PEDS ATI PROCTORED EXAM, PEDS ATI PROCTORED
EXAM QUESTIONS AND ANSWERS NEW AND UPDATED
2026 |WITH VERIFIED QUESTIONS AND ANSWERS
|EXPERT RATIONALE INCLUDED!!!
A charge nurse in an emergency department is preparing an in-service for a
group of newly licensed nurses on the clinical manifestations of child
maltreatment. Which of the followingclinical manifestations should the charge
nurse include as suggestive of potential physical abuse?
A- Recurrent urinary tract infections
B- symmetric Burns of the lower extremities
C- growth failure
D- lack of subcutaneous fat
B- symmetric Burns of the lower extremities; The nurse should include in the
teaching that symmetric burns of the lower
extremities are a suggestive clinical manifestation of physical abuse. The patterns
are usually characteristic of the method or object used, such as cigar or cigarette
burns, or burns in the shape of an iron.
The nurse is caring for a 15 year old client following a head injury. Which of
the following findings should the nurse identify as an indication that the child is
developing syndrome ofinappropriate antidiuretic hormone secretion SIADH?
A- sodium 148
B- urine specific gravity of 1.020
C- mental confusion
D- weak peripheral pulses
C- mental confusion; A child who has a head injury can develop SIADH as a result
of altered pituitary
,function, leadingto an oversecretion of antidiuretic hormone. Oversecretion of
antidiuretic hormone leads to a decrease in urine output, hyponatremia, and
hypoosmolality due to overhydration.
A nurse in a provider's office is preparing to administer immunizations to a
toddler during awell-child visit. Which of the following actions should the
nurse plan to take?
Prescriptions:
-tuberculin skin test (TST)
-measles mumps rubella
vaccine
-inactivated influenza vaccine
-diphtheria, tetanus, and pertussis (DTaP vaccine)
Vital signs
-respiratory rate 24/minute
-heart rate 115/minute
-temperature 37.4 degrees Celsius or 99.3 degrees Fahrenheit
History and physical
-Age 12 months 9 days
-height 71.1cm/28-in
allergies
neomycin - anaphylactic reaction
caregiver reports:
-rhinitis with clear nasal drainage for 2days
-occasional non productive cough for 2 days
-history of asthma
A- Withhold the measles mumps and rubella MMR vaccine
B- withhold the DTaP vaccine
C- withhold the influenza vaccine
D- withhold the tuberculin skin test TST
,A- Withhold the measles mumps and rubella MMR vaccine; The nurse should
recognize that an allergy to neomycin with an anaphylactic
reaction is a contraindication to receiving the MMR vaccine. Clients who have a
severe allergy to eggs orgelatin should not receive this vaccine.
A nurse is caring for a preschooler who has been receiving IV fluids via a
peripheral IV catheter. When preparing a to discontinue the IV fluids and
catheter, which of the followingactions should the nurse plan to take? Place
the steps in order of performance.
A- remove the tape securing the catheter
B- turn off the IV pump
C- occlude the IV tubing
D- apply pressure over the catheter insertion site
1) B- turn off the IV pump
2) C- occlude the IV tubing
3) A- remove the tape securing the catheter
4) D- apply pressure over the catheter insertion site
A nurse is reviewing the dietary choices of an adolescent who has iron
deficiency anemia. the nurse should identify that which of the following menu
items has the highest amount of iron?A- 1/2 cup whole milk
B- 1 cup orange juice
C- 1/2 cup raisins
D- one cup raw carrots
C- 1/2 cup raisins; The nurse should encourage the adolescent to eat raisins
because they contain the highest amount of non-heme iron.
A nurse is creating an educational plan to teach parents about protecting their
children fromsun burns. Which of the following instructions should the nurse
plan to include?
A- Choose a waterproof sunscreen with an SPF of at least 15
B- apply sunscreen liberally to infants over three months of age
, C- dress children in a loose weave polyester fabric prior to sun exposure
D- reapply sunscreen every 4 hours
A- Choose a waterproof sunscreen with an SPF of at least 15; The nurse should
instruct parents to apply a waterproof sunscreen with an SPF of at
least 15 forchildren. The parents should apply the sunscreen prior to sun exposure
to reduce the risk of sunburn.
The nurse is preparing to administer an immunization to a four-year-old child.
Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
C- administer the immunization using a 24-gauge needle; The nurse should
administer an immunization for a 4-year-old child using a 24-
gauge needle to minimize the amount of pain experienced by the toddler.
A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify which of the
following laboratory values indicates effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
B- sodium 140; The nurse should identify that a sodium level of 140 mEq/L is
within the
expected reference range and indicates the current treatment regimen the infant
is receiving for dehydration is effective.
The nurse is providing teaching about Social Development to the parents of a
preschooler. Which of the following play activities should the nurse
recommend for the child?
