1
VATI PN Comprehensive
Predictor 2025 – Actual
Forms A, B & C with 100%
Verified Questions
Form A
1. A nurse is assessing a 4-year-old child with suspected appendicitis. Which finding
should the nurse report as the priority?
A. Low-grade fever
B. Rebound tenderness in the right lower quadrant
C. Decreased appetite
D. Nausea and vomiting
Correct Answer: B
Rationale: Rebound tenderness in the right lower quadrant indicates peritoneal irritation,
a critical sign of appendicitis that may suggest perforation, requiring immediate surgical
evaluation. Low-grade fever, decreased appetite, and nausea are common but less urgent.
ATI Pediatric Nursing, Ch. 17: Gastrointestinal Disorders.
2. A nurse is teaching parents of a child with type 1 diabetes mellitus about insulin
administration. Which instruction should the nurse include?
A. Inject insulin into the same site each time
B. Rotate injection sites to prevent lipodystrophy
C. Administer insulin only when blood glucose exceeds 300 mg/dL
D. Store insulin at room temperature indefinitely
Correct Answer: B
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin
absorption. Using the same site, administering only at high glucose levels, or improper
storage can lead to complications. ATI Pediatric Nursing, Ch. 33: Endocrine Disorders.
3. A nurse is caring for an infant with a ventricular septal defect (VSD). Which finding
should the nurse expect?
A. Bradycardia
B. Heart murmur
C. Hypertension
D. Increased oxygen saturation
Correct Answer: B
Rationale: A heart murmur is expected in VSD due to turbulent blood flow through the
, 2
defect. Bradycardia, hypertension, and increased oxygen saturation are not typical
findings. ATI Pediatric Nursing, Ch. 20: Cardiovascular Disorders.
4. A nurse is preparing to administer ibuprofen to a 5-year-old weighing 18 kg for a
fever. The prescribed dose is 10 mg/kg every 6 hours. How many milligrams should
the nurse administer per dose?
A. 90 mg
B. 180 mg
C. 270 mg
D. 360 mg
Correct Answer: B
Rationale: Calculate the dose: 18 kg × 10 mg/kg = 180 mg per dose. This ensures safe
and effective fever management. ATI Pediatric Nursing, Ch. 6: Safe Medication
Administration.
5. A nurse is assessing a 2-year-old with suspected dehydration. Which finding
indicates severe dehydration?
A. Slightly dry mucous membranes
B. Sunken fontanelles
C. Normal skin turgor
D. Increased urine output
Correct Answer: B
Rationale: Sunken fontanelles indicate severe dehydration in young children due to
significant fluid loss. Slightly dry mucous membranes suggest mild dehydration, while
normal skin turgor and increased urine output are inconsistent with dehydration. ATI
Pediatric Nursing, Ch. 22: Fluid and Electrolyte Imbalances.
6. A nurse is teaching parents of a child with asthma about trigger avoidance. Which
environmental factor should the nurse instruct them to minimize?
A. Bright lighting
B. Dust mites
C. Low humidity
D. Soft bedding
Correct Answer: B
Rationale: Dust mites are a common asthma trigger, causing airway inflammation.
Bright lighting, low humidity, and soft bedding are not typical triggers. ATI Pediatric
Nursing, Ch. 21: Respiratory Disorders.
7. A nurse is caring for a child with acute glomerulonephritis. Which dietary
restriction should the nurse recommend?
A. Low-protein diet
B. High-sodium diet
C. Low-sodium diet
D. High-potassium diet
Correct Answer: C
Rationale: A low-sodium diet reduces edema and hypertension in acute
glomerulonephritis. High-sodium or high-potassium diets are contraindicated, and protein
is not typically restricted. ATI Pediatric Nursing, Ch. 28: Renal Disorders.
8. A nurse is assessing a 6-year-old with a suspected concussion. Which finding is the
priority to report?
, 3
A. Headache
B. Unequal pupil size
C. Nausea
D. Drowsiness
Correct Answer: B
Rationale: Unequal pupil size indicates potential increased intracranial pressure, a life-
threatening complication requiring immediate intervention. Headache, nausea, and
drowsiness are common but less urgent unless severe. ATI Pediatric Nursing, Ch. 14:
Neurologic Disorders.
