West Coast University NURS 307 Peds ATI Exam (pdf) | 2026/27 | ATI
Proctored | Peds Nursing
1. A nurse is planning care for a child who has severe diarrhea. Which of the
following actions is the nurse's priority?
A) Assess the child's fluid balance
B) Administer an anti-diarrheal medication
C) Place the child on a clear liquid diet
D) Obtain a stool specimen for culture
Correct Answer: Assess the child's fluid balance
Rationale: The priority nursing action for a child with severe diarrhea is to
assess for signs of dehydration, which can be life-threatening. Fluid and
electrolyte replacement is essential. While other actions may be indicated,
they are secondary to the initial assessment.
2. A nurse is caring for a toddler whose parent states the child has a mass in
his abdominal area and his urine is a pink color. Which of the following
actions is the nurse's priority?
A) Instruct the parent to avoid pressing on the abdominal area
B) Obtain a urine specimen for analysis
C) Prepare the child for an abdominal ultrasound
D) Notify the healthcare provider immediately
Correct Answer: Instruct the parent to avoid pressing on the abdominal area
Rationale: A palpable abdominal mass with pink-tinged urine in a toddler is a
classic presentation of Wilms' tumor. Palpation of the abdomen is
contraindicated as it can cause tumor rupture and spread of malignant cells.
The priority is to prevent this complication.
,3. A nurse in an urgent care clinic is prioritizing care for four children. Which
of the following children should the nurse assess first?
A) A toddler who has nephrotic syndrome and facial edema
B) A school-age child who has asthma and decreased breath sounds
C) An infant who has GERD and is vomiting
D) An adolescent who has mononucleosis and a sore throat
Correct Answer: A school-age child who has asthma and decreased breath
sounds
Rationale: Decreased breath sounds in a child with asthma indicate severe
airway obstruction and respiratory failure. This is an immediate, life-
threatening emergency requiring priority assessment and intervention. Facial
edema in nephrotic syndrome, while concerning, is not immediately life-
threatening.
4. A nurse is providing teaching to the parent of an 11-month-old infant who
has acute diarrhea and dehydration. What should the nurse instruct the
parent to provide to the infant?
A) Oral electrolyte solution
B) Clear fruit juice
C) Sports drink
D) Plain water
Correct Answer: Oral electrolyte solution
Rationale: Oral rehydration solutions (ORS) are specifically formulated to
replace fluid and electrolyte losses in children with diarrhea. Fruit juices,
,sports drinks, and plain water do not have the correct electrolyte balance
and can worsen dehydration.
5. A nurse is preparing to administer an immunization to a 3-month-old
infant. Which of the following interventions is an example of atraumatic care?
A) Provide a pacifier coated with oral sucrose solution prior to the injections
B) Restrain the infant's extremities firmly during the procedure
C) Administer the vaccine while the infant is sleeping
D) Delay the immunization until the infant is calm
Correct Answer: Provide a pacifier coated with oral sucrose solution prior to
the injections
Rationale: Atraumatic care aims to minimize physical and psychological
stress. Using a pacifier with sucrose solution is a non-pharmacological pain
intervention that provides comfort and reduces the pain response during a
painful procedure.
6. A nurse is assessing a 24-month-old toddler. Which of the following
findings should the nurse expect?
A) A vocabulary of 40 words
B) The ability to ride a tricycle
C) The ability to build a tower of 6 blocks
D) The ability to walk up and down stairs
Correct Answer: A vocabulary of 40 words
Rationale: At 24 months of age, a toddler's vocabulary typically includes
about 50 words, with the ability to form 2- to 3-word phrases. A 40-word
vocabulary is expected. Riding a tricycle is a 3-year-old milestone.
, 7. A nurse is providing teaching to the parents of a school-age child who has
a newly diagnosed seizure disorder. Which of the following actions should the
nurse instruct the parents to take during a seizure?
A) Clear the area of hard objects
B) Place a padded tongue blade in the child's mouth
C) Restrain the child's extremities
D) Place the child in a prone position
Correct Answer: Clear the area of hard objects
Rationale: During a seizure, the priority is to protect the child from injury.
Clearing the area of hard or sharp objects prevents harm. Nothing should be
placed in the child's mouth, and the child should not be restrained.
8. A nurse is providing anticipatory guidance to the parents of a 1-month-old
infant. Which of the following responses by the nurse is appropriate?
A) "Stay close to your child."
B) "Allow your child to cry for extended periods."
C) "Begin feeding your child solid foods."
D) "Place your child on their stomach to sleep."
Correct Answer: "Stay close to your child."
Rationale: At 1 month, infants are developing trust and need consistent,
responsive caregiving. Staying close and responding to the infant's cues
supports healthy attachment and development.
