ATI Pediatric Nursing 3.0 Test
Questions with Correct Answers
A nurse is caring for a toddler on a pediatric unit. Which of the following methods should
the nurse use to assess the toddler's temperature?
a. Axillary thermometer
b. Oral thermometer
c. Glass thermometer
d. Strip thermometer - ANSWERSa. Axillary thermometer
An axillary thermometer can be used to measure the temperature of any child. This is
an appropriate method of measuring the temperature of a toddler
A nurse is preparing a presentation for a group of newly hired pediatric nurses on
expected pubertal changes during adolescence. Which of the following statements
should the nurse include in the presentation?
a. Males begin puberty earlier than females.
b. Enlargement of the penis is the first pubertal change in males.
c. Menarche begins about 2 years after breast budding in females.
d. Pubic hair is the first pubertal change in females. - ANSWERSc. Menarche begins
about 2 years after breast budding in females.
Menarche, the first menstrual period, typically begins approximately 2 years after the
presence of breast budding in females
A nurse is providing anticipatory guidance to the guardians of a 7-day-old newborn who
is bottle feeding. Which of the following should the nurse include in the teaching?
(Select All that Apply.)
a. Teach the guardians to place the newborn's car seat in a rear-facing position.
b. Teach the guardians to discard formula that was heated and has been sitting out for 1
hr or more.
c. Encourage the parents to place the newborn to sleep on a soft sleep surface.
d. Encourage the guardians to prop the newborn's botttle - ANSWERSa. Teach the
guardians to discard formula that was heated and has been sitting out for 1 hr or more
is correct. The nurse should teach the guardians of bottle feeding newborns to discard
formula that has been sitting out for 1 hr or more to prevent bacterial contamination.
, Teach the guardians to place the newborn's car seat in a rear-facing position is correct.
The nurse should teach the guardians that the newborn should be appropriately
secured in an approved car seat that is rear-facing in the middle of the back seat.
A nurse is assessing a newborn while they are being held upright in their parent's arms.
The nurse notes that the newborn's anterior fontanel is sunken. The nurse should
identify this finding as a possible manifestation of which of the following conditions?
a. Dehydration
b. Neural tube defect
c. Traumatic brain injury
d. Meningitis - ANSWERSa. Dehydration
The nurse should recognize a sunken fontanel as an unexpected finding. A sunken
fontanel can indicate the newborn is dehydrated
A nurse is caring for a 6-week-old infant who is postoperative following a
pyloromyotomy. The nurse measures the infant's facial expression, body movement,
sleep, verbal or vocal ability, ability to be consoled, and response to movements and
touch. Which of the following behavioral assessment tools is the nurse using?
a. Riley Infant Pain Scale
b. Modified Behavioral Pain Scale (MBPS)
c. Neonatal Infant Pain Scale (NIPS)
d. FACES Pain Scale - ANSWERSa. Riley Infant Pain Scale
The Riley Infant Pain Scale measures six parameters: facial expression, body
movement, sleep, verbal or vocal ability, consolability, and response to movements and
touch
A nurse is performing a physical assessment on a newborn who is sleeping. Which of
the following body areas should the nurse assess last?
a. Abdomen
b. Heart
c. Lungs
d. Throat - ANSWERSd. Throat
The nurse should systematically assess the newborn, proceeding from head to toe,
saving the more intrusive portions, such as the throat, for last.
A nurse in a pediatric clinic is caring for a client who is bottle feeding their 6-month-old
infant. Which of the following statements should the nurse plan to include in the
anticipatory guidance about nutrition?
a. "You can begin now to introduce cow's milk to your infant."
Questions with Correct Answers
A nurse is caring for a toddler on a pediatric unit. Which of the following methods should
the nurse use to assess the toddler's temperature?
a. Axillary thermometer
b. Oral thermometer
c. Glass thermometer
d. Strip thermometer - ANSWERSa. Axillary thermometer
An axillary thermometer can be used to measure the temperature of any child. This is
an appropriate method of measuring the temperature of a toddler
A nurse is preparing a presentation for a group of newly hired pediatric nurses on
expected pubertal changes during adolescence. Which of the following statements
should the nurse include in the presentation?
a. Males begin puberty earlier than females.
b. Enlargement of the penis is the first pubertal change in males.
c. Menarche begins about 2 years after breast budding in females.
d. Pubic hair is the first pubertal change in females. - ANSWERSc. Menarche begins
about 2 years after breast budding in females.
Menarche, the first menstrual period, typically begins approximately 2 years after the
presence of breast budding in females
A nurse is providing anticipatory guidance to the guardians of a 7-day-old newborn who
is bottle feeding. Which of the following should the nurse include in the teaching?
(Select All that Apply.)
a. Teach the guardians to place the newborn's car seat in a rear-facing position.
b. Teach the guardians to discard formula that was heated and has been sitting out for 1
hr or more.
c. Encourage the parents to place the newborn to sleep on a soft sleep surface.
d. Encourage the guardians to prop the newborn's botttle - ANSWERSa. Teach the
guardians to discard formula that was heated and has been sitting out for 1 hr or more
is correct. The nurse should teach the guardians of bottle feeding newborns to discard
formula that has been sitting out for 1 hr or more to prevent bacterial contamination.
, Teach the guardians to place the newborn's car seat in a rear-facing position is correct.
The nurse should teach the guardians that the newborn should be appropriately
secured in an approved car seat that is rear-facing in the middle of the back seat.
A nurse is assessing a newborn while they are being held upright in their parent's arms.
The nurse notes that the newborn's anterior fontanel is sunken. The nurse should
identify this finding as a possible manifestation of which of the following conditions?
a. Dehydration
b. Neural tube defect
c. Traumatic brain injury
d. Meningitis - ANSWERSa. Dehydration
The nurse should recognize a sunken fontanel as an unexpected finding. A sunken
fontanel can indicate the newborn is dehydrated
A nurse is caring for a 6-week-old infant who is postoperative following a
pyloromyotomy. The nurse measures the infant's facial expression, body movement,
sleep, verbal or vocal ability, ability to be consoled, and response to movements and
touch. Which of the following behavioral assessment tools is the nurse using?
a. Riley Infant Pain Scale
b. Modified Behavioral Pain Scale (MBPS)
c. Neonatal Infant Pain Scale (NIPS)
d. FACES Pain Scale - ANSWERSa. Riley Infant Pain Scale
The Riley Infant Pain Scale measures six parameters: facial expression, body
movement, sleep, verbal or vocal ability, consolability, and response to movements and
touch
A nurse is performing a physical assessment on a newborn who is sleeping. Which of
the following body areas should the nurse assess last?
a. Abdomen
b. Heart
c. Lungs
d. Throat - ANSWERSd. Throat
The nurse should systematically assess the newborn, proceeding from head to toe,
saving the more intrusive portions, such as the throat, for last.
A nurse in a pediatric clinic is caring for a client who is bottle feeding their 6-month-old
infant. Which of the following statements should the nurse plan to include in the
anticipatory guidance about nutrition?
a. "You can begin now to introduce cow's milk to your infant."
