ATI Pediatrics Proctored Exam Questions
and Verified Answers
Question 1
A nurse is assessing a 12-month-old male infant's vital signs during a well-child visit.
The infant is in the 90th percentile of height. Which of the following findings should
the nurse report to the provider?
a. Heart rate 175/min
b. Respiratory rate 26/min
c. Blood pressure 88/40 mm Hg)
d. Temperature 37.6° C (99.7° F
Correct Answer
Heart rate 175/min
Question 2
A school nurse is assessing a child who has been stung by a bee. the childes hand is
swelling and the nurse notes that the child is allergic to insect stings. which of the
following findings should the nurse expect if the child develops anaphylaxis
-Bradycardia
-Nausea
-Hypertension
-Urticaria
-Stridor
Correct Answer
Nausea, Urticaria, and stridor
(A common gastrointestinal response to excessive histamine release is nausea. A
common skin manifestation of excessive histamine release is hives, also known as
urticaria. A serious, life threatening response to excessive histamine release is airway
narrowing, which presents as dyspnea and stridor)
Page 1 of 107
,Question 3
coarctation of the aorta
Correct Answer
-weak femoral pulses
-elevated BP
Question 4
A nurse is collecting date from a school-age Child. The nurse should identity that
which of F the following findings is a manifestation of physical abuse?
a Multiple dental caries
Malnutrition
Recurrent urinary tract infections
Bruises at various stages of healing
Correct Answer
Bruises at various stages of healing
Question 5
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?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster
Correct Answer
b. Meningococcal polysaccharide
Question 6
desmopressin
Correct Answer
used to treat hyposecretion of ADH
Page 2 of 107
,Question 7
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of
the following manifestations should alert the nurse to a possible hemolytic
transfusion reaction?
Correct Answer
- Flank pain
Question 8
A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathic arthritis. Which if the following instructions should the nurse include in the
teaching?
a. "Limit movement of the child's large joints."
b. "Encourage the child to perform independent self-care."
c. "Provide the child with a soft mattress for sleeping."
d. "Schedule a 2-hour daily nap for the child in the afternoon."
Correct Answer
b. "Encourage the child to perform independent self-care."
Question 9
5. A nurse is collecting physical data from a 4-year-old child who has diarrhea
and has been vomiting for 24 hr. which of the following sites should the nurse
grasp to determine the child’s skin turgor?
a) The child's sacral area.
b) The top of the child's hand.
c) The child's sternal area.
d) The child's abdomen.
Correct Answer
d) The child's abdomen. (The nurse should expect the child who has diarrhea and
has been vomiting to exhibit manifestations of dehydration, such as a decrease in
skin turgor. To check skin turgor, the nurse should grasp the skin on the child's
abdomen, pull it taut, and release it quickly. The child who is dehydrated will have a
prolonged period of tenting.)
Page 3 of 107
, Question 10
A nurse is providing teaching to the parent of a preschooler about ways to prevent
acute asthma attacks. Which fo the following statements by the parent should the
nurse identify as understanding the teaching?
Correct Answer
- "I should keep my child indoors when I mow the yard."
Question 11
A nurse is planning care for an adolescent who has sickle cell anemia and is
experiencing a vaso occlusive crisis. which of the following interventions should the
nurse include in the plan?
-Apply cold compresses to the child's extremities
-Administer meperidine every 4 hr until the crisis has resolved
-Maintain the child on bed rest
-Decrease the child's fluid intake for 8 hours
Correct Answer
Maintain the child on bed rest
(The nurse should maintain bed rest for this child who is experiencing a vaso
occlusive crisis to minimize energy expenditure and avoid additional oxygen needs
Question 12
A nurse is creating a plan of care for a newly admitted adolescent who has bacterial
meningitis. How long should the nurse plan to maintain the adolescent in droplet
precautions?
a. Until the adolescent is afebrile
b. For 7 days following admission to the facility
c. Until the adolescent has a negative blood culture
d. For 24 hr following initiation of antimicrobial therapy
Correct Answer
d. For 24 hr following initiation of antimicrobial therapy
Page 4 of 107
and Verified Answers
Question 1
A nurse is assessing a 12-month-old male infant's vital signs during a well-child visit.
