ATI PEDIATRIC PROCTORED EXAM: BOOK &
ASSESSMENTS A & B | FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is contributing to the plan of care for a school-age child who has acute poststreptococcal
glomerulonephritis (APSGN) and is mildly hypertensive. Which of the following actions should
the nurse include in the plan of care?
A. Restrict the child's sodium intake
B. Weigh the child every other day
C. Monitor the child's blood pressure every 12 hour
D. Place the child on bed rest Answer: Restrict the child's sodium intake
A nurse is collecting data from a toddler at a well-child visit. Which of the following findings
should the nurse identify as a possible indication of child maltreatment?
A. diaper dermatitis
B. bruise on the front of the lower leg
C. inflamed unilateral conjunctiva
D. laceration on the side of the torso Answer: laceration on the side of the torso
A nurse is reinforcing discharge teaching with the parent of a school-age child who is being
treated for nephrotic syndrome. The parents asks the nurse why it is necessary to check the
child's urine for protein. Which of the following explanations should the nurse offer?
A. "A decrease in urine protein indicates that treatment is effective."
B. "Protein in the urine indicates your child's protein intake is adequate."
C. "Protein in the urine indicates a need to begin dialysis."
D. "An increase in urine protein indicates your child has a secondary infection." Answer: "A
decrease in urine protein indicates that treatment is effective."
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the
following parent statements indicates an understanding of the teaching?
A. "We will keep our child out of the sun between 3 p.m. and 5 p.m."
B. "We will transition our child to a toddler bed when he is 2 feet tall."
C. "We will purchase a toy storage box with a lightweight lid."
D. "We will provide a healthy snack of peanuts." Answer: "We will purchase a toy storage box
with a lightweight lid."
A nurse is contributing to the plan of care for a child who has sickle cell anemia and is
experiencing a vaso-occlusive crisis. Which of the following is the priority intervention for the
nurse to recommend to include in the plan?
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, A. promote oxygen utilization
B. Administer antibiotics
C. encourage fluid intake
D. apply a warm compress to the joints Answer: promote oxygen utilization
A nurse is reviewing the medical record of a female adolescent client who has primary
amenorrhea. Which of the following findings should the nurse identify as a risk factor for this
disorder? (select all that apply)
A. hypothyroidism
B. obesity
C. cannabis use
D. oral contraceptive use
E. emotional stress Answer: 1. hypothyroidism
2. cannabis use
3. oral contraceptive use
4. emotional stress
A nurse is reviewing the laboratory report of a preschooler who has Wilms' tumor and is
scheduled to begin treatment with an antineoplastic medication regimen. Which of the following
laboratory results should the nurse report to the provider?
A. BUN 16 mg/dL
B. WBC count 5,500/mm3
C. serum glucose 98 mg/dL
D. Platelet count 70,000 Answer: Platelet count 70,000
A nurse is collecting data from an infant who is receiving IV therapy for fluid replacement.
Which of the following findings indicates the infant's status is improving?
A. WBC count 19,000/mm3
B. Sodium level 145 mEq/L
C. Capillary refill greater than 3 seconds
D. Dry mucous membranes Answer: Sodium level 145 mEq/L
A nurse is collecting data from a 12 month old infant during a well-child visit. The nurse should
identify which of the following findings as a deviation from expected growth and development?
A. vocabulary of three words
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
ASSESSMENTS A & B | FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is contributing to the plan of care for a school-age child who has acute poststreptococcal
glomerulonephritis (APSGN) and is mildly hypertensive. Which of the following actions should
the nurse include in the plan of care?
A. Restrict the child's sodium intake
B. Weigh the child every other day
C. Monitor the child's blood pressure every 12 hour
D. Place the child on bed rest Answer: Restrict the child's sodium intake
A nurse is collecting data from a toddler at a well-child visit. Which of the following findings
should the nurse identify as a possible indication of child maltreatment?
A. diaper dermatitis
B. bruise on the front of the lower leg
C. inflamed unilateral conjunctiva
D. laceration on the side of the torso Answer: laceration on the side of the torso
A nurse is reinforcing discharge teaching with the parent of a school-age child who is being
treated for nephrotic syndrome. The parents asks the nurse why it is necessary to check the
child's urine for protein. Which of the following explanations should the nurse offer?
A. "A decrease in urine protein indicates that treatment is effective."
B. "Protein in the urine indicates your child's protein intake is adequate."
C. "Protein in the urine indicates a need to begin dialysis."
D. "An increase in urine protein indicates your child has a secondary infection." Answer: "A
decrease in urine protein indicates that treatment is effective."
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the
following parent statements indicates an understanding of the teaching?
A. "We will keep our child out of the sun between 3 p.m. and 5 p.m."
B. "We will transition our child to a toddler bed when he is 2 feet tall."
C. "We will purchase a toy storage box with a lightweight lid."
D. "We will provide a healthy snack of peanuts." Answer: "We will purchase a toy storage box
with a lightweight lid."
A nurse is contributing to the plan of care for a child who has sickle cell anemia and is
experiencing a vaso-occlusive crisis. Which of the following is the priority intervention for the
nurse to recommend to include in the plan?
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, A. promote oxygen utilization
B. Administer antibiotics
C. encourage fluid intake
D. apply a warm compress to the joints Answer: promote oxygen utilization
A nurse is reviewing the medical record of a female adolescent client who has primary
amenorrhea. Which of the following findings should the nurse identify as a risk factor for this
disorder? (select all that apply)
A. hypothyroidism
B. obesity
C. cannabis use
D. oral contraceptive use
E. emotional stress Answer: 1. hypothyroidism
2. cannabis use
3. oral contraceptive use
4. emotional stress
A nurse is reviewing the laboratory report of a preschooler who has Wilms' tumor and is
scheduled to begin treatment with an antineoplastic medication regimen. Which of the following
laboratory results should the nurse report to the provider?
A. BUN 16 mg/dL
B. WBC count 5,500/mm3
C. serum glucose 98 mg/dL
D. Platelet count 70,000 Answer: Platelet count 70,000
A nurse is collecting data from an infant who is receiving IV therapy for fluid replacement.
Which of the following findings indicates the infant's status is improving?
A. WBC count 19,000/mm3
B. Sodium level 145 mEq/L
C. Capillary refill greater than 3 seconds
D. Dry mucous membranes Answer: Sodium level 145 mEq/L
A nurse is collecting data from a 12 month old infant during a well-child visit. The nurse should
identify which of the following findings as a deviation from expected growth and development?
A. vocabulary of three words
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
