ATI PEDS PROCTORED EXAM 2025 CONTAINS 100+ QUESTIONS AND CORRECT
ANSWERS|A+ GRADE (COMPLETE EXAMS)
1. Which behavior would most likely be manifested in a young child experiencing the protest phase of
separation anxiety?
A. Inactivity
B. Clings to parent
C. Depressed, sad
D. Regression to earlier behavior - ANSWER Correct Answer: B
Your Response:
2. The most consistent indicator of pain in infants is:
A. Increased respirations.
B. Increased heart rate.
C. Squirming and jerking.
D. Facial expression of discomfort. - ANSWER Correct Answer: D
Your Response:
3. The psychosexual conflicts of preschool children make them extremely vulnerable to:
A. Separation anxiety.
B. Loss of control.
C. Bodily injury and pain.
D. Loss of identity. - ANSWER Correct Answer: C
Your Response:
4. The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering
intravenous antibiotics. The child starts to cry and tells the nurse, "Do it later, O.K.?" The nurse should:
A. Start the IV line because allowing the child to manipulate the nurse is bad.
B. Start the IV line because unlimited procrastination results in heightened anxiety.
,C. Postpone starting the IV line until the child is ready so that the child experiences a sense of control.
D. Postpone starting the IV line until the child is ready so the child's anxiety is reduced. - ANSWER
Correct Answer: B
Your Response:
5. A 4-year-old child will be having cardiac surgery next week. The child's parents call the hospital, asking
about how to prepare her for this. The nurse's reply should be based on knowledge that:
A. Preparation at this age will only increase the child's stress.
B. Preparation needs to be at least 2 to 3 weeks before hospitalization.
C. Children who are prepared experience less fear and stress during hospitalization.
D. Children who are prepared experience overwhelming fear by the time hospitalization occurs. -
ANSWER Correct Answer: C
Your Response:
6. A mother tells the nurse that she will visit her 2-year-old son tomorrow about noon. During the child's
bath, he asks for Mommy. The nurse's best reply is:
A. "Mommy will be here after lunch."
B. "Mommy always comes back to see you."
C. "Your Mommy told me yesterday that she would be here today about noon."
D. "Mommy had to go home for a while, but she will be here today." - ANSWER Correct Answer: A
Your Response:
7. The nurse working in an outpatient surgery center for children should understand that:
A. Children's anxiety is minimal in such a center.
B. Waiting is not stressful for parents in such a center.
C. Accurate and complete discharge teaching is the responsibility of the surgeon.
D. Families need to be prepared for what to expect after discharge. - ANSWER Correct Answer: D
Your Response:
,1. What represents the major stressor of hospitalization for children from middle infancy throughout the
preschool years?
a. Separation anxiety
b. Loss of control
c. Fear of bodily injury
d. Fear of pain - ANSWER ANS: A
The major stress for children from infancy through the preschool years is separation anxiety, also called
anaclitic depression. This is a major stressor of hospitalization. Loss of control, fear of bodily injury, and
fear of pain are all stressors associated with hospitalization. However, separation from family is a primary
stressor in this age group.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1221
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Assessment
2. When a preschool child is hospitalized without adequate preparation, the nurse should recognize that
the child may likely see hospitalization as:
a. Punishment.
b. Threat to child's self-image.
c. An opportunity for regression.
d. Loss of companionship with friends. - ANSWER ANS: A
If a toddler is not prepared for hospitalization, a typical preschooler fantasy is to attribute the
hospitalization to punishment for real or imagined misdeeds. Threat to child's self-image and loss of
companionship with friends are reactions typical of school-age children. Regression is a response
characteristic of toddlers when threatened with loss of control.
3. Because of their striving for independence and productivity, which age group of children is particularly
vulnerable to events that may lessen their feeling of control and power?
a. Infants
b. Toddlers
c. Preschoolers
d. School-age children - ANSWER ANS: D
, When a child is hospitalized, the altered family role, physical disability, loss of peer acceptance, lack of
productivity, and inability to cope with stress usurps individual power and identity. This is especially
detrimental to school-age children, who are striving for independence and productivity and are now
experiencing events that lessen their control and power. Infants, toddlers, and preschoolers, although
affected by loss of power, are not as significantly affected as are school-age children.
4. A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse,
"Wait a minute," and, "I'm not ready." The nurse should recognize that:
a. This is normal behavior for a school-age child.
b. This behavior is usually not seen past the preschool years.
c. The child thinks the nurse is punishing her.
d. The child has successfully manipulated the nurse in the past. - ANSWER ANS: A
This school-age child is attempting to maintain control. The nurse should provide the girl with structured
choices about when the IV will be inserted. This can be characteristic behavior when an individual needs
to maintain some control over a situation. The child is trying to have some control in the hospital
experience.
5. Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse
overhears her school-age siblings tell her, "We are sick of Mom always sitting with you in the hospital
and playing with you. It isn't fair that you get everything and we have to stay with the neighbors." The
nurse's best assessment of this situation is that:
a. The siblings are immature and probably spoiled.
b. Jealousy and resentment are common reactions to the illness or hospitalization of a sibling.
c. The family has ineffective coping mechanisms to deal with chronic illness.
d. The siblings need to better understand their sister's illness and needs. - ANSWER ANS: B
Siblings experience loneliness, fear, worry, anger, resentment, jealousy, and guilt. The siblings experience
stress equal to that of the hospitalized child. These are not uncommon responses by normal siblings.
There is no evidence that the family has maladaptive coping.
6. An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler is to:
a. Provide for privacy.
b. Encourage parents to room in.
c. Explain procedures and routines.
