ATI Pediatric Proctored Exam: Complete Study Guide with
Practice Questions and Expert Solutions for Success in
Pediatric Nursing Assessments.
A nurse in the emergency department is caring for a 2-year-old 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?
Remove the child's contaminated clothing.
Check the child's respiratory status.
Administer an antidote to the child.
Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting
Check the child's respiratory status.
A nurse is teaching a parent of a 12-month old child about development during the
toddler years. Which of the following statements should the nurse include?
"Your child should be referring to himself using the appropriate pronoun by 18 months
of age."
"A toddler's interest in looking at pictures occurs at 20 months of age."
C. "A toddler should have davtime 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."
d. "Your child should be able to scribble spontaneously using a crayon at the age of 15
months."
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.)
25 GTT
,4. 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.
b. Minimize physical contact with the child initially.
4. 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
b. Meningococcal polysaccharide
4. 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."
a. "I lock my medications in the medicine cabinet."
4. 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
b. Babinski
4. 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. Eggs
a. Cow's milk
9. A nurse is preparing to administer recommended immunizations to a 2-month-old
infant.
Which of the following immunizations should the nurse plan to administer?
a. Human papillomavirus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis
(TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV)
, c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
9. A nurse is developing a plan of care for a school-age child who underwent a
surgical procedure that resulted in temporary loss of vision. Which of the following
interventions should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child.
b. Explain sounds the child is hearing.
9. A nurse is assessing a 3-year-old child who is 1 day postoperative following a
tonsillectomy. Which of the following methods should the nurse use to determine if the
child is experiencing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
d. Check the child's temperature.
b. Use the FACES scale.
9. A nurse is assessing a 6-month-old infant at a well-child visit. Which of the
following findings indicates the need for further assessment?
a. Grabs feet and pulls them to her mouth
b. Posterior fontanel is closed
c. Legs remain crossed and extended when supine
d. Birth weight has doubled
Legs remain crossed and extended when supine
9. A nurse is observing a mother who is playing peek-a-boo with her 8-month-old
child. The mother asks if this game has any developmental significance. The nurse
should inform the mother that peek-a-boo helps develop which of the following
concepts in the child?
a. Hand-eye coordination
Practice Questions and Expert Solutions for Success in
Pediatric Nursing Assessments.
A nurse in the emergency department is caring for a 2-year-old 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?
Remove the child's contaminated clothing.
Check the child's respiratory status.
Administer an antidote to the child.
Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting
Check the child's respiratory status.
A nurse is teaching a parent of a 12-month old child about development during the
toddler years. Which of the following statements should the nurse include?
"Your child should be referring to himself using the appropriate pronoun by 18 months
of age."
"A toddler's interest in looking at pictures occurs at 20 months of age."
C. "A toddler should have davtime 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."
d. "Your child should be able to scribble spontaneously using a crayon at the age of 15
months."
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.)
25 GTT
,4. 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.
b. Minimize physical contact with the child initially.
4. 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
b. Meningococcal polysaccharide
4. 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."
a. "I lock my medications in the medicine cabinet."
4. 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
b. Babinski
4. 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. Eggs
a. Cow's milk
9. A nurse is preparing to administer recommended immunizations to a 2-month-old
infant.
Which of the following immunizations should the nurse plan to administer?
a. Human papillomavirus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis
(TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV)
, c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
9. A nurse is developing a plan of care for a school-age child who underwent a
surgical procedure that resulted in temporary loss of vision. Which of the following
interventions should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child.
b. Explain sounds the child is hearing.
9. A nurse is assessing a 3-year-old child who is 1 day postoperative following a
tonsillectomy. Which of the following methods should the nurse use to determine if the
child is experiencing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
d. Check the child's temperature.
b. Use the FACES scale.
9. A nurse is assessing a 6-month-old infant at a well-child visit. Which of the
following findings indicates the need for further assessment?
a. Grabs feet and pulls them to her mouth
b. Posterior fontanel is closed
c. Legs remain crossed and extended when supine
d. Birth weight has doubled
Legs remain crossed and extended when supine
9. A nurse is observing a mother who is playing peek-a-boo with her 8-month-old
child. The mother asks if this game has any developmental significance. The nurse
should inform the mother that peek-a-boo helps develop which of the following
concepts in the child?
a. Hand-eye coordination
