ATI PEDIATRIC Proctored Exam
(New Update )
Question: A nurse is reinforcing teaching with the parents of preschoolers regarding booster
seats. Which instruction should the nurse include?
A. Use the booster seat’s built-in straps.
B. Secure the child using the vehicle’s shoulder-lap belt.
C. Place the booster seat in the front passenger seat.
D. Transition to a regular seat belt by age 4.
Answer: B
Explanation: Secure the child using the vehicle’s shoulder-lap belt. Booster seats lack built-in
straps and rely on the vehicle’s seat belt for proper restraint.
Question: A nurse is contributing to the plan of care for a child in Buck’s traction. Which
intervention should be included?
A. Flex the child’s knee at 30 degrees.
B. Keep the leg extended.
C. Massage the limb hourly.
D. Remove weights daily for skin checks.
Answer: B
Explanation: Maintain the leg in an extended position to reduce injury risk and minimize muscle
spasms.
Question: A guardian asks when their child with varicella will no longer be contagious. Which
response should the nurse make?
A. "When the fever subsides."
B. "After 24 hours without new lesions."
C. "Six days after lesions appear if crusted."
D. "Once all scabs fall off."
Answer: C
Explanation: Six days after lesions appear if crusted, as crusting indicates reduced infectivity.
, Question: A nurse is caring for a toddler with otitis media and a temperature of 102.4°F. Which
action should the nurse take first?
A. Administer an antipyretic.
B. Apply a warm compress to the ear.
C. Collect a culture from the ear.
D. Offer fluids.
Answer: A
Explanation: Administer an antipyretic to reduce fever promptly, improving comfort and
preventing complications like febrile seizures.
Question: A nurse is caring for an adolescent prescribed isotretinoin for acne. For which adverse
effect should the nurse monitor?
A. Hypertension
B. Hyperglycemia
C. Depression
D. Tinnitus
Answer: C
Explanation: Monitor for depression, as isotretinoin can cause mental status changes, including
suicidal ideation.
Question: Which action should the nurse include in the plan of care for a 10-month-old infant
post–cleft palate repair?
A. Prone positioning.
B. Offer a sippy cup.
C. Place in side-lying position.
D. Clean sutures with hydrogen peroxide.
Answer: C
Explanation: Side-lying positioning promotes drainage, protects the surgical site, and prevents
aspiration.
Question: Which statement by a parent of a 1-month-old indicates understanding of SIDS
teaching?
A. "I’ll use soft bedding in the crib."
B. "I allow a pacifier during sleep."
(New Update )
Question: A nurse is reinforcing teaching with the parents of preschoolers regarding booster
seats. Which instruction should the nurse include?
A. Use the booster seat’s built-in straps.
B. Secure the child using the vehicle’s shoulder-lap belt.
C. Place the booster seat in the front passenger seat.
D. Transition to a regular seat belt by age 4.
Answer: B
Explanation: Secure the child using the vehicle’s shoulder-lap belt. Booster seats lack built-in
straps and rely on the vehicle’s seat belt for proper restraint.
Question: A nurse is contributing to the plan of care for a child in Buck’s traction. Which
intervention should be included?
A. Flex the child’s knee at 30 degrees.
B. Keep the leg extended.
C. Massage the limb hourly.
D. Remove weights daily for skin checks.
Answer: B
Explanation: Maintain the leg in an extended position to reduce injury risk and minimize muscle
spasms.
Question: A guardian asks when their child with varicella will no longer be contagious. Which
response should the nurse make?
A. "When the fever subsides."
B. "After 24 hours without new lesions."
C. "Six days after lesions appear if crusted."
D. "Once all scabs fall off."
Answer: C
Explanation: Six days after lesions appear if crusted, as crusting indicates reduced infectivity.
, Question: A nurse is caring for a toddler with otitis media and a temperature of 102.4°F. Which
action should the nurse take first?
A. Administer an antipyretic.
B. Apply a warm compress to the ear.
C. Collect a culture from the ear.
D. Offer fluids.
Answer: A
Explanation: Administer an antipyretic to reduce fever promptly, improving comfort and
preventing complications like febrile seizures.
Question: A nurse is caring for an adolescent prescribed isotretinoin for acne. For which adverse
effect should the nurse monitor?
A. Hypertension
B. Hyperglycemia
C. Depression
D. Tinnitus
Answer: C
Explanation: Monitor for depression, as isotretinoin can cause mental status changes, including
suicidal ideation.
Question: Which action should the nurse include in the plan of care for a 10-month-old infant
post–cleft palate repair?
A. Prone positioning.
B. Offer a sippy cup.
C. Place in side-lying position.
D. Clean sutures with hydrogen peroxide.
Answer: C
Explanation: Side-lying positioning promotes drainage, protects the surgical site, and prevents
aspiration.
Question: Which statement by a parent of a 1-month-old indicates understanding of SIDS
teaching?
A. "I’ll use soft bedding in the crib."
B. "I allow a pacifier during sleep."
