ATI PEDIATRICS 2024 EXAM
QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES
LATEST UPDATE ALREADY GRADED
A+
A nurse in a pediatric clinic is assessing a toddler at a well-child visit.
Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
,d. Stop the assessment if the child becomes uncooperative. - ANSWER-
B
Rationale: The nurse should initially minimize physical contact with
the toddler, and then
progress from the least traumatic to the most traumatic procedures.
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 - ANSWER- B
Rationale: The meningococcal polysaccharide immunization is used
to prevent infection by
certain groups of meningococcal bacteria. Meningococcal infection
can cause life-threatening
illnesses, such as meningococcal meningitis, which affects the brain,
and meningococcemia,
which affects the blood. Both of these conditions can be fatal.
College freshmen, particularly
those who live in dormitories, are at an increased risk for
meningococcal disease relative to other
,persons their age. Therefore, the Centers for Disease Control and
Prevention has issued a
recommendation that all incoming college students receive the
meningococcal immunization.
A nurse is teaching the parent of an infant about food allergens. Which
of the following
foods should the nurse include as being the most common food allergy
in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg - ANSWER- A
Rationale: According to evidence-based practice, the nurse should
instruct the parent that cow's
milk is the most common food allergy in children. Some children are
sensitive to the protein,
called casein, found in cow's milk. They have difficulty metabolizing
the casein and are,
therefore, allergic to cow's milk.
A nurse is teaching the parent of a toddler about home safety. Which of
the following
statements by the parent indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
, b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something
poisonous." - ANSWER- A
Rationale: Locking up medications and other potential poisons
prevents access. Toddlers have
improved gross and fine motor skills that allow for further
exploration of the environment and
possible access to hazardous substances.
A nurse is performing a physical assessment on a 6-month-old infant.
Which of the
following reflexes should the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro - ANSWER- B
Rationale: The Babinski reflex, which is elicited by stroking the
bottom of the foot and causing
the toes to fan and the big toe to dorsiflex, should be present until
the age of 1 year. Persistence
of neonatal reflexes might indicate neurological deficits.
A nurse is preparing to administer recommended immunizations to a 2-
month-old infant.
QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES
LATEST UPDATE ALREADY GRADED
A+
A nurse in a pediatric clinic is assessing a toddler at a well-child visit.
Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
,d. Stop the assessment if the child becomes uncooperative. - ANSWER-
B
Rationale: The nurse should initially minimize physical contact with
the toddler, and then
progress from the least traumatic to the most traumatic procedures.
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 - ANSWER- B
Rationale: The meningococcal polysaccharide immunization is used
to prevent infection by
certain groups of meningococcal bacteria. Meningococcal infection
can cause life-threatening
illnesses, such as meningococcal meningitis, which affects the brain,
and meningococcemia,
which affects the blood. Both of these conditions can be fatal.
College freshmen, particularly
those who live in dormitories, are at an increased risk for
meningococcal disease relative to other
,persons their age. Therefore, the Centers for Disease Control and
Prevention has issued a
recommendation that all incoming college students receive the
meningococcal immunization.
A nurse is teaching the parent of an infant about food allergens. Which
of the following
foods should the nurse include as being the most common food allergy
in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg - ANSWER- A
Rationale: According to evidence-based practice, the nurse should
instruct the parent that cow's
milk is the most common food allergy in children. Some children are
sensitive to the protein,
called casein, found in cow's milk. They have difficulty metabolizing
the casein and are,
therefore, allergic to cow's milk.
A nurse is teaching the parent of a toddler about home safety. Which of
the following
statements by the parent indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
, b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something
poisonous." - ANSWER- A
Rationale: Locking up medications and other potential poisons
prevents access. Toddlers have
improved gross and fine motor skills that allow for further
exploration of the environment and
possible access to hazardous substances.
A nurse is performing a physical assessment on a 6-month-old infant.
Which of the
following reflexes should the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro - ANSWER- B
Rationale: The Babinski reflex, which is elicited by stroking the
bottom of the foot and causing
the toes to fan and the big toe to dorsiflex, should be present until
the age of 1 year. Persistence
of neonatal reflexes might indicate neurological deficits.
A nurse is preparing to administer recommended immunizations to a 2-
month-old infant.