PEDS ATI PROCTORED MIDTERM EXAM SHEET 2025/2026
QUESTIONS WITH SOLUTIONS GRADED A+
✔✔A nurse is caring for an 8-month-old infant who screams when the parent leaves the
room. The parent begins to cry and says " I don't understand why my child is so upset.
I've never seen my child act this way around others before." Which of the following
statements should the nurse make? - ✔✔This is a normal, expected reaction for a child
of this age
✔✔A nurse is caring for a 4-year-old child who is resistant to taking medication. Which
of the following strategies should the nurse use to elicit the child's cooperation? -
✔✔Offer the child a choice of crushed pills or elixir
✔✔A nurse is caring for a client who requires droplet precautions. Which of the
following personal protective equipment should the nurse wear when setting up the
meal tray? - ✔✔Mask
✔✔A nurse is teaching a client who has asthma about how to use an albuterol inhaler.
Which of the following actions by the client indicates an understanding of the teaching?
- ✔✔The client holds his breath for 10 seconds after inhaling the medication.
✔✔A nurse is caring for a 2-month-old infant who is post-operative following surgical
repair of a cleft lip. Which of the following actions should the nurse take? -
✔✔Encourage the parents to rock the infant
✔✔A nurse is caring for a child who has Kawasaki disease. Which of the following
systems should the nurse monitor in response to this diagnosis? - ✔✔Cardiovascular
✔✔A nurse is providing teaching to a client who has oral candidiasis and a new script
for nystatin suspension. Which of the following statements by the client indicates an
understanding of the teaching? - ✔✔"I will store the medication at room temperature"
✔✔A nurse is assessing a client who has diabetes mellitus and reports foot pain. The
nurse should evaluate the client for which of the following alterations as indications that
the client has an infection? (Select all that apply). - ✔✔-An increase in neutrophils
-Localized edema
✔✔A nurse is removing PPE after giving direct care to a client who requires isolation.
Which of the following must be removed first? - ✔✔Gloves
✔✔A nurse is assessing a client who is receiving a unit of RBC. Which of the following
findings is a manifestation of acute hemolytic reaction? - ✔✔Client reports lower back
pain
, ✔✔A nurse is teaching a group of clients about emergency care for a snake bite. Which
of the following information should the nurse include in the teaching? - ✔✔Immobilize
the limb at the level of the heart.
✔✔A nurse is assessing a client who has right ventricular failure. Which of the following
findings should the nurse expect? - ✔✔Hepatomegaly
✔✔A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which
of the following nursing interventions is unnecessary in the client's plan of care? -
✔✔Measure head circumference every shift
✔✔A nurse is caring for a pre-school child who has epiglottitis with a barking cough.
Which of the following actions should the nurse take? - ✔✔Monitor O2 sat
✔✔A nurse is caring for a child who 2 hr postoperative following a tonsillectomy. Which
of the following fluid items should the nurse offer the child at this time? - ✔✔Crushed Ice
✔✔A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital
signs on admission and again in 2 hours. Which of the following assessment should
indicate to the nurse that the client could be developing a serious complication? -
✔✔Dyspnea
✔✔A nurse is providing discharge teaching to a client who has SLE. Which of the
following instructions should the nurse include? - ✔✔I should wear gloves when it is
cold outside
✔✔A nurse is caring for an infant who has congenital heart defect. Which of the
following defects is associated with increased pulmonary blood flow? - ✔✔Patent
ductus arteriosus
✔✔A community health nurse in a pediatric clinic is reviewing a history of a 12-year-old
client. Which of the following immunizations should the nurse expect to administer? -
✔✔Meningococcal conjugate
✔✔A nurse is presenting an in-service about the use of postural drainage for infants
who have cystic fibrosis. Which of the following positions should the nurse identify as
being contraindicated for the infant? - ✔✔Trendelenburg
✔✔A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily.
