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ATI RN PEDIATRICS PROCTORED EXAM NEWEST 2025/2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
A nurse is caring for a school-aged child who is receiving
cefazolin via intermittent IV bolus. The child suddenly develops
diffuse flushing of the skin and angioedema. After discontinuing
the medication infusion, which of the following medications should
the nurse administer first?
A. Epinephrine
B. Diphenhydramine
C. Albuterol
D. Prednisone - ANSWER-A. Epinephrine
Rationale: This child is most likely experiencing an anaphylactic
reaction to the cefazolin. According to evidence-based practice,
the nurse should first administer epinephrine to treat the
anaphylaxis. Epinephrine is a beta adrenergic agonist that
stimulates the heart, causes vasoconstriction of blood vessels in
the skin and mucous membranes, and triggers bronchodilation in
the lungs.
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A nurse is assessing an infant who has a ventricular septal defect.
Which of the following findings should the nurse expect?
A. Loud, harsh murmur
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure - ANSWER-A. Loud, harsh murmur
Rationale: The nurse should expect to hear a loud, harsh murmur
with a ventricular septal defect due to the left-to-right shunting of
blood, which contributes to hypertrophy of the infant's heart
muscle.
A nurse is assessing the vital signs of a 10-year-old child
following a burn injury. The nurse should identify that which of the
following findings is an indication of early septic shock?
A. Blood pressure 130/90 mm Hg
B. Heart rate 60/min
C. Temperature 39.1° C (102.4° F)
D. Urinary output 100 mL/hr - ANSWER-C. Temperature 39.1° C
(102.4° F)
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Rationale: The nurse should identify that a temperature of 39.1° C
(102.4° F) is above the expected reference range of 37° to 37.5°
C (98.6° to 99.5° F) for a 10-year-old child. The nurse should
expect a child who has early septic shock to have a fever and
chills.
A nurse is preparing to collect a sample from a toddler for a
sickle-turbidity test. Which of the following actions should the
nurse plan to take?
A. Obtain a sputum specimen.
B. Perform an Allen test.
C. Perform a finger stick.
D. Obtain a stool specimen. - ANSWER-C. Perform a finger stick.
Rationale: The nurse should perform a finger stick on a toddler as
a component of the sickle-turbidity test. If the test is positive,
hemoglobin electrophoresis is required to distinguish between
children who have the genetic trait and children who have the
disease.
A nurse in an emergency department is caring for an adolescent
who has severe abdominal pain due to appendicitis. Which of the
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following locations should the nurse identify as McBurneys Point?
- ANSWER-A - The nurse should identify this area of the client's
abdomen as McBurney's point. This area of the right lower
quadrant located about two-thirds of the way between the
umbilicus and the client's anterosuperior iliac spine is the area
where a client who has appendicitis is most likely to report pain
and tenderness.
A nurse is caring for an adolescent who received a kidney
transplant. Which of the following finding should the nurse identify
as an indication the adolescent is rejecting the kidney?
A. Negative leukocyte esterase
B. Serum creatinine 3.0 mg/dL
C. Negative urine protein
D. Urine output 40 mL/hr - ANSWER-B. Serum creatinine 3.0
mg/dL
Rationale: Creatinine is a byproduct of protein metabolism and is
excreted from the body through the kidneys. An elevated serum
creatinine level, therefore, can be an indication that the kidneys
are not functioning. The nurse should identify that the
adolescent's serum creatinine level is higher than the expected
ATI RN PEDIATRICS PROCTORED EXAM NEWEST 2025/2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
A nurse is caring for a school-aged child who is receiving
cefazolin via intermittent IV bolus. The child suddenly develops
diffuse flushing of the skin and angioedema. After discontinuing
the medication infusion, which of the following medications should
the nurse administer first?
A. Epinephrine
B. Diphenhydramine
C. Albuterol
D. Prednisone - ANSWER-A. Epinephrine
Rationale: This child is most likely experiencing an anaphylactic
reaction to the cefazolin. According to evidence-based practice,
the nurse should first administer epinephrine to treat the
anaphylaxis. Epinephrine is a beta adrenergic agonist that
stimulates the heart, causes vasoconstriction of blood vessels in
the skin and mucous membranes, and triggers bronchodilation in
the lungs.
,2|Page
A nurse is assessing an infant who has a ventricular septal defect.
Which of the following findings should the nurse expect?
A. Loud, harsh murmur
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure - ANSWER-A. Loud, harsh murmur
Rationale: The nurse should expect to hear a loud, harsh murmur
with a ventricular septal defect due to the left-to-right shunting of
blood, which contributes to hypertrophy of the infant's heart
muscle.
A nurse is assessing the vital signs of a 10-year-old child
following a burn injury. The nurse should identify that which of the
following findings is an indication of early septic shock?
A. Blood pressure 130/90 mm Hg
B. Heart rate 60/min
C. Temperature 39.1° C (102.4° F)
D. Urinary output 100 mL/hr - ANSWER-C. Temperature 39.1° C
(102.4° F)
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Rationale: The nurse should identify that a temperature of 39.1° C
(102.4° F) is above the expected reference range of 37° to 37.5°
C (98.6° to 99.5° F) for a 10-year-old child. The nurse should
expect a child who has early septic shock to have a fever and
chills.
A nurse is preparing to collect a sample from a toddler for a
sickle-turbidity test. Which of the following actions should the
nurse plan to take?
A. Obtain a sputum specimen.
B. Perform an Allen test.
C. Perform a finger stick.
D. Obtain a stool specimen. - ANSWER-C. Perform a finger stick.
Rationale: The nurse should perform a finger stick on a toddler as
a component of the sickle-turbidity test. If the test is positive,
hemoglobin electrophoresis is required to distinguish between
children who have the genetic trait and children who have the
disease.
A nurse in an emergency department is caring for an adolescent
who has severe abdominal pain due to appendicitis. Which of the
, 4|Page
following locations should the nurse identify as McBurneys Point?
- ANSWER-A - The nurse should identify this area of the client's
abdomen as McBurney's point. This area of the right lower
quadrant located about two-thirds of the way between the
umbilicus and the client's anterosuperior iliac spine is the area
where a client who has appendicitis is most likely to report pain
and tenderness.
A nurse is caring for an adolescent who received a kidney
transplant. Which of the following finding should the nurse identify
as an indication the adolescent is rejecting the kidney?
A. Negative leukocyte esterase
B. Serum creatinine 3.0 mg/dL
C. Negative urine protein
D. Urine output 40 mL/hr - ANSWER-B. Serum creatinine 3.0
mg/dL
Rationale: Creatinine is a byproduct of protein metabolism and is
excreted from the body through the kidneys. An elevated serum
creatinine level, therefore, can be an indication that the kidneys
are not functioning. The nurse should identify that the
adolescent's serum creatinine level is higher than the expected