9. A nurse is caring for an infant with gastroesophageal reflux disease (GERD). Which
intervention should the nurse recommend to the parents?
A. Feed large volumes at each feeding
B. Place the infant in a prone position after feeding
C. Thicken feedings with rice cereal
D. Avoid burping during feedings
Correct Answer: C
Rationale: Thickening feedings with rice cereal reduces reflux by adding weight to the
formula. Large volumes exacerbate GERD, prone positioning increases SIDS risk, and
burping is necessary. ATI Pediatric Nursing, Ch. 17: Gastrointestinal Disorders.
10. A nurse is teaching parents of a child with cystic fibrosis. Which instruction should
the nurse include?
A. Restrict caloric intake
B. Administer pancreatic enzymes with meals
C. Avoid chest physiotherapy
D. Limit fluid intake
Correct Answer: B
Rationale: Pancreatic enzymes aid digestion in cystic fibrosis due to pancreatic
insufficiency. Restricting calories or fluids and avoiding chest physiotherapy are
contraindicated. ATI Pediatric Nursing, Ch. 21: Respiratory Disorders.
11. A nurse is caring for a 3-year-old postoperative following a tonsillectomy. Which
finding should the nurse report immediately?
A. Throat pain
B. Frequent swallowing
C. Refusal to eat
D. Hoarse voice
Correct Answer: B
Rationale: Frequent swallowing may indicate postoperative bleeding, a serious
complication requiring immediate intervention. Throat pain, refusal to eat, and
hoarseness are expected. ATI Pediatric Nursing, Ch. 21: Respiratory Disorders.
12. A nurse is assessing a newborn with suspected jaundice. Which finding should the
nurse expect?
A. Cyanosis of extremities
B. Yellowing of skin and sclera
C. Increased muscle tone
D. Rapid weight gain
Correct Answer: B
, 4
Rationale: Yellowing of the skin and sclera is a hallmark of jaundice due to elevated
bilirubin. Cyanosis, increased muscle tone, and rapid weight gain are not associated. ATI
Pediatric Nursing, Ch. 24: Newborn Care.
13. A nurse is teaching parents of a child with a seizure disorder. Which action should
the nurse instruct them to take during a seizure?
A. Restrain the child’s limbs
B. Place a tongue depressor in the mouth
C. Clear the area of hard objects
D. Place the child in a prone position
Correct Answer: C
Rationale: Clearing the area of hard objects prevents injury during a seizure. Restraining
limbs, inserting objects, or prone positioning can cause harm or increase aspiration risk.
ATI Pediatric Nursing, Ch. 14: Neurologic Disorders.
14. A nurse is caring for a child with bacterial meningitis. Which isolation precaution
should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Correct Answer: B
Rationale: Bacterial meningitis requires droplet precautions due to transmission via
respiratory secretions. Contact or airborne precautions are not typically needed. ATI
Pediatric Nursing, Ch. 15: Infectious Diseases.
15. A nurse is preparing to administer a vaccine to a 12-month-old infant. Which
vaccine is appropriate at this age?
A. Human papillomavirus (HPV)
B. Varicella
C. Hepatitis A
D. Meningococcal conjugate
Correct Answer: B
Rationale: The varicella vaccine is recommended at 12–15 months per the CDC
schedule. HPV is for older children, hepatitis A at 12–23 months, and meningococcal at
11–12 years. ATI Pediatric Nursing, Ch. 8: Immunizations.
16. A nurse is assessing a 6-month-old with suspected heart failure. Which finding
should the nurse expect?
A. Tachypnea
B. Bradycardia
C. Weight gain
D. Decreased respiratory effort
Correct Answer: A
Rationale: Tachypnea is common in heart failure due to pulmonary congestion.
Bradycardia, weight gain, and decreased respiratory effort are not typical. ATI Pediatric
Nursing, Ch. 20: Cardiovascular Disorders.
17. A nurse is teaching parents of a child with ADHD. Which strategy should the nurse
recommend?
