ATI RN Pediatric Nursing Online Exam
1. A nurse is caring for an adolescent admitted to the pediatric unit after a motor-vehicle crash. The adolescent is
conscious, has diminished breath sounds in the left lung, and oxygen saturation is decreasing. Which intervention
should the nurse implement first?
A. Apply supplemental oxygen
B. Prepare for chest tube insertion
C. Place adolescent in supine position
D. Administer levalbuterol inhaler
Answer: A
2. A nurse is reviewing the laboratory results of a school-age child who presents with fatigue, pallor, and tachycardia.
Which finding indicates the child has anemia?
A. Low hematocrit
B. Elevated BUN
C. Increased neutrophil count
D. Low uric acid level
Answer: A
3. A nurse is teaching the parent of a preschooler about preventing asthma exacerbations. Which statement indicates
understanding?
A. I will use a humidifier in my child’s room at night
B. I will give a cough suppressant every 6 hours if my child coughs
, C. I should avoid using a wet mop when cleaning
D. I will keep my child indoors when mowing the yard
Answer: D
4. A nurse is caring for a toddler with hemophilia who fell at home and presents with a swollen, ecchymotic left knee.
Pain is rated 8/10. Which interventions are appropriate?
A. Administer factor VIII
B. Apply ice packs to the affected joint
C. Administer morphine PRN
D. Perform passive range-of-motion exercises within the first 12 hours
E. Elevate the affected joint
Answer: A, B, C, E
5. A nurse in a health department is caring for an emancipated adolescent with a newly diagnosed STI who presents
without a guardian. Which action is appropriate?
A. Have the adolescent sign a consent form for treatment
B. Instruct the adolescent to return with a guardian
C. Obtain consent from the guardian over the phone
D. Treat the adolescent without consent
Answer: A
6. A nurse is reviewing laboratory results for a preschooler with a recent gastrointestinal illness who now presents with
lethargy and bruising. Which findings support nephrotic syndrome, acute poststreptococcal glomerulonephritis, or
hemolytic uremic syndrome?
Nephrotic Syndrome: BP, Cholesterol
APG: Temp, BUN, BP
HUS: Temp, BUN, Platelets, BP
7. A nurse is assessing an 8-year-old with early signs of shock. After stabilizing airway and breathing, which intervention
should the nurse perform next?
A. Insert an indwelling urinary catheter
B. Measure weight and height
C. Initiate IV access
D. Maintain ECG monitoring
Answer: C
8. A nurse is reviewing dietary options for an adolescent with iron-deficiency anemia. Which food contains the highest
iron content?
A. 1/2 cup raisins
B. 1 slice of whole wheat bread
C. 1 cup milk
D. 1 cup orange juice
Answer: A
9. A school-age child is two days post-op following fracture repair and casting. Which finding may indicate a potential
postoperative complication?
A. Increased erythrocyte sedimentation rate
B. Apical pulse 92/min
C. Respiratory rate 24/min
D. Taking oral analgesic twice daily
Answer: A
10. A nurse assesses an adolescent after a sodium polystyrene sulfonate enema. Which finding indicates effectiveness?
A. Reports absence of nausea and vomiting
B. Reports loose stools within 15 minutes
C. Blood potassium 4.1 mEq/L
D. Blood pressure 86/52 mm Hg
Answer: C
1. A nurse is caring for an adolescent admitted to the pediatric unit after a motor-vehicle crash. The adolescent is
conscious, has diminished breath sounds in the left lung, and oxygen saturation is decreasing. Which intervention
should the nurse implement first?
A. Apply supplemental oxygen
B. Prepare for chest tube insertion
C. Place adolescent in supine position
D. Administer levalbuterol inhaler
Answer: A
2. A nurse is reviewing the laboratory results of a school-age child who presents with fatigue, pallor, and tachycardia.
Which finding indicates the child has anemia?
A. Low hematocrit
B. Elevated BUN
C. Increased neutrophil count
D. Low uric acid level
Answer: A
3. A nurse is teaching the parent of a preschooler about preventing asthma exacerbations. Which statement indicates
understanding?
A. I will use a humidifier in my child’s room at night
B. I will give a cough suppressant every 6 hours if my child coughs
, C. I should avoid using a wet mop when cleaning
D. I will keep my child indoors when mowing the yard
Answer: D
4. A nurse is caring for a toddler with hemophilia who fell at home and presents with a swollen, ecchymotic left knee.
Pain is rated 8/10. Which interventions are appropriate?
A. Administer factor VIII
B. Apply ice packs to the affected joint
C. Administer morphine PRN
D. Perform passive range-of-motion exercises within the first 12 hours
E. Elevate the affected joint
Answer: A, B, C, E
5. A nurse in a health department is caring for an emancipated adolescent with a newly diagnosed STI who presents
without a guardian. Which action is appropriate?
A. Have the adolescent sign a consent form for treatment
B. Instruct the adolescent to return with a guardian
C. Obtain consent from the guardian over the phone
D. Treat the adolescent without consent
Answer: A
6. A nurse is reviewing laboratory results for a preschooler with a recent gastrointestinal illness who now presents with
lethargy and bruising. Which findings support nephrotic syndrome, acute poststreptococcal glomerulonephritis, or
hemolytic uremic syndrome?
Nephrotic Syndrome: BP, Cholesterol
APG: Temp, BUN, BP
HUS: Temp, BUN, Platelets, BP
7. A nurse is assessing an 8-year-old with early signs of shock. After stabilizing airway and breathing, which intervention
should the nurse perform next?
A. Insert an indwelling urinary catheter
B. Measure weight and height
C. Initiate IV access
D. Maintain ECG monitoring
Answer: C
8. A nurse is reviewing dietary options for an adolescent with iron-deficiency anemia. Which food contains the highest
iron content?
A. 1/2 cup raisins
B. 1 slice of whole wheat bread
C. 1 cup milk
D. 1 cup orange juice
Answer: A
9. A school-age child is two days post-op following fracture repair and casting. Which finding may indicate a potential
postoperative complication?
A. Increased erythrocyte sedimentation rate
B. Apical pulse 92/min
C. Respiratory rate 24/min
D. Taking oral analgesic twice daily
Answer: A
10. A nurse assesses an adolescent after a sodium polystyrene sulfonate enema. Which finding indicates effectiveness?
A. Reports absence of nausea and vomiting
B. Reports loose stools within 15 minutes
C. Blood potassium 4.1 mEq/L
D. Blood pressure 86/52 mm Hg
Answer: C
