1
ATI Pediatrics Proctored
Exam B 2024 – Best Answers
with 100% Verified Questions
| A+ Graded Study Guide
1. A 4-month-old infant is brought to the clinic with a fever of 100.8°F. What is the
nurse’s priority action?
a) Administer acetaminophen as prescribed.
b) Assess the infant’s hydration status.
c) Notify the healthcare provider immediately.
d) Encourage breastfeeding or formula feeding.
Correct Answer: c) Notify the healthcare provider immediately.
Rationale: A fever in a 4-month-old infant is a medical emergency due to the risk of
serious bacterial infections, requiring immediate provider evaluation to guide treatment
and ensure safety per ATI standards.
2. A 6-year-old child with asthma is prescribed albuterol via inhaler. What should the
nurse teach the parents?
a) Use the inhaler daily to prevent attacks.
b) Use it as needed for wheezing or shortness of breath.
c) Rinse the child’s mouth after each use.
d) Administer it at bedtime only.
Correct Answer: b) Use it as needed for wheezing or shortness of breath.
Rationale: Albuterol, a short-acting beta-agonist, is used as needed for acute asthma
symptoms like wheezing, ensuring prompt relief and supporting respiratory function per
ATI protocols.
3. A 2-year-old child is admitted with dehydration. Which finding indicates moderate
dehydration?
a) Moist mucous membranes
b) Sunken eyes and dry mucous membranes
c) Normal skin turgor
d) Increased urine output
Correct Answer: b) Sunken eyes and dry mucous membranes
Rationale: Sunken eyes and dry mucous membranes are signs of moderate dehydration
in a toddler, guiding the need for rehydration therapy per ATI pediatric standards.
4. A 10-year-old child with type 1 diabetes has a blood glucose of 45 mg/dL. What is
the nurse’s first action?
, 2
a) Administer insulin as prescribed.
b) Give 15 g of a fast-acting carbohydrate.
c) Notify the healthcare provider.
d) Encourage the child to rest.
Correct Answer: b) Give 15 g of a fast-acting carbohydrate.
Rationale: A blood glucose of 45 mg/dL indicates hypoglycemia, requiring immediate
administration of 15 g of a fast-acting carbohydrate (e.g., juice) to prevent seizures or
unconsciousness per ATI guidelines.
5. A 3-month-old infant is diagnosed with colic. What should the nurse teach the
parents?
a) Increase feeding frequency to every hour.
b) Use soothing techniques like swaddling.
c) Administer simethicone after every feeding.
d) Switch to a cow’s milk-based formula.
Correct Answer: b) Use soothing techniques like swaddling.
Rationale: Swaddling and other non-pharmacologic soothing techniques comfort infants
with colic, reducing crying and supporting family-centered care per ATI standards.
6. A 5-year-old child is prescribed acetaminophen 15 mg/kg/dose. The child weighs 18
kg. How many mg should the nurse administer?
a) 180 mg
b) 270 mg
c) 360 mg
d) 450 mg
Correct Answer: b) 270 mg
Rationale: Calculating 15 mg/kg × 18 kg = 270 mg ensures accurate dosing, promoting
safe fever or pain management in the pediatric client per ATI guidelines.
7. A 7-year-old child with a positive rapid strep test is prescribed amoxicillin. What is
the most appropriate treatment duration?
a) 5 days
b) 7 days
c) 10 days
d) 14 days
Correct Answer: c) 10 days
Rationale: Amoxicillin is prescribed for 10 days to treat streptococcal pharyngitis,
ensuring eradication of Group A Streptococcus and preventing complications like
rheumatic fever per ATI standards.
8. A 1-year-old infant with bronchiolitis is admitted. What is the nurse’s priority
intervention?
a) Administer antibiotics as prescribed.
b) Monitor respiratory status and oxygen saturation.
c) Encourage oral feeding every 2 hours.
d) Place the infant in a supine position.
Correct Answer: b) Monitor respiratory status and oxygen saturation.
Rationale: Bronchiolitis, often caused by RSV, can lead to respiratory distress.
Monitoring respiratory status ensures early detection of hypoxia, prioritizing safety per
ATI protocols.
