ATI RN PEDIATRICS NGN PRACTICE EXAM 2024-2025
ACTUAL EXAM COMPLETE 153 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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. -
CORRECT ANSWER -B
Rationale: The nurse should initially minimize physical contact with the
toddler, and then
progress from the least traumatic to the most traumatic procedures.
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
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,c. Rotavirus
d. Herpes zoster - CORRECT ANSWER -B
Rationale: The meningococcal polysaccharide immunization is used to
prevent infection by
certain groups of meningococcal bacteria. Meningococcal infection can
cause life-threatening
illnesses, such as meningococcal meningitis, which affects the brain, and
meningococcemia,
which affects the blood. Both of these conditions can be fatal. College
freshmen, particularly
those who live in dormitories, are at an increased risk for meningococcal
disease relative to other
persons their age. Therefore, the Centers for Disease Control and
Prevention has issued a
recommendation that all incoming college students receive the
meningococcal immunization.
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. Egg - CORRECT ANSWER -A
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,Rationale: According to evidence-based practice, the nurse should
instruct the parent that cow's
milk is the most common food allergy in children. Some children are
sensitive to the protein,
called casein, found in cow's milk. They have difficulty metabolizing the
casein and are,
therefore, allergic to cow's milk.
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." - CORRECT ANSWER -A
Rationale: Locking up medications and other potential poisons prevents
access. Toddlers have
improved gross and fine motor skills that allow for further exploration of
the environment and
possible access to hazardous substances.
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
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, b. Babinski
c. Extrusion
d. Moro - CORRECT ANSWER -B
Rationale: The Babinski reflex, which is elicited by stroking the bottom
of the foot and causing
the toes to fan and the big toe to dorsiflex, should be present until the
age of 1 year. Persistence
of neonatal reflexes might indicate neurological deficits.
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) -
CORRECT ANSWER -C
Rationale: The recommended immunizations for a 2-month-old infant
include Hib and IPV. The
Hib immunization series consists of 3 to 4 doses, depending on the
immunization used, and at a
minimum is administered at the ages of 2 months, 4 months, and 12 to
15 months. The IPV
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ACTUAL EXAM COMPLETE 153 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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. -
CORRECT ANSWER -B
Rationale: The nurse should initially minimize physical contact with the
toddler, and then
progress from the least traumatic to the most traumatic procedures.
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
Page 1 of 76
,c. Rotavirus
d. Herpes zoster - CORRECT ANSWER -B
Rationale: The meningococcal polysaccharide immunization is used to
prevent infection by
certain groups of meningococcal bacteria. Meningococcal infection can
cause life-threatening
illnesses, such as meningococcal meningitis, which affects the brain, and
meningococcemia,
which affects the blood. Both of these conditions can be fatal. College
freshmen, particularly
those who live in dormitories, are at an increased risk for meningococcal
disease relative to other
persons their age. Therefore, the Centers for Disease Control and
Prevention has issued a
recommendation that all incoming college students receive the
meningococcal immunization.
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. Egg - CORRECT ANSWER -A
Page 2 of 76
,Rationale: According to evidence-based practice, the nurse should
instruct the parent that cow's
milk is the most common food allergy in children. Some children are
sensitive to the protein,
called casein, found in cow's milk. They have difficulty metabolizing the
casein and are,
therefore, allergic to cow's milk.
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." - CORRECT ANSWER -A
Rationale: Locking up medications and other potential poisons prevents
access. Toddlers have
improved gross and fine motor skills that allow for further exploration of
the environment and
possible access to hazardous substances.
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
Page 3 of 76
, b. Babinski
c. Extrusion
d. Moro - CORRECT ANSWER -B
Rationale: The Babinski reflex, which is elicited by stroking the bottom
of the foot and causing
the toes to fan and the big toe to dorsiflex, should be present until the
age of 1 year. Persistence
of neonatal reflexes might indicate neurological deficits.
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) -
CORRECT ANSWER -C
Rationale: The recommended immunizations for a 2-month-old infant
include Hib and IPV. The
Hib immunization series consists of 3 to 4 doses, depending on the
immunization used, and at a
minimum is administered at the ages of 2 months, 4 months, and 12 to
15 months. The IPV
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