ATI PEDIATRICS 2024 EXAM
QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES
LATEST UPDATE ALREADY
GRADED A+
A nurse in a pediatric clinic is assessing a toddler at a well-child
visit.Which of the following actions should the nurse take?
• Perform the assessment in a head to toe sequence.
• Minimize physical contact with the child initially.
• Explain procedures using medical terminology.
• Stop the assessment if the child becomes uncooperative. -
ANSWER-B
Rationale: The nurse should initially minimize physical contact
withthe toddler, and then progress from the least traumatic to the
most traumatic procedures.
A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is planning to attend college. The nurse should
inform the client that heshould receive which of the following
immunizations prior to moving into a campus dormitory?
• Pneumococcal polysaccharide
,• Meningococcal polysaccharide
• Rotavirus
• Herpes zoster - ANSWER- B
Rationale: The meningococcal polysaccharide immunization is used
to prevent infection by certain groups of meningococcal bacteria.
Meningococcal infectioncan cause life-threatening
illnesses, such as meningococcal meningitis, which affects the brain,
and meningococcemia,which affects the blood. Both of these
conditions can be fatal. College freshmen, particularly
those who live in dormitories, are at an increased risk for
meningococcal disease relative to other persons their age.
Therefore, the Centers for Disease Control andPrevention has
issued a recommendation that all incoming college students receive
themeningococcal immunization.
A nurse is teaching the parent of an infant about food allergens. Which
of the following foods should the nurse include as being the most
common food allergyin children?
• Cow's milk
• Wheat bread
• Corn syrup
• Egg - ANSWER- A
Rationale: According to evidence-based practice, the nurse should
instruct the parent that cow's milk is the most common food allergy
in children. Some children aresensitive to the protein, called casein,
found in cow's milk. They have difficulty metabolizingthe casein
and are, therefore, allergic to cow's milk.
,A nurse is teaching the parent of a toddler about home safety. Which of
the following statements by the parent indicates an understanding of the
teaching?
• "I lock my medications in the medicine cabinet."
• "I keep my child's crib mattress at the highest level."
• "I turn pot handles to the side of my stove while cooking."
• "I will give my child syrup of ipecac if she swallows something
poisonous." - ANSWER- A
Rationale: Locking up medications and other potential poisons
prevents access. Toddlers have improved gross and fine motor
skills that allow for furtherexploration of the environment and
possible access to hazardous substances.
A nurse is performing a physical assessment on a 6-month-old infant.
Which of the following reflexes should the nurse expect to find?
• Stepping
• Babinski
• Extrusion
• Moro - ANSWER- B
Rationale: The Babinski reflex, which is elicited by stroking the
bottom of the foot and causing the toes to fan and the big toe to
dorsiflex, should be present untilthe age of 1 year. Persistence
of neonatal reflexes might indicate neurological deficits.
, A nurse is preparing to administer recommended immunizations to a 2-
month-old infant. Which of the following immunizations should the
nurse plan toadminister?
• Human papillomavirus (HPV) and hepatitis A
• Measles, mumps, rubella (MMR) and tetanus, diphtheria, and
acellular pertussis
(TDaP)
• Haemophilus influenzae type B (Hib) and inactivated polio virus
(IPV)
• Varicella (VAR) and live attenuated influenza vaccine (LAIV) -
ANSWER- C
Rationale: The recommended immunizations for a 2-month-old
infant include Hib and IPV. The Hib immunization series consists
of 3 to 4 doses, depending on theimmunization used, and at a
minimum is administered at the ages of 2 months, 4 months, and 12
to 15 months. The IPV immunization series consists of 4 doses and
is administered at theages of 2 months, 4 months, 6 to 18 months,
and 4 to 6 years.
A nurse is developing a plan of care for a school-age child who
underwent a surgical procedure that resulted in temporary loss of
vision. Which of thefollowing interventions should the nurse include in
the plan of care?
• Assign an assistive personnel to feed the child.
• Explain sounds the child is hearing.
