Page 1 of 67
ATI COMPLETE PEDIATRIC QUESTIONS NEWEST 2026
EXAM LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
A nurse is caring for a toddler who has a fractured right femur and is in
Bryant's traction. When monitoring to determine if the traction is appropriately
assembled, the nurse expects to observe which of the following?
A. Skin straps maintain the leg in an extended position.
B. Weights attached to a pin that is inserted in the femur.
C. A padded sling under the knee of the affected leg.
D. The buttocks elevated slightly off of the bed.
D. The buttocks elevated slightly off of the bed.
Rationale: The buttocks elevated slightly off of the bed is appropriate for Bryant
traction. The child's hips are flexed at a 90-degree angle with the legs suspended by
pulleys and weights.
A nurse is caring for a toddler whose parent states while bathing the child she
noticed a mass in his abdominal area and his urine is a pink color. Which of
the following is the priority action the
nurse should take?
A. Schedule the child for an abdominal ultrasound.
B. Instruct the parent to avoid pressing on the abdominal area.
C. Determine if the child is having pain.
D. Obtain a urine specimen for a urinalysis.
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B. Instruct the parent to avoid pressing on the abdominal area.
Rationale: The priority action by the nurse is to instruct the parent to avoid pressing
on the child's abdominal. These symptoms are associated with Wilm's tumor, and
trauma to the mass should be avoided to prevent entry of cancer cells into other
sites.
A nurse is caring for a preterm newborn who is in an incubator. The nurse
should make sure that the maximum oxygen concentration to deliver to this
client is:
A. 30%
B. 40%
C. 50%
D. 60%
B. 40%.
Rationale: Oxygen concentrations higher than 40% can cause retinal damage and
visual impairment. This is the maximum concentration to deliver.
A nurse is reinforcing teaching to a parent and a school-age child following
application of a fiberglass cast for a radius fracture. Which of the following
statements by the parent or child indicates the need for further teaching?
A. "I will try not to move my fingers very much while I have the cast on."
B. "I will have my arm in a sling whenever I am walking around."
C. "I will keep an ice bag on my son's cast to decrease swelling."
D. "I will notify the provider if I notice any discoloration of my son's fingers."
A. "I will try not to move my fingers very much while I have the cast on."
Rationale: The child should move his fingers
A nurse is caring for an infant who has a tracheoesophageal fistula. Which of
the
following findings are associated with this diagnosis? (Select all that apply.)
A. Coughing
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B. Apnea
C. Sunken abdomen
D. Cyanosis
E. Frothy saliva
A. Coughing
B. Apnea
D. Cyanosis
E. Frothy saliva
Rationale: Coughing is correct. Coughing is a finding associated with a
tracheoesophageal fistula. Apnea is correct. Apnea is a finding associated with a
tracheoesophageal fistula. Sunken abdomen is incorrect. Abdominal distension, not
a sunken abdomen, is a finding associated with a tracheoesophageal fistula.
Cyanosis is correct. Cyanosis is a finding associated with a
tracheoesophageal fistula. Frothy saliva is correct. Frothy saliva is a finding
associated with a tracheoesophageal fistula.
A nurse is caring for a child with acute glomerulonephritis. Which of the
following should be the first action by the nurse?
A. Place the child on a no-salt-added diet.
B. Check the child's daily weight.
C. Educate the parents about potential complications.
D. Maintain a saline-lock.
B. Check the child's daily weight.
Rationale: The first action the nurse should take using the nursing process is to
collect data from the client; therefore, checking the child's daily weight should be the
first action the nurse takes.
A nurse is assisting with the discharge of a child with sickle cell anemia after
an acute crisis episode. Which of the following should the nurse reinforce with
the child's parents?
A. Monitor the child's temperature daily.
B. Restrict outdoor play activity to 1 hr per day.
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C. Encourage the child to drink lots of fluids.
D. Have the child eat a high-protein diet.
C. Encourage the child to drink lots of fluids.
Rationale: Preventing dehydration is an important step in preventing a sickle cell
crisis. The nurse should give the parents a specific amount of fluid to make should
the child drinks each day.
A nurse is collecting data regarding the pain level of a 4-year-old client on the
second postoperative day. Which of the following actions should the nurse
take?
A. Ask the client what number the pain is on a scale from 1 to 10.
B. Tell the client to point to a face on a FACES Pain Rating Scale.
C. Have the parent report the pain level for the client.
D. Request an assistive personnel to evaluate the client's pain level.
B. Tell the client to point to a face on a FACES Pain Rating Scale.
Rationale: The FACES Pain Rating Scale is an age appropriate pain assessment
tool for a 4- year-old client.
A nurse is preparing to administer acetaminophen (Tylenol) to a child for fever.
The order states to administer 10 mg/kg/dose. The child weighs 28 pounds.
The label on the bottle reads 120 mg/5 mL. How many milliliters should the
nurse administer? (Round to the nearest tenth.)
5.3 mL
A nurse is monitoring a child for acute signs of lead poisoning. Which of the
following should the nurse expect the client to manifest?
