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ATI RN PEDIATRIC NURSING 2025 EXAM COMPLETE 2 VERSIONS WITH
140 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) | WITH RATIONALES
1. After reviewing the information in the child's medical record, which of the following findings
should the nurse report to the provider? (Select 4)
a) Arterial blood gases
b) Cardiovascular assessment
c) WBC count
d) Hemoglobin
e) Oxygen saturation level
f) Respiratory assessment
Answer: a) Arterial blood gases, c) WBC count, e) Oxygen saturation level, f) Respiratory
assessment
Rationale: These findings are critical indicators of the child's respiratory and overall health
status and require immediate provider attention.
2. A nurse is receiving change-of-shift report for four children. Which of the following children
should the nurse assess first?
a) An adolescent in halo traction reporting pain as 6/10
b) An adolescent with infective endocarditis reporting a headache
c) A toddler with a concussion experiencing forceful vomiting
d) A school-age child with acute glomerulonephritis and brown-colored urine
Answer: c) A toddler with a concussion experiencing forceful vomiting
Rationale: Forceful vomiting in a toddler with a concussion may indicate increased intracranial
pressure, which is a medical emergency.
3. For each assessment finding, click to specify if the finding is consistent with nightmares, sleep
terrors, or insomnia. Each finding may support more than 1 disease process.
a) Timing of child's crying
b) Daytime alertness
c) Child's concentration
d) Impulsivity
e) Child's description of the dream
f) Child's return to sleeping
g) Child's responsiveness to guardian
Answer:
o Nightmares: e) Child's description of the dream, f) Child's return to sleeping
o Sleep terrors: a) Timing of child's crying, g) Child's responsiveness to guardian
,estudyr
o Insomnia: b) Daytime alertness, c) Child's concentration, d) Impulsivity
Rationale: Nightmares involve vivid dreams and easy return to sleep, sleep terrors
involve inconsolable crying and unresponsiveness, and insomnia affects daytime
functioning.
4. A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast
applied 24 hr ago. The nurse should instruct the guardians to report which of the following
findings to the provider?
a) Capillary refill time less than 2 seconds
b) Restricted ability to move the toes
c) Swelling of the casted foot when the leg is dependent
d) Pedal pulse +3 bilateral
Answer: b) Restricted ability to move the toes
Rationale: Restricted toe movement may indicate compartment syndrome, which requires
immediate medical attention.
5. A nurse is providing discharge teaching to the parent of a school-age child who has moderate
persistent asthma. Which of the following instructions should the nurse include?
a) "Give salmeterol every 4 hours during wheezing episodes."
b) "Monitor weight weekly during inhaled corticosteroid therapy."
c) "Pulmonary function tests will be performed every 12 to 24 months."
d) "Record the average of three peak expiratory flow meter readings."
Answer: c) "Pulmonary function tests will be performed every 12 to 24 months."
Rationale: Pulmonary function tests are essential for evaluating asthma control and treatment
effectiveness.
6. A nurse is assessing an infant who has pneumonia. Which of the following findings is the
priority for the nurse to report to the provider?
a) Nasal flaring
b) WBC count 18,000/mm³
c) Diarrhea
d) Abdominal distension
Answer: a) Nasal flaring
Rationale: Nasal flaring is a sign of respiratory distress, which requires immediate intervention.
7. A nurse is planning developmental activities for a newly admitted 10-year-old child who has
neutropenia. Which of the following actions should the nurse plan to take?
a) Provide a book about adventure
b) Arrange frequent visits from family and peers
c) Give a large-piece puzzle
d) Use puppets to entertain the child
Answer: a) Provide a book about adventure
, estudyr
Rationale: A book is a low-risk activity that minimizes exposure to infections, which is critical for
a child with neutropenia.
8. A school nurse is caring for a child following a tonic-clonic seizure. Which of the following
actions should the nurse take first?
a) Check for a head injury
b) Observe for oral bleeding
c) Check the child's respiratory rate
d) Observe for extremity weakness
Answer: c) Check the child's respiratory rate
Rationale: Ensuring adequate respiration is the priority after a seizure to prevent hypoxia.
9. A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the
following manifestations should alert the nurse to a possible hemolytic transfusion reaction?
a) Laryngeal edema
b) Flank pain
c) Distended neck veins
d) Muscular weakness
Answer: b) Flank pain
Rationale: Flank pain is a classic symptom of a hemolytic reaction due to red blood cell
breakdown.
10. A nurse is caring for a school-age 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) Prednisone
b) Epinephrine
c) Diphenhydramine
d) Albuterol
Answer: b) Epinephrine
Rationale: Epinephrine is the first-line treatment for anaphylaxis, which is a life-threatening
allergic reaction.