A. Allow unlimited screen time
VATI PN Comprehensive
Predictor 2025 – Actual
Forms A, B & C with 100%
Verified Questions
Form A
1. A nurse is assessing a 4-year-old child with suspected appendicitis. Which finding
should the nurse report as the priority?
A. Low-grade fever
B. Rebound tenderness in the right lower quadrant
C. Decreased appetite
D. Nausea and vomiting
Correct Answer: B
Rationale: Rebound tenderness in the right lower quadrant indicates peritoneal irritation,
a critical sign of appendicitis that may suggest perforation, requiring immediate surgical
evaluation. Low-grade fever, decreased appetite, and nausea are common but less urgent.
ATI Pediatric Nursing, Ch. 17: Gastrointestinal Disorders.
2. A nurse is teaching parents of a child with type 1 diabetes mellitus about insulin
administration. Which instruction should the nurse include?
A. Inject insulin into the same site each time
B. Rotate injection sites to prevent lipodystrophy
C. Administer insulin only when blood glucose exceeds 300 mg/dL
D. Store insulin at room temperature indefinitely
Correct Answer: B
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin
absorption. Using the same site, administering only at high glucose levels, or improper
storage can lead to complications. ATI Pediatric Nursing, Ch. 33: Endocrine Disorders.
3. A nurse is caring for an infant with a ventricular septal defect (VSD). Which finding
should the nurse expect?
A. Bradycardia
B. Heart murmur
C. Hypertension
D. Increased oxygen saturation
Correct Answer: B
Rationale: A heart murmur is expected in VSD due to turbulent blood flow through the
, 2
defect. Bradycardia, hypertension, and increased oxygen saturation are not typical
findings. ATI Pediatric Nursing, Ch. 20: Cardiovascular Disorders.
4. A nurse is preparing to administer ibuprofen to a 5-year-old weighing 18 kg for a
fever. The prescribed dose is 10 mg/kg every 6 hours. How many milligrams should
the nurse administer per dose?
A. 90 mg
B. 180 mg
C. 270 mg
D. 360 mg
Correct Answer: B
Rationale: Calculate the dose: 18 kg × 10 mg/kg = 180 mg per dose. This ensures safe
and effective fever management. ATI Pediatric Nursing, Ch. 6: Safe Medication
Administration.
5. A nurse is assessing a 2-year-old with suspected dehydration. Which finding
indicates severe dehydration?
A. Slightly dry mucous membranes
B. Sunken fontanelles
C. Normal skin turgor
D. Increased urine output
Correct Answer: B
Rationale: Sunken fontanelles indicate severe dehydration in young children due to
significant fluid loss. Slightly dry mucous membranes suggest mild dehydration, while
normal skin turgor and increased urine output are inconsistent with dehydration. ATI
Pediatric Nursing, Ch. 22: Fluid and Electrolyte Imbalances.
6. A nurse is teaching parents of a child with asthma about trigger avoidance. Which
environmental factor should the nurse instruct them to minimize?
A. Bright lighting
B. Dust mites
C. Low humidity
D. Soft bedding
Correct Answer: B
Rationale: Dust mites are a common asthma trigger, causing airway inflammation.
Bright lighting, low humidity, and soft bedding are not typical triggers. ATI Pediatric
Nursing, Ch. 21: Respiratory Disorders.
7. A nurse is caring for a child with acute glomerulonephritis. Which dietary
restriction should the nurse recommend?
A. Low-protein diet
B. High-sodium diet
C. Low-sodium diet
D. High-potassium diet
Correct Answer: C
Rationale: A low-sodium diet reduces edema and hypertension in acute
glomerulonephritis. High-sodium or high-potassium diets are contraindicated, and protein
is not typically restricted. ATI Pediatric Nursing, Ch. 28: Renal Disorders.
8. A nurse is assessing a 6-year-old with a suspected concussion. Which finding is the
priority to report?
, 3
A. Headache
B. Unequal pupil size
C. Nausea
D. Drowsiness
Correct Answer: B
Rationale: Unequal pupil size indicates potential increased intracranial pressure, a life-
threatening complication requiring immediate intervention. Headache, nausea, and
drowsiness are common but less urgent unless severe. ATI Pediatric Nursing, Ch. 14:
Neurologic Disorders.
