ATI Pediatric Nursing Practice
Exam | 100 Most Tested Questions
Collection & Verified Detailed Answers
| Tutor Verified Success Exam) Graded
A+
1. A nurse is assessing a newborn 2 hours after birth. Which finding
requires immediate intervention?
A. Acrocyanosis
B. Heart rate 140/min
C. Respiratory rate 70/min with nasal flaring
D. Temperature 36.8°C (98.2°F)
Answer: C. Respiratory rate 70/min with nasal flaring
Rationale: Persistent tachypnea with nasal flaring indicates
respiratory distress and requires immediate evaluation.
2. Which immunization is administered at birth?
A. DTaP
B. MMR
C. Hepatitis B
D. Varicella
Answer: C. Hepatitis B
Rationale: The first dose of the hepatitis B vaccine is recommended
within 24 hours of birth.
,3. Which toy is most appropriate for a hospitalized 6-month-old
infant?
A. Coloring book
B. Soft rattle
C. Puzzle
D. Board game
Answer: B. Soft rattle
Rationale: Infants enjoy sensory stimulation and grasping toys such
as soft rattles.
4. A toddler is hospitalized. Which behavior is expected during
separation anxiety?
A. Indifference immediately
B. Crying and resisting caregivers
C. Desire to be alone
D. Increased appetite
Answer: B. Crying and resisting caregivers
Rationale: Toddlers experience the protest phase of separation
anxiety by crying and rejecting unfamiliar caregivers.
5. Which developmental milestone is expected for a 12-month-old?
A. Rides a bicycle
B. Walks independently
C. Writes name
D. Ties shoes
Answer: B. Walks independently
Rationale: Most children begin walking independently around 12
months.
,6. A child has dehydration from gastroenteritis. Which assessment
finding is expected?
A. Bounding pulse
B. Moist mucous membranes
C. Sunken fontanel
D. Bradycardia
Answer: C. Sunken fontanel
Rationale: A sunken fontanel is a classic sign of dehydration in
infants.
7. Which finding is expected after DTaP vaccination?
A. High fever above 40°C
B. Mild soreness at injection site
C. Persistent seizure
D. Difficulty breathing
Answer: B. Mild soreness at injection site
Rationale: Mild redness and soreness are common expected
reactions.
8. A nurse is caring for a child with acute otitis media. Which
medication is commonly prescribed?
A. Insulin
B. Amoxicillin
C. Digoxin
D. Prednisone
Answer: B. Amoxicillin
, Rationale: Amoxicillin is the first-line antibiotic for uncomplicated
acute otitis media.
9. Which statement by parents indicates understanding of sudden
infant death syndrome (SIDS) prevention?
A. "We'll place the baby on the stomach."
B. "We'll use soft blankets."
C. "We'll place the baby on the back."
D. "We'll sleep with the baby."
Answer: C. "We'll place the baby on the back."
Rationale: Back sleeping significantly reduces the risk of SIDS.
10. Which assessment finding is expected in pyloric stenosis?
A. Bilious vomiting
B. Projectile non-bilious vomiting
C. Bloody diarrhea
D. Abdominal distention only
Answer: B. Projectile non-bilious vomiting
Rationale: Projectile, non-bilious vomiting is the hallmark of pyloric
stenosis.
11. A child with type 1 diabetes has diaphoresis and tremors. What
should the nurse do first?
A. Administer insulin
B. Check blood glucose
C. Restrict fluids
D. Call the provider
Exam | 100 Most Tested Questions
Collection & Verified Detailed Answers
| Tutor Verified Success Exam) Graded
A+
1. A nurse is assessing a newborn 2 hours after birth. Which finding
requires immediate intervention?
A. Acrocyanosis
B. Heart rate 140/min
C. Respiratory rate 70/min with nasal flaring
D. Temperature 36.8°C (98.2°F)
Answer: C. Respiratory rate 70/min with nasal flaring
Rationale: Persistent tachypnea with nasal flaring indicates
respiratory distress and requires immediate evaluation.
2. Which immunization is administered at birth?
A. DTaP
B. MMR
C. Hepatitis B
D. Varicella
Answer: C. Hepatitis B
Rationale: The first dose of the hepatitis B vaccine is recommended
within 24 hours of birth.
,3. Which toy is most appropriate for a hospitalized 6-month-old
infant?
A. Coloring book
B. Soft rattle
C. Puzzle
D. Board game
Answer: B. Soft rattle
Rationale: Infants enjoy sensory stimulation and grasping toys such
as soft rattles.
4. A toddler is hospitalized. Which behavior is expected during
separation anxiety?
A. Indifference immediately
B. Crying and resisting caregivers
C. Desire to be alone
D. Increased appetite
Answer: B. Crying and resisting caregivers
Rationale: Toddlers experience the protest phase of separation
anxiety by crying and rejecting unfamiliar caregivers.
5. Which developmental milestone is expected for a 12-month-old?
A. Rides a bicycle
B. Walks independently
C. Writes name
D. Ties shoes
Answer: B. Walks independently
Rationale: Most children begin walking independently around 12
months.
,6. A child has dehydration from gastroenteritis. Which assessment
finding is expected?
A. Bounding pulse
B. Moist mucous membranes
C. Sunken fontanel
D. Bradycardia
Answer: C. Sunken fontanel
Rationale: A sunken fontanel is a classic sign of dehydration in
infants.
7. Which finding is expected after DTaP vaccination?
A. High fever above 40°C
B. Mild soreness at injection site
C. Persistent seizure
D. Difficulty breathing
Answer: B. Mild soreness at injection site
Rationale: Mild redness and soreness are common expected
reactions.
8. A nurse is caring for a child with acute otitis media. Which
medication is commonly prescribed?
A. Insulin
B. Amoxicillin
C. Digoxin
D. Prednisone
Answer: B. Amoxicillin
, Rationale: Amoxicillin is the first-line antibiotic for uncomplicated
acute otitis media.
9. Which statement by parents indicates understanding of sudden
infant death syndrome (SIDS) prevention?
A. "We'll place the baby on the stomach."
B. "We'll use soft blankets."
C. "We'll place the baby on the back."
D. "We'll sleep with the baby."
Answer: C. "We'll place the baby on the back."
Rationale: Back sleeping significantly reduces the risk of SIDS.
10. Which assessment finding is expected in pyloric stenosis?
A. Bilious vomiting
B. Projectile non-bilious vomiting
C. Bloody diarrhea
D. Abdominal distention only
Answer: B. Projectile non-bilious vomiting
Rationale: Projectile, non-bilious vomiting is the hallmark of pyloric
stenosis.
11. A child with type 1 diabetes has diaphoresis and tremors. What
should the nurse do first?
A. Administer insulin
B. Check blood glucose
C. Restrict fluids
D. Call the provider
