RN ATI Pediatric Nursing Exam
RN Pediatric Nursing 2023 | 70 Questions | Comprehensive Review
Question 44 of 70 Image-Based Question
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 (CVA), a life-threatening neurological
emergency. Neurological changes always take priority over pain management, wound care, and medication
administration.
, Question 67 of 70 Image-Based Question
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 phenomenon in preschoolers. The parent should remain uninvolved and
calm until the episode ends on its own. Waking the child can cause confusion and prolong the event. Professional
counseling and co-sleeping are not recommended.
, Question 60 of 70 Image-Based Question
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 to pain medication.
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 evidence-based, age-appropriate nonpharmacological pain technique for school-age children.
It promotes relaxation and helps distract from pain. Sucrose solutions are for infants only. Increased lighting and
oxygen do not address pain.
, Question 16 of 70 Image-Based Question
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 is nutritionally deficient for infants — it lacks adequate folate, iron, and vitamin D. Commercially
prepared infant formula is the recommended alternative to breast milk for infants under 12 months, as it is designed
to meet all nutritional needs.
RN Pediatric Nursing 2023 | 70 Questions | Comprehensive Review
Question 44 of 70 Image-Based Question
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 (CVA), a life-threatening neurological
emergency. Neurological changes always take priority over pain management, wound care, and medication
administration.
, Question 67 of 70 Image-Based Question
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 phenomenon in preschoolers. The parent should remain uninvolved and
calm until the episode ends on its own. Waking the child can cause confusion and prolong the event. Professional
counseling and co-sleeping are not recommended.
, Question 60 of 70 Image-Based Question
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 to pain medication.
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 evidence-based, age-appropriate nonpharmacological pain technique for school-age children.
It promotes relaxation and helps distract from pain. Sucrose solutions are for infants only. Increased lighting and
oxygen do not address pain.
, Question 16 of 70 Image-Based Question
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 is nutritionally deficient for infants — it lacks adequate folate, iron, and vitamin D. Commercially
prepared infant formula is the recommended alternative to breast milk for infants under 12 months, as it is designed
to meet all nutritional needs.