Proctored | Peds Nursing
1. A nurse is planning care for a child who has severe diarrhea. Which of the
following actions is the nurse's priority?
A) Assess the child's fluid balance
B) Administer an anti-diarrheal medication
C) Place the child on a clear liquid diet
D) Obtain a stool specimen for culture
Correct Answer: Assess the child's fluid balance
Rationale: The priority nursing action for a child with severe diarrhea is to
assess for signs of dehydration, which can be life-threatening. Fluid and
electrolyte replacement is essential. While other actions may be indicated,
they are secondary to the initial assessment.
2. A nurse is caring for a toddler whose parent states the child has a mass in
his abdominal area and his urine is a pink color. Which of the following
actions is the nurse's priority?
A) Instruct the parent to avoid pressing on the abdominal area
B) Obtain a urine specimen for analysis
C) Prepare the child for an abdominal ultrasound
D) Notify the healthcare provider immediately
Correct Answer: Instruct the parent to avoid pressing on the abdominal area
Rationale: A palpable abdominal mass with pink-tinged urine in a toddler is a
classic presentation of Wilms' tumor. Palpation of the abdomen is
contraindicated as it can cause tumor rupture and spread of malignant cells.
The priority is to prevent this complication.
,3. A nurse in an urgent care clinic is prioritizing care for four children. Which
of the following children should the nurse assess first?
A) A toddler who has nephrotic syndrome and facial edema
B) A school-age child who has asthma and decreased breath sounds
C) An infant who has GERD and is vomiting
D) An adolescent who has mononucleosis and a sore throat
Correct Answer: A school-age child who has asthma and decreased breath
sounds
Rationale: Decreased breath sounds in a child with asthma indicate severe
airway obstruction and respiratory failure. This is an immediate, life-
threatening emergency requiring priority assessment and intervention. Facial
edema in nephrotic syndrome, while concerning, is not immediately life-
threatening.
4. A nurse is providing teaching to the parent of an 11-month-old infant who
has acute diarrhea and dehydration. What should the nurse instruct the
parent to provide to the infant?
A) Oral electrolyte solution
B) Clear fruit juice
C) Sports drink
D) Plain water
Correct Answer: Oral electrolyte solution
Rationale: Oral rehydration solutions (ORS) are specifically formulated to
replace fluid and electrolyte losses in children with diarrhea. Fruit juices,
,sports drinks, and plain water do not have the correct electrolyte balance
and can worsen dehydration.
5. A nurse is preparing to administer an immunization to a 3-month-old
infant. Which of the following interventions is an example of atraumatic care?
A) Provide a pacifier coated with oral sucrose solution prior to the injections
B) Restrain the infant's extremities firmly during the procedure
C) Administer the vaccine while the infant is sleeping
D) Delay the immunization until the infant is calm
Correct Answer: Provide a pacifier coated with oral sucrose solution prior to
the injections
Rationale: Atraumatic care aims to minimize physical and psychological
stress. Using a pacifier with sucrose solution is a non-pharmacological pain
intervention that provides comfort and reduces the pain response during a
painful procedure.
6. A nurse is assessing a 24-month-old toddler. Which of the following
findings should the nurse expect?
A) A vocabulary of 40 words
B) The ability to ride a tricycle
C) The ability to build a tower of 6 blocks
D) The ability to walk up and down stairs
Correct Answer: A vocabulary of 40 words
Rationale: At 24 months of age, a toddler's vocabulary typically includes
about 50 words, with the ability to form 2- to 3-word phrases. A 40-word
vocabulary is expected. Riding a tricycle is a 3-year-old milestone.
, 7. A nurse is providing teaching to the parents of a school-age child who has
a newly diagnosed seizure disorder. Which of the following actions should the
nurse instruct the parents to take during a seizure?
A) Clear the area of hard objects
B) Place a padded tongue blade in the child's mouth
C) Restrain the child's extremities
D) Place the child in a prone position
Correct Answer: Clear the area of hard objects
Rationale: During a seizure, the priority is to protect the child from injury.
Clearing the area of hard or sharp objects prevents harm. Nothing should be
placed in the child's mouth, and the child should not be restrained.
8. A nurse is providing anticipatory guidance to the parents of a 1-month-old
infant. Which of the following responses by the nurse is appropriate?
A) "Stay close to your child."
B) "Allow your child to cry for extended periods."
C) "Begin feeding your child solid foods."
D) "Place your child on their stomach to sleep."
Correct Answer: "Stay close to your child."
Rationale: At 1 month, infants are developing trust and need consistent,
responsive caregiving. Staying close and responding to the infant's cues
supports healthy attachment and development.