The amount available is 0.125mg tab. The client's current vital signs are: BP 144/96,
hear rate 54/min, respirations 18/min, and temperature 98.6 F. Which of the following
actions should the nurse take? - ✔✔Withhold the digoxin dose for decreased pulse rate
QUESTIONS WITH SOLUTIONS GRADED A+
✔✔A nurse is caring for an 8-month-old infant who screams when the parent leaves the
room. The parent begins to cry and says " I don't understand why my child is so upset.
I've never seen my child act this way around others before." Which of the following
statements should the nurse make? - ✔✔This is a normal, expected reaction for a child
of this age
✔✔A nurse is caring for a 4-year-old child who is resistant to taking medication. Which
of the following strategies should the nurse use to elicit the child's cooperation? -
✔✔Offer the child a choice of crushed pills or elixir
✔✔A nurse is caring for a client who requires droplet precautions. Which of the
following personal protective equipment should the nurse wear when setting up the
meal tray? - ✔✔Mask
✔✔A nurse is teaching a client who has asthma about how to use an albuterol inhaler.
Which of the following actions by the client indicates an understanding of the teaching?
- ✔✔The client holds his breath for 10 seconds after inhaling the medication.
✔✔A nurse is caring for a 2-month-old infant who is post-operative following surgical
repair of a cleft lip. Which of the following actions should the nurse take? -
✔✔Encourage the parents to rock the infant
✔✔A nurse is caring for a child who has Kawasaki disease. Which of the following
systems should the nurse monitor in response to this diagnosis? - ✔✔Cardiovascular
✔✔A nurse is providing teaching to a client who has oral candidiasis and a new script
for nystatin suspension. Which of the following statements by the client indicates an
understanding of the teaching? - ✔✔"I will store the medication at room temperature"
✔✔A nurse is assessing a client who has diabetes mellitus and reports foot pain. The
nurse should evaluate the client for which of the following alterations as indications that
the client has an infection? (Select all that apply). - ✔✔-An increase in neutrophils
-Localized edema
✔✔A nurse is removing PPE after giving direct care to a client who requires isolation.
Which of the following must be removed first? - ✔✔Gloves
✔✔A nurse is assessing a client who is receiving a unit of RBC. Which of the following
findings is a manifestation of acute hemolytic reaction? - ✔✔Client reports lower back
pain
, ✔✔A nurse is teaching a group of clients about emergency care for a snake bite. Which
of the following information should the nurse include in the teaching? - ✔✔Immobilize
the limb at the level of the heart.
✔✔A nurse is assessing a client who has right ventricular failure. Which of the following
findings should the nurse expect? - ✔✔Hepatomegaly
✔✔A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which
of the following nursing interventions is unnecessary in the client's plan of care? -
✔✔Measure head circumference every shift
✔✔A nurse is caring for a pre-school child who has epiglottitis with a barking cough.
Which of the following actions should the nurse take? - ✔✔Monitor O2 sat
✔✔A nurse is caring for a child who 2 hr postoperative following a tonsillectomy. Which
of the following fluid items should the nurse offer the child at this time? - ✔✔Crushed Ice
✔✔A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital
signs on admission and again in 2 hours. Which of the following assessment should
indicate to the nurse that the client could be developing a serious complication? -
✔✔Dyspnea
✔✔A nurse is providing discharge teaching to a client who has SLE. Which of the
following instructions should the nurse include? - ✔✔I should wear gloves when it is
cold outside
✔✔A nurse is caring for an infant who has congenital heart defect. Which of the
following defects is associated with increased pulmonary blood flow? - ✔✔Patent
ductus arteriosus
✔✔A community health nurse in a pediatric clinic is reviewing a history of a 12-year-old
client. Which of the following immunizations should the nurse expect to administer? -
✔✔Meningococcal conjugate
✔✔A nurse is presenting an in-service about the use of postural drainage for infants
who have cystic fibrosis. Which of the following positions should the nurse identify as
being contraindicated for the infant? - ✔✔Trendelenburg
✔✔A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily.
The amount available is 0.125mg tab. The client's current vital signs are: BP 144/96,
hear rate 54/min, respirations 18/min, and temperature 98.6 F. Which of the following
actions should the nurse take? - ✔✔Withhold the digoxin dose for decreased pulse rate
