RN ATI Pediatric Nursing Exam
RN Pediatric Nursing 2023 | 70 Questions | Comprehensive Review
Question 44 of 70 Image-Based
A nurse is prioritizing care for four clients. Which of the following clients should the nurse
assess first?
■ A. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10.
■ B. A toddler who has a partial-thickness burn on their right hand and requires a dressing change.
■ C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin.
✔ D. An adolescent who has sickle cell anemia and slurred speech.
■ CORRECT ANSWER & RATIONALE
Answer: D. An adolescent who has sickle cell anemia and slurred speech.
, Slurred speech in a child with sickle cell anemia may indicate a stroke (cerebrovascular accident), which is a life-
threatening emergency requiring immediate assessment. Neurological changes always take priority using the ABC
framework and Maslow's hierarchy.
Question 67 of 70
A nurse is teaching a parent of a preschool-age child about management of sleep terrors.
Which of the following instructions should the nurse include?
✔ A. Remain uninvolved until the child awakens.
■ B. Allow the child to fall asleep with the television on.
■ C. Schedule professional counseling for the child.
■ D. Take the child to the parent's bed to resume sleep.
■ CORRECT ANSWER & RATIONALE
Answer: A. Remain uninvolved until the child awakens.
Sleep terrors are a normal developmental occurrence in preschoolers. The best intervention is to remain calm and
uninvolved until the episode ends, as waking the child can cause confusion and prolong the episode.
, Question 60 of 70
A nurse is caring for a 10-year-old child who is dying and has refused pain medication. The
child's guardians ask the nurse about nonpharmacological alternatives. Which of the
following actions should the nurse take?
■ A. Increase lighting in the child's room.
■ B. Administer oxygen therapy to the child via facemask.
■ C. Provide the child with sucrose-containing liquids.
✔ D. Teach guided imagery exercises to the child.
■ CORRECT ANSWER & RATIONALE
Answer: D. Teach guided imagery exercises to the child.
Guided imagery is an age-appropriate nonpharmacological pain management technique for school-age children.
Sucrose solutions are appropriate for infants, not 10-year-olds.
, Question 16 of 70
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty
eating. The parent is feeding their infant goat milk. Which of the following instructions
should the nurse include?
■ A. Reinitiate breast feeding.
✔ B. Offer commercially prepared formula.
■ C. Warm the goat's milk before feeding.
■ D. Switch to soy milk.
■ CORRECT ANSWER & RATIONALE
Answer: B. Offer commercially prepared formula.
Goat's milk lacks adequate folate, iron, and vitamin D and is not appropriate for infants under 12 months.
Commercially prepared infant formula is nutritionally complete for infants.
RN Pediatric Nursing 2023 | 70 Questions | Comprehensive Review
Question 44 of 70 Image-Based
A nurse is prioritizing care for four clients. Which of the following clients should the nurse
assess first?
■ A. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10.
■ B. A toddler who has a partial-thickness burn on their right hand and requires a dressing change.
■ C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin.
✔ D. An adolescent who has sickle cell anemia and slurred speech.
■ CORRECT ANSWER & RATIONALE
Answer: D. An adolescent who has sickle cell anemia and slurred speech.
, Slurred speech in a child with sickle cell anemia may indicate a stroke (cerebrovascular accident), which is a life-
threatening emergency requiring immediate assessment. Neurological changes always take priority using the ABC
framework and Maslow's hierarchy.
Question 67 of 70
A nurse is teaching a parent of a preschool-age child about management of sleep terrors.
Which of the following instructions should the nurse include?
✔ A. Remain uninvolved until the child awakens.
■ B. Allow the child to fall asleep with the television on.
■ C. Schedule professional counseling for the child.
■ D. Take the child to the parent's bed to resume sleep.
■ CORRECT ANSWER & RATIONALE
Answer: A. Remain uninvolved until the child awakens.
Sleep terrors are a normal developmental occurrence in preschoolers. The best intervention is to remain calm and
uninvolved until the episode ends, as waking the child can cause confusion and prolong the episode.
, Question 60 of 70
A nurse is caring for a 10-year-old child who is dying and has refused pain medication. The
child's guardians ask the nurse about nonpharmacological alternatives. Which of the
following actions should the nurse take?
■ A. Increase lighting in the child's room.
■ B. Administer oxygen therapy to the child via facemask.
■ C. Provide the child with sucrose-containing liquids.
✔ D. Teach guided imagery exercises to the child.
■ CORRECT ANSWER & RATIONALE
Answer: D. Teach guided imagery exercises to the child.
Guided imagery is an age-appropriate nonpharmacological pain management technique for school-age children.
Sucrose solutions are appropriate for infants, not 10-year-olds.
, Question 16 of 70
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty
eating. The parent is feeding their infant goat milk. Which of the following instructions
should the nurse include?
■ A. Reinitiate breast feeding.
✔ B. Offer commercially prepared formula.
■ C. Warm the goat's milk before feeding.
■ D. Switch to soy milk.
■ CORRECT ANSWER & RATIONALE
Answer: B. Offer commercially prepared formula.
Goat's milk lacks adequate folate, iron, and vitamin D and is not appropriate for infants under 12 months.
Commercially prepared infant formula is nutritionally complete for infants.
