PEDIATRIC ATI PRACTICE QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024-
2025
Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. The
nurse should identify that which of the following statements by the parents indicates an understanding
of the teaching?
a. my child will have a cast until healing is complete.
b. My child will receive antibiotics for several weeks.
c. My child can return to playing sports once he is discharged.
d. My child needs to be in contact isolation. - ANSWER b
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound
as which of the following? Click the audio button to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea - ANSWER c
A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic
reaction. Which of the following is the priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the child - ANSWER D
The nurse is preparing to administer an immunization to a four-year-old child. Which of the following
actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24 gauge needle
,D- inject the immunization slowly after aspirating for 3 seconds - ANSWER C
A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration.
The nurse should identify which of the following laboratory values indicates effectiveness of the current
treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg - ANSWER b
The nurse is providing teaching about Social Development to the parents of a preschooler. Which of the
following play activities should the nurse recommend for the child? A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up - ANSWER D
A nurse is teaching the parents of a newborn about ways to prevent sudden infant death syndrome SIDS.
Which of the following instructions should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime. - ANSWER d
A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the
nurse to report to the provider?
A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension - ANSWER a
,A school nurse is assessing a school-age child blood pressure while he is seated in a chair. The child starts
to experience a tonic-clonic seizure. Which of the following actions should the nurse take first?
A- Clear the immediate area around the child of hazardous objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child - ANSWER c
A nurse is preparing to administer ibuprofen 5 mg per kg every 6 hours PRN for temperatures above 38.0
degrees Celsius or 100.5 degrees Fahrenheit to an infant who weighs 17.6 lb. The infant has a
temperature of 38.4 degrees Celsius or 100 + 1.2 degrees Fahrenheit. Available is ibuprofen liquid
100mg/ 5 ml. how many milliliters should the nurse administer to the infant per dose? Round the answer
to the nearest whole number. Use a leading zero if it applies. - ANSWER 2 mL
A nurse is receiving change-of-shift Report on for children. Which of the following children should the
nurse assess first?
A- A toddler who has a concussion and an episode of forceful vomiting
B- an adolescent who has infective endocarditis and reports having a headache
C- an adolescent who was placed into Halo traction 1 hour ago and rates his pain at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and brown colored urine - ANSWER A
A nurse in the emergency department is caring for an adolescent who has severe abdominal pain due to
appendicitis. Which of the following locations should the nurse identify as Mcburney's point? - ANSWER
A
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis.
Which of the following instructions should the nurse include in the teaching?
A- Limit the movement of the child large joints.
B- Encourage the child to perform independent self care.
C- Provide the child with a soft mattress for sleeping.
D- Schedule a 2-hour daily nap for the child in the afternoon. - ANSWER b
Pediatric creatinine - ANSWER 0.3-0.7
, Pediatric BUN - ANSWER 5-18
Pediatric Uric acid - ANSWER 2-5.5
Pediatric urine specific gravity - ANSWER 1.001-1.030
Pediatric potassium - ANSWER 4.1-5.3
Pediatric sodium - ANSWER 134-150
Pediatric magnesium - ANSWER 1.4-1.7
Pediatric hemoglobin - ANSWER 10-17
Pediatric platelets - ANSWER 150,000-400,000
Pediatric hematocrit - ANSWER 32-44%
Pediatric WBC - ANSWER 5,000-10,000
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL IV to infuse
over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.) - ANSWER 25 gtt
a nurse in the ED is caring for a 2-year-old child who was found by his parents crying and holding a
container of toilet bowl cleaner. the Childs lips are edematous and inflamed, and he is drooling. which of
the following is the priority action by the nurse?
a- remove the Childs contaminated clothing
b- check the Childs respiratory status
AND ANSWERS WITH SOLUTIONS 2024-
2025
Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. The
nurse should identify that which of the following statements by the parents indicates an understanding
of the teaching?
a. my child will have a cast until healing is complete.
b. My child will receive antibiotics for several weeks.
c. My child can return to playing sports once he is discharged.
d. My child needs to be in contact isolation. - ANSWER b
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound
as which of the following? Click the audio button to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea - ANSWER c
A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic
reaction. Which of the following is the priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the child - ANSWER D
The nurse is preparing to administer an immunization to a four-year-old child. Which of the following
actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24 gauge needle
,D- inject the immunization slowly after aspirating for 3 seconds - ANSWER C
A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration.
The nurse should identify which of the following laboratory values indicates effectiveness of the current
treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg - ANSWER b
The nurse is providing teaching about Social Development to the parents of a preschooler. Which of the
following play activities should the nurse recommend for the child? A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up - ANSWER D
A nurse is teaching the parents of a newborn about ways to prevent sudden infant death syndrome SIDS.
Which of the following instructions should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime. - ANSWER d
A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the
nurse to report to the provider?
A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension - ANSWER a
,A school nurse is assessing a school-age child blood pressure while he is seated in a chair. The child starts
to experience a tonic-clonic seizure. Which of the following actions should the nurse take first?
A- Clear the immediate area around the child of hazardous objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child - ANSWER c
A nurse is preparing to administer ibuprofen 5 mg per kg every 6 hours PRN for temperatures above 38.0
degrees Celsius or 100.5 degrees Fahrenheit to an infant who weighs 17.6 lb. The infant has a
temperature of 38.4 degrees Celsius or 100 + 1.2 degrees Fahrenheit. Available is ibuprofen liquid
100mg/ 5 ml. how many milliliters should the nurse administer to the infant per dose? Round the answer
to the nearest whole number. Use a leading zero if it applies. - ANSWER 2 mL
A nurse is receiving change-of-shift Report on for children. Which of the following children should the
nurse assess first?
A- A toddler who has a concussion and an episode of forceful vomiting
B- an adolescent who has infective endocarditis and reports having a headache
C- an adolescent who was placed into Halo traction 1 hour ago and rates his pain at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and brown colored urine - ANSWER A
A nurse in the emergency department is caring for an adolescent who has severe abdominal pain due to
appendicitis. Which of the following locations should the nurse identify as Mcburney's point? - ANSWER
A
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis.
Which of the following instructions should the nurse include in the teaching?
A- Limit the movement of the child large joints.
B- Encourage the child to perform independent self care.
C- Provide the child with a soft mattress for sleeping.
D- Schedule a 2-hour daily nap for the child in the afternoon. - ANSWER b
Pediatric creatinine - ANSWER 0.3-0.7
, Pediatric BUN - ANSWER 5-18
Pediatric Uric acid - ANSWER 2-5.5
Pediatric urine specific gravity - ANSWER 1.001-1.030
Pediatric potassium - ANSWER 4.1-5.3
Pediatric sodium - ANSWER 134-150
Pediatric magnesium - ANSWER 1.4-1.7
Pediatric hemoglobin - ANSWER 10-17
Pediatric platelets - ANSWER 150,000-400,000
Pediatric hematocrit - ANSWER 32-44%
Pediatric WBC - ANSWER 5,000-10,000
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL IV to infuse
over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.) - ANSWER 25 gtt
a nurse in the ED is caring for a 2-year-old child who was found by his parents crying and holding a
container of toilet bowl cleaner. the Childs lips are edematous and inflamed, and he is drooling. which of
the following is the priority action by the nurse?
a- remove the Childs contaminated clothing
b- check the Childs respiratory status
