ATI PEDIATRIC PEDS COMPREHENSIVE
TEST PAPER 2026 FULL SYLLABUS
COVERAGE SIX VERSIONS QUESTIONS AND
VERIFIED ANSWERS GRADED A+
⩥Chemotherapy. Answer: - Low WBC count places the child at risk for
infection and isolation with monitoring of fever is priority.
⩥↓RBC. Answer: - Quiet play and best rest, administer O2
⩥↓ Platelet. Answer: - Protect child from injury and monitor for
bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓
hemorrhage
⩥Dehydration. Answer: - Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most
sensitive indicator of hydration status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid
balance changes (I/O) and insensible fluid loss (skin and respiratory)
⩥Koplik spots. Answer: - Maculopapular rash and fever; Rubeola
,- Koplik spots: oral lesions that are characteristics of rubeola (measles).
The small, irregular spots with a blue/white center are seen on the
Buccal mucosa, which is opposite the molars, in the prodromal stage of
measles.
- Koplik spots appear about 2 days before maculopapular rash appears
and are accompanied manifestations of fever, malaise, conjunctivitis,
and other cold manifestations.
- They begin to fade the second day after the rash appears. Immunity to
measles is conferred by the MMR (Measles-Mumps-Rubella)
immunization that children receive @ 15 months.
⩥Rubeola. Answer: Measles; Maculopapular starts on the face and
spreads downward. It desquamates after about 3-4 days. The rash does
not progress to vesicles and crusts like the papules of chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it
spreads to the lower areas of the body.
⩥Varicella. Answer: Chicken Pox; Vesicles and crusts are present
- Commences with a maculopapular rash that progressess to vesicles on
erythematous bases which eventually rupture and crust over.
⩥Kawasaki Syndrome (Scarlet Fever). Answer: - Strawberry tongue;
sloughed off its normal coating, exposing swollen prominent papillae.
⩥Pertussis (whooping Cough). Answer: Paroxysmal Cough
,⩥A1C. Answer: AKA glycosylated hemoglobin assay; is the most
sensitive indication of client compliance with the treatment regimen. The
life span of RBC is about 120 days, and glucose molecules adhere to
about 4-6% of hemoglobin. Because of the longevity of the RBC's recent
changes in diet, activity or medication will not affect the results of this
test.
⩥Skeletal Traction. Answer: The most effective means of traction,
applying to a bone with wire pins or tongs
⩥Compartment Syndrome. Answer: Involves the compression of nerves
and blood vessels due to swelling within the enclosed space created by
the fascia that separates groups of muscles
⩥Ventricular Septal Defect. Answer: - Murmur best heard at the lower
left sternal border; Ventricular septal wall defect between ventricles is an
Acyanotic heart defect.
- Sound is transmitted in the direction of blood flow, so any back flow of
blood from the left to the right ventricle through the septal defect would
be best heard in this area.
⩥Acute Glomerulonephritis. Answer: - ASO titer will indicate if the
child has had a recent strep infection. In determining a definitive
diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
, - Monitor B.P. Q4hr due to ↑HTN
⩥HIV
Preschooler. Answer: - Immunizations contraindicated for this patient is
the oral polio
- the child is susceptible to infection and must be immunized to the
common preventable childhood diseases.
- However, the oral polio vaccine contains a form of the virus that in
SOME clients can lead to an actual case of polio, this risk is increased
with HIV and must receive the injectable form of the polio
immunization.
⩥Myelomeningocele. Answer: - Hydrocephalus; is a post-operative risk
because the pathway for the cerebral spinal fluid has been altered.
- Infants --> Measure the head circumference Qshift.
- children with NTDs usually produce too much cerebral spinal fluid and
once the sac is removed, there is nowhere for this additional CSF to
accumulate except in the ventricles of the brain.
⩥Epiglottitis. Answer: D/O caused by inflammation and it has been
decreased since the inclusion of the HiB vaccine; it is common in
children between 2-6.
⩥Cardiac Catheterization. Answer: - Any bleeding from the entry site of
the cardiac cath. could indicate potential hemorrhage.
