,This ATI test contains:
➢ 70 pediatric nursing questions
➢ multiple-choice format with correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
1. A nurse in the emergency department is caring for a 2-yr 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 following priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Answer: b. Check the child's respiratory status.
Rationale:
According to the ABC (Airway, Breathing, Circulation) priority-setting framework,
the highest priority is always the airway, as a patent airway is critical for oxygen
exchange. Respiratory assessment is therefore the priority in situations involving
potential airway compromise, such as caustic ingestion presenting with airway
edema, drooling, and oropharyngeal injury.
---
,2. 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?
a. Your child should be referring to himself using the appropriate pronoun by the
18 months of age
b. a toddler's interest in looking at pictures occurs at 20 months of age
c. a toddler should have daytime 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
Answer: d. your child should be able to scribble spontaneously using a crayon at
the age of 15 months
Rationale:
Developmentally, at 15 months of age, toddlers acquire the ability to scribble
spontaneously with a crayon. Progression to imitative strokes follows by 18
months of age. Other options either misrepresent the expected age for the
milestone or are less accurate for the described developmental stage.
---
3. A nurse is caring for a toddler and is preparing to administer 0.9% sodium
chloride 100ml 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):
, Answer: 25 gtt
Rationale:
The calculation is as follows:
100 mL/4 hr = 25 mL/hr
(25 mL/hr) × (60 gtt/mL) = 1,500 gtt/hr
1,500 gtt/hr ÷ 60 min/hr = 25 gtt/min
---
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.
Answer: b. Minimize physical contact with the child initially.
Rationale:
The nurse should initially minimize physical contact with the toddler to build
rapport and reduce anxiety. The assessment should progress from the least to
most invasive procedure, adapting to the child's comfort and developmental
stage.
---
➢ 70 pediatric nursing questions
➢ multiple-choice format with correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
1. A nurse in the emergency department is caring for a 2-yr 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 following priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Answer: b. Check the child's respiratory status.
Rationale:
According to the ABC (Airway, Breathing, Circulation) priority-setting framework,
the highest priority is always the airway, as a patent airway is critical for oxygen
exchange. Respiratory assessment is therefore the priority in situations involving
potential airway compromise, such as caustic ingestion presenting with airway
edema, drooling, and oropharyngeal injury.
---
,2. 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?
a. Your child should be referring to himself using the appropriate pronoun by the
18 months of age
b. a toddler's interest in looking at pictures occurs at 20 months of age
c. a toddler should have daytime 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
Answer: d. your child should be able to scribble spontaneously using a crayon at
the age of 15 months
Rationale:
Developmentally, at 15 months of age, toddlers acquire the ability to scribble
spontaneously with a crayon. Progression to imitative strokes follows by 18
months of age. Other options either misrepresent the expected age for the
milestone or are less accurate for the described developmental stage.
---
3. A nurse is caring for a toddler and is preparing to administer 0.9% sodium
chloride 100ml 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):
, Answer: 25 gtt
Rationale:
The calculation is as follows:
100 mL/4 hr = 25 mL/hr
(25 mL/hr) × (60 gtt/mL) = 1,500 gtt/hr
1,500 gtt/hr ÷ 60 min/hr = 25 gtt/min
---
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.
Answer: b. Minimize physical contact with the child initially.
Rationale:
The nurse should initially minimize physical contact with the toddler to build
rapport and reduce anxiety. The assessment should progress from the least to
most invasive procedure, adapting to the child's comfort and developmental
stage.
---
