PEDIATRIC PROCTOR, ATI
Pediatrics Proctored EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS
A nurse in the emergency department is caring for a 2-year-old child who was found by his parents
crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and
he is drooling. Which of the following is the priority action by the nurse?
Remove the child's contaminated clothing.
Check the child's respiratory status.
Administer an antidote to the child.
Establish IV access for the child.
Rationale - Correct Answer: The nurse should apply the ABC priority-setting - Correct Answer - Correct
Answer: Check the child's respiratory status.
A nurse is teaching a parent of a 12-month old child about development during the toddler years. Which
of the following statements should the nurse include?
"Your child should be referring to himself using the appropriate pronoun by 18 months of age."
"A toddler's interest in looking at pictures occurs at 20 months of age."
C. "A toddler should have davtime control of his bowel and bladder by 24 months of age.
d. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months." -
Correct Answer - Correct Answer: d. "Your child should be able to scribble spontaneously using a
crayon at the age of 15 months."
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL IV to infuse
over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.) - Correct Answer - Correct Answer: 25 GTT
4. 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. - Correct Answer - Correct Answer: b.
Minimize physical contact with the child initially.
4. A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is 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 - Correct Answer - Correct Answer: b. Meningococcal polysaccharide
4. 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." - Correct Answer - Correct
Answer: a. "I lock my medications in the medicine cabinet."
4. 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 - Correct Answer - Correct Answer: b. Babinski
4. 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. Eggs - Correct Answer - Correct Answer: a. Cow's milk
9. 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) - Correct Answer - Correct Answer: c.
Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
9. 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. - Correct Answer - Correct Answer: b. Explain sounds the child is
hearing.
9. A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy. Which of
the following methods should the nurse use to determine if the child is experiencing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
d. Check the child's temperature. - Correct Answer - Correct Answer: b. Use the FACES scale.
, 9. A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings indicates
the need for further assessment?
a. Grabs feet and pulls them to her mouth
b. Posterior fontanel is closed
c. Legs remain crossed and extended when supine
d. Birth weight has doubled - Correct Answer - Correct Answer: Legs remain crossed and extended
when supine
9. A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks
if this game has any developmental significance. The nurse should inform the mother that peek-a-boo
helps develop which of the following concepts in the child?
a. Hand-eye coordination
b. Sense of trust
c. Object permanence
d. Egocentrism - Correct Answer - Correct Answer: Object permanence
9. A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the following
actions should the nurse take?
a. Have the toddler wear a disposable gown when in the unit's playroom.
b. Wear sterile gloves when changing the toddler's diapers.
c. Wear a mask when assisting the toddler with meals.
d. Ask visitors to wear an N-95 mask when entering the room. - Correct Answer - Correct Answer: Wear
a mask when assisting the toddler with meals.
9. A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider?
a. Head lags when pulled from a lying to a sitting position
b. Absence of startle and crawl reflexes
c. Inability to pick up a rattle after dropping it
d. Rolls from back to side - Correct Answer - Correct Answer: Head lags when pulled from a lying to a
sitting position
Pediatrics Proctored EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS
A nurse in the emergency department is caring for a 2-year-old child who was found by his parents
crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and
he is drooling. Which of the following is the priority action by the nurse?
Remove the child's contaminated clothing.
Check the child's respiratory status.
Administer an antidote to the child.
Establish IV access for the child.
Rationale - Correct Answer: The nurse should apply the ABC priority-setting - Correct Answer - Correct
Answer: Check the child's respiratory status.
A nurse is teaching a parent of a 12-month old child about development during the toddler years. Which
of the following statements should the nurse include?
"Your child should be referring to himself using the appropriate pronoun by 18 months of age."
"A toddler's interest in looking at pictures occurs at 20 months of age."
C. "A toddler should have davtime control of his bowel and bladder by 24 months of age.
d. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months." -
Correct Answer - Correct Answer: d. "Your child should be able to scribble spontaneously using a
crayon at the age of 15 months."
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL IV to infuse
over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.) - Correct Answer - Correct Answer: 25 GTT
4. 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. - Correct Answer - Correct Answer: b.
Minimize physical contact with the child initially.
4. A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is 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 - Correct Answer - Correct Answer: b. Meningococcal polysaccharide
4. 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." - Correct Answer - Correct
Answer: a. "I lock my medications in the medicine cabinet."
4. 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 - Correct Answer - Correct Answer: b. Babinski
4. 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. Eggs - Correct Answer - Correct Answer: a. Cow's milk
9. 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) - Correct Answer - Correct Answer: c.
Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
9. 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. - Correct Answer - Correct Answer: b. Explain sounds the child is
hearing.
9. A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy. Which of
the following methods should the nurse use to determine if the child is experiencing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
d. Check the child's temperature. - Correct Answer - Correct Answer: b. Use the FACES scale.
, 9. A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings indicates
the need for further assessment?
a. Grabs feet and pulls them to her mouth
b. Posterior fontanel is closed
c. Legs remain crossed and extended when supine
d. Birth weight has doubled - Correct Answer - Correct Answer: Legs remain crossed and extended
when supine
9. A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks
if this game has any developmental significance. The nurse should inform the mother that peek-a-boo
helps develop which of the following concepts in the child?
a. Hand-eye coordination
b. Sense of trust
c. Object permanence
d. Egocentrism - Correct Answer - Correct Answer: Object permanence
9. A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the following
actions should the nurse take?
a. Have the toddler wear a disposable gown when in the unit's playroom.
b. Wear sterile gloves when changing the toddler's diapers.
c. Wear a mask when assisting the toddler with meals.
d. Ask visitors to wear an N-95 mask when entering the room. - Correct Answer - Correct Answer: Wear
a mask when assisting the toddler with meals.
9. A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider?
a. Head lags when pulled from a lying to a sitting position
b. Absence of startle and crawl reflexes
c. Inability to pick up a rattle after dropping it
d. Rolls from back to side - Correct Answer - Correct Answer: Head lags when pulled from a lying to a
sitting position
