PEDIATRICS ATI PROCTORED EXAM (4 VERSIONS) ATI
PEDIATRICS PROCTORED EXAM LATEST 2025
A nurse is caring for an infant who has pertussis. which of the following actions
should the nurse take?
-assess for edema of the extremities
-apply warm compresses to the neck area
-initiate airborne precautions
-maintain a cardiorespiratory monitor
Maintain a cardiorespiratory monitor
(Infants with pertussis typically present with apnea in response to coughing spasms and
mucus plugs. Humidified oxygen and suction equipment should be used as needed)
A nurse is caring for a 7 year old child who is in skeletal traction following a
complete fracture of the femur. which of he following diversional activities should
the nurse offer the child?
-Puzzle with large pieces
-Building blocks
-Finger paints
-Chapter books
Chapter books
(the nurse should offer chapter books as an appropriate diversional activity for a school
age child who has limited movement due to skeletal traction)
A nurse is creating a plan of care for a 6 month old infant who requires
continuous pulse oximetry monitoring. Which of the following interventions
should the nurse include.
-Reposition the sensor to a new site once every 24 hr
-Secure the oximetry sensor to the infant's wrist
-apply conduction gel to the skin before attaching the sensor
-Cover the oximetry sensor with clothing
Cover the oximetry sensor with clothing
(the nurse should cover the sensor with clothing to prevent outside light from causing an
altered or false reading)
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
b. Sense of trust
c. Object permanence
d. Egocentrism
Object permanence
9. A nurse is caring for a 15-month-old toddler who requires droplet precautions.
Which of the following actions should the nurse take?
a. Have the toddler wear a disposable gown when in the unit's playroom.
b. Wear sterile gloves when changing the toddler's diapers.
c. Wear a mask when assisting the toddler with meals.
d. Ask visitors to wear an N-95 mask when entering the room.
Wear a mask when assisting the toddler with meals.
9. A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-
child visit. Which of the following findings should the nurse report to the
provider?
a. Head lags when pulled from a lying to a sitting position
b. Absence of startle and crawl reflexes
c. Inability to pick up a rattle after dropping it
d. Rolls from back to side
Head lags when pulled from a lying to a sitting position
9. A nurse is planning to collect a specimen from a male infant using a urine
collection bag.
Which of the following actions should the nurse take?
a.Wash and dry the infant's genitalia and perineum thoroughly.
b. Apply a small coating of water-soluble lubricant to the skin of the infant's
perineal area.
c. Avoid placing the scrotum inside the collection bag.
d. Wait several hours after positioning the device before checking it.
Wash and dry the infant's genitalia and perineum thoroughly.
9. A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood
lead level of 3 mcg/dL. When teaching the toddler's parents about the correlation
of nutrition with lead poisoning, which of the following information is appropriate
for the nurse to include in the teaching?
a. Decrease the child's vitamin C intake until the blood lead level decreases to
zero.
b. Administer a folic acid supplement to the child each day.
c. Give pancreatic enzymes to the child with meals and snacks.
d. Ensure the child's dietary intake of calcium and iron is adequate.
Ensure the child's dietary intake of calcium and iron is adequate.
9. A nurse is planning care for a 10-month-old infant who has suspected failure to
thrive (FTT). Which of the following interventions should the nurse include in the
plan of care? (Select all that apply.)
PEDIATRICS PROCTORED EXAM LATEST 2025
A nurse is caring for an infant who has pertussis. which of the following actions
should the nurse take?
-assess for edema of the extremities
-apply warm compresses to the neck area
-initiate airborne precautions
-maintain a cardiorespiratory monitor
Maintain a cardiorespiratory monitor
(Infants with pertussis typically present with apnea in response to coughing spasms and
mucus plugs. Humidified oxygen and suction equipment should be used as needed)
A nurse is caring for a 7 year old child who is in skeletal traction following a
complete fracture of the femur. which of he following diversional activities should
the nurse offer the child?
-Puzzle with large pieces
-Building blocks
-Finger paints
-Chapter books
Chapter books
(the nurse should offer chapter books as an appropriate diversional activity for a school
age child who has limited movement due to skeletal traction)
A nurse is creating a plan of care for a 6 month old infant who requires
continuous pulse oximetry monitoring. Which of the following interventions
should the nurse include.
-Reposition the sensor to a new site once every 24 hr
-Secure the oximetry sensor to the infant's wrist
-apply conduction gel to the skin before attaching the sensor
-Cover the oximetry sensor with clothing
Cover the oximetry sensor with clothing
(the nurse should cover the sensor with clothing to prevent outside light from causing an
altered or false reading)
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
b. Sense of trust
c. Object permanence
d. Egocentrism
Object permanence
9. A nurse is caring for a 15-month-old toddler who requires droplet precautions.
Which of the following actions should the nurse take?
a. Have the toddler wear a disposable gown when in the unit's playroom.
b. Wear sterile gloves when changing the toddler's diapers.
c. Wear a mask when assisting the toddler with meals.
d. Ask visitors to wear an N-95 mask when entering the room.
Wear a mask when assisting the toddler with meals.
9. A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-
child visit. Which of the following findings should the nurse report to the
provider?
a. Head lags when pulled from a lying to a sitting position
b. Absence of startle and crawl reflexes
c. Inability to pick up a rattle after dropping it
d. Rolls from back to side
Head lags when pulled from a lying to a sitting position
9. A nurse is planning to collect a specimen from a male infant using a urine
collection bag.
Which of the following actions should the nurse take?
a.Wash and dry the infant's genitalia and perineum thoroughly.
b. Apply a small coating of water-soluble lubricant to the skin of the infant's
perineal area.
c. Avoid placing the scrotum inside the collection bag.
d. Wait several hours after positioning the device before checking it.
Wash and dry the infant's genitalia and perineum thoroughly.
9. A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood
lead level of 3 mcg/dL. When teaching the toddler's parents about the correlation
of nutrition with lead poisoning, which of the following information is appropriate
for the nurse to include in the teaching?
a. Decrease the child's vitamin C intake until the blood lead level decreases to
zero.
b. Administer a folic acid supplement to the child each day.
c. Give pancreatic enzymes to the child with meals and snacks.
d. Ensure the child's dietary intake of calcium and iron is adequate.
Ensure the child's dietary intake of calcium and iron is adequate.
9. A nurse is planning care for a 10-month-old infant who has suspected failure to
thrive (FTT). Which of the following interventions should the nurse include in the
plan of care? (Select all that apply.)
