C. Assist the child to a side-lying position on the floor. The greatest
risk to this child is aspiration, occlusion of the airway, and bodily injury from
falling out of the chair. The nurse should ease the child down to the floor in a side-
lying position immediately. This position enables the child's secretions to drain
from the mouth, preventing aspiration and maintaining a patent airway.
7. A nurse is caring for a child who has nephrotic syndrome. Which of the
following findings should the nurse expect?
A. Generalized edema
B. Hypertension with hematuria
, C. Hyperactive bowel sounds
D. Increased urine output
Answer: A. Generalized edema. Nephrotic syndrome is characterized by massive
protein loss in the urine, leading to hypoalbuminemia and generalized edema,
especially around the eyes and dependent areas.
8. A nurse is assessing a child who has acute epiglottitis. Which of the
following findings should the nurse expect?
A. Barking cough
B. Drooling with difficulty swallowing
C. Wheezing on expiration
D. Thick nasal secretions
Answer: B. Drooling with difficulty swallowing. Acute epiglottitis causes rapid
airway swelling. Drooling, dysphagia, muffled voice, and high fever are classic
findings. The nurse should avoid examining the throat with a tongue blade.