TEST PAPER 2026 FULL SYLLABUS
COVERAGE SIX VERSIONS QUESTIONS AND
VERIFIED ANSWERS GRADED A+
⩥Chemotherapy. Answer: - Low WBC count places the child at risk for
infection and isolation with monitoring of fever is priority.
⩥↓RBC. Answer: - Quiet play and best rest, administer O2
⩥↓ Platelet. Answer: - Protect child from injury and monitor for
bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓
hemorrhage
⩥Dehydration. Answer: - Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most
sensitive indicator of hydration status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid
balance changes (I/O) and insensible fluid loss (skin and respiratory)
⩥Koplik spots. Answer: - Maculopapular rash and fever; Rubeola
,- Koplik spots: oral lesions that are characteristics of rubeola (measles).
The small, irregular spots with a blue/white center are seen on the
Buccal mucosa, which is opposite the molars, in the prodromal stage of
measles.
- Koplik spots appear about 2 days before maculopapular rash appears
and are accompanied manifestations of fever, malaise, conjunctivitis,
and other cold manifestations.
- They begin to fade the second day after the rash appears. Immunity to
measles is conferred by the MMR (Measles-Mumps-Rubella)
immunization that children receive @ 15 months.
⩥Rubeola. Answer: Measles; Maculopapular starts on the face and
spreads downward. It desquamates after about 3-4 days. The rash does
not progress to vesicles and crusts like the papules of chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it
spreads to the lower areas of the body.
⩥Varicella. Answer: Chicken Pox; Vesicles and crusts are present
- Commences with a maculopapular rash that progressess to vesicles on
erythematous bases which eventually rupture and crust over.
⩥Kawasaki Syndrome (Scarlet Fever). Answer: - Strawberry tongue;
sloughed off its normal coating, exposing swollen prominent papillae.
⩥Pertussis (whooping Cough). Answer: Paroxysmal Cough
,⩥A1C. Answer: AKA glycosylated hemoglobin assay; is the most
sensitive indication of client compliance with the treatment regimen. The
life span of RBC is about 120 days, and glucose molecules adhere to
about 4-6% of hemoglobin. Because of the longevity of the RBC's recent
changes in diet, activity or medication will not affect the results of this
test.
⩥Skeletal Traction. Answer: The most effective means of traction,
applying to a bone with wire pins or tongs
⩥Compartment Syndrome. Answer: Involves the compression of nerves
and blood vessels due to swelling within the enclosed space created by
the fascia that separates groups of muscles
⩥Ventricular Septal Defect. Answer: - Murmur best heard at the lower
left sternal border; Ventricular septal wall defect between ventricles is an
Acyanotic heart defect.
- Sound is transmitted in the direction of blood flow, so any back flow of
blood from the left to the right ventricle through the septal defect would
be best heard in this area.
⩥Acute Glomerulonephritis. Answer: - ASO titer will indicate if the
child has had a recent strep infection. In determining a definitive
diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
, - Monitor B.P. Q4hr due to ↑HTN
⩥HIV
Preschooler. Answer: - Immunizations contraindicated for this patient is
the oral polio
- the child is susceptible to infection and must be immunized to the
common preventable childhood diseases.
- However, the oral polio vaccine contains a form of the virus that in
SOME clients can lead to an actual case of polio, this risk is increased
with HIV and must receive the injectable form of the polio
immunization.
⩥Myelomeningocele. Answer: - Hydrocephalus; is a post-operative risk
because the pathway for the cerebral spinal fluid has been altered.
- Infants --> Measure the head circumference Qshift.
- children with NTDs usually produce too much cerebral spinal fluid and
once the sac is removed, there is nowhere for this additional CSF to
accumulate except in the ventricles of the brain.
⩥Epiglottitis. Answer: D/O caused by inflammation and it has been
decreased since the inclusion of the HiB vaccine; it is common in
children between 2-6.
⩥Cardiac Catheterization. Answer: - Any bleeding from the entry site of
the cardiac cath. could indicate potential hemorrhage.
