ATI PEDIATRICS EXAM 2025
QUESTIONS AND ANSWERS
A nurse is teaching an adolescent client who has type 1 diabetes mellitus about managing
hypoglycemia. Which of the following statements should the nurse include in the teaching?
A. "You should drink 8 oz of a regular soft drink if you experience hypoglycemia."
B. "You should drink 4 oz of orange juice if you experience hypoglycemia."
C. "You should take 2 glucose tablets if you experience hypoglycemia."
D. "You should take 3 tsp of sugar if you experience hypoglycemia." - ANS Correct Answer: B.
"You should drink 4 oz of orange juice if you experience hypoglycemia."
The nurse should tell the client to drink 4 oz of orange juice if hypoglycemia occurs.
Incorrect Answers:
A. The nurse should tell the client to drink 6 oz (NOT 8 oz) of a regular soft drink if hypoglycemia
occurs.
C. The nurse should tell the client to take 4 glucose tablets (NOT 2) if hypoglycemia occurs.
D. The nurse should tell the client to take 2 tsp (NOT 3) of sugar if hypoglycemia occurs
A nurse is assessing a 6-year-old client at a well-child visit. Which of the following findings
requires further assessment by the nurse?
A. Presence of sparse, fine pubic hair
B. Decreased head circumference compared to full height
C. Increased leg length in relation to height
D. Presence of a loose central incisor - ANS Correct Answer: A. Presence of sparse, fine pubic
hair
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,The development of sexual characteristics prior to the age of 9 years in boys and 8 years in girls
is an indication of precocious puberty and requires further evaluation.
Incorrect Answers:
B. The head circumference of a school-age child decreases when compared to full height due to
skeletal lengthening.
C. Body proportion varies with a slimmer appearance and longer legs in a school-age child. Leg
length increases and waist circumference decreases related to height in this age group.
D. The deciduous teeth start shedding at this age, beginning with the lower central incisors
RBC Range: - ANS Male: 4.3-5.9 million/mm3
Female 3.5 -5.5 million/mm3
A nurse is assessing an infant who develops respiratory distress, absence of breath sounds on
one side, and deviation of the trachea away from the affected side. Based on these
manifestations, which of the following conditions is the infant experiencing?
A. Tension pneumothorax
B. Flail chest
C. Pulmonary contusion
D. Fractured rib - ANS Correct Answer: A. Tension pneumothorax
The nurse should identify these manifestations as an indication the infant is developing a
tension pneumothorax. The infant might also become cyanotic and show asymmetry of the
thorax.
Incorrect Answers:
B. Manifestations of flail chest include a pulling of the traumatized rib area inward during
inspiration and outward during expiration.
C. Manifestations of pulmonary contusion include decreased breath sounds, tachycardia,
tachypnea, and blood-tinged secretions.
D. Manifestations of a rib fracture include pain and ecchymosis in the area of trauma, swelling,
and muscle spasms.
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, TSH Range: - ANS (0.5-5.0 µU/mL
A nurse is assessing a toddler who has measles (rubeola). Which of the following findings
should the nurse expect?
A. Koplik spots
B. Parotitis
C. Strawberry tongue
D. Paroxysmal coughing - ANS Correct Answer: A. Koplik spots
Koplik spots are small, irregular oral lesions with a bluish-white center. They are characteristic
of measles (rubeola). Koplik spots appear about 2 days before the maculopapular rash and are
accompanied by fevers, malaise, conjunctivitis, and other cold manifestations.
Incorrect Answers:
B. Swollen parotid glands are an expected finding in a child who has MUMPS.
C. Strawberry tongue is an expected finding in a child who has SCARLET FEVER.
D. Paroxysmal coughing is an expected finding in a child who has PERTUSSIS
Nevus simplex or Stork bite - ANS Discoloration that typically blanches with pressure and
becomes more prominent with crying. This finding does not require notification of the provider.
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should
the nurse expect?
A. Generalized petechiae
B. Jaundice
C. Obesity
D. Chronic diarrhea - ANS D. Small bowel bacterial overgrowth is possible in people with HIV.
Intestinal problems may make a person with HIV more likely to have an overgrowth of bacteria.
This may lead to diarrhea and other digestive issues
Incorrect Answers:
A. Generalized petechiae are not a manifestation of HIV in a preschooler.
3 @COPYRIGHT THEBRIGHT 2025/2026
QUESTIONS AND ANSWERS
A nurse is teaching an adolescent client who has type 1 diabetes mellitus about managing
hypoglycemia. Which of the following statements should the nurse include in the teaching?
