ATI PN PEDIATRICS PROCTORED EXAM 2024|
ACTUAL QUESTIONS AND CORRECT DETAILED
ANSWERS | GRADED A+
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative. -ANSWER>> B
Rationale: The nurse should initially minimize physical contact with the toddler, and then
progress from the least traumatic to the most traumatic procedures.
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations andis
planning to attend college. The nurse should inform the client that he should receive which of
the following immunizations prior to moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster -ANSWER>> B
Rationale: The meningococcal polysaccharide immunization is used to prevent infectionby
certain groups of meningococcal bacteria. Meningococcal infection can c ause life- threatening
illnesses, such as meningococcal meningitis, which affects the brain, and meningococcemia,
which affects the blood. Both of these conditions can be fatal.
College freshmen, particularly those who live in dormitories, are at an increased risk for
meningococcal disease relative to other persons their age. Therefore, the Centers for
,Disease Control and Prevention has issued a recommendation that all incoming collegestudents
receive the meningococcal immunization.
A nurse is teaching the parent of an infant about food allergens. Which of the following
foods should the nurse include as being the most common food allergy in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg -ANSWER>> A
Rationale: According to evidence-based practice, the nurse should instruct the parent that cow's
milk is the most common food allergy in children. Some children are sensitiveto the protein,
called casein, found in cow's milk. They have difficulty metabolizing the casein and are,
therefore, allergic to cow's milk.
A nurse is teaching the parent of a toddler about home safety. Which of the following
statements by the parent indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something poisonous." -
ANSWER>> A
Rationale: Locking up medications and other potential poisons prevents access. Toddlers have
improved gross and fine motor skills that allow for further exploration ofthe environment and
possible access to hazardous substances.
A nurse is performing a physical assessment on a 6-month-old infant. Which of the
following reflexes should the nurse expect to find?
a. Stepping
,b. Babinski
c. Extrusion
d. Moro -ANSWER>> B
Rationale: The Babinski reflex, which is elicited by stroking the bottom of the foot and causing
the toes to fan and the big toe to dorsiflex, should be present until the age of 1year. Persistence
of neonatal reflexes might indicate neurological deficits.
A nurse is preparing to administer recommended immunizations to a 2-month-old infant.
Which of the following immunizations should the nurse plan to administer?
a. Human papillomavirus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis
(TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV) -ANSWER>> C
Rationale: The recommended immunizations for a 2-month-old infant include Hib and IPV. The
Hib immunization series consists of 3 to 4 doses, de pending on the immunization used, and at a
minimum is administered at the ages of 2 months, 4 months, and 12 to 15 months. The IPV
immunization series consists of 4 doses and isadministered at the ages of 2 months, 4 months, 6
to 18 months, and 4 to 6 years.
A nurse is developing a plan of care for a school-age child who underwent a surgical
procedure that resulted in temporary loss of vision. Which of the following interventions
should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
, b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child. -ANSWER>> B
Rationale: The noises in a facility can be frightening to a child who is experiencing asensory
loss. It is important to explain these noises to allay the child's fears.
A nurse is evaluating a 3-year-old child one day after a tonsillectomy. Which method should be used to assess
the child's pain level?
a. Consult the child's parents.
b. Utilize the FACES pain scale.
c. Apply a numeric rating scale.
d. Measure the child's temperature.
Correct Answer: B
Explanation: Pain is a subjective experience, even in young children. The FACES pain scale is a reliable tool
for evaluating pain in children as young as 3 years old.
A nurse is assessing a 6-month-old infant at a routine check-up. Which of the following findings warrants
further investigation?
a. Pulling feet toward the mouth.
b. Closure of the posterior fontanel.
c. Extended and crossed legs while lying down.
d. Birth weight has doubled.
Correct Answer: C
Explanation: An infant at 6 months should demonstrate knee flexion when lying on their back. Extended and
crossed legs could be a sign of cerebral palsy and require further evaluation.
A nurse observes a mother playing peek-a-boo with her 8-month-old and is asked if the game has
developmental importance. What concept does this activity help the child develop?
a. Hand-eye coordination.
b. Sense of trust.
c. Object permanence.
d. Egocentrism.
Correct Answer: C
Explanation: Object permanence is the understanding that objects exist even when out of sight. Peek-a-boo
reinforces this cognitive skill.
A nurse is caring for a 15-month-old requiring droplet precautions. What action should the nurse take?
