2025 ATI Pediatrics Exam New Latest Version Best
Studying Material with All Questions from Actual
Exam and Correct Answer
A nurse on a pediatric unit is reviewing the health record of a client who is demonstrating
increasing levels of stress after admission. The nurse should identify which of the following
findings as a risk factor for a stress-related reaction to hospitalization?
a. Age 10
b. First hospitalization
c. Male gender
d. Calm, quiet demeanor ------------ Correct Answer ----------- C
Rationale: Male clients are at increased risk for hospitalization-related stress compared
to female clients.
A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the
following statements should the nurse make?
a. "Your baby might pull at their ears when they are teething."
b. "Rub your baby's gums with an aspirin to decrease discomfort."
c. "Place a beaded teething necklace around your baby's neck."
d. "Your baby's upper middle teeth will erupt first. ------------ Correct Answer ----------- A
A nurse is creating a plan of care for a newly admitted adolescent who has bacterial
meningitis. How long should the nurse plan to maintain the adolescent in droplet
precautions?
a. Until the adolescent is afebrile
b. For 7 days following admission to the facility
c. Until the adolescent has a negative blood culture
d. For 24 hr following initiation of antimicrobial therapy ------------ Correct Answer ----------- D
A nurse is preparing to administer an enema to a 10-month-old infant. Which of the following
actions should the nurse plan to take? ----------- Correct Answer ------------ Hold the infant's
buttocks together after administering the fluid
A nurse is caring for a toddler who has otitis media and a temperature of 39.1°C (102.4°F).
Which of the following actions should the nurse take first? ----------- Correct Answer ------------
Administer an antipyretic to the child
A nurse in a provider's office enters an examination room to assess an 8-month-old infant for the
first time. Which of the following reactions by the infant should the nurse expect? -----------
Correct Answer ------------ The infant turns away when the nurse approaches.
A nurse is providing anticipatory guidance to the parent of a toddler. Which of the
following expected behavior characteristics of toddlers should the nurse include?
a. Controls impulsive feelings
,b. Understands right from wrong
c. Easily separates from parents for long periods of time
d. Expresses likes and dislikes ------------ Correct Answer ----------- D
A nurse in the emergency department is caring for a 12-year-old child who has ingested
bleach. Which of the following statements by the nurse indicated an understanding of this
ingestion?
a. "The absence of oral burns excludes the possibility of esophageal burns."
b. "Treatment focuses on neutralization of the chemical."
c. "Injury by a corrosive liquid is more extensive than by a corrosive solid."
d. "Immediate administration of activated charcoal is warranted." ------------ Correct Answer -----
------ C
Rationale: The coating action of liquids permits larger areas of contact with tissues and results
in more extensive injury.
A nurse is caring for a child who has a bacterial endocarditis. The child is scheduled to
receive moderate term antibiotic therapy and requires a peripherally inserted central catheter
(PICC). Which of the following statements should the nurse include when teaching the child's
parent?
a. "The PICC line will last several weeks with proper care."
b. "The public health nurse will rotate the insertion site every 3 days."
c. "You will need to make certain the arm board is in place at all times."
d. "Your child will go to the operating room to have the line placed." ------------ Correct Answer -
---------- A
rationale: PICC lines are the preferred venous access device for short to moderate term IV
therapy. The can remain in place for long periods with proper care.
A nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the
parents of a toddler. Which of the following is an appropriate reaching point for the nurse to give
the parents?
A. Give the toddler milk
B. Get to an emergency center
c. Call poison control
d. induce vomiting ------------ Correct Answer ----------- C
A nurse is caring for a 2yo child with cystic fibrosis. The nurse is planning to take the child to
the playroom. Which of the following activities would be the most appropriate for the child?
a. cutting and gluing
b. blowing soap bubbles
c. riding a tricycle
d. building block towers ------------ Correct Answer ----------- D
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following
findings requires further assessment by the nurse?
a. Primary dentition is complete
b. Unable to hop on one foot
, c. Birth weight is tripled
d. Able to state first and last name ------------ Correct Answer ----------- C
Rationale: The birth weight should triple by 12 months of age. By 30 months of age, the birth
weight should be quadrupled.
A nurse in the emergency department is caring for a 2-year-ols child who was found by his
parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and
inflamed, and he is drooling. Which of the following is the priority action by the nurse?
a. Remove the child's contaminated clothing
b. Check the child's respiratory status
c. Administer an antidote to the child
d. Establish IV access for the child ------------ Correct Answer ----------- B
A nurse is teaching a parent of a 12-month old child about development during the toddles years.
Which of the following statements should the nurse include?
a. "Your child should be referring to himself using the appropriate pronoun by 18 months of
age."
b. "A toddler's interest in looking at pictures occurs at 20 months of age."
c. "A toddler should have daytime control of his bowel and bladder by 24 months of age."
d. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months."
------------ Correct Answer ----------- D
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is
postoperative following hypospadias repair with a stent replacement. Which of the following
instructions should the nurse include in the teaching?
a. "You may bathe your infant in an infant bathtub when you go home."
