ATI RN HESI Pediatric
ATI RN HESI Pediatric Questions And Level A+ Answers
With Rationale Latest Solution
1. A nurse is teaching the parent of a 12-month-old infant about nutrition. Which of the following statements
by the parent indicates a need for further teaching?
a. "I can give my baby 4 ounces of juice to drink each day."
b. "I will offer my baby dry cereal and chilled banana slices as snacks."
c. "I am introducing my baby to the same foods the family eats."
d. "My infant drinks at least 2 quarts of skim milk each day."
Rationale: As the infant transitions into toddlerhood, whole milk intake should average 24 to 30 oz per
day. Too much milk can affect intake of solid foods and result in iron deficiency anemia. Skim milk is not
recommended until after age 2 since it lacks essential fatty acids which are needed for growth and
development.
2. A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child
in which of the following positions?
a. Side-lying
b. Semi-recumbent
c. Flexed sitting
d. Supine
Rationale: The client is placed in the supine position, with the client's legs in a frog position.
3. A nurse is assessing a 9-month-old infant during a well-child visit. Which of the following findings indicates
that the infant has a developmental delay?
a. Creeps on hands and knees
b. Inability to vocalize vowel sounds
c. Uses crude pincer grasp
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, ATI RN HESI Pediatric
d. Stands by holding onto support
Rationale: The infant should begin vocalizing vowel sounds at the age of 7 months, and by the age of 10
months, be able to say at least one word.
4. A nurse is preparing to administer a liquid medication to an infant. Which of the following actions should
the nurse take?
a. Administer the medication while the infant is supine.
b. Give the medication at the side of the infant's mouth.
c. Add the medication to a full bottle of the infant's formula.
d. Administer the medication slowly while holding the nares closed.
Rationale: When administering medications to an infant, a needleless oral syringe or medicine dropper is
placed in the side of the mouth (buccal cavity alongside the tongue) to prevent gagging and aspiration.
5. A nurse on a pediatric unit is reviewing the health record of a client who is demonstrating increasing levels
of stress after admission. The nurse should identify which of the following findings as a risk factor for a
stress-related reaction to hospitalization?
a. Age 10
b. First hospitalization
c. Male gender
d. Calm, quiet demeanor
Rationale: Male clients are at increased risk for hospitalization-related stress compared to female clients.
6. A nurse in the emergency department is caring for a 12-year-old child who has ingested bleach. Which of
the following statements by the nurse indicated an understanding of this ingestion?
a. "The absence of oral burns excludes the possibility of esophageal burns."
b. "Treatment focuses on neutralization of the chemical."
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, ATI RN HESI Pediatric
c. "Injury by a corrosive liquid is more extensive than by a corrosive solid."
d. "Immediate administration of activated charcoal is warranted."
Rationale: The coating action of liquids permits larger areas of contact with tissues and results in more
extensive injury.
7. A nurse is caring for a child who has a bacterial endocarditis. The child is scheduled to receive moderate
term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the following
statements should the nurse include when teaching the child's parent?
a. "The PICC line will last several weeks with proper care."
b. "The public health nurse will rotate the insertion site every 3 days."
c. "You will need to make certain the arm board is in place at all times."
d. "Your child will go to the operating room to have the line placed."
Rationale: PICC lines are the preferred venous access device for short to moderate term IV therapy. They
can remain in place for long periods with proper care.
8. A nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the parents
of a toddler. The nurse should instruct the parents to take which of the following actions first if the child
ingests a hazardous substance?
a. Give the toddler milk.
b. Go to an emergency department.
c. Call the poison control center.
d. Induce vomiting.
Rationale: According to evidence-based practice, the nurse should instruct the parents to first call the
poison control center, which will then identify what further actions the parents should take.
9. A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is planning to take the child to the
playroom. Which of the following activities would be appropriate for the child?
a. Cutting figures from colored paper
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3
ATI RN HESI Pediatric Questions And Level A+ Answers
With Rationale Latest Solution
1. A nurse is teaching the parent of a 12-month-old infant about nutrition. Which of the following statements
by the parent indicates a need for further teaching?
a. "I can give my baby 4 ounces of juice to drink each day."
b. "I will offer my baby dry cereal and chilled banana slices as snacks."
c. "I am introducing my baby to the same foods the family eats."
d. "My infant drinks at least 2 quarts of skim milk each day."
Rationale: As the infant transitions into toddlerhood, whole milk intake should average 24 to 30 oz per
day. Too much milk can affect intake of solid foods and result in iron deficiency anemia. Skim milk is not
recommended until after age 2 since it lacks essential fatty acids which are needed for growth and
development.
2. A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child
in which of the following positions?
a. Side-lying
b. Semi-recumbent
c. Flexed sitting
d. Supine
Rationale: The client is placed in the supine position, with the client's legs in a frog position.
3. A nurse is assessing a 9-month-old infant during a well-child visit. Which of the following findings indicates
that the infant has a developmental delay?
a. Creeps on hands and knees
b. Inability to vocalize vowel sounds
c. Uses crude pincer grasp
©®
1
, ATI RN HESI Pediatric
d. Stands by holding onto support
Rationale: The infant should begin vocalizing vowel sounds at the age of 7 months, and by the age of 10
months, be able to say at least one word.
4. A nurse is preparing to administer a liquid medication to an infant. Which of the following actions should
the nurse take?
a. Administer the medication while the infant is supine.
b. Give the medication at the side of the infant's mouth.
c. Add the medication to a full bottle of the infant's formula.
d. Administer the medication slowly while holding the nares closed.
Rationale: When administering medications to an infant, a needleless oral syringe or medicine dropper is
placed in the side of the mouth (buccal cavity alongside the tongue) to prevent gagging and aspiration.
5. A nurse on a pediatric unit is reviewing the health record of a client who is demonstrating increasing levels
of stress after admission. The nurse should identify which of the following findings as a risk factor for a
stress-related reaction to hospitalization?
a. Age 10
b. First hospitalization
c. Male gender
d. Calm, quiet demeanor
Rationale: Male clients are at increased risk for hospitalization-related stress compared to female clients.
6. A nurse in the emergency department is caring for a 12-year-old child who has ingested bleach. Which of
the following statements by the nurse indicated an understanding of this ingestion?
a. "The absence of oral burns excludes the possibility of esophageal burns."
b. "Treatment focuses on neutralization of the chemical."
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2
, ATI RN HESI Pediatric
c. "Injury by a corrosive liquid is more extensive than by a corrosive solid."
d. "Immediate administration of activated charcoal is warranted."
Rationale: The coating action of liquids permits larger areas of contact with tissues and results in more
extensive injury.
7. A nurse is caring for a child who has a bacterial endocarditis. The child is scheduled to receive moderate
term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the following
statements should the nurse include when teaching the child's parent?
a. "The PICC line will last several weeks with proper care."
b. "The public health nurse will rotate the insertion site every 3 days."
c. "You will need to make certain the arm board is in place at all times."
d. "Your child will go to the operating room to have the line placed."
Rationale: PICC lines are the preferred venous access device for short to moderate term IV therapy. They
can remain in place for long periods with proper care.
8. A nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the parents
of a toddler. The nurse should instruct the parents to take which of the following actions first if the child
ingests a hazardous substance?
a. Give the toddler milk.
b. Go to an emergency department.
c. Call the poison control center.
d. Induce vomiting.
Rationale: According to evidence-based practice, the nurse should instruct the parents to first call the
poison control center, which will then identify what further actions the parents should take.
9. A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is planning to take the child to the
playroom. Which of the following activities would be appropriate for the child?
a. Cutting figures from colored paper
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3