Additional Questions
11. A nurse in an emergency department is caring for a school-age child who has appendicitis and
rates their abdominal pain as 7/10. Which of the following actions should the nurse take?
a) Instill a 500 mL tap water enema
b) Give morphine 0.05 mg/kg IV
c) Administer polyethylene glycol 1 g/kg PO
d) Apply a heating pad to the abdomen
Answer: b) Give morphine 0.05 mg/kg IV
ATI RN PEDIATRIC NURSING 2025 EXAM COMPLETE 2 VERSIONS WITH
140 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) | WITH RATIONALES
1. After reviewing the information in the child's medical record, which of the following findings
should the nurse report to the provider? (Select 4)
a) Arterial blood gases
b) Cardiovascular assessment
c) WBC count
d) Hemoglobin
e) Oxygen saturation level
f) Respiratory assessment
Answer: a) Arterial blood gases, c) WBC count, e) Oxygen saturation level, f) Respiratory
assessment
Rationale: These findings are critical indicators of the child's respiratory and overall health
status and require immediate provider attention.
2. A nurse is receiving change-of-shift report for four children. Which of the following children
should the nurse assess first?
a) An adolescent in halo traction reporting pain as 6/10
b) An adolescent with infective endocarditis reporting a headache
c) A toddler with a concussion experiencing forceful vomiting
d) A school-age child with acute glomerulonephritis and brown-colored urine
Answer: c) A toddler with a concussion experiencing forceful vomiting
Rationale: Forceful vomiting in a toddler with a concussion may indicate increased intracranial
pressure, which is a medical emergency.
3. For each assessment finding, click to specify if the finding is consistent with nightmares, sleep
terrors, or insomnia. Each finding may support more than 1 disease process.
a) Timing of child's crying
b) Daytime alertness
c) Child's concentration
d) Impulsivity
e) Child's description of the dream
f) Child's return to sleeping
g) Child's responsiveness to guardian
Answer:
o Nightmares: e) Child's description of the dream, f) Child's return to sleeping
o Sleep terrors: a) Timing of child's crying, g) Child's responsiveness to guardian
,estudyr
o Insomnia: b) Daytime alertness, c) Child's concentration, d) Impulsivity
Rationale: Nightmares involve vivid dreams and easy return to sleep, sleep terrors
involve inconsolable crying and unresponsiveness, and insomnia affects daytime
functioning.
4. A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast
applied 24 hr ago. The nurse should instruct the guardians to report which of the following
findings to the provider?
a) Capillary refill time less than 2 seconds
b) Restricted ability to move the toes
c) Swelling of the casted foot when the leg is dependent
d) Pedal pulse +3 bilateral
Answer: b) Restricted ability to move the toes
Rationale: Restricted toe movement may indicate compartment syndrome, which requires
immediate medical attention.
5. A nurse is providing discharge teaching to the parent of a school-age child who has moderate
persistent asthma. Which of the following instructions should the nurse include?
a) "Give salmeterol every 4 hours during wheezing episodes."
b) "Monitor weight weekly during inhaled corticosteroid therapy."
c) "Pulmonary function tests will be performed every 12 to 24 months."
d) "Record the average of three peak expiratory flow meter readings."
Answer: c) "Pulmonary function tests will be performed every 12 to 24 months."
Rationale: Pulmonary function tests are essential for evaluating asthma control and treatment
effectiveness.
6. A nurse is assessing an infant who has pneumonia. Which of the following findings is the
priority for the nurse to report to the provider?
a) Nasal flaring
b) WBC count 18,000/mm³
c) Diarrhea
d) Abdominal distension
Answer: a) Nasal flaring
Rationale: Nasal flaring is a sign of respiratory distress, which requires immediate intervention.
7. A nurse is planning developmental activities for a newly admitted 10-year-old child who has
neutropenia. Which of the following actions should the nurse plan to take?
a) Provide a book about adventure
b) Arrange frequent visits from family and peers
c) Give a large-piece puzzle
d) Use puppets to entertain the child
Answer: a) Provide a book about adventure
, estudyr
Rationale: A book is a low-risk activity that minimizes exposure to infections, which is critical for
a child with neutropenia.
8. A school nurse is caring for a child following a tonic-clonic seizure. Which of the following
actions should the nurse take first?
a) Check for a head injury
b) Observe for oral bleeding
c) Check the child's respiratory rate
d) Observe for extremity weakness
Answer: c) Check the child's respiratory rate
Rationale: Ensuring adequate respiration is the priority after a seizure to prevent hypoxia.
9. A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the
following manifestations should alert the nurse to a possible hemolytic transfusion reaction?
a) Laryngeal edema
b) Flank pain
c) Distended neck veins
d) Muscular weakness
Answer: b) Flank pain
Rationale: Flank pain is a classic symptom of a hemolytic reaction due to red blood cell
breakdown.
10. A nurse is caring for a school-age 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) Prednisone
b) Epinephrine
c) Diphenhydramine
d) Albuterol
Answer: b) Epinephrine
Rationale: Epinephrine is the first-line treatment for anaphylaxis, which is a life-threatening
allergic reaction.
Additional Questions
11. A nurse in an emergency department is caring for a school-age child who has appendicitis and
rates their abdominal pain as 7/10. Which of the following actions should the nurse take?
a) Instill a 500 mL tap water enema
b) Give morphine 0.05 mg/kg IV
c) Administer polyethylene glycol 1 g/kg PO
d) Apply a heating pad to the abdomen
Answer: b) Give morphine 0.05 mg/kg IV
