ATI Pediatric Test Bank
1. A nurse is caring for a child who has epiglottitis. Which of the following actions is
the nurse’s priority?
A. Obtain a throat culture.
B. Prepare the child for intubation.
C. Provide oxygen via nasal cannula.
D. Administer an oral corticosteroid.
Answer: B. Prepare the child for intubation.
(Epiglottitis is a medical emergency, and the nurse should prioritize maintaining the
airway.)
,2. A nurse is teaching a parent of a 6-month-old infant about introducing solid foods.
Which of the following statements indicates a need for further teaching?
A. "I will introduce new foods one at a time every 4 to 7 days."
B. "I can give my baby whole milk once they are 6 months old."
C. "Rice cereal is a good first food to introduce."
D. "I should avoid giving my baby honey until after their first birthday."
Answer: B. "I can give my baby whole milk once they are 6 months old."
(Whole milk should not be introduced until 1 year of age due to the risk of iron
deficiency anemia.)
3. A 4-year-old child is hospitalized with bacterial meningitis. Which of the following
interventions should the nurse implement?
A. Keep the child in a supine position.
B. Provide a low-sodium diet.
C. Administer IV antibiotics as prescribed.
D. Perform frequent neurological checks every 8 hours.
Answer: C. Administer IV antibiotics as prescribed.
(Antibiotics are the primary treatment for bacterial meningitis.)
4. A nurse is assessing a 2-year-old child during a wellness visit. Which of the
following findings should the nurse report to the provider?
A. The child speaks in two-word sentences.
B. The child has a vocabulary of about 50 words.
C. The child cannot walk up stairs independently.
D. The child has a head circumference equal to chest circumference.
Answer: C. The child cannot walk up stairs independently.
(By 2 years of age, a child should be able to walk up and down stairs with assistance.)
,5. A nurse is reviewing the laboratory results of a child who has iron deficiency
anemia. Which of the following findings should the nurse expect?
A. Decreased hemoglobin level
B. Increased reticulocyte count
C. Elevated platelet count
D. Increased mean corpuscular volume (MCV)
Answer: A. Decreased hemoglobin level
(Iron deficiency anemia is characterized by a low hemoglobin level.)
6. A 7-year-old child is brought to the emergency department after ingesting an
unknown substance. Which of the following is the nurse's priority?
A. Identify the substance ingested.
B. Administer activated charcoal.
C. Start an IV for fluid replacement.
D. Obtain the child's vital signs.
Answer: D. Obtain the child's vital signs.
(The priority is assessing the child’s physiological status and stability.)
7. A nurse is teaching an adolescent with Type 1 Diabetes about insulin
administration. Which statement by the adolescent indicates an understanding of
the teaching?
A. "I should inject my insulin into the same spot every time."
B. "I will rotate injection sites to avoid tissue damage."
C. "I can skip my insulin dose if I don't eat any carbs."
D. "I will store my insulin in the freezer to keep it fresh."
Answer: B. "I will rotate injection sites to avoid tissue damage."
(Rotating injection sites prevents lipodystrophy.)
, 8. A nurse is providing dietary teaching to the parent of a child with celiac disease.
Which of the following foods should the nurse recommend?
A. Wheat bread
B. Rice cakes
C. Barley soup
D. Oatmeal cookies
Answer: B. Rice cakes
(Children with celiac disease must avoid gluten, which is found in wheat, barley, and
oats unless certified gluten-free.)
9. A nurse is caring for a preschool-aged child who has been hospitalized for several
days. The child is refusing to eat meals. Which of the following interventions should
the nurse take?
A. Offer the child a variety of new foods.
B. Insist the child eat at designated meal times.
C. Provide the child with a favorite snack food.
D. Administer an appetite stimulant as prescribed.
Answer: C. Provide the child with a favorite snack food.
(Offering familiar and preferred foods can encourage the child to eat during
hospitalization.)
10. A nurse is teaching the parent of a child who has juvenile idiopathic arthritis (JIA)
about home care. Which of the following instructions should the nurse include?
A. Encourage the child to take frequent naps throughout the day.
B. Apply cold packs to the affected joints.
C. Limit the child’s physical activity to prevent joint damage.
D. Administer NSAIDs on a regular schedule.
Answer: D. Administer NSAIDs on a regular schedule.
(NSAIDs help manage inflammation and pain in children with JIA.)