A. Increase urinary output
B. Anorexia
C. Diarrhea
D. Jaundice
B. Anorexia
ATI COMPLETE PEDIATRIC QUESTIONS NEWEST 2026
EXAM LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
A nurse is caring for a toddler who has a fractured right femur and is in
Bryant's traction. When monitoring to determine if the traction is appropriately
assembled, the nurse expects to observe which of the following?
A. Skin straps maintain the leg in an extended position.
B. Weights attached to a pin that is inserted in the femur.
C. A padded sling under the knee of the affected leg.
D. The buttocks elevated slightly off of the bed.
D. The buttocks elevated slightly off of the bed.
Rationale: The buttocks elevated slightly off of the bed is appropriate for Bryant
traction. The child's hips are flexed at a 90-degree angle with the legs suspended by
pulleys and weights.
A nurse is caring for a toddler whose parent states while bathing the child she
noticed a mass in his abdominal area and his urine is a pink color. Which of
the following is the priority action the
nurse should take?
A. Schedule the child for an abdominal ultrasound.
B. Instruct the parent to avoid pressing on the abdominal area.
C. Determine if the child is having pain.
D. Obtain a urine specimen for a urinalysis.
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B. Instruct the parent to avoid pressing on the abdominal area.
Rationale: The priority action by the nurse is to instruct the parent to avoid pressing
on the child's abdominal. These symptoms are associated with Wilm's tumor, and
trauma to the mass should be avoided to prevent entry of cancer cells into other
sites.
A nurse is caring for a preterm newborn who is in an incubator. The nurse
should make sure that the maximum oxygen concentration to deliver to this
client is:
A. 30%
B. 40%
C. 50%
D. 60%
B. 40%.
Rationale: Oxygen concentrations higher than 40% can cause retinal damage and
visual impairment. This is the maximum concentration to deliver.
A nurse is reinforcing teaching to a parent and a school-age child following
application of a fiberglass cast for a radius fracture. Which of the following
statements by the parent or child indicates the need for further teaching?
A. "I will try not to move my fingers very much while I have the cast on."
B. "I will have my arm in a sling whenever I am walking around."
C. "I will keep an ice bag on my son's cast to decrease swelling."
D. "I will notify the provider if I notice any discoloration of my son's fingers."
A. "I will try not to move my fingers very much while I have the cast on."
Rationale: The child should move his fingers
A nurse is caring for an infant who has a tracheoesophageal fistula. Which of
the
following findings are associated with this diagnosis? (Select all that apply.)
A. Coughing
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B. Apnea
C. Sunken abdomen
D. Cyanosis
E. Frothy saliva
A. Coughing
B. Apnea
D. Cyanosis
E. Frothy saliva
Rationale: Coughing is correct. Coughing is a finding associated with a
tracheoesophageal fistula. Apnea is correct. Apnea is a finding associated with a
tracheoesophageal fistula. Sunken abdomen is incorrect. Abdominal distension, not
a sunken abdomen, is a finding associated with a tracheoesophageal fistula.
Cyanosis is correct. Cyanosis is a finding associated with a
tracheoesophageal fistula. Frothy saliva is correct. Frothy saliva is a finding
associated with a tracheoesophageal fistula.
A nurse is caring for a child with acute glomerulonephritis. Which of the
following should be the first action by the nurse?
A. Place the child on a no-salt-added diet.
B. Check the child's daily weight.
C. Educate the parents about potential complications.
D. Maintain a saline-lock.
B. Check the child's daily weight.
Rationale: The first action the nurse should take using the nursing process is to
collect data from the client; therefore, checking the child's daily weight should be the
first action the nurse takes.
A nurse is assisting with the discharge of a child with sickle cell anemia after
an acute crisis episode. Which of the following should the nurse reinforce with
the child's parents?
A. Monitor the child's temperature daily.
B. Restrict outdoor play activity to 1 hr per day.
, Page 4 of 67
C. Encourage the child to drink lots of fluids.
D. Have the child eat a high-protein diet.
C. Encourage the child to drink lots of fluids.
Rationale: Preventing dehydration is an important step in preventing a sickle cell
crisis. The nurse should give the parents a specific amount of fluid to make should
the child drinks each day.
A nurse is collecting data regarding the pain level of a 4-year-old client on the
second postoperative day. Which of the following actions should the nurse
take?
A. Ask the client what number the pain is on a scale from 1 to 10.
B. Tell the client to point to a face on a FACES Pain Rating Scale.
C. Have the parent report the pain level for the client.
D. Request an assistive personnel to evaluate the client's pain level.
B. Tell the client to point to a face on a FACES Pain Rating Scale.
Rationale: The FACES Pain Rating Scale is an age appropriate pain assessment
tool for a 4- year-old client.
A nurse is preparing to administer acetaminophen (Tylenol) to a child for fever.
The order states to administer 10 mg/kg/dose. The child weighs 28 pounds.
The label on the bottle reads 120 mg/5 mL. How many milliliters should the
nurse administer? (Round to the nearest tenth.)
5.3 mL
A nurse is monitoring a child for acute signs of lead poisoning. Which of the
following should the nurse expect the client to manifest?
A. Increase urinary output
B. Anorexia
C. Diarrhea
D. Jaundice
B. Anorexia
