ATI Peds proctored exam
Question 1:
A nurse in a clinic is preparing to administer pre-k-kindergarten vaccines to a 5 year
old child whose medical record indicates that his immunizations are up to date.
Which of the following vaccines should the nurse plan to administer?
A. DTaP
B. Hepatitis B
C. Measles, mumps, rubella (MMR)
D. Rotavirus
Answer: C
Question 2:
A nurse in a pediatric clinic is collecting data from a preschool age child who has
suspected impetigo contagiosa. Which of the following manifestations should the
nurse expect to find with this skin infection?
A. White patches on skin
B. Red macule with honey colored crusts
C. Purple petechiae
D. Silvery scales
Answer: B
Question 3:
A nurse in a provider's office is reinforcing teaching with a parent of a school age
child who has pediculosis capitis. Which of the following instructions should the
nurse include in the teaching?
A. Apply oil to the hair
B. Cut the child's hair short
C. Wash all bed linens and dry them in a dryer for at least 20 min
D. Use regular shampoo only
,Answer: C
Question 4:
A nurse is collecting data from an infant. Which of the following is a clinical
manifestation of pyloric stenosis?
A. Bloody stools
B. Constipation
C. Projectile vomiting after feedings
D. Abdominal distension
Answer: C
Question 5:
A nurse in an urgent care clinic is assisting with the care of a toddler who ingested
30 tablets of aspirin. Which of the following substances should the nurse administer
to the toddler?
A. Ipecac syrup
B. Activated charcoal
C. Milk of magnesia
D. Sodium bicarbonate
Answer: B
Question 6:
A nurse is assisting with the admission of a child who has pertussis. Which of the
following actions should the nurse take?
A. Initiate contact precautions
B. Initiate airborne precautions
C. Initiate droplet precautions
D. Initiate standard precautions only
Answer: C
Question 7:
,A nurse is assisting with the admission of an infant who has respiratory syncytial
virus (RSV). Which of the following rooms should the nurse assign the infant?
A. A semi-private room
B. A private room with contact/droplet precautions
C. Any available room
D. A negative pressure room
Answer: B
Question 8:
A nurse is assisting with the care of a school age child who has respiratory failure
due to pneumonia. Which of the following positions should the nurse encourage to
allow maximal lung expansion?
A. Supine
B. Prone
C. Upright
D. Side-lying
Answer: C
Question 9:
A nurse is assisting with the care of a child with spina bifida. Which of the following
precautions should the nurse take while caring for this child?
A. Contact precautions
B. Latex precautions
C. Airborne precautions
D. Droplet precautions
Answer: B
Question 10:
A nurse is caring for a 2 week old infant whose mother requests additional
information about sudden infant death syndrome (SIDS). Which of the following
responses should the nurse make?
, A. You should use soft bedding
B. You should place your baby on her stomach
C. You should place your baby on her back when sleeping to decrease the risk of
SIDS
D. You should keep the room very warm
Answer: C
Question 11:
A nurse is caring for a 3 year old client who has persistent otitis media. To help
identify contributing factors, the nurse should ask the parents which of the following
questions?
A. Does your child drink milk?
B. Does anyone smoke in the same house as your daughter?
C. Does your child attend daycare?
D. Does your child have allergies?
Answer: B
Question 12:
A nurse is caring for a 4 year old child who has dehydration. Which of the following
findings should the nurse identify as the priority?
A. Sodium 138 mEq/L
B. Heart rate 110/min
C. Potassium 2.5 mEq/L
D. Temperature 99°F
Answer: C
Question 13:
A nurse is caring for a 4 year old child who is 2 days postoperative following the
insertion of a ventriculoperitoneal shunt. Which of the following findings should the
nurse identify as the priority?
A. Pain at surgical site
Question 1:
A nurse in a clinic is preparing to administer pre-k-kindergarten vaccines to a 5 year
old child whose medical record indicates that his immunizations are up to date.
Which of the following vaccines should the nurse plan to administer?
A. DTaP
B. Hepatitis B
C. Measles, mumps, rubella (MMR)
D. Rotavirus
Answer: C
Question 2:
A nurse in a pediatric clinic is collecting data from a preschool age child who has
suspected impetigo contagiosa. Which of the following manifestations should the
nurse expect to find with this skin infection?
A. White patches on skin
B. Red macule with honey colored crusts
C. Purple petechiae
D. Silvery scales
Answer: B
Question 3:
A nurse in a provider's office is reinforcing teaching with a parent of a school age
child who has pediculosis capitis. Which of the following instructions should the
nurse include in the teaching?
A. Apply oil to the hair
B. Cut the child's hair short
C. Wash all bed linens and dry them in a dryer for at least 20 min
D. Use regular shampoo only
,Answer: C
Question 4:
A nurse is collecting data from an infant. Which of the following is a clinical
manifestation of pyloric stenosis?
A. Bloody stools
B. Constipation
C. Projectile vomiting after feedings
D. Abdominal distension
Answer: C
Question 5:
A nurse in an urgent care clinic is assisting with the care of a toddler who ingested
30 tablets of aspirin. Which of the following substances should the nurse administer
to the toddler?
A. Ipecac syrup
B. Activated charcoal
C. Milk of magnesia
D. Sodium bicarbonate
Answer: B
Question 6:
A nurse is assisting with the admission of a child who has pertussis. Which of the
following actions should the nurse take?
A. Initiate contact precautions
B. Initiate airborne precautions
C. Initiate droplet precautions
D. Initiate standard precautions only
Answer: C
Question 7:
,A nurse is assisting with the admission of an infant who has respiratory syncytial
virus (RSV). Which of the following rooms should the nurse assign the infant?
A. A semi-private room
B. A private room with contact/droplet precautions
C. Any available room
D. A negative pressure room
Answer: B
Question 8:
A nurse is assisting with the care of a school age child who has respiratory failure
due to pneumonia. Which of the following positions should the nurse encourage to
allow maximal lung expansion?
A. Supine
B. Prone
C. Upright
D. Side-lying
Answer: C
Question 9:
A nurse is assisting with the care of a child with spina bifida. Which of the following
precautions should the nurse take while caring for this child?
A. Contact precautions
B. Latex precautions
C. Airborne precautions
D. Droplet precautions
Answer: B
Question 10:
A nurse is caring for a 2 week old infant whose mother requests additional
information about sudden infant death syndrome (SIDS). Which of the following
responses should the nurse make?
, A. You should use soft bedding
B. You should place your baby on her stomach
C. You should place your baby on her back when sleeping to decrease the risk of
SIDS
D. You should keep the room very warm
Answer: C
Question 11:
A nurse is caring for a 3 year old client who has persistent otitis media. To help
identify contributing factors, the nurse should ask the parents which of the following
questions?
A. Does your child drink milk?
B. Does anyone smoke in the same house as your daughter?
C. Does your child attend daycare?
D. Does your child have allergies?
Answer: B
Question 12:
A nurse is caring for a 4 year old child who has dehydration. Which of the following
findings should the nurse identify as the priority?
A. Sodium 138 mEq/L
B. Heart rate 110/min
C. Potassium 2.5 mEq/L
D. Temperature 99°F
Answer: C
Question 13:
A nurse is caring for a 4 year old child who is 2 days postoperative following the
insertion of a ventriculoperitoneal shunt. Which of the following findings should the
nurse identify as the priority?
A. Pain at surgical site