EXAM QUESTIONS AND ANSWERS NEW AND UPDATED
2026 |WITH VERIFIED QUESTIONS AND ANSWERS
|EXPERT RATIONALE INCLUDED!!!
A charge nurse in an emergency department is preparing an in-service for a
group of newly licensed nurses on the clinical manifestations of child
maltreatment. Which of the followingclinical manifestations should the charge
nurse include as suggestive of potential physical abuse?
A- Recurrent urinary tract infections
B- symmetric Burns of the lower extremities
C- growth failure
D- lack of subcutaneous fat
B- symmetric Burns of the lower extremities; The nurse should include in the
teaching that symmetric burns of the lower
extremities are a suggestive clinical manifestation of physical abuse. The patterns
are usually characteristic of the method or object used, such as cigar or cigarette
burns, or burns in the shape of an iron.
The nurse is caring for a 15 year old client following a head injury. Which of
the following findings should the nurse identify as an indication that the child is
developing syndrome ofinappropriate antidiuretic hormone secretion SIADH?
A- sodium 148
B- urine specific gravity of 1.020
C- mental confusion
D- weak peripheral pulses
C- mental confusion; A child who has a head injury can develop SIADH as a result
of altered pituitary
,function, leadingto an oversecretion of antidiuretic hormone. Oversecretion of
antidiuretic hormone leads to a decrease in urine output, hyponatremia, and
hypoosmolality due to overhydration.
A nurse in a provider's office is preparing to administer immunizations to a
toddler during awell-child visit. Which of the following actions should the
nurse plan to take?
Prescriptions:
-tuberculin skin test (TST)
-measles mumps rubella
vaccine
-inactivated influenza vaccine
-diphtheria, tetanus, and pertussis (DTaP vaccine)
Vital signs
-respiratory rate 24/minute
-heart rate 115/minute
-temperature 37.4 degrees Celsius or 99.3 degrees Fahrenheit
History and physical
-Age 12 months 9 days
-height 71.1cm/28-in
allergies
neomycin - anaphylactic reaction
caregiver reports:
-rhinitis with clear nasal drainage for 2days
-occasional non productive cough for 2 days
-history of asthma
A- Withhold the measles mumps and rubella MMR vaccine
B- withhold the DTaP vaccine
C- withhold the influenza vaccine
D- withhold the tuberculin skin test TST
,A- Withhold the measles mumps and rubella MMR vaccine; The nurse should
recognize that an allergy to neomycin with an anaphylactic
reaction is a contraindication to receiving the MMR vaccine. Clients who have a
severe allergy to eggs orgelatin should not receive this vaccine.
A nurse is caring for a preschooler who has been receiving IV fluids via a
peripheral IV catheter. When preparing a to discontinue the IV fluids and
catheter, which of the followingactions should the nurse plan to take? Place
the steps in order of performance.
A- remove the tape securing the catheter
B- turn off the IV pump
C- occlude the IV tubing
D- apply pressure over the catheter insertion site
1) B- turn off the IV pump
2) C- occlude the IV tubing
3) A- remove the tape securing the catheter
4) D- apply pressure over the catheter insertion site
A nurse is reviewing the dietary choices of an adolescent who has iron
deficiency anemia. the nurse should identify that which of the following menu
items has the highest amount of iron?A- 1/2 cup whole milk
B- 1 cup orange juice
C- 1/2 cup raisins
D- one cup raw carrots
C- 1/2 cup raisins; The nurse should encourage the adolescent to eat raisins
because they contain the highest amount of non-heme iron.
A nurse is creating an educational plan to teach parents about protecting their
children fromsun burns. Which of the following instructions should the nurse
plan to include?
A- Choose a waterproof sunscreen with an SPF of at least 15
B- apply sunscreen liberally to infants over three months of age
, C- dress children in a loose weave polyester fabric prior to sun exposure
D- reapply sunscreen every 4 hours
A- Choose a waterproof sunscreen with an SPF of at least 15; The nurse should
instruct parents to apply a waterproof sunscreen with an SPF of at
least 15 forchildren. The parents should apply the sunscreen prior to sun exposure
to reduce the risk of sunburn.
The nurse is preparing to administer an immunization to a four-year-old child.
Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
C- administer the immunization using a 24-gauge needle; The nurse should
administer an immunization for a 4-year-old child using a 24-
gauge needle to minimize the amount of pain experienced by the toddler.
A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify which of the
following laboratory values indicates effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
B- sodium 140; The nurse should identify that a sodium level of 140 mEq/L is
within the
expected reference range and indicates the current treatment regimen the infant
is receiving for dehydration is effective.
The nurse is providing teaching about Social Development to the parents of a
preschooler. Which of the following play activities should the nurse
recommend for the child?
