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ATI Pediatrics Proctored Exam Sample Questions
Question 1
A 3-year-old child is brought to the clinic with a persistent cough and mild fever. Which of
the following assessments is most critical for the nurse to perform?
A) Measure the child's weight
B) Assess for stridor
C) Check oxygen saturation levels
D) Perform a throat culture
Correct Option: B) Assess for stridor
Rationale: Stridor indicates upper airway obstruction, which can be life-threatening. Prompt
assessment is crucial to determine the severity of the airway issue, especially in young children
who can deteriorate quickly.
Question 2
Which of the following immunizations is recommended for a 12-month-old child?
A) MMR (Measles, Mumps, Rubella)
B) DTaP (Diphtheria, Tetanus, Pertussis)
C) IPV (Inactivated Poliovirus)
D) Varicella (Chickenpox)
Correct Option: A) MMR (Measles, Mumps, Rubella)
Rationale: The MMR vaccine is recommended at 12-15 months of age as part of the routine
immunization schedule. Administering this vaccine helps to protect against these serious
illnesses during a critical developmental period.
Question 3
,A 5-year-old child with asthma is being discharged from the hospital after an exacerbation.
What teaching point is most important for the nurse to include?
A) "Use your inhaler every day, even if you feel fine."
B) "Avoid all physical activities to prevent asthma attacks."
C) "Only take your medication when you have symptoms."
D) "You can stop taking your medication once symptoms improve."
Correct Option: A) "Use your inhaler every day, even if you feel fine."
Rationale: Regular use of inhaled medication is essential in asthma management to prevent
exacerbations. Patients should understand the importance of adherence to their prescribed
regimen to maintain control over their condition.
Question 4
During a health assessment, the nurse notices that a toddler exhibits a high-pitched cry and
irritability. What condition might this indicate?
A) Gastroesophageal reflux disease
B) Meningitis
C) Otitis media
D) Acute pharyngitis
Correct Option: B) Meningitis
Rationale: A high-pitched cry and irritability in toddlers can be indicative of meningitis, which
is an inflammation of the protective membranes covering the brain and spinal cord. Early
identification and intervention are critical in managing this potentially life-threatening condition.
Question 5
A nurse is assessing a 10-year-old child who is overweight. Which of the following strategies
is the most appropriate for the nurse to recommend?
A) "Encourage your child to skip meals to lose weight."
B) "Limit screen time to no more than 2 hours a day."
C) "Promote sugary beverages instead of water."
D) "Focus only on weight loss goals."
Correct Option: B) "Limit screen time to no more than 2 hours a day."
, Rationale: Reducing screen time can help increase physical activity and promote healthy
lifestyle changes in children. This approach encourages balanced nutrition and physical activity,
fostering overall health rather than solely focusing on weight loss.
Question 6
A 7-year-old child with type 1 diabetes is experiencing hypoglycemia. What is the first
action the nurse should take?
A) Administer glucagon
B) Give the child a snack
C) Check the child's blood glucose level
D) Call the physician
Correct Option: C) Check the child's blood glucose level
Rationale: Before intervening, it's critical to confirm that the child is indeed hypoglycemic.
Checking the blood glucose level allows for accurate diagnosis and appropriate treatment.
Question 7
Which of the following is the priority nursing intervention for a child with acute rheumatic
fever?
A) Administer aspirin
B) Monitor for signs of heart failure
C) Encourage bed rest
D) Provide a high-protein diet
Correct Option: B) Monitor for signs of heart failure
Rationale: Acute rheumatic fever can lead to carditis, which may result in heart failure.
Monitoring for this complication is crucial for timely intervention and management.
Question 8
A nurse is teaching a parent about the expected growth and development of a 2-year-old
child. Which of the following statements by the parent indicates a need for further
education?
A) "My child should be able to run by now."
B) "My child can say about 50 words."
C) "My child can kick a ball forward."
D) "My child should be able to use sentences with three words."