ATI Peds Proctored Exam Questions
and Answers (100% VERIFIED)
1. A nurse in a clinic is preparing to administer pre-kindergarten vaccines to a
5-year-old child whose immunizations are up to date. Which vaccine should the
nurse plan to administer?
A. Hepatitis B
B. Measles, mumps, rubella (MMR)
C. Rotavirus
D. Varicella only
Answer: B. Measles, mumps, rubella (MMR)
2. A nurse in a pediatric clinic is collecting data from a preschool-age child with
suspected impetigo contagiosa. Which manifestation should the nurse expect?
A. Silvery scales on the scalp
B. Vesicular rash on the trunk
C. Red macule with honey-colored crusts
D. Circular ring-shaped lesions on the skin
Answer: C. Red macule with honey-colored crusts
3. A nurse is reinforcing teaching with a parent of a school-age child who has
pediculosis capitis. Which instruction should the nurse include?
A. Wash all bed linens and dry them in a dryer for at least 20 minutes.
B. Seal all stuffed animals in a plastic bag for 24 hours.
C. Apply permethrin cream to the child's entire body.
D. Shave the child's head to eliminate all lice.
Answer: A. Wash all bed linens and dry them in a dryer for at least 20 minutes.
4. A nurse is collecting data from an infant. Which finding is a clinical manifestation
of pyloric stenosis?
A. Bloody stools after feedings
,B. Projectile vomiting after feedings
C. Abdominal distention with no vomiting
D. Bile-stained vomiting after feedings
Answer: B. Projectile vomiting after feedings
5. A nurse in an urgent care clinic is assisting with the care of a toddler who ingested
30 tablets of aspirin. Which substance should the nurse administer?
A. Sodium bicarbonate
B. Ipecac syrup
C. Activated charcoal
D. Magnesium citrate
Answer: C. Activated charcoal
6. A nurse is assisting with the admission of a child who has pertussis. Which action
should the nurse take?
A. Initiate airborne precautions
B. Initiate contact precautions
C. Initiate droplet precautions
D. Place the child in a negative pressure room
Answer: C. Initiate droplet precautions
7. A nurse is assisting with the admission of an infant who has respiratory syncytial
virus (RSV). Which room should the nurse assign the infant?
A. A semi-private room with standard precautions
B. A private room with contact and droplet precautions
C. A private room with airborne precautions
D. A shared room with other RSV-positive infants
Answer: B. A private room with contact and droplet precautions
8. A nurse is assisting with the care of a school-age child who has respiratory failure
due to pneumonia. Which position should the nurse encourage to allow maximal lung
expansion?
A. Prone position
,B. Left lateral position
C. Supine position
D. Upright position (high Fowler's or semi-Fowler's)
Answer: D. Upright position (high Fowler's or semi-Fowler's)
9. A nurse is assisting with the care of a child with spina bifida. Which precaution
should the nurse take?
A. Contact precautions
B. Droplet precautions
C. Latex precautions
D. Airborne precautions
Answer: C. Latex precautions
10. A nurse is caring for a 2-week-old infant whose mother requests additional
information about SIDS. Which response should the nurse make?
A. "You should place your baby on her stomach when sleeping to prevent
aspiration."
B. "You should place your baby on her back when sleeping to decrease the risk of
SIDS."
C. "You should place your baby on her side when sleeping for safety."
D. "You should keep your baby in bed with you to monitor her breathing."
Answer: B. "You should place your baby on her back when sleeping to decrease the
risk of SIDS."
11. A nurse is caring for a 3-year-old client who has persistent otitis media. To help
identify contributing factors, which question should the nurse ask the parents?
A. "Does your child attend daycare regularly?"
B. "Does your child drink from a bottle while lying down?"
C. "Does anyone smoke in the same house as your daughter?"
D. "Does your child swim frequently?"
Answer: C. "Does anyone smoke in the same house as your daughter?"
, 12. A nurse is caring for a 4-year-old child who has dehydration. Which finding
should the nurse identify as the priority?
A. Sodium 148 mEq/L
B. Potassium 2.5 mEq/L
C. Heart rate 110/min
D. Urine specific gravity 1.030
Answer: B. Potassium 2.5 mEq/L
13. A nurse is caring for a 4-year-old child who is 2 days postoperative following
insertion of a ventriculoperitoneal shunt. Which finding should the nurse identify as
the priority?
A. Pain rating of 4 out of 10
B. Temperature of 37.8°C (100°F)
C. Lethargy
D. Mild headache
Answer: C. Lethargy
14. A nurse is caring for a 4-year-old child who refuses to take medication because
of the bad taste. Which strategy should the nurse use?
A. Mix the medication in a full glass of juice.
B. Offer the child an ice pop prior to administering the medication.
C. Tell the child the medication tastes like candy.
D. Crush the medication and mix it with food without telling the child.
Answer: B. Offer the child an ice pop prior to administering the medication.
15. A nurse is caring for a 6-month-old child whose provider ordered a DTaP
vaccine. Which finding should cause the nurse to question administering this
vaccine?
