ATI PEDIATRIC CMS PROCTORED EXAM Q&A
2026 STUDY GUIDE FULL SOLUTION GRADED
A+
◉ A nurse is teaching a parent of a 12-month old child about
development during the toddler years. Which of the following
statements should the nurse include?
"Your child should be referring to himself using the appropriate
pronoun by 18 months of age."
"A toddler's interest in looking at pictures occurs at 20 months of age."
C. "A toddler should have davtime control of his bowel and bladder by
24 months of age.
d. "Your child should be able to scribble spontaneously using a crayon at
the age of 15 months.". Answer: d. "Your child should be able to scribble
spontaneously using a crayon at the age of 15 months."
◉ A nurse is caring for a toddler and is preparing to administer 0.9%
sodium chloride 100 mL IV to infuse over 4 hr. The drop factor of the
manual IV tubing is 60 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing
zero.). Answer: 25 GTT
,◉ 4. 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.. Answer: b.
Minimize physical contact with the child initially.
◉ 4. 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
c. Rotavirus
d. Herpes zoster. Answer: b. Meningococcal polysaccharide
◉ 4. 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.". Answer: a. "I lock my medications in the medicine
cabinet."
◉ 4. 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
b. Babinski
c. Extrusion
d. Moro. Answer: b. Babinski
◉ 4. 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. Eggs. Answer: a. Cow's milk
◉ 9. 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).
Answer: c. Haemophilus influenzae type B (Hib) and inactivated polio
virus (IPV)
◉ 9. A nurse is developing a plan of care for a school-age child who
underwent a surgical procedure that resulted in temporary loss of vision.
Which of the following interventions should the nurse include in the
plan of care?
a. Assign an assistive personnel to feed the child.
b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child.. Answer: b. Explain sounds the
child is hearing.
◉ 9. A nurse is assessing a 3-year-old child who is 1 day postoperative
following a tonsillectomy. Which of the following methods should the
nurse use to determine if the child is experiencing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
2026 STUDY GUIDE FULL SOLUTION GRADED
A+
◉ A nurse is teaching a parent of a 12-month old child about
development during the toddler years. Which of the following
statements should the nurse include?
"Your child should be referring to himself using the appropriate
pronoun by 18 months of age."
"A toddler's interest in looking at pictures occurs at 20 months of age."
C. "A toddler should have davtime control of his bowel and bladder by
24 months of age.
d. "Your child should be able to scribble spontaneously using a crayon at
the age of 15 months.". Answer: d. "Your child should be able to scribble
spontaneously using a crayon at the age of 15 months."
◉ A nurse is caring for a toddler and is preparing to administer 0.9%
sodium chloride 100 mL IV to infuse over 4 hr. The drop factor of the
manual IV tubing is 60 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing
zero.). Answer: 25 GTT
,◉ 4. 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.. Answer: b.
Minimize physical contact with the child initially.
◉ 4. 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
c. Rotavirus
d. Herpes zoster. Answer: b. Meningococcal polysaccharide
◉ 4. 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.". Answer: a. "I lock my medications in the medicine
cabinet."
◉ 4. 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
b. Babinski
c. Extrusion
d. Moro. Answer: b. Babinski
◉ 4. 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. Eggs. Answer: a. Cow's milk
◉ 9. 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).
Answer: c. Haemophilus influenzae type B (Hib) and inactivated polio
virus (IPV)
◉ 9. A nurse is developing a plan of care for a school-age child who
underwent a surgical procedure that resulted in temporary loss of vision.
Which of the following interventions should the nurse include in the
plan of care?
a. Assign an assistive personnel to feed the child.
b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child.. Answer: b. Explain sounds the
child is hearing.
◉ 9. A nurse is assessing a 3-year-old child who is 1 day postoperative
following a tonsillectomy. Which of the following methods should the
nurse use to determine if the child is experiencing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
