ATI PEDIATRICS RN PREDICTOR 2026/27
VERIFIED EDITION GRADED A+
1 A 6-month-old infant is admitted with bronchiolitis and
increased work of breathing. Which nursing intervention
is the highest priority?
A. Encourage oral fluids frequently.
B. Administer nebulized hypertonic saline as ordered.
,C. Monitor oxygen saturation and provide humidified
oxygen to maintain adequate oxygenation.
D. Place the infant in a prone position to facilitate
breathing.
Correct Answer: C
Explanation: Monitoring oxygenation and providing
humidified oxygen is the immediate priority to prevent
hypoxia and respiratory failure; oral fluids are
secondary due to risk of aspiration, nebulized hypertonic
saline may help but is not the first priority, and prone
positioning is not standard for infants with bronchiolitis
due to safety and aspiration concerns.
2 A 2-year-old with suspected intussusception presents
with episodic abdominal pain, vomiting, and "currant
jelly" stools. Which diagnostic and therapeutic action
should the nurse anticipate?
A. Immediate surgical exploration without further
imaging.
B. Air or barium contrast enema under fluoroscopy to both
diagnose and reduce the intussusception.
C. Administer oral polyethylene glycol and observe for
spontaneous reduction.
D. Obtain a CT scan before any intervention.
Correct Answer: B
Explanation: Contrast (air or barium) enema is the
diagnostic test of choice and can often reduce
intussusception nonoperatively; immediate surgery is
,reserved for peritonitis or failed reduction, CT and oral
laxatives are inappropriate initial steps.
3 A 10-year-old with Type 1 diabetes presents with
Kussmaul respirations, fruity breath, blood glucose 520
mg/dL, and positive ketones. Which order should the
nurse implement first?
A. Administer subcutaneous long-acting insulin per sliding
scale.
B. Start an IV with normal saline and begin fluid
resuscitation.
C. Give oral glucose to prevent hypoglycemia.
D. Begin a potassium supplement immediately.
Correct Answer: B
Explanation: In DKA, fluid resuscitation with IV isotonic
saline is the first priority to restore perfusion; insulin
therapy follows after initial fluid resuscitation, oral
glucose is contraindicated when hyperglycemic, and
potassium replacement is started after assessing serum
potassium and once urine output is established.
4 A 4-year-old being treated for acute otitis media has
been started on amoxicillin. Parent reports the child
developed a rash the next day but is otherwise well. The
nurse recognizes this most likely represents:
A. IgE-mediated anaphylaxis requiring epinephrine.
, B. A maculopapular rash consistent with a nonallergic
reaction that may not require discontinuation.
C. Stevens–Johnson syndrome requiring immediate
discontinuation and hospitalization.
D. Serum sickness requiring corticosteroids immediately.
Correct Answer: B
Explanation: A benign maculopapular rash can occur
with amoxicillin and may not be IgE-mediated;
anaphylaxis would present with airway/ circulatory
compromise, Stevens–Johnson syndrome presents with
mucosal lesions and widespread epidermal detachment,
and serum sickness is rare with different timing.
5 A newborn has a positive critical congenital heart disease
screen (pre- and post-ductal oxygen difference >3% and
low saturation). The nurse prepares for which immediate
action?
A. Administer prostaglandin E1 to maintain ductal patency
pending cardiology evaluation.
B. Begin diuretics to reduce pulmonary vascular
congestion.
C. Schedule elective echocardiogram for outpatient setting.
D. Start ibuprofen to close the ductus arteriosus.
Correct Answer: A
Explanation: If ductal-dependent cardiac lesion is
suspected, prostaglandin E1 is started to maintain ductus
patency; diuretics and ductal closure (ibuprofen) would
VERIFIED EDITION GRADED A+
1 A 6-month-old infant is admitted with bronchiolitis and
increased work of breathing. Which nursing intervention
is the highest priority?
A. Encourage oral fluids frequently.
B. Administer nebulized hypertonic saline as ordered.
,C. Monitor oxygen saturation and provide humidified
oxygen to maintain adequate oxygenation.
D. Place the infant in a prone position to facilitate
breathing.
Correct Answer: C
Explanation: Monitoring oxygenation and providing
humidified oxygen is the immediate priority to prevent
hypoxia and respiratory failure; oral fluids are
secondary due to risk of aspiration, nebulized hypertonic
saline may help but is not the first priority, and prone
positioning is not standard for infants with bronchiolitis
due to safety and aspiration concerns.
2 A 2-year-old with suspected intussusception presents
with episodic abdominal pain, vomiting, and "currant
jelly" stools. Which diagnostic and therapeutic action
should the nurse anticipate?
A. Immediate surgical exploration without further
imaging.
B. Air or barium contrast enema under fluoroscopy to both
diagnose and reduce the intussusception.
C. Administer oral polyethylene glycol and observe for
spontaneous reduction.
D. Obtain a CT scan before any intervention.
Correct Answer: B
Explanation: Contrast (air or barium) enema is the
diagnostic test of choice and can often reduce
intussusception nonoperatively; immediate surgery is
,reserved for peritonitis or failed reduction, CT and oral
laxatives are inappropriate initial steps.
3 A 10-year-old with Type 1 diabetes presents with
Kussmaul respirations, fruity breath, blood glucose 520
mg/dL, and positive ketones. Which order should the
nurse implement first?
A. Administer subcutaneous long-acting insulin per sliding
scale.
B. Start an IV with normal saline and begin fluid
resuscitation.
C. Give oral glucose to prevent hypoglycemia.
D. Begin a potassium supplement immediately.
Correct Answer: B
Explanation: In DKA, fluid resuscitation with IV isotonic
saline is the first priority to restore perfusion; insulin
therapy follows after initial fluid resuscitation, oral
glucose is contraindicated when hyperglycemic, and
potassium replacement is started after assessing serum
potassium and once urine output is established.
4 A 4-year-old being treated for acute otitis media has
been started on amoxicillin. Parent reports the child
developed a rash the next day but is otherwise well. The
nurse recognizes this most likely represents:
A. IgE-mediated anaphylaxis requiring epinephrine.
, B. A maculopapular rash consistent with a nonallergic
reaction that may not require discontinuation.
C. Stevens–Johnson syndrome requiring immediate
discontinuation and hospitalization.
D. Serum sickness requiring corticosteroids immediately.
Correct Answer: B
Explanation: A benign maculopapular rash can occur
with amoxicillin and may not be IgE-mediated;
anaphylaxis would present with airway/ circulatory
compromise, Stevens–Johnson syndrome presents with
mucosal lesions and widespread epidermal detachment,
and serum sickness is rare with different timing.
5 A newborn has a positive critical congenital heart disease
screen (pre- and post-ductal oxygen difference >3% and
low saturation). The nurse prepares for which immediate
action?
A. Administer prostaglandin E1 to maintain ductal patency
pending cardiology evaluation.
B. Begin diuretics to reduce pulmonary vascular
congestion.
C. Schedule elective echocardiogram for outpatient setting.
D. Start ibuprofen to close the ductus arteriosus.
Correct Answer: A
Explanation: If ductal-dependent cardiac lesion is
suspected, prostaglandin E1 is started to maintain ductus
patency; diuretics and ductal closure (ibuprofen) would