A. "You should drink 8 oz of a regular soft drink if you experience hypoglycemia."
B. "You should drink 4 oz of orange juice if you experience hypoglycemia."
C. "You should take 2 glucose tablets if you experience hypoglycemia."
D. "You should take 3 tsp of sugar if you experience hypoglycemia." - ANS Correct Answer: B.
"You should drink 4 oz of orange juice if you experience hypoglycemia."
The nurse should tell the client to drink 4 oz of orange juice if hypoglycemia occurs.
Incorrect Answers:
A. The nurse should tell the client to drink 6 oz (NOT 8 oz) of a regular soft drink if hypoglycemia
occurs.
C. The nurse should tell the client to take 4 glucose tablets (NOT 2) if hypoglycemia occurs.
D. The nurse should tell the client to take 2 tsp (NOT 3) of sugar if hypoglycemia occurs
A nurse is assessing a 6-year-old client at a well-child visit. Which of the following findings
requires further assessment by the nurse?
A. Presence of sparse, fine pubic hair
B. Decreased head circumference compared to full height
C. Increased leg length in relation to height
D. Presence of a loose central incisor - ANS Correct Answer: A. Presence of sparse, fine pubic
hair
1 @COPYRIGHT THEBRIGHT 2025/2026
,The development of sexual characteristics prior to the age of 9 years in boys and 8 years in girls
is an indication of precocious puberty and requires further evaluation.
Incorrect Answers:
B. The head circumference of a school-age child decreases when compared to full height due to
skeletal lengthening.
C. Body proportion varies with a slimmer appearance and longer legs in a school-age child. Leg
length increases and waist circumference decreases related to height in this age group.
D. The deciduous teeth start shedding at this age, beginning with the lower central incisors
RBC Range: - ANS Male: 4.3-5.9 million/mm3
Female 3.5 -5.5 million/mm3
A nurse is assessing an infant who develops respiratory distress, absence of breath sounds on
one side, and deviation of the trachea away from the affected side. Based on these
manifestations, which of the following conditions is the infant experiencing?
A. Tension pneumothorax
B. Flail chest
C. Pulmonary contusion
D. Fractured rib - ANS Correct Answer: A. Tension pneumothorax
The nurse should identify these manifestations as an indication the infant is developing a
tension pneumothorax. The infant might also become cyanotic and show asymmetry of the
thorax.
Incorrect Answers:
B. Manifestations of flail chest include a pulling of the traumatized rib area inward during
inspiration and outward during expiration.
C. Manifestations of pulmonary contusion include decreased breath sounds, tachycardia,
tachypnea, and blood-tinged secretions.
D. Manifestations of a rib fracture include pain and ecchymosis in the area of trauma, swelling,
and muscle spasms.
2 @COPYRIGHT THEBRIGHT 2025/2026
, TSH Range: - ANS (0.5-5.0 µU/mL
A nurse is assessing a toddler who has measles (rubeola). Which of the following findings
should the nurse expect?
A. Koplik spots
B. Parotitis
C. Strawberry tongue
D. Paroxysmal coughing - ANS Correct Answer: A. Koplik spots
Koplik spots are small, irregular oral lesions with a bluish-white center. They are characteristic
of measles (rubeola). Koplik spots appear about 2 days before the maculopapular rash and are
accompanied by fevers, malaise, conjunctivitis, and other cold manifestations.
Incorrect Answers:
B. Swollen parotid glands are an expected finding in a child who has MUMPS.
C. Strawberry tongue is an expected finding in a child who has SCARLET FEVER.
D. Paroxysmal coughing is an expected finding in a child who has PERTUSSIS
Nevus simplex or Stork bite - ANS Discoloration that typically blanches with pressure and
becomes more prominent with crying. This finding does not require notification of the provider.
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should
the nurse expect?
A. Generalized petechiae
B. Jaundice
C. Obesity
D. Chronic diarrhea - ANS D. Small bowel bacterial overgrowth is possible in people with HIV.
Intestinal problems may make a person with HIV more likely to have an overgrowth of bacteria.
This may lead to diarrhea and other digestive issues
Incorrect Answers:
A. Generalized petechiae are not a manifestation of HIV in a preschooler.
3 @COPYRIGHT THEBRIGHT 2025/2026
