ATI Pediatric Nursing 3.0 Test
1. A nurse has finished teaching the guardians of an 8-year-old school-age child
about safety. Which of the following statements by the guardians indicates an
understanding of the teaching?
a. "We will wait to talk to our child about the dangers of smoking."
b. "We keep the ammunition and handgun locked in our gun safe."
c. "We signed up for swim lessons at the local community center."
d. "Now that our child is 8 years old, they no longer need to use a booster seat."
ANS: C
2. A nurse in a pediatric clinic is caring for a client who is bottle feeding their
6-month-old infant. Which of the following statements should the nurse plan to
include in the anticipatory guidance about nutrition?
a. "You can begin now to introduce cow's milk to your infant."
b. "You can place infant cereal in a bottle if your baby doesn't like the spoon."
c. "Offer one new food for 3 to 5 days when beginning solid foods."
d. "Sippy cups with a soft spout that requires sucking are preferred."
ANS: C
3. A nurse in a pediatric clinic is caring for an adolescent. Which of the following
actions should the nurse take to establish a rapport with the adolescent?
a. Discuss topics related to alcohol use at the beginning of the interview.
b. Use close-ended questions to promote communication.
c. Complete the social history with the adolescent's parent present.
d. Ask the adolescent what pronouns they use.
ANS: D
4. A nurse is assessing a 5-year-old preschooler during a well-child examination.
Which of the following findings should the nurse expect?
a. Bruises on the upper arm
b. Round, protuberant abdomen
,c. Enlarged tonsils without exudate
d. Sway-backed posture when standing
ANS: C
5. A nurse is assessing a 5-year-old preschooler who has Down syndrome. Which of
the following findings should the nurse expect when assessing the child's neck?
a. A webbed neck
b. Anterior neck folds
c. Lax skin
d. A short neck
ANS: C
6. A nurse is assessing a 7-year-old school-age child at a well-child check. The
parent says the child has been 'acting out' since starting first grade. Which of the
following should the nurse identify as a potential stressor for the child? (Select All
that Apply.)
a. Navigating peer relationships
b. Bullying by peers
c. Feeling supported
d. Parental divorce
e. Academic success
ANS: A, B, D
7. A nurse is assessing a newborn while they are being held upright in their parent's
arms. The nurse notes that the newborn's anterior fontanel is sunken. The nurse
should identify this finding as a possible manifestation of which of the following
conditions?
a. Dehydration
b. Neural tube defect
c. Traumatic brain injury
d. Meningitis
ANS: A
,8. A nurse is assessing a toddler in a pediatric clinic. Which of the following findings
requires further evaluation?
a. Pinna is below the outer canthus of the eye.
b. Toddler gained 1.8 kg (4 lb) of weight in the past year.
c. Heart rate is 100/min.
d. Abdomen is soft and protuberant.
ANS: A
9. A nurse is assessing the sensory development of a 2-month-old infant. Which of
the following findings should alert the nurse to a possible sensory deficit in the
infant?
a. The infant's eyes wander and occasionally are crossed.
b. The infant does not respond to a loud noise.
c. The infant's eyes focus on near objects.
d. The infant does not make 'ahh' sounds.
ANS: B
10. A nurse is assessing the vital signs of a 7-year-old school-age child. Which of the
following findings should the nurse expect?
a. Temperature 37.1°C (98.8°F) orally; respiratory rate 28/min; heart rate 100/min
b. Temperature 37.0°C (98.6°F) orally; respiratory rate 24/min; heart rate 92/min
c. Temperature 37.1°C (98.8°F) orally; respiratory rate 24/min; heart rate 118/min
d. Temperature 37.0°C (98.6°F) orally; respiratory rate 20/min; heart rate 54/min
ANS: B
11. A nurse is caring for a 4-year-old preschooler who is postoperative. Which of the
following methods should the nurse use to assess the child's pain?
a. Ask the child to mark a line on a scale from 'no pain' to 'pain as bad as it can be.'
b. Ask the child to point to the picture of the face that represents how they feel.
c. Ask the child to rate their pain on a scale of 0 to 10.
d. Rate pain based on the child's facial expression, cry, breathing pattern, motor
activity of arms and legs, and state of arousal.
, ANS: B
12. A nurse is caring for a 6-week-old infant who is postoperative following a
pyloromyotomy. The nurse measures the infant's facial expression, body movement,
sleep, verbal or vocal ability, ability to be consoled, and response to movements and
touch. Which of the following behavioral assessment tools is the nurse using?
a. Riley Infant Pain Scale
b. Modified Behavioral Pain Scale (MBPS)
c. Neonatal Infant Pain Scale (NIPS)
d. FACES Pain Scale
ANS: A
13. A nurse is caring for a toddler on a pediatric unit. Which of the following methods
should the nurse use to assess the toddler's temperature?
a. Axillary thermometer
b. Oral thermometer
c. Glass thermometer
d. Strip thermometer
ANS: A
14. A nurse is performing a physical assessment on a newborn who is sleeping.
Which of the following body areas should the nurse assess last?
a. Abdomen
b. Heart
c. Lungs
d. Throat
ANS: D
15. A nurse is performing a physical assessment on an infant. Which of the following
actions should the nurse take when performing a respiratory assessment?
a. Perform the respiratory assessment last.
b. Listen closely to breath sounds during cries.
c. Use a stethoscope with a small diaphragm.