, 3
9. A 5-year-old child with cystic fibrosis has a productive cough. What should the
nurse include in the care plan?
a) Restrict fluid intake.
b) Perform chest physiotherapy as ordered.
c) Administer a bronchodilator once daily.
d) Encourage a low-calorie diet.
Correct Answer: b) Perform chest physiotherapy as ordered.
Rationale: Chest physiotherapy mobilizes mucus in cystic fibrosis, improving airway
clearance and supporting respiratory function per ATI pediatric care standards.
10. A 6-month-old infant presents with a rash and fever. The nurse suspects measles.
What is the priority action?
a) Administer acetaminophen for fever.
b) Initiate airborne precautions.
c) Obtain a throat culture.
d) Encourage increased fluid intake.
Correct Answer: b) Initiate airborne precautions.
Rationale: Measles is highly contagious and requires airborne precautions to prevent
spread, prioritizing the safety of the infant and others per ATI infection control standards.
11. A 9-year-old child with a fractured arm reports pain rated 8/10. What should the
nurse do first?
a) Administer ibuprofen as prescribed.
b) Assess the cast for tightness.
c) Apply ice to the cast.
d) Notify the healthcare provider.
Correct Answer: b) Assess the cast for tightness.
Rationale: Severe pain may indicate cast tightness or compartment syndrome, requiring
immediate assessment to ensure circulation and comfort per ATI standards.
12. A 2-year-old child is prescribed digoxin 0.01 mg/kg/day. The child weighs 12 kg.
How many mg should the nurse administer daily?
a) 0.06 mg
b) 0.12 mg
c) 0.18 mg
d) 0.24 mg
Correct Answer: b) 0.12 mg
Rationale: Calculating 0.01 mg/kg × 12 kg = 0.12 mg ensures accurate digoxin dosing,
preventing toxicity and supporting cardiac function per ATI guidelines.
13. A 4-year-old child with a seizure disorder is prescribed phenytoin. Which side effect
should the nurse monitor?
a) Weight gain
b) Gingival hyperplasia
c) Hypotension
d) Diarrhea
Correct Answer: b) Gingival hyperplasia
Rationale: Gingival hyperplasia is a common side effect of phenytoin, requiring
monitoring and oral hygiene education to promote comfort per ATI standards.
ATI Pediatrics Proctored
Exam B 2024 – Best Answers
with 100% Verified Questions
| A+ Graded Study Guide
1. A 4-month-old infant is brought to the clinic with a fever of 100.8°F. What is the
nurse’s priority action?
a) Administer acetaminophen as prescribed.
b) Assess the infant’s hydration status.
c) Notify the healthcare provider immediately.
d) Encourage breastfeeding or formula feeding.
Correct Answer: c) Notify the healthcare provider immediately.
Rationale: A fever in a 4-month-old infant is a medical emergency due to the risk of
serious bacterial infections, requiring immediate provider evaluation to guide treatment
and ensure safety per ATI standards.
2. A 6-year-old child with asthma is prescribed albuterol via inhaler. What should the
nurse teach the parents?
a) Use the inhaler daily to prevent attacks.
b) Use it as needed for wheezing or shortness of breath.
c) Rinse the child’s mouth after each use.
d) Administer it at bedtime only.
Correct Answer: b) Use it as needed for wheezing or shortness of breath.
Rationale: Albuterol, a short-acting beta-agonist, is used as needed for acute asthma
symptoms like wheezing, ensuring prompt relief and supporting respiratory function per
ATI protocols.
3. A 2-year-old child is admitted with dehydration. Which finding indicates moderate
dehydration?
a) Moist mucous membranes
b) Sunken eyes and dry mucous membranes
c) Normal skin turgor
d) Increased urine output
Correct Answer: b) Sunken eyes and dry mucous membranes
Rationale: Sunken eyes and dry mucous membranes are signs of moderate dehydration
in a toddler, guiding the need for rehydration therapy per ATI pediatric standards.
4. A 10-year-old child with type 1 diabetes has a blood glucose of 45 mg/dL. What is
the nurse’s first action?
, 2
a) Administer insulin as prescribed.
b) Give 15 g of a fast-acting carbohydrate.
c) Notify the healthcare provider.
d) Encourage the child to rest.
Correct Answer: b) Give 15 g of a fast-acting carbohydrate.