The infant is in the 90th percentile of height. Which of the following findings should
the nurse report to the provider?
a. Heart rate 175/min
b. Respiratory rate 26/min
c. Blood pressure 88/40 mm Hg)
d. Temperature 37.6° C (99.7° F
Correct Answer
Heart rate 175/min
Question 2
A school nurse is assessing a child who has been stung by a bee. the childes hand is
swelling and the nurse notes that the child is allergic to insect stings. which of the
following findings should the nurse expect if the child develops anaphylaxis
-Bradycardia
-Nausea
-Hypertension
-Urticaria
-Stridor
Correct Answer
Nausea, Urticaria, and stridor
(A common gastrointestinal response to excessive histamine release is nausea. A
common skin manifestation of excessive histamine release is hives, also known as
urticaria. A serious, life threatening response to excessive histamine release is airway
narrowing, which presents as dyspnea and stridor)
Page 1 of 107
,Question 3
coarctation of the aorta
Correct Answer
-weak femoral pulses
-elevated BP
Question 4
A nurse is collecting date from a school-age Child. The nurse should identity that
which of F the following findings is a manifestation of physical abuse?
a Multiple dental caries
Malnutrition
Recurrent urinary tract infections
Bruises at various stages of healing
Correct Answer
Bruises at various stages of healing
Question 5
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?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster
Correct Answer
b. Meningococcal polysaccharide
Question 6
desmopressin
Correct Answer
used to treat hyposecretion of ADH
Page 2 of 107
,Question 7
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of
the following manifestations should alert the nurse to a possible hemolytic
transfusion reaction?
Correct Answer
- Flank pain
Question 8
A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathic arthritis. Which if the following instructions should the nurse include in the
teaching?
a. "Limit movement of the child's large joints."
b. "Encourage the child to perform independent self-care."
c. "Provide the child with a soft mattress for sleeping."
d. "Schedule a 2-hour daily nap for the child in the afternoon."
Correct Answer
b. "Encourage the child to perform independent self-care."
Question 9
5. A nurse is collecting physical data from a 4-year-old child who has diarrhea
and has been vomiting for 24 hr. which of the following sites should the nurse
grasp to determine the child’s skin turgor?
a) The child's sacral area.
b) The top of the child's hand.
c) The child's sternal area.
d) The child's abdomen.
Correct Answer
d) The child's abdomen. (The nurse should expect the child who has diarrhea and
has been vomiting to exhibit manifestations of dehydration, such as a decrease in
skin turgor. To check skin turgor, the nurse should grasp the skin on the child's
abdomen, pull it taut, and release it quickly. The child who is dehydrated will have a
prolonged period of tenting.)
Page 3 of 107
, Question 10
A nurse is providing teaching to the parent of a preschooler about ways to prevent
acute asthma attacks. Which fo the following statements by the parent should the
nurse identify as understanding the teaching?
Correct Answer
- "I should keep my child indoors when I mow the yard."
Question 11
A nurse is planning care for an adolescent who has sickle cell anemia and is
experiencing a vaso occlusive crisis. which of the following interventions should the
nurse include in the plan?
-Apply cold compresses to the child's extremities
-Administer meperidine every 4 hr until the crisis has resolved
-Maintain the child on bed rest
-Decrease the child's fluid intake for 8 hours
Correct Answer
Maintain the child on bed rest
(The nurse should maintain bed rest for this child who is experiencing a vaso
occlusive crisis to minimize energy expenditure and avoid additional oxygen needs
Question 12
A nurse is creating a plan of care for a newly admitted adolescent who has bacterial
meningitis. How long should the nurse plan to maintain the adolescent in droplet
precautions?
a. Until the adolescent is afebrile
b. For 7 days following admission to the facility
c. Until the adolescent has a negative blood culture
d. For 24 hr following initiation of antimicrobial therapy
Correct Answer
d. For 24 hr following initiation of antimicrobial therapy
Page 4 of 107
