ATI RN Pediatric Nursing Exam | Questions & Answers |
Latest Update 2026 | Exam Prep | Graded A+
1. A 2-year-old child has a fever associated with a viral illness. Her mother calls
the nurse, reporting that she is uncomfortable and has a fever of 102° F. The
mother tells the nurse that her daughter weighs 11 kg exactly. The nurse knows
that ibuprofen is formulated to be 100 mg/ 5 mL. The proper dose is 10 mg/
kg. How many mL does the nurse tell the mother to draw up?
6 mL
6.5 mL
5 mL
5.5 mL
2. What condition is the toddler experiencing that requires immediate
assessment?
Acute otitis media
Concussion with forceful vomiting
Congestive heart failure
Cystic fibrosis
3. What type of dressing should be used to cover a tunneled central venous
access device site in a school-age child?
Use a semipermeable transparent dressing to cover the site
Leave the site uncovered
Use a cotton bandage
Use a gauze dressing with tape
,4. Discuss why preschool-aged children are particularly vulnerable to acute
otitis media during hospital admissions.
Preschool-aged children are particularly vulnerable to acute otitis
media due to their anatomical and immunological factors.
Preschool-aged children have a higher risk of developing diabetes
during hospital stays.
Preschool-aged children are at risk for developing chronic illnesses
only.
Preschool-aged children are less likely to experience respiratory
infections in a hospital setting.
5. If a school-age child with moderate persistent asthma shows worsening
symptoms, what should the nurse recommend regarding pulmonary function
tests?
Continue with the scheduled tests every 12 to 24 months.
Perform the tests sooner than the scheduled 12 to 24 months.
Increase the interval to every 3 years.
Cancel the tests until symptoms improve.
6. Describe the characteristics of a murmur associated with a ventricular septal
defect and explain why it is significant in pediatric assessments.
A ventricular septal defect is associated with a systolic ejection
murmur that is common in healthy infants.
A ventricular septal defect typically presents with a loud, harsh
murmur due to turbulent blood flow between the ventricles.
A ventricular septal defect is characterized by a soft, low-pitched
murmur that indicates normal heart function.
, A ventricular septal defect shows no murmur, suggesting no
significant cardiac issues.
7. The health care provider prescribes ibuprofen (Motrin) 10mg/kg PO q6h. The
strength on the label is 50 mg/5mL. How many milliliters should the nurse
prepare for a child who weighs 48.4 pounds (22 kg)?
120mL
5mL
18 mL
22mL
8. The nurse is providing discharge teaching for a client who is 1 week post op
cleft lip repair. For which of the following members of the interprofessional
team should the nurse refer the child to?
PT
Respiratory
Speech
OT
9. What is one common treatment approach for managing cystic fibrosis in
pediatric patients?
Surgical intervention
Chest physiotherapy
Insulin administration
Antibiotic therapy
, 10. Why is it critical for the nurse to assess the toddler with a concussion and
forceful vomiting before the other children?
The toddler's concussion and forceful vomiting indicate a potential
for increased intracranial pressure and requires immediate
evaluation.
The other children have more stable conditions that can wait.
Forceful vomiting is a common symptom that does not require urgent
assessment.
The toddler is the youngest and needs more attention.
11. A staff nurse on a pediatric unit has a four-client assignment. Which child
should the nurse assess first?
A 9-year-old child with a broken leg who wants help moving from the
bed to the chair
A 10-year-old child with asthma whose oxygen saturation levels are
dropping
An 8-year-old child admitted from the postanesthesia care unit who's
complaining of pain
A 7-year-old child whose mother is waiting for discharge instructions
12. Describe the key differences between nightmares and sleep terrors in
preschool-age children.
Both nightmares and sleep terrors are easily remembered upon
waking.
Nightmares occur during deep sleep, while sleep terrors happen
during REM sleep.
Sleep terrors are always accompanied by physical injuries.
Latest Update 2026 | Exam Prep | Graded A+
1. A 2-year-old child has a fever associated with a viral illness. Her mother calls
the nurse, reporting that she is uncomfortable and has a fever of 102° F. The
mother tells the nurse that her daughter weighs 11 kg exactly. The nurse knows
that ibuprofen is formulated to be 100 mg/ 5 mL. The proper dose is 10 mg/
kg. How many mL does the nurse tell the mother to draw up?
6 mL
6.5 mL
5 mL
5.5 mL
2. What condition is the toddler experiencing that requires immediate
assessment?
Acute otitis media
Concussion with forceful vomiting
Congestive heart failure
Cystic fibrosis
3. What type of dressing should be used to cover a tunneled central venous
access device site in a school-age child?
Use a semipermeable transparent dressing to cover the site
Leave the site uncovered
Use a cotton bandage
Use a gauze dressing with tape
,4. Discuss why preschool-aged children are particularly vulnerable to acute
otitis media during hospital admissions.
Preschool-aged children are particularly vulnerable to acute otitis
media due to their anatomical and immunological factors.
Preschool-aged children have a higher risk of developing diabetes
during hospital stays.
Preschool-aged children are at risk for developing chronic illnesses
only.
Preschool-aged children are less likely to experience respiratory
infections in a hospital setting.
5. If a school-age child with moderate persistent asthma shows worsening
symptoms, what should the nurse recommend regarding pulmonary function
tests?
Continue with the scheduled tests every 12 to 24 months.
Perform the tests sooner than the scheduled 12 to 24 months.
Increase the interval to every 3 years.
Cancel the tests until symptoms improve.
6. Describe the characteristics of a murmur associated with a ventricular septal
defect and explain why it is significant in pediatric assessments.
A ventricular septal defect is associated with a systolic ejection
murmur that is common in healthy infants.
A ventricular septal defect typically presents with a loud, harsh
murmur due to turbulent blood flow between the ventricles.
A ventricular septal defect is characterized by a soft, low-pitched
murmur that indicates normal heart function.
, A ventricular septal defect shows no murmur, suggesting no
significant cardiac issues.
7. The health care provider prescribes ibuprofen (Motrin) 10mg/kg PO q6h. The
strength on the label is 50 mg/5mL. How many milliliters should the nurse
prepare for a child who weighs 48.4 pounds (22 kg)?
120mL
5mL
18 mL
22mL
8. The nurse is providing discharge teaching for a client who is 1 week post op
cleft lip repair. For which of the following members of the interprofessional
team should the nurse refer the child to?
PT
Respiratory
Speech
OT
9. What is one common treatment approach for managing cystic fibrosis in
pediatric patients?
Surgical intervention
Chest physiotherapy
Insulin administration
Antibiotic therapy
, 10. Why is it critical for the nurse to assess the toddler with a concussion and
forceful vomiting before the other children?
The toddler's concussion and forceful vomiting indicate a potential
for increased intracranial pressure and requires immediate
evaluation.
The other children have more stable conditions that can wait.
Forceful vomiting is a common symptom that does not require urgent
assessment.
The toddler is the youngest and needs more attention.
11. A staff nurse on a pediatric unit has a four-client assignment. Which child
should the nurse assess first?
A 9-year-old child with a broken leg who wants help moving from the
bed to the chair
A 10-year-old child with asthma whose oxygen saturation levels are
dropping
An 8-year-old child admitted from the postanesthesia care unit who's
complaining of pain
A 7-year-old child whose mother is waiting for discharge instructions
12. Describe the key differences between nightmares and sleep terrors in
preschool-age children.
Both nightmares and sleep terrors are easily remembered upon
waking.
Nightmares occur during deep sleep, while sleep terrors happen
during REM sleep.
Sleep terrors are always accompanied by physical injuries.
