ATI PEDIATRIC PROCTOR 2024-2025
ACTUAL EXAM ALL QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY
GRADED A+
A nurse in the emergency department is caring for a 2-yr 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 following 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 answers-b. Check the child's respiratory status.
Rationale: When applying the ABC priority setting framework, airway is always the highest priority
because the airway must be clear and open for oxygen exchange to occur. Breathing is the second
highest priority in the ABC priority setting framework because adequate ventilatory effort is essential in
order for oxygen change to occur.
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?
a. Your child should be referring to himself using the appropriate pronoun by the 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
answers-d. your child should be able to scribble spontaneously using a crayon at the age of 15 months
Rationale: The nurse should teach the parent that at the age of 15 months, the toddler should be
able to scribble spontaneously, and at the age of 18 months, the toddler should be able to make
strokes imitatively
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100ml 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) - correct
answers-25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt
,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. - correct answers-b. Minimize physical
contact with the child initially.
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-yr 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 - correct answers-b. Meningococcal polysaccharide
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. Eggs - correct answers-a. Cow's milk
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. - correct answers-a. I lock my
medications in the medicine cabinet
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 - correct answers-b. Babinski
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. Which of the
following immunizations should the nurse plan to administer.
a. Human papilloma virus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis (TDaP)
c. Haemophilus influenza type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV) - correct answers-c. Haemophilus
influenza type B (Hib) and inactivated polio virus (IPV)
Rationale: The recommended immunizations for a 2-month-old infant include Hib and IPV. The
Hib immunization series consists of 3 to 4 doses, depending on the immunization used, and at a
ACTUAL EXAM ALL QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY
GRADED A+
A nurse in the emergency department is caring for a 2-yr 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 following 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 answers-b. Check the child's respiratory status.
Rationale: When applying the ABC priority setting framework, airway is always the highest priority
because the airway must be clear and open for oxygen exchange to occur. Breathing is the second
highest priority in the ABC priority setting framework because adequate ventilatory effort is essential in
order for oxygen change to occur.
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?
a. Your child should be referring to himself using the appropriate pronoun by the 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
answers-d. your child should be able to scribble spontaneously using a crayon at the age of 15 months
Rationale: The nurse should teach the parent that at the age of 15 months, the toddler should be
able to scribble spontaneously, and at the age of 18 months, the toddler should be able to make
strokes imitatively
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100ml 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) - correct
answers-25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt
,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. - correct answers-b. Minimize physical
contact with the child initially.
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-yr 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 - correct answers-b. Meningococcal polysaccharide
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. Eggs - correct answers-a. Cow's milk
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. - correct answers-a. I lock my
medications in the medicine cabinet
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 - correct answers-b. Babinski
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. Which of the
following immunizations should the nurse plan to administer.
a. Human papilloma virus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis (TDaP)
c. Haemophilus influenza type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV) - correct answers-c. Haemophilus
influenza type B (Hib) and inactivated polio virus (IPV)
Rationale: The recommended immunizations for a 2-month-old infant include Hib and IPV. The
Hib immunization series consists of 3 to 4 doses, depending on the immunization used, and at a