A. Mild cold symptoms
B. Low-grade fever of 38°C (100.4°F)
C. Temperature of 40.5°C (104.9°F) after last DTaP
D. Family history of allergies
and Answers (100% VERIFIED)
1. A nurse in a clinic is preparing to administer pre-kindergarten vaccines to a
5-year-old child whose immunizations are up to date. Which vaccine should the
nurse plan to administer?
A. Hepatitis B
B. Measles, mumps, rubella (MMR)
C. Rotavirus
D. Varicella only
Answer: B. Measles, mumps, rubella (MMR)
2. A nurse in a pediatric clinic is collecting data from a preschool-age child with
suspected impetigo contagiosa. Which manifestation should the nurse expect?
A. Silvery scales on the scalp
B. Vesicular rash on the trunk
C. Red macule with honey-colored crusts
D. Circular ring-shaped lesions on the skin
Answer: C. Red macule with honey-colored crusts
3. A nurse is reinforcing teaching with a parent of a school-age child who has
pediculosis capitis. Which instruction should the nurse include?
A. Wash all bed linens and dry them in a dryer for at least 20 minutes.
B. Seal all stuffed animals in a plastic bag for 24 hours.
C. Apply permethrin cream to the child's entire body.
D. Shave the child's head to eliminate all lice.
Answer: A. Wash all bed linens and dry them in a dryer for at least 20 minutes.
4. A nurse is collecting data from an infant. Which finding is a clinical manifestation
of pyloric stenosis?
A. Bloody stools after feedings
,B. Projectile vomiting after feedings
C. Abdominal distention with no vomiting
D. Bile-stained vomiting after feedings
Answer: B. Projectile vomiting after feedings
5. A nurse in an urgent care clinic is assisting with the care of a toddler who ingested
30 tablets of aspirin. Which substance should the nurse administer?
A. Sodium bicarbonate
B. Ipecac syrup
C. Activated charcoal
D. Magnesium citrate
Answer: C. Activated charcoal
6. A nurse is assisting with the admission of a child who has pertussis. Which action
should the nurse take?
A. Initiate airborne precautions
B. Initiate contact precautions
C. Initiate droplet precautions
D. Place the child in a negative pressure room
Answer: C. Initiate droplet precautions
7. A nurse is assisting with the admission of an infant who has respiratory syncytial
virus (RSV). Which room should the nurse assign the infant?
A. A semi-private room with standard precautions
B. A private room with contact and droplet precautions
C. A private room with airborne precautions
D. A shared room with other RSV-positive infants
Answer: B. A private room with contact and droplet precautions
8. A nurse is assisting with the care of a school-age child who has respiratory failure
due to pneumonia. Which position should the nurse encourage to allow maximal lung
expansion?
A. Prone position
,B. Left lateral position
C. Supine position
D. Upright position (high Fowler's or semi-Fowler's)
Answer: D. Upright position (high Fowler's or semi-Fowler's)
9. A nurse is assisting with the care of a child with spina bifida. Which precaution
should the nurse take?
A. Contact precautions
B. Droplet precautions
C. Latex precautions
D. Airborne precautions
Answer: C. Latex precautions
10. A nurse is caring for a 2-week-old infant whose mother requests additional
information about SIDS. Which response should the nurse make?
A. "You should place your baby on her stomach when sleeping to prevent
aspiration."
B. "You should place your baby on her back when sleeping to decrease the risk of
SIDS."
C. "You should place your baby on her side when sleeping for safety."
D. "You should keep your baby in bed with you to monitor her breathing."
Answer: B. "You should place your baby on her back when sleeping to decrease the
risk of SIDS."
11. A nurse is caring for a 3-year-old client who has persistent otitis media. To help
identify contributing factors, which question should the nurse ask the parents?
A. "Does your child attend daycare regularly?"
B. "Does your child drink from a bottle while lying down?"
C. "Does anyone smoke in the same house as your daughter?"
D. "Does your child swim frequently?"
Answer: C. "Does anyone smoke in the same house as your daughter?"
, 12. A nurse is caring for a 4-year-old child who has dehydration. Which finding
should the nurse identify as the priority?
A. Sodium 148 mEq/L
B. Potassium 2.5 mEq/L
C. Heart rate 110/min
D. Urine specific gravity 1.030
Answer: B. Potassium 2.5 mEq/L
13. A nurse is caring for a 4-year-old child who is 2 days postoperative following
insertion of a ventriculoperitoneal shunt. Which finding should the nurse identify as
the priority?
A. Pain rating of 4 out of 10
B. Temperature of 37.8°C (100°F)
C. Lethargy
D. Mild headache
Answer: C. Lethargy
14. A nurse is caring for a 4-year-old child who refuses to take medication because
of the bad taste. Which strategy should the nurse use?
A. Mix the medication in a full glass of juice.
B. Offer the child an ice pop prior to administering the medication.
C. Tell the child the medication tastes like candy.
D. Crush the medication and mix it with food without telling the child.
Answer: B. Offer the child an ice pop prior to administering the medication.
15. A nurse is caring for a 6-month-old child whose provider ordered a DTaP
vaccine. Which finding should cause the nurse to question administering this
vaccine?
A. Mild cold symptoms
B. Low-grade fever of 38°C (100.4°F)
C. Temperature of 40.5°C (104.9°F) after last DTaP
D. Family history of allergies