ANSWERS|A+ GRADE (COMPLETE EXAMS)
1. Which behavior would most likely be manifested in a young child experiencing the protest phase of
separation anxiety?
A. Inactivity
B. Clings to parent
C. Depressed, sad
D. Regression to earlier behavior - ANSWER Correct Answer: B
Your Response:
2. The most consistent indicator of pain in infants is:
A. Increased respirations.
B. Increased heart rate.
C. Squirming and jerking.
D. Facial expression of discomfort. - ANSWER Correct Answer: D
Your Response:
3. The psychosexual conflicts of preschool children make them extremely vulnerable to:
A. Separation anxiety.
B. Loss of control.
C. Bodily injury and pain.
D. Loss of identity. - ANSWER Correct Answer: C
Your Response:
4. The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering
intravenous antibiotics. The child starts to cry and tells the nurse, "Do it later, O.K.?" The nurse should:
A. Start the IV line because allowing the child to manipulate the nurse is bad.
B. Start the IV line because unlimited procrastination results in heightened anxiety.
,C. Postpone starting the IV line until the child is ready so that the child experiences a sense of control.
D. Postpone starting the IV line until the child is ready so the child's anxiety is reduced. - ANSWER
Correct Answer: B
Your Response:
5. A 4-year-old child will be having cardiac surgery next week. The child's parents call the hospital, asking
about how to prepare her for this. The nurse's reply should be based on knowledge that:
A. Preparation at this age will only increase the child's stress.
B. Preparation needs to be at least 2 to 3 weeks before hospitalization.
C. Children who are prepared experience less fear and stress during hospitalization.
D. Children who are prepared experience overwhelming fear by the time hospitalization occurs. -
ANSWER Correct Answer: C
Your Response:
6. A mother tells the nurse that she will visit her 2-year-old son tomorrow about noon. During the child's
bath, he asks for Mommy. The nurse's best reply is:
A. "Mommy will be here after lunch."
B. "Mommy always comes back to see you."
C. "Your Mommy told me yesterday that she would be here today about noon."
D. "Mommy had to go home for a while, but she will be here today." - ANSWER Correct Answer: A
Your Response:
7. The nurse working in an outpatient surgery center for children should understand that:
A. Children's anxiety is minimal in such a center.
B. Waiting is not stressful for parents in such a center.
C. Accurate and complete discharge teaching is the responsibility of the surgeon.
D. Families need to be prepared for what to expect after discharge. - ANSWER Correct Answer: D
Your Response:
,1. What represents the major stressor of hospitalization for children from middle infancy throughout the
preschool years?
a. Separation anxiety
b. Loss of control
c. Fear of bodily injury
d. Fear of pain - ANSWER ANS: A
The major stress for children from infancy through the preschool years is separation anxiety, also called
anaclitic depression. This is a major stressor of hospitalization. Loss of control, fear of bodily injury, and
fear of pain are all stressors associated with hospitalization. However, separation from family is a primary
stressor in this age group.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1221
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Assessment
2. When a preschool child is hospitalized without adequate preparation, the nurse should recognize that
the child may likely see hospitalization as:
a. Punishment.
b. Threat to child's self-image.
c. An opportunity for regression.
d. Loss of companionship with friends. - ANSWER ANS: A
If a toddler is not prepared for hospitalization, a typical preschooler fantasy is to attribute the
hospitalization to punishment for real or imagined misdeeds. Threat to child's self-image and loss of
companionship with friends are reactions typical of school-age children. Regression is a response
characteristic of toddlers when threatened with loss of control.
3. Because of their striving for independence and productivity, which age group of children is particularly
vulnerable to events that may lessen their feeling of control and power?
a. Infants
b. Toddlers
c. Preschoolers
d. School-age children - ANSWER ANS: D
, When a child is hospitalized, the altered family role, physical disability, loss of peer acceptance, lack of
productivity, and inability to cope with stress usurps individual power and identity. This is especially
detrimental to school-age children, who are striving for independence and productivity and are now
experiencing events that lessen their control and power. Infants, toddlers, and preschoolers, although
affected by loss of power, are not as significantly affected as are school-age children.
4. A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse,
"Wait a minute," and, "I'm not ready." The nurse should recognize that:
a. This is normal behavior for a school-age child.
b. This behavior is usually not seen past the preschool years.
c. The child thinks the nurse is punishing her.
d. The child has successfully manipulated the nurse in the past. - ANSWER ANS: A
This school-age child is attempting to maintain control. The nurse should provide the girl with structured
choices about when the IV will be inserted. This can be characteristic behavior when an individual needs
to maintain some control over a situation. The child is trying to have some control in the hospital
experience.
5. Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse
overhears her school-age siblings tell her, "We are sick of Mom always sitting with you in the hospital
and playing with you. It isn't fair that you get everything and we have to stay with the neighbors." The
nurse's best assessment of this situation is that:
a. The siblings are immature and probably spoiled.
b. Jealousy and resentment are common reactions to the illness or hospitalization of a sibling.
c. The family has ineffective coping mechanisms to deal with chronic illness.
d. The siblings need to better understand their sister's illness and needs. - ANSWER ANS: B
Siblings experience loneliness, fear, worry, anger, resentment, jealousy, and guilt. The siblings experience
stress equal to that of the hospitalized child. These are not uncommon responses by normal siblings.
There is no evidence that the family has maladaptive coping.
6. An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler is to:
a. Provide for privacy.
b. Encourage parents to room in.
c. Explain procedures and routines.
