ATI Pediatrics Proctored Updated 2025/26 Questions And Answers
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Question 1
A nurse assesses a 6-month-old infant with acute gastroenteritis. Which finding indicates severe
dehydration requiring immediate intervention?
A. Bulging fontanel
B. Sunken eyes
C. Moist mucous membranes
D. Strong radial pulse
Answer: B. Sunken eyes
Question 2
A 12-month-old infant arrives for a well-child visit. Which immunizations are appropriate at this
age to ensure recommended protection?
A. MMR, Varicella, Hepatitis A
B. DTaP booster
C. HPV vaccine
D. Influenza intranasal
Answer: A. MMR, Varicella, Hepatitis A
Question 3
A child with cystic fibrosis is admitted for malnutrition. Which nutritional plan should the nurse
expect to reinforce to optimize growth, energy, and lung function?
A. Low-fat, high-carbohydrate
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B. High-calorie, high-protein
C. Low-protein, low-fiber
D. Restricted sodium
Answer: B. High-calorie, high-protein
Question 4
A nurse evaluates a 4-year-old child with suspected epiglottitis. Which clinical manifestation
indicates a potential airway emergency?
A. Hoarse voice
B. Drooling with tripod position
C. Barking cough
D. Productive green sputum
Answer: B. Drooling with tripod position
Question 5
A child presents with varicella (chickenpox). Which infection control measures should the nurse
implement to prevent disease transmission?
A. Standard precautions
B. Contact precautions only
C. Airborne and contact precautions
D. Droplet precautions only
Answer: C. Airborne and contact precautions
Question 6
A nurse assesses a toddler with iron-deficiency anemia. Which dietary recommendation
supports increasing iron intake for this child?
A. Whole milk
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B. Apple juice
C. Lean red meats
D. Cottage cheese
Answer: C. Lean red meats
Question 7
An adolescent with type 1 diabetes reports excessive thirst, frequent urination, and fatigue.
Which laboratory result best confirms the nurse’s suspicion of hyperglycemia?
A. Glucose 280 mg/dL
B. Potassium 3.8 mEq/L
C. Hemoglobin 12 g/dL
D. Calcium 9.2 mg/dL
Answer: A. Glucose 280 mg/dL
Question 8
A nurse teaches parents of a child prescribed digoxin. Which instruction is most important
regarding safe administration?
A. Skip missed doses
B. Give with food
C. Withhold if pulse below 90
D. Double missed doses
Answer: C. Withhold if pulse below 90
Question 9
A preschool child with nephrotic syndrome has generalized edema. Which dietary modification
should the nurse recommend to reduce fluid retention?
A. Low sodium
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B. High potassium
C. Low protein
D. High sodium
Answer: A. Low sodium
Question 10
A nurse prepares to administer a vaccine to a toddler. Which comfort strategy is most effective
to reduce pain perception during immunization?
A. Reassure quietly
B. Use distraction techniques
C. Apply hot compress
D. Delay procedure
Answer: B. Use distraction techniques
Question 11
A child is prescribed albuterol via metered-dose inhaler. Which teaching should the nurse
provide parents about proper administration?
A. Shake before use
B. Inhale quickly
C. Skip spacer device
D. Store in refrigerator
Answer: A. Shake before use
Question 12
A nurse evaluates pain in a 3-year-old child post-surgery. Which pain assessment tool is most
appropriate for this developmental stage?
A. Numeric rating scale