2023 PEDS ATI Proctored Exam
Questions And Well Explained Answers
The nurse is preparing to administer an immunization to a four-year-old child.
Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Correct answer- C- administer the immunization using a 24-gauge needle; The nurse
should administer an immunization for a 4-year-old child using a 24-gauge needle to
minimize the amount of pain experienced by the toddler.
A nurse is reviewing the laboratory report of an infant who is receiving treatment for
severe dehydration. The nurse should identify which of the following laboratory values
indicates effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
Correct answer- B- sodium 140; The nurse should identify that a sodium level of 140
mEq/L is within the expected reference range and indicates the current treatment
regimen the infant is receiving for dehydration is effective.
The nurse is providing teaching about Social Development to the parents of a
preschooler. Which of the following play activities should the nurse recommend for the
child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
, 2023 PEDS ATI Proctored Exam
Questions And Well Explained Answers
Correct answer- D- playing dress-up; The nurse should instruct the parents that at the
preschool age, play should focus on social, mental, and physical development.
Therefore, playing dress-up is are commended play activity for this child.
A nurse is teaching the parents of a newborn about ways to prevent sudden infant death
syndrome SIDS. Which of the following instructions should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.
Correct answer- D- Give the infant a pacifier at bedtime; The nurse should inform the
parent that protective factors against SIDS include breastfeeding and the use of a
pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a supine
A nurse is assessing an infant who has pneumonia. Which of the following findings is
the priority for the nurse to report to the provider?
A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension
Correct answer- A- Nasal flaring; When using the airway, breathing, circulation
approach to client care, the nurse should place the priority on nasal flaring. Nasal flaring
indicates that the infant is experiencing acute respiratory distress.
A school nurse is assessing a school-age child blood pressure while he is seated in a
chair. The child starts to experience a tonic-clonic seizure. Which of the following
actions should the nurse take first?
A- Clear the immediate area around the child of hazardous objects
, 2023 PEDS ATI Proctored Exam
Questions And Well Explained Answers
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child
Correct answer- C- assist the child to a side-lying position on the floor; The greatest
risk to this child is aspiration, occlusion of the airway, and bodily injury from falling out of
the chair. The nurse should ease the child down to floor in a side-lying position
immediately. This position enables the child's secretions to drain from the mouth,
preventing aspiration, and maintaining a patent airway.
A nurse is receiving change-of-shift Report on for children. Which of the following
children should the nurse assesses first?
A- A toddler who has a concussion and an episode of forceful vomiting
B- an adolescent who has infective endocarditis and reports having a headache
C- an adolescent who was placed into Halo traction 1 hour ago and rates his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and brown colored urine
Correct answer- A- A toddler who has a concussion and an episode of forceful
vomiting; when using the urgent vs. no urgent approach to client care, the nurse should
assess this child first. An episode of forceful vomiting is an indication of increased
intracranial pressure in a toddler who has a concussion.
A nurse in the emergency department is caring for an adolescent who has severe
abdominal pain due to appendicitis. Which of the following locations should the nurse
identify as mcburney's point?
Correct answer- A is correct. The nurse should identify the lower right quadrant of the
abdomen between the umbilicus and the anterior iliac crest as the location of Burney's
point.
Questions And Well Explained Answers
The nurse is preparing to administer an immunization to a four-year-old child.
Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Correct answer- C- administer the immunization using a 24-gauge needle; The nurse
should administer an immunization for a 4-year-old child using a 24-gauge needle to
minimize the amount of pain experienced by the toddler.
A nurse is reviewing the laboratory report of an infant who is receiving treatment for
severe dehydration. The nurse should identify which of the following laboratory values
indicates effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
Correct answer- B- sodium 140; The nurse should identify that a sodium level of 140
mEq/L is within the expected reference range and indicates the current treatment
regimen the infant is receiving for dehydration is effective.
The nurse is providing teaching about Social Development to the parents of a
preschooler. Which of the following play activities should the nurse recommend for the
child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
, 2023 PEDS ATI Proctored Exam
Questions And Well Explained Answers
Correct answer- D- playing dress-up; The nurse should instruct the parents that at the
preschool age, play should focus on social, mental, and physical development.
Therefore, playing dress-up is are commended play activity for this child.
A nurse is teaching the parents of a newborn about ways to prevent sudden infant death
syndrome SIDS. Which of the following instructions should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.
Correct answer- D- Give the infant a pacifier at bedtime; The nurse should inform the
parent that protective factors against SIDS include breastfeeding and the use of a
pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a supine
A nurse is assessing an infant who has pneumonia. Which of the following findings is
the priority for the nurse to report to the provider?
A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension
Correct answer- A- Nasal flaring; When using the airway, breathing, circulation
approach to client care, the nurse should place the priority on nasal flaring. Nasal flaring
indicates that the infant is experiencing acute respiratory distress.
A school nurse is assessing a school-age child blood pressure while he is seated in a
chair. The child starts to experience a tonic-clonic seizure. Which of the following
actions should the nurse take first?
A- Clear the immediate area around the child of hazardous objects
, 2023 PEDS ATI Proctored Exam
Questions And Well Explained Answers
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child
Correct answer- C- assist the child to a side-lying position on the floor; The greatest
risk to this child is aspiration, occlusion of the airway, and bodily injury from falling out of
the chair. The nurse should ease the child down to floor in a side-lying position
immediately. This position enables the child's secretions to drain from the mouth,
preventing aspiration, and maintaining a patent airway.
A nurse is receiving change-of-shift Report on for children. Which of the following
children should the nurse assesses first?
A- A toddler who has a concussion and an episode of forceful vomiting
B- an adolescent who has infective endocarditis and reports having a headache
C- an adolescent who was placed into Halo traction 1 hour ago and rates his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and brown colored urine
Correct answer- A- A toddler who has a concussion and an episode of forceful
vomiting; when using the urgent vs. no urgent approach to client care, the nurse should
assess this child first. An episode of forceful vomiting is an indication of increased
intracranial pressure in a toddler who has a concussion.
A nurse in the emergency department is caring for an adolescent who has severe
abdominal pain due to appendicitis. Which of the following locations should the nurse
identify as mcburney's point?
Correct answer- A is correct. The nurse should identify the lower right quadrant of the
abdomen between the umbilicus and the anterior iliac crest as the location of Burney's
point.