1. A nurse has finished teaching the guardians of an 8-year-old school-age child
about safety. Which of the following statements by the guardians indicates an
understanding of the teaching?
a. "We will wait to talk to our child about the dangers of smoking."
b. "We keep the ammunition and handgun locked in our gun safe."
c. "We signed up for swim lessons at the local community center."
d. "Now that our child is 8 years old, they no longer need to use a booster seat."
ANS: C
2. A nurse in a pediatric clinic is caring for a client who is bottle feeding their
6-month-old infant. Which of the following statements should the nurse plan to
include in the anticipatory guidance about nutrition?
a. "You can begin now to introduce cow's milk to your infant."
b. "You can place infant cereal in a bottle if your baby doesn't like the spoon."
c. "Offer one new food for 3 to 5 days when beginning solid foods."
d. "Sippy cups with a soft spout that requires sucking are preferred."
ANS: C
3. A nurse in a pediatric clinic is caring for an adolescent. Which of the following
actions should the nurse take to establish a rapport with the adolescent?
a. Discuss topics related to alcohol use at the beginning of the interview.
b. Use close-ended questions to promote communication.
c. Complete the social history with the adolescent's parent present.
d. Ask the adolescent what pronouns they use.
ANS: D
4. A nurse is assessing a 5-year-old preschooler during a well-child examination.
Which of the following findings should the nurse expect?
a. Bruises on the upper arm
b. Round, protuberant abdomen
,c. Enlarged tonsils without exudate
d. Sway-backed posture when standing
ANS: C
5. A nurse is assessing a 5-year-old preschooler who has Down syndrome. Which of
the following findings should the nurse expect when assessing the child's neck?
a. A webbed neck
b. Anterior neck folds
c. Lax skin
d. A short neck
ANS: C
6. A nurse is assessing a 7-year-old school-age child at a well-child check. The
parent says the child has been 'acting out' since starting first grade. Which of the
following should the nurse identify as a potential stressor for the child? (Select All
that Apply.)
a. Navigating peer relationships
b. Bullying by peers
c. Feeling supported
d. Parental divorce
e. Academic success
ANS: A, B, D
7. A nurse is assessing a newborn while they are being held upright in their parent's
arms. The nurse notes that the newborn's anterior fontanel is sunken. The nurse
should identify this finding as a possible manifestation of which of the following
conditions?
a. Dehydration
b. Neural tube defect
c. Traumatic brain injury
d. Meningitis
ANS: A
,8. A nurse is assessing a toddler in a pediatric clinic. Which of the following findings
requires further evaluation?
a. Pinna is below the outer canthus of the eye.
b. Toddler gained 1.8 kg (4 lb) of weight in the past year.
c. Heart rate is 100/min.
d. Abdomen is soft and protuberant.
ANS: A
9. A nurse is assessing the sensory development of a 2-month-old infant. Which of
the following findings should alert the nurse to a possible sensory deficit in the
infant?
a. The infant's eyes wander and occasionally are crossed.
b. The infant does not respond to a loud noise.
c. The infant's eyes focus on near objects.
d. The infant does not make 'ahh' sounds.
ANS: B
10. A nurse is assessing the vital signs of a 7-year-old school-age child. Which of the
following findings should the nurse expect?
a. Temperature 37.1°C (98.8°F) orally; respiratory rate 28/min; heart rate 100/min
b. Temperature 37.0°C (98.6°F) orally; respiratory rate 24/min; heart rate 92/min
c. Temperature 37.1°C (98.8°F) orally; respiratory rate 24/min; heart rate 118/min
d. Temperature 37.0°C (98.6°F) orally; respiratory rate 20/min; heart rate 54/min
ANS: B
11. A nurse is caring for a 4-year-old preschooler who is postoperative. Which of the
following methods should the nurse use to assess the child's pain?
a. Ask the child to mark a line on a scale from 'no pain' to 'pain as bad as it can be.'
b. Ask the child to point to the picture of the face that represents how they feel.
c. Ask the child to rate their pain on a scale of 0 to 10.
d. Rate pain based on the child's facial expression, cry, breathing pattern, motor
activity of arms and legs, and state of arousal.
, ANS: B
12. A nurse is caring for a 6-week-old infant who is postoperative following a
pyloromyotomy. The nurse measures the infant's facial expression, body movement,
sleep, verbal or vocal ability, ability to be consoled, and response to movements and
touch. Which of the following behavioral assessment tools is the nurse using?
a. Riley Infant Pain Scale
b. Modified Behavioral Pain Scale (MBPS)
c. Neonatal Infant Pain Scale (NIPS)
d. FACES Pain Scale
ANS: A
13. A nurse is caring for a toddler on a pediatric unit. Which of the following methods
should the nurse use to assess the toddler's temperature?
a. Axillary thermometer
b. Oral thermometer
c. Glass thermometer
d. Strip thermometer
ANS: A
14. A nurse is performing a physical assessment on a newborn who is sleeping.
Which of the following body areas should the nurse assess last?
a. Abdomen
b. Heart
c. Lungs
d. Throat
ANS: D
15. A nurse is performing a physical assessment on an infant. Which of the following
actions should the nurse take when performing a respiratory assessment?
a. Perform the respiratory assessment last.
b. Listen closely to breath sounds during cries.
c. Use a stethoscope with a small diaphragm.