9. A nurse is caring for an infant with gastroesophageal reflux disease (GERD). Which
intervention should the nurse recommend to the parents?
A. Feed large volumes at each feeding
B. Place the infant in a prone position after feeding
C. Thicken feedings with rice cereal
D. Avoid burping during feedings
Correct Answer: C
Rationale: Thickening feedings with rice cereal reduces reflux by adding weight to the
formula. Large volumes exacerbate GERD, prone positioning increases SIDS risk, and
burping is necessary. ATI Pediatric Nursing, Ch. 17: Gastrointestinal Disorders.
10. A nurse is teaching parents of a child with cystic fibrosis. Which instruction should
the nurse include?
A. Restrict caloric intake
B. Administer pancreatic enzymes with meals
C. Avoid chest physiotherapy
D. Limit fluid intake
Correct Answer: B
Rationale: Pancreatic enzymes aid digestion in cystic fibrosis due to pancreatic
insufficiency. Restricting calories or fluids and avoiding chest physiotherapy are
contraindicated. ATI Pediatric Nursing, Ch. 21: Respiratory Disorders.
11. A nurse is caring for a 3-year-old postoperative following a tonsillectomy. Which
finding should the nurse report immediately?
A. Throat pain
B. Frequent swallowing
C. Refusal to eat
D. Hoarse voice
Correct Answer: B
Rationale: Frequent swallowing may indicate postoperative bleeding, a serious
complication requiring immediate intervention. Throat pain, refusal to eat, and
hoarseness are expected. ATI Pediatric Nursing, Ch. 21: Respiratory Disorders.
12. A nurse is assessing a newborn with suspected jaundice. Which finding should the
nurse expect?
A. Cyanosis of extremities
B. Yellowing of skin and sclera
C. Increased muscle tone
D. Rapid weight gain
Correct Answer: B
, 4
Rationale: Yellowing of the skin and sclera is a hallmark of jaundice due to elevated
bilirubin. Cyanosis, increased muscle tone, and rapid weight gain are not associated. ATI
Pediatric Nursing, Ch. 24: Newborn Care.
13. A nurse is teaching parents of a child with a seizure disorder. Which action should
the nurse instruct them to take during a seizure?
A. Restrain the child’s limbs
B. Place a tongue depressor in the mouth
C. Clear the area of hard objects
D. Place the child in a prone position
Correct Answer: C
Rationale: Clearing the area of hard objects prevents injury during a seizure. Restraining
limbs, inserting objects, or prone positioning can cause harm or increase aspiration risk.
ATI Pediatric Nursing, Ch. 14: Neurologic Disorders.
14. A nurse is caring for a child with bacterial meningitis. Which isolation precaution
should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Correct Answer: B
Rationale: Bacterial meningitis requires droplet precautions due to transmission via
respiratory secretions. Contact or airborne precautions are not typically needed. ATI
Pediatric Nursing, Ch. 15: Infectious Diseases.
15. A nurse is preparing to administer a vaccine to a 12-month-old infant. Which
vaccine is appropriate at this age?
A. Human papillomavirus (HPV)
B. Varicella
C. Hepatitis A
D. Meningococcal conjugate
Correct Answer: B
Rationale: The varicella vaccine is recommended at 12–15 months per the CDC
schedule. HPV is for older children, hepatitis A at 12–23 months, and meningococcal at
11–12 years. ATI Pediatric Nursing, Ch. 8: Immunizations.
16. A nurse is assessing a 6-month-old with suspected heart failure. Which finding
should the nurse expect?
A. Tachypnea
B. Bradycardia
C. Weight gain
D. Decreased respiratory effort
Correct Answer: A
Rationale: Tachypnea is common in heart failure due to pulmonary congestion.
Bradycardia, weight gain, and decreased respiratory effort are not typical. ATI Pediatric
Nursing, Ch. 20: Cardiovascular Disorders.
17. A nurse is teaching parents of a child with ADHD. Which strategy should the nurse
recommend?
A. Allow unlimited screen time