1. A nurse is caring for a child who has epiglottitis. Which of the following actions is
the nurse’s priority?
A. Obtain a throat culture.
B. Prepare the child for intubation.
C. Provide oxygen via nasal cannula.
D. Administer an oral corticosteroid.
Answer: B. Prepare the child for intubation.
(Epiglottitis is a medical emergency, and the nurse should prioritize maintaining the
airway.)
,2. A nurse is teaching a parent of a 6-month-old infant about introducing solid foods.
Which of the following statements indicates a need for further teaching?
A. "I will introduce new foods one at a time every 4 to 7 days."
B. "I can give my baby whole milk once they are 6 months old."
C. "Rice cereal is a good first food to introduce."
D. "I should avoid giving my baby honey until after their first birthday."
Answer: B. "I can give my baby whole milk once they are 6 months old."
(Whole milk should not be introduced until 1 year of age due to the risk of iron
deficiency anemia.)
3. A 4-year-old child is hospitalized with bacterial meningitis. Which of the following
interventions should the nurse implement?
A. Keep the child in a supine position.
B. Provide a low-sodium diet.
C. Administer IV antibiotics as prescribed.
D. Perform frequent neurological checks every 8 hours.
Answer: C. Administer IV antibiotics as prescribed.
(Antibiotics are the primary treatment for bacterial meningitis.)
4. A nurse is assessing a 2-year-old child during a wellness visit. Which of the
following findings should the nurse report to the provider?
A. The child speaks in two-word sentences.
B. The child has a vocabulary of about 50 words.
C. The child cannot walk up stairs independently.
D. The child has a head circumference equal to chest circumference.
Answer: C. The child cannot walk up stairs independently.
(By 2 years of age, a child should be able to walk up and down stairs with assistance.)
,5. A nurse is reviewing the laboratory results of a child who has iron deficiency
anemia. Which of the following findings should the nurse expect?
A. Decreased hemoglobin level
B. Increased reticulocyte count
C. Elevated platelet count
D. Increased mean corpuscular volume (MCV)
Answer: A. Decreased hemoglobin level
(Iron deficiency anemia is characterized by a low hemoglobin level.)
6. A 7-year-old child is brought to the emergency department after ingesting an
unknown substance. Which of the following is the nurse's priority?
A. Identify the substance ingested.
B. Administer activated charcoal.
C. Start an IV for fluid replacement.
D. Obtain the child's vital signs.
Answer: D. Obtain the child's vital signs.
(The priority is assessing the child’s physiological status and stability.)
7. A nurse is teaching an adolescent with Type 1 Diabetes about insulin
administration. Which statement by the adolescent indicates an understanding of
the teaching?
A. "I should inject my insulin into the same spot every time."
B. "I will rotate injection sites to avoid tissue damage."
C. "I can skip my insulin dose if I don't eat any carbs."
D. "I will store my insulin in the freezer to keep it fresh."
Answer: B. "I will rotate injection sites to avoid tissue damage."
(Rotating injection sites prevents lipodystrophy.)
, 8. A nurse is providing dietary teaching to the parent of a child with celiac disease.
Which of the following foods should the nurse recommend?
A. Wheat bread
B. Rice cakes
C. Barley soup
D. Oatmeal cookies
Answer: B. Rice cakes
(Children with celiac disease must avoid gluten, which is found in wheat, barley, and
oats unless certified gluten-free.)
9. A nurse is caring for a preschool-aged child who has been hospitalized for several
days. The child is refusing to eat meals. Which of the following interventions should
the nurse take?
A. Offer the child a variety of new foods.
B. Insist the child eat at designated meal times.
C. Provide the child with a favorite snack food.
D. Administer an appetite stimulant as prescribed.
Answer: C. Provide the child with a favorite snack food.
(Offering familiar and preferred foods can encourage the child to eat during
hospitalization.)
10. A nurse is teaching the parent of a child who has juvenile idiopathic arthritis (JIA)
about home care. Which of the following instructions should the nurse include?
A. Encourage the child to take frequent naps throughout the day.
B. Apply cold packs to the affected joints.
C. Limit the child’s physical activity to prevent joint damage.
D. Administer NSAIDs on a regular schedule.
Answer: D. Administer NSAIDs on a regular schedule.
(NSAIDs help manage inflammation and pain in children with JIA.)