ACTUAL QUESTIONS AND CORRECT DETAILED
ANSWERS | GRADED A+
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative. -ANSWER>> B
Rationale: The nurse should initially minimize physical contact with the toddler, and then
progress from the least traumatic to the most traumatic procedures.
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations andis
planning to attend college. The nurse should inform the client that he should receive which of
the following immunizations prior to moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster -ANSWER>> B
Rationale: The meningococcal polysaccharide immunization is used to prevent infectionby
certain groups of meningococcal bacteria. Meningococcal infection can c ause life- threatening
illnesses, such as meningococcal meningitis, which affects the brain, and meningococcemia,
which affects the blood. Both of these conditions can be fatal.
College freshmen, particularly those who live in dormitories, are at an increased risk for
meningococcal disease relative to other persons their age. Therefore, the Centers for
,Disease Control and Prevention has issued a recommendation that all incoming collegestudents
receive the meningococcal immunization.
A nurse is teaching the parent of an infant about food allergens. Which of the following
foods should the nurse include as being the most common food allergy in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg -ANSWER>> A
Rationale: According to evidence-based practice, the nurse should instruct the parent that cow's
milk is the most common food allergy in children. Some children are sensitiveto the protein,
called casein, found in cow's milk. They have difficulty metabolizing the casein and are,
therefore, allergic to cow's milk.
A nurse is teaching the parent of a toddler about home safety. Which of the following
statements by the parent indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something poisonous." -
ANSWER>> A
Rationale: Locking up medications and other potential poisons prevents access. Toddlers have
improved gross and fine motor skills that allow for further exploration ofthe environment and
possible access to hazardous substances.
A nurse is performing a physical assessment on a 6-month-old infant. Which of the
following reflexes should the nurse expect to find?
a. Stepping
,b. Babinski
c. Extrusion
d. Moro -ANSWER>> B
Rationale: The Babinski reflex, which is elicited by stroking the bottom of the foot and causing
the toes to fan and the big toe to dorsiflex, should be present until the age of 1year. Persistence
of neonatal reflexes might indicate neurological deficits.
A nurse is preparing to administer recommended immunizations to a 2-month-old infant.
Which of the following immunizations should the nurse plan to administer?
a. Human papillomavirus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis
(TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV) -ANSWER>> C
Rationale: The recommended immunizations for a 2-month-old infant include Hib and IPV. The
Hib immunization series consists of 3 to 4 doses, de pending on the immunization used, and at a
minimum is administered at the ages of 2 months, 4 months, and 12 to 15 months. The IPV
immunization series consists of 4 doses and isadministered at the ages of 2 months, 4 months, 6
to 18 months, and 4 to 6 years.
A nurse is developing a plan of care for a school-age child who underwent a surgical
procedure that resulted in temporary loss of vision. Which of the following interventions
should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
, b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child. -ANSWER>> B
Rationale: The noises in a facility can be frightening to a child who is experiencing asensory
loss. It is important to explain these noises to allay the child's fears.
A nurse is evaluating a 3-year-old child one day after a tonsillectomy. Which method should be used to assess
the child's pain level?
a. Consult the child's parents.
b. Utilize the FACES pain scale.
c. Apply a numeric rating scale.
d. Measure the child's temperature.
Correct Answer: B
Explanation: Pain is a subjective experience, even in young children. The FACES pain scale is a reliable tool
for evaluating pain in children as young as 3 years old.
A nurse is assessing a 6-month-old infant at a routine check-up. Which of the following findings warrants
further investigation?
a. Pulling feet toward the mouth.
b. Closure of the posterior fontanel.
c. Extended and crossed legs while lying down.
d. Birth weight has doubled.
Correct Answer: C
Explanation: An infant at 6 months should demonstrate knee flexion when lying on their back. Extended and
crossed legs could be a sign of cerebral palsy and require further evaluation.
A nurse observes a mother playing peek-a-boo with her 8-month-old and is asked if the game has
developmental importance. What concept does this activity help the child develop?
a. Hand-eye coordination.
b. Sense of trust.
c. Object permanence.
d. Egocentrism.
Correct Answer: C
Explanation: Object permanence is the understanding that objects exist even when out of sight. Peek-a-boo
reinforces this cognitive skill.
A nurse is caring for a 15-month-old requiring droplet precautions. What action should the nurse take?
