ATI PEDIATRIC HEALTH KNOWLEDGE ACTUAL EXAM
2025| 160 QUESTIONS ANSWERED
1. What is the average weight gain for school-age children per year?
2-4 pounds
1-3 pounds
4-6 pounds
6-8 pounds
2. Describe the significance of impaired pupillary responses in the context
of head injuries.
Impaired pupillary responses are unrelated to neurological
function.
Impaired pupillary responses can indicate increased intracranial
pressure or brain injury.
Impaired pupillary responses are a normal reaction to bright light.
Impaired pupillary responses suggest dehydration.
3. A nurse is providing anticipatory guidance to the parent of a 13-year-old.
The nurse should recommend which of the following screenings?
Body mass index
Weight
Scoliosis
Blood lead level
Height
4. What is one appropriate action for a nurse to take when preparing to
assess a preschool-age child?
, Use medical terminology to describe what will happen
Separate the child from her parents during examination
Allow the child to role play using miniature equipment
Keep medical equipment visible to the child
5. Describe the significance of using somatropin in growth hormone
treatment for children.
Somatropin is a pain relief medication for children.
Somatropin is used to treat infections in children.
Somatropin is a vitamin supplement for children.
Somatropin is used to promote growth in children until their
bones have closed.
6. Describe the potential complications that can arise from a craniotomy for
head injury.
Complications are limited to surgical site pain.
Complications include infection and fever only.
Complications include only loss of consciousness.
Complications include hemorrhage, brain herniation, and
neurological deficits.
7. Which of the following symptoms can indicate increased intracranial
pressure (ICP) in a patient?
Nausea, vomiting, increased sensory response
Blurred vision, increased appetite, decreased sleeping
Dizziness, confusion, decreased motor response
Headache, alteration in pupillary response, increased sleeping
,8. What are two gross motor skills that a 3-year-old preschooler typically
develops?
Can walk on a balance beam and skip rope
Can throw a ball and catch a frisbee
Can ride a tricycle and jump off the bottom step on stairs
Can climb a tree and swim independently
9. If a patient exhibits signs of brain herniation after a craniotomy, what
immediate actions should be taken by the healthcare team?
The healthcare team should wait for the physician to arrive before
taking any action.
The healthcare team should administer pain medication and
monitor vital signs only.
The healthcare team should assess the patient's neurological
status and prepare for possible emergency interventions.
The healthcare team should discharge the patient if they are
stable.
10. What nursing consideration is needed when providing a child with iron
supplements?
Give iron between meals since it is better absorbed in an acidic
environment (1 hr before or 2 hrs after meals/antacids)
Give with citrus to increase absorption
Give with straw/syringe and brush teeth after to prevent staining
If you have to give iron IM, give it in large muscle mass, avoid
injecting more than 1 ml with each dose, use the z-track method,
and do not massage to minimize skin staining and/or irritation
Educate the child's parents that the iron may cause green or
black tarry stools, brush their child's teeth after a PO dosage to
, help prevent teeth staining
11. If a child experiences myoclonic seizures with no postical state, what
implications might this have for their care plan?
The care plan should include extensive rehabilitation therapy
post-seizure.
The care plan should involve immediate hospitalization after each
seizure.
The care plan should focus on monitoring and managing
seizures without the need for recovery interventions.
The care plan should prioritize dietary changes to prevent
seizures.
12. A client with a traumatic brain injury has already displayed early signs of
increasing intracranial pressure (ICP). Which of the following would be
considered late signs of increasing ICP?
Decerebrate posturing and loss of corneal reflex
Mental confusion and pupillary changes
Complaints of headache and lack of pupillary response
Loss of gag reflex and mental confusion
13. Why is it important for a nurse to calculate the safe dosage before
administering medication to a toddler?
To make the parent feel involved in the process
To ensure the medication is safe and appropriate for the child's
age and weight
To avoid having to ask the toddler questions
To speed up the medication administration
2025| 160 QUESTIONS ANSWERED
1. What is the average weight gain for school-age children per year?
2-4 pounds
1-3 pounds
4-6 pounds
6-8 pounds
2. Describe the significance of impaired pupillary responses in the context
of head injuries.
Impaired pupillary responses are unrelated to neurological
function.
Impaired pupillary responses can indicate increased intracranial
pressure or brain injury.
Impaired pupillary responses are a normal reaction to bright light.
Impaired pupillary responses suggest dehydration.
3. A nurse is providing anticipatory guidance to the parent of a 13-year-old.
The nurse should recommend which of the following screenings?
Body mass index
Weight
Scoliosis
Blood lead level
Height
4. What is one appropriate action for a nurse to take when preparing to
assess a preschool-age child?
, Use medical terminology to describe what will happen
Separate the child from her parents during examination
Allow the child to role play using miniature equipment
Keep medical equipment visible to the child
5. Describe the significance of using somatropin in growth hormone
treatment for children.
Somatropin is a pain relief medication for children.
Somatropin is used to treat infections in children.
Somatropin is a vitamin supplement for children.
Somatropin is used to promote growth in children until their
bones have closed.
6. Describe the potential complications that can arise from a craniotomy for
head injury.
Complications are limited to surgical site pain.
Complications include infection and fever only.
Complications include only loss of consciousness.
Complications include hemorrhage, brain herniation, and
neurological deficits.
7. Which of the following symptoms can indicate increased intracranial
pressure (ICP) in a patient?
Nausea, vomiting, increased sensory response
Blurred vision, increased appetite, decreased sleeping
Dizziness, confusion, decreased motor response
Headache, alteration in pupillary response, increased sleeping
,8. What are two gross motor skills that a 3-year-old preschooler typically
develops?
Can walk on a balance beam and skip rope
Can throw a ball and catch a frisbee
Can ride a tricycle and jump off the bottom step on stairs
Can climb a tree and swim independently
9. If a patient exhibits signs of brain herniation after a craniotomy, what
immediate actions should be taken by the healthcare team?
The healthcare team should wait for the physician to arrive before
taking any action.
The healthcare team should administer pain medication and
monitor vital signs only.
The healthcare team should assess the patient's neurological
status and prepare for possible emergency interventions.
The healthcare team should discharge the patient if they are
stable.
10. What nursing consideration is needed when providing a child with iron
supplements?
Give iron between meals since it is better absorbed in an acidic
environment (1 hr before or 2 hrs after meals/antacids)
Give with citrus to increase absorption
Give with straw/syringe and brush teeth after to prevent staining
If you have to give iron IM, give it in large muscle mass, avoid
injecting more than 1 ml with each dose, use the z-track method,
and do not massage to minimize skin staining and/or irritation
Educate the child's parents that the iron may cause green or
black tarry stools, brush their child's teeth after a PO dosage to
, help prevent teeth staining
11. If a child experiences myoclonic seizures with no postical state, what
implications might this have for their care plan?
The care plan should include extensive rehabilitation therapy
post-seizure.
The care plan should involve immediate hospitalization after each
seizure.
The care plan should focus on monitoring and managing
seizures without the need for recovery interventions.
The care plan should prioritize dietary changes to prevent
seizures.
12. A client with a traumatic brain injury has already displayed early signs of
increasing intracranial pressure (ICP). Which of the following would be
considered late signs of increasing ICP?
Decerebrate posturing and loss of corneal reflex
Mental confusion and pupillary changes
Complaints of headache and lack of pupillary response
Loss of gag reflex and mental confusion
13. Why is it important for a nurse to calculate the safe dosage before
administering medication to a toddler?
To make the parent feel involved in the process
To ensure the medication is safe and appropriate for the child's
age and weight
To avoid having to ask the toddler questions
To speed up the medication administration