B. Apply hydrocortisone cream to your infant's penis daily."
C."You should clamp your infant's stent twice daily."
D. "Allow the stent to drain directly into your infant's diaper" ------------ Correct Answer ---------
-- D
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse
should secure the sensor to which of the following areas on the infant?
a. wrist
b. great toe
c. index finger
d. heel ------------ Correct Answer ----------- B
A nurse is caring for a school age child who has primary nephrotic syndrome and is taking
prednisone. Following 1 week of treatment, which of the following manifestations indicates to
the nurse that the medication is effective?
a. decreased edema
b. increased abdominal girth
c. decreased appetite
d. increased protein in the urine ------------ Correct Answer ----------- A
, A nurse is planning care for a newly admitted school age child who has generalized seizure
disorder. Which of the following interventions should the nurse plan to include?
a. ensure that a padded tongue blade is at the child's bedside
b. allow the child to play video games on a tablet computer
c. allow the child to take a tub bath independently
d. ensure the oxygen source is functioning in the child's room ------------ Correct Answer ---------
-- D
A nurse is receiving change-of-shift report for four 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 hr ago and reports pain as 6
on a scale of 0 to 10
d. A school-age child who has acute glomerulonephritis and brown-colored urine ------------
Correct Answer ----------- A
A nurse is providing dietary teaching to the guardian of a school-age child who has cystic
fibrosis. Which of the following statements should the nurse make?
a. "You should offer your child high-protein meals and snacks throughout the
day."
b. "You should decrease your child's dietary fat intake to less than 10% of their
caloric intake."
c. "You should restrict your child's calorie intake to 1,200 per day."
d. "You should give your child a multivitamin once weekly. ------------ Correct Answer -----------
A
A nurse is providing discharge teaching to the guardians of a toddler who had lower leg
cast applied 24 hr ago. The nurse should instruct the guardians to report which of the
following finding to the provider?
a. Capillary refill time less than 2 seconds
b. Restricted ability to move the toes
c. Swelling of the casted foot when the leg is dependent
d. Pedal pulse +3 bilateral ------------ Correct Answer ----------- B
A nurse in an emergency department is auscultating the lungs of an adolescent who is
experiencing dyspnea. The nurse should identify the sound as which of the following?
a. Wheezes
b. Crackles
c. Pleural friction rub
d. Rhonchi ------------ Correct Answer ----------- A
9) A nurse is caring for a preschooler who has congestive heart failure. The nurse observes
wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following
prescriptions should the nurse clarify with the provider?
a. Furosemide
Studying Material with All Questions from Actual
Exam and Correct Answer
A nurse on a pediatric unit is reviewing the health record of a client who is demonstrating
increasing levels of stress after admission. The nurse should identify which of the following
findings as a risk factor for a stress-related reaction to hospitalization?
a. Age 10
b. First hospitalization
c. Male gender
d. Calm, quiet demeanor ------------ Correct Answer ----------- C
Rationale: Male clients are at increased risk for hospitalization-related stress compared
to female clients.
A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the
following statements should the nurse make?
a. "Your baby might pull at their ears when they are teething."
b. "Rub your baby's gums with an aspirin to decrease discomfort."
c. "Place a beaded teething necklace around your baby's neck."
d. "Your baby's upper middle teeth will erupt first. ------------ Correct Answer ----------- A
A nurse is creating a plan of care for a newly admitted adolescent who has bacterial
meningitis. How long should the nurse plan to maintain the adolescent in droplet
precautions?
a. Until the adolescent is afebrile
b. For 7 days following admission to the facility
c. Until the adolescent has a negative blood culture
d. For 24 hr following initiation of antimicrobial therapy ------------ Correct Answer ----------- D
A nurse is preparing to administer an enema to a 10-month-old infant. Which of the following
actions should the nurse plan to take? ----------- Correct Answer ------------ Hold the infant's
buttocks together after administering the fluid
A nurse is caring for a toddler who has otitis media and a temperature of 39.1°C (102.4°F).
Which of the following actions should the nurse take first? ----------- Correct Answer ------------
Administer an antipyretic to the child
A nurse in a provider's office enters an examination room to assess an 8-month-old infant for the
first time. Which of the following reactions by the infant should the nurse expect? -----------
Correct Answer ------------ The infant turns away when the nurse approaches.
A nurse is providing anticipatory guidance to the parent of a toddler. Which of the
following expected behavior characteristics of toddlers should the nurse include?
a. Controls impulsive feelings
,b. Understands right from wrong
c. Easily separates from parents for long periods of time
d. Expresses likes and dislikes ------------ Correct Answer ----------- D
A nurse in the emergency department is caring for a 12-year-old child who has ingested
bleach. Which of the following statements by the nurse indicated an understanding of this
ingestion?
a. "The absence of oral burns excludes the possibility of esophageal burns."
b. "Treatment focuses on neutralization of the chemical."
c. "Injury by a corrosive liquid is more extensive than by a corrosive solid."
d. "Immediate administration of activated charcoal is warranted." ------------ Correct Answer -----
------ C
Rationale: The coating action of liquids permits larger areas of contact with tissues and results
in more extensive injury.