Rationale: A blood glucose of 45 mg/dL indicates hypoglycemia, requiring immediate
administration of 15 g of a fast-acting carbohydrate (e.g., juice) to prevent seizures or
unconsciousness per ATI guidelines.
5. A 3-month-old infant is diagnosed with colic. What should the nurse teach the
parents?
a) Increase feeding frequency to every hour.
b) Use soothing techniques like swaddling.
c) Administer simethicone after every feeding.
d) Switch to a cow’s milk-based formula.
Correct Answer: b) Use soothing techniques like swaddling.
Rationale: Swaddling and other non-pharmacologic soothing techniques comfort infants
with colic, reducing crying and supporting family-centered care per ATI standards.
6. A 5-year-old child is prescribed acetaminophen 15 mg/kg/dose. The child weighs 18
kg. How many mg should the nurse administer?
a) 180 mg
b) 270 mg
c) 360 mg
d) 450 mg
Correct Answer: b) 270 mg
Rationale: Calculating 15 mg/kg × 18 kg = 270 mg ensures accurate dosing, promoting
safe fever or pain management in the pediatric client per ATI guidelines.
7. A 7-year-old child with a positive rapid strep test is prescribed amoxicillin. What is
the most appropriate treatment duration?
a) 5 days
b) 7 days
c) 10 days
d) 14 days
Correct Answer: c) 10 days
Rationale: Amoxicillin is prescribed for 10 days to treat streptococcal pharyngitis,
ensuring eradication of Group A Streptococcus and preventing complications like
rheumatic fever per ATI standards.
8. A 1-year-old infant with bronchiolitis is admitted. What is the nurse’s priority
intervention?
a) Administer antibiotics as prescribed.
b) Monitor respiratory status and oxygen saturation.
c) Encourage oral feeding every 2 hours.
d) Place the infant in a supine position.
Correct Answer: b) Monitor respiratory status and oxygen saturation.
Rationale: Bronchiolitis, often caused by RSV, can lead to respiratory distress.
Monitoring respiratory status ensures early detection of hypoxia, prioritizing safety per
ATI protocols.
, 3
9. A 5-year-old child with cystic fibrosis has a productive cough. What should the
nurse include in the care plan?
a) Restrict fluid intake.
b) Perform chest physiotherapy as ordered.
c) Administer a bronchodilator once daily.
d) Encourage a low-calorie diet.
Correct Answer: b) Perform chest physiotherapy as ordered.
Rationale: Chest physiotherapy mobilizes mucus in cystic fibrosis, improving airway
clearance and supporting respiratory function per ATI pediatric care standards.
10. A 6-month-old infant presents with a rash and fever. The nurse suspects measles.
What is the priority action?
a) Administer acetaminophen for fever.
b) Initiate airborne precautions.
c) Obtain a throat culture.
d) Encourage increased fluid intake.
Correct Answer: b) Initiate airborne precautions.
Rationale: Measles is highly contagious and requires airborne precautions to prevent
spread, prioritizing the safety of the infant and others per ATI infection control standards.
11. A 9-year-old child with a fractured arm reports pain rated 8/10. What should the
nurse do first?
a) Administer ibuprofen as prescribed.
b) Assess the cast for tightness.
c) Apply ice to the cast.
d) Notify the healthcare provider.
Correct Answer: b) Assess the cast for tightness.
Rationale: Severe pain may indicate cast tightness or compartment syndrome, requiring
immediate assessment to ensure circulation and comfort per ATI standards.
12. A 2-year-old child is prescribed digoxin 0.01 mg/kg/day. The child weighs 12 kg.
How many mg should the nurse administer daily?
a) 0.06 mg
b) 0.12 mg
c) 0.18 mg
d) 0.24 mg
Correct Answer: b) 0.12 mg
Rationale: Calculating 0.01 mg/kg × 12 kg = 0.12 mg ensures accurate digoxin dosing,
preventing toxicity and supporting cardiac function per ATI guidelines.
13. A 4-year-old child with a seizure disorder is prescribed phenytoin. Which side effect
should the nurse monitor?
a) Weight gain
b) Gingival hyperplasia
c) Hypotension
d) Diarrhea
Correct Answer: b) Gingival hyperplasia
Rationale: Gingival hyperplasia is a common side effect of phenytoin, requiring
monitoring and oral hygiene education to promote comfort per ATI standards.
