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ATI RN PEDIATRIC (2 LATEST VERSIONS) NEWEST ACTUAL
2026/2027 EXAM COMPLETE 140 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+ ||NEW!!!
Rationale: Once the client establishes a personal best, she
should routinely check the PEFM by performing three attempts
and recording the highest reading of the three.
A nurse in an emergency department is caring for a toddler who
is in acute respiratory distress. Which of the following findings
should alert the nurse to the possibility of epiglottitis?
A. Lethargy
B. Spontaneous coughing
C. Drooling
D. Hoarseness - ANSWER-C. Drooling
Rationale: Epiglottitis is a disorder caused by an inflammation of
the epiglottis. It results in rapid swelling of the epiglottis, which
can obstruct breathing. Drooling is common finding due to the
toddler's inability to swallow saliva.
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A nurse is assessing a 2-month-old infant who has a ventricular
septal defect. Which of the following findings should the nurse
report to the provider?
A. Weight gain of 1.8 kg (4 lb)
B. Heart rate 125/min
C. Soft, flat fontanel
D. Systemic murmur - ANSWER-A. Weight gain of 1.8 kg (4 lb)
Rationale: A 4 lb weight gain indicates increased fluid and
worsening of the child's heart failure; therefore, the nurse
should report this finding to the provider.
A nurse is providing discharge teaching to the parent of a
school-age child who has leukemia and is receiving
chemotherapy. Which of the following statements by the parent
indicates an understanding of the teaching?
A. "I will take my child's rectal temperature daily."
B. "I will make sure my child gets his MMR vaccine this week."
C. "I will inspect my child's mouth every day for sores."
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D. "I will allow my child to ride his bicycle tomorrow." -
ANSWER-C. "I will inspect my child's mouth every day for
sores."
Rationale: A child who has leukemia is at an increased risk for
mucositis; therefore, the parent should inspect the child's
mouth daily for lesions or ulcerations.
A nurse is assessing pain in a 3-year-old child following a
tonsillectomy.
Which of the following rating scales should the nurse use to
determine the child's pain level?
A. Word-Graphic Rating Scale
B. Color Tool
C. Poker Chip Tool
D. FACES Rating Scale - ANSWER-D. FACES Rating Scale
A clinic nurse is providing teaching to the parent of a 1-month-
old infant who has gastroesophageal reflux. Which of the
following statements by the parent indicates an understanding
of the teaching?
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A. " I will give the lansoprazole 30 min after my baby's
feedings."
B. "I will lay my baby on her side after feedings."
C. "I will give my baby a bottle just before bedtime."
D. "I will add rice cereal to my baby's feedings." - ANSWER-D. "I
will add rice cereal to my baby's feedings."
Rationale: The mother should add 1 tsp to 1 tbsp of rice cereal
per ounce of formula or expressed breast milk to thicken the
feedings because this will decrease the number of vomiting
episodes.
A nurse is teaching a school-age child and his parents how to
self-administer insulin. Which of the following actions should
the nurse take first?
A. Allow a parent to administer an injection to the nurse.
B. Have the child teach the injection technique to the parents.
C. Have a parent administer the insulin injection to the child.
D. Demonstrate the injection technique on an orange. -
ANSWER-D. Demonstrate the injection technique on an orange.
ATI RN PEDIATRIC (2 LATEST VERSIONS) NEWEST ACTUAL
2026/2027 EXAM COMPLETE 140 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+ ||NEW!!!
Rationale: Once the client establishes a personal best, she
should routinely check the PEFM by performing three attempts
and recording the highest reading of the three.
A nurse in an emergency department is caring for a toddler who
is in acute respiratory distress. Which of the following findings
should alert the nurse to the possibility of epiglottitis?
A. Lethargy
B. Spontaneous coughing
C. Drooling
D. Hoarseness - ANSWER-C. Drooling
Rationale: Epiglottitis is a disorder caused by an inflammation of
the epiglottis. It results in rapid swelling of the epiglottis, which
can obstruct breathing. Drooling is common finding due to the
toddler's inability to swallow saliva.
,2|Page
A nurse is assessing a 2-month-old infant who has a ventricular
septal defect. Which of the following findings should the nurse
report to the provider?
A. Weight gain of 1.8 kg (4 lb)
B. Heart rate 125/min
C. Soft, flat fontanel
D. Systemic murmur - ANSWER-A. Weight gain of 1.8 kg (4 lb)
Rationale: A 4 lb weight gain indicates increased fluid and
worsening of the child's heart failure; therefore, the nurse
should report this finding to the provider.
A nurse is providing discharge teaching to the parent of a
school-age child who has leukemia and is receiving
chemotherapy. Which of the following statements by the parent
indicates an understanding of the teaching?
A. "I will take my child's rectal temperature daily."
B. "I will make sure my child gets his MMR vaccine this week."
C. "I will inspect my child's mouth every day for sores."
,3|Page
D. "I will allow my child to ride his bicycle tomorrow." -
ANSWER-C. "I will inspect my child's mouth every day for
sores."
Rationale: A child who has leukemia is at an increased risk for
mucositis; therefore, the parent should inspect the child's
mouth daily for lesions or ulcerations.
A nurse is assessing pain in a 3-year-old child following a
tonsillectomy.
Which of the following rating scales should the nurse use to
determine the child's pain level?
A. Word-Graphic Rating Scale
B. Color Tool
C. Poker Chip Tool
D. FACES Rating Scale - ANSWER-D. FACES Rating Scale
A clinic nurse is providing teaching to the parent of a 1-month-
old infant who has gastroesophageal reflux. Which of the
following statements by the parent indicates an understanding
of the teaching?
, 4|Page
A. " I will give the lansoprazole 30 min after my baby's
feedings."
B. "I will lay my baby on her side after feedings."
C. "I will give my baby a bottle just before bedtime."
D. "I will add rice cereal to my baby's feedings." - ANSWER-D. "I
will add rice cereal to my baby's feedings."
Rationale: The mother should add 1 tsp to 1 tbsp of rice cereal
per ounce of formula or expressed breast milk to thicken the
feedings because this will decrease the number of vomiting
episodes.
A nurse is teaching a school-age child and his parents how to
self-administer insulin. Which of the following actions should
the nurse take first?
A. Allow a parent to administer an injection to the nurse.
B. Have the child teach the injection technique to the parents.
C. Have a parent administer the insulin injection to the child.
D. Demonstrate the injection technique on an orange. -
ANSWER-D. Demonstrate the injection technique on an orange.