A nurse is caring for a child who has a bacterial endocarditis. The child is scheduled to
receive moderate term antibiotic therapy and requires a peripherally inserted central catheter
(PICC). Which of the following statements should the nurse include when teaching the child's
parent?
a. "The PICC line will last several weeks with proper care."
b. "The public health nurse will rotate the insertion site every 3 days."
c. "You will need to make certain the arm board is in place at all times."
d. "Your child will go to the operating room to have the line placed." ------------ Correct Answer -
---------- A
rationale: PICC lines are the preferred venous access device for short to moderate term IV
therapy. The can remain in place for long periods with proper care.
A nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the
parents of a toddler. Which of the following is an appropriate reaching point for the nurse to give
the parents?
A. Give the toddler milk
B. Get to an emergency center
c. Call poison control
d. induce vomiting ------------ Correct Answer ----------- C
A nurse is caring for a 2yo child with cystic fibrosis. The nurse is planning to take the child to
the playroom. Which of the following activities would be the most appropriate for the child?
a. cutting and gluing
b. blowing soap bubbles
c. riding a tricycle
d. building block towers ------------ Correct Answer ----------- D
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following
findings requires further assessment by the nurse?
a. Primary dentition is complete
b. Unable to hop on one foot
, c. Birth weight is tripled
d. Able to state first and last name ------------ Correct Answer ----------- C
Rationale: The birth weight should triple by 12 months of age. By 30 months of age, the birth
weight should be quadrupled.
A nurse in the emergency department is caring for a 2-year-ols child who was found by his
parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and
inflamed, and he is drooling. Which of the following is the priority action by the nurse?
a. Remove the child's contaminated clothing
b. Check the child's respiratory status
c. Administer an antidote to the child
d. Establish IV access for the child ------------ Correct Answer ----------- B
A nurse is teaching a parent of a 12-month old child about development during the toddles years.
Which of the following statements should the nurse include?
a. "Your child should be referring to himself using the appropriate pronoun by 18 months of
age."
b. "A toddler's interest in looking at pictures occurs at 20 months of age."
c. "A toddler should have daytime control of his bowel and bladder by 24 months of age."
d. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months."
------------ Correct Answer ----------- D
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is
postoperative following hypospadias repair with a stent replacement. Which of the following
instructions should the nurse include in the teaching?
a. "You may bathe your infant in an infant bathtub when you go home."
B. Apply hydrocortisone cream to your infant's penis daily."
C."You should clamp your infant's stent twice daily."
D. "Allow the stent to drain directly into your infant's diaper" ------------ Correct Answer ---------
-- D
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse
should secure the sensor to which of the following areas on the infant?
a. wrist
b. great toe
c. index finger
d. heel ------------ Correct Answer ----------- B
A nurse is caring for a school age child who has primary nephrotic syndrome and is taking
prednisone. Following 1 week of treatment, which of the following manifestations indicates to
the nurse that the medication is effective?
a. decreased edema
b. increased abdominal girth
c. decreased appetite
d. increased protein in the urine ------------ Correct Answer ----------- A
, A nurse is planning care for a newly admitted school age child who has generalized seizure
disorder. Which of the following interventions should the nurse plan to include?
a. ensure that a padded tongue blade is at the child's bedside
b. allow the child to play video games on a tablet computer
c. allow the child to take a tub bath independently
d. ensure the oxygen source is functioning in the child's room ------------ Correct Answer ---------
-- D
A nurse is receiving change-of-shift report for four 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 hr ago and reports pain as 6
on a scale of 0 to 10
d. A school-age child who has acute glomerulonephritis and brown-colored urine ------------
Correct Answer ----------- A
A nurse is providing dietary teaching to the guardian of a school-age child who has cystic
fibrosis. Which of the following statements should the nurse make?
a. "You should offer your child high-protein meals and snacks throughout the
day."
b. "You should decrease your child's dietary fat intake to less than 10% of their
caloric intake."
c. "You should restrict your child's calorie intake to 1,200 per day."
d. "You should give your child a multivitamin once weekly. ------------ Correct Answer -----------
A
A nurse is providing discharge teaching to the guardians of a toddler who had lower leg
cast applied 24 hr ago. The nurse should instruct the guardians to report which of the
following finding to the provider?
a. Capillary refill time less than 2 seconds
b. Restricted ability to move the toes
c. Swelling of the casted foot when the leg is dependent
d. Pedal pulse +3 bilateral ------------ Correct Answer ----------- B
A nurse in an emergency department is auscultating the lungs of an adolescent who is
experiencing dyspnea. The nurse should identify the sound as which of the following?
a. Wheezes
b. Crackles
c. Pleural friction rub
d. Rhonchi ------------ Correct Answer ----------- A
9) A nurse is caring for a preschooler who has congestive heart failure. The nurse observes
wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following
prescriptions should the nurse clarify with the provider?
a. Furosemide