• Have the child use a cane when ambulating.
QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES
LATEST UPDATE ALREADY
GRADED A+
A nurse in a pediatric clinic is assessing a toddler at a well-child
visit.Which of the following actions should the nurse take?
• Perform the assessment in a head to toe sequence.
• Minimize physical contact with the child initially.
• Explain procedures using medical terminology.
• Stop the assessment if the child becomes uncooperative. -
ANSWER-B
Rationale: The nurse should initially minimize physical contact
withthe toddler, and then progress from the least traumatic to the
most traumatic procedures.
A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is planning to attend college. The nurse should
inform the client that heshould receive which of the following
immunizations prior to moving into a campus dormitory?
• Pneumococcal polysaccharide
,• Meningococcal polysaccharide
• Rotavirus
• Herpes zoster - ANSWER- B
Rationale: The meningococcal polysaccharide immunization is used
to prevent infection by certain groups of meningococcal bacteria.
Meningococcal infectioncan cause life-threatening
illnesses, such as meningococcal meningitis, which affects the brain,
and meningococcemia,which affects the blood. Both of these
conditions can be fatal. College freshmen, particularly
those who live in dormitories, are at an increased risk for
meningococcal disease relative to other persons their age.
Therefore, the Centers for Disease Control andPrevention has
issued a recommendation that all incoming college students receive
themeningococcal immunization.
A nurse is teaching the parent of an infant about food allergens. Which
of the following foods should the nurse include as being the most
common food allergyin children?
• Cow's milk
• Wheat bread
• Corn syrup
• Egg - ANSWER- A
Rationale: According to evidence-based practice, the nurse should
instruct the parent that cow's milk is the most common food allergy
in children. Some children aresensitive to the protein, called casein,
found in cow's milk. They have difficulty metabolizingthe casein
and are, therefore, allergic to cow's milk.
,A nurse is teaching the parent of a toddler about home safety. Which of
the following statements by the parent indicates an understanding of the
teaching?
• "I lock my medications in the medicine cabinet."
• "I keep my child's crib mattress at the highest level."
• "I turn pot handles to the side of my stove while cooking."
• "I will give my child syrup of ipecac if she swallows something
poisonous." - ANSWER- A
Rationale: Locking up medications and other potential poisons
prevents access. Toddlers have improved gross and fine motor
skills that allow for furtherexploration of the environment and
possible access to hazardous substances.
A nurse is performing a physical assessment on a 6-month-old infant.
Which of the following reflexes should the nurse expect to find?
• Stepping
• Babinski
• Extrusion
• Moro - ANSWER- B
Rationale: The Babinski reflex, which is elicited by stroking the
bottom of the foot and causing the toes to fan and the big toe to
dorsiflex, should be present untilthe age of 1 year. Persistence
of neonatal reflexes might indicate neurological deficits.
, A nurse is preparing to administer recommended immunizations to a 2-
month-old infant. Which of the following immunizations should the
nurse plan toadminister?
• Human papillomavirus (HPV) and hepatitis A
• Measles, mumps, rubella (MMR) and tetanus, diphtheria, and
acellular pertussis
(TDaP)
• Haemophilus influenzae type B (Hib) and inactivated polio virus
(IPV)
• Varicella (VAR) and live attenuated influenza vaccine (LAIV) -
ANSWER- C
Rationale: The recommended immunizations for a 2-month-old
infant include Hib and IPV. The Hib immunization series consists
of 3 to 4 doses, depending on theimmunization used, and at a
minimum is administered at the ages of 2 months, 4 months, and 12
to 15 months. The IPV immunization series consists of 4 doses and
is administered at theages of 2 months, 4 months, 6 to 18 months,
and 4 to 6 years.
A nurse is developing a plan of care for a school-age child who
underwent a surgical procedure that resulted in temporary loss of
vision. Which of thefollowing interventions should the nurse include in
the plan of care?
• Assign an assistive personnel to feed the child.
• Explain sounds the child is hearing.
• Have the child use a cane when ambulating.
