1|Page
ATI PEDIATRICS PROCTORED FINAL EXAM 2025-
2026 ,180 REAL EXAM 100% CORRECT ALREADY
GRADED A+
1. A nurse is caring for a toddler with suspected otitis media. Which finding should
the nurse expect?
A. Clear drainage from ear
B. Tugging at the ear
C. Enlarged anterior fontanel
D. Hypoactive bowel sounds
Answer: B
Rationale: Tugging/pulling at the ear is a common sign of otitis media in toddlers.
Clear drainage suggests perforation; anterior fontanel closes at 18 months; bowel
sounds are not directly affected.
2. Which is the priority action for a nurse caring for an infant with bronchiolitis?
A. Suction the nasopharynx
B. Administer antibiotics
C. Provide iron supplementation
D. Restrict fluids
Answer: A
Rationale: Airway clearance is priority in bronchiolitis; antibiotics are not useful
since it’s viral; iron is unrelated; fluids should be encouraged.
,2|Page
3. A preschooler is scheduled for a tonsillectomy. Which finding should be
reported to the provider before surgery?
A. Loose tooth
B. Sore throat
C. History of snoring
D. Mild fever
Answer: D
Rationale: Fever may indicate infection and is a contraindication to surgery.
4. A school-age child with sickle cell anemia is admitted with vaso-occlusive
crisis. What is the nurse’s priority?
A. Apply cold compress
B. Give opioid analgesics
C. Restrict fluids
D. Administer iron
Answer: B
Rationale: Pain management with opioids is the priority. Cold increases sickling,
hydration is encouraged, and iron isn’t useful.
5. Which immunization is contraindicated for an infant who is
immunocompromised?
A. Hepatitis B
B. DTaP
C. Rotavirus
D. Hib
Answer: C
Rationale: Rotavirus is a live vaccine, contraindicated in immunocompromised
infants.
,3|Page
6. Which toy is most appropriate for a hospitalized 4-year-old?
A. Rattle
B. Building blocks
C. Video game
D. Chapter book
Answer: B
Rationale: Preschoolers enjoy creative play such as building blocks.
7. A nurse is caring for a child with epiglottitis. Which intervention is priority?
A. Obtain throat culture
B. Start IV antibiotics
C. Prepare for intubation
D. Administer cough syrup
Answer: C
Rationale: Airway obstruction is the greatest risk; preparing for intubation is
priority.
8. An adolescent receiving chemotherapy develops mouth ulcers. What is the
nurse’s best action?
A. Rinse with hydrogen peroxide
B. Provide soft toothbrush
C. Encourage citrus juice
D. Apply topical lidocaine
Answer: B
Rationale: A soft toothbrush prevents trauma; hydrogen peroxide and citrus
irritate mucosa; lidocaine can impair swallowing reflex.
9. A nurse is teaching parents about injury prevention for toddlers. Which
statement indicates understanding?
A. “We will keep cleaning supplies locked up.”
, 4|Page
B. “We can leave our toddler alone in the bathtub for a minute.”
C. “We’ll use baby walkers to help with walking.”
D. “We don’t need to cover electrical outlets anymore.”
Answer: A
Rationale: Toddlers are at risk for poisoning—locking chemicals is appropriate.
The other statements show unsafe practices.
10. A nurse assesses a 9-month-old infant. Which developmental milestone should
be expected?
A. Uses pincer grasp
B. Walks independently
C. Says 10 words
D. Removes clothing
Answer: A
Rationale: Pincer grasp develops at 9 months. Walking is 12–15 months; 10 words
around 18 months; removing clothing is toddler.
11. Which lab finding is expected in iron-deficiency anemia?
A. Elevated MCV
B. Elevated hemoglobin
C. Low hematocrit
D. High reticulocyte count
Answer: C
Rationale: Iron deficiency anemia shows low Hgb/Hct, microcytic RBCs, and
sometimes low reticulocyte count.
12. A school-age child with cystic fibrosis is admitted. What is a priority nursing
intervention?
A. Encourage high-fat diet
B. Give pancreatic enzymes with meals
ATI PEDIATRICS PROCTORED FINAL EXAM 2025-
2026 ,180 REAL EXAM 100% CORRECT ALREADY
GRADED A+
1. A nurse is caring for a toddler with suspected otitis media. Which finding should
the nurse expect?
A. Clear drainage from ear
B. Tugging at the ear
C. Enlarged anterior fontanel
D. Hypoactive bowel sounds
Answer: B
Rationale: Tugging/pulling at the ear is a common sign of otitis media in toddlers.
Clear drainage suggests perforation; anterior fontanel closes at 18 months; bowel
sounds are not directly affected.
2. Which is the priority action for a nurse caring for an infant with bronchiolitis?
A. Suction the nasopharynx
B. Administer antibiotics
C. Provide iron supplementation
D. Restrict fluids
Answer: A
Rationale: Airway clearance is priority in bronchiolitis; antibiotics are not useful
since it’s viral; iron is unrelated; fluids should be encouraged.
,2|Page
3. A preschooler is scheduled for a tonsillectomy. Which finding should be
reported to the provider before surgery?
A. Loose tooth
B. Sore throat
C. History of snoring
D. Mild fever
Answer: D
Rationale: Fever may indicate infection and is a contraindication to surgery.
4. A school-age child with sickle cell anemia is admitted with vaso-occlusive
crisis. What is the nurse’s priority?
A. Apply cold compress
B. Give opioid analgesics
C. Restrict fluids
D. Administer iron
Answer: B
Rationale: Pain management with opioids is the priority. Cold increases sickling,
hydration is encouraged, and iron isn’t useful.
5. Which immunization is contraindicated for an infant who is
immunocompromised?
A. Hepatitis B
B. DTaP
C. Rotavirus
D. Hib
Answer: C
Rationale: Rotavirus is a live vaccine, contraindicated in immunocompromised
infants.
,3|Page
6. Which toy is most appropriate for a hospitalized 4-year-old?
A. Rattle
B. Building blocks
C. Video game
D. Chapter book
Answer: B
Rationale: Preschoolers enjoy creative play such as building blocks.
7. A nurse is caring for a child with epiglottitis. Which intervention is priority?
A. Obtain throat culture
B. Start IV antibiotics
C. Prepare for intubation
D. Administer cough syrup
Answer: C
Rationale: Airway obstruction is the greatest risk; preparing for intubation is
priority.
8. An adolescent receiving chemotherapy develops mouth ulcers. What is the
nurse’s best action?
A. Rinse with hydrogen peroxide
B. Provide soft toothbrush
C. Encourage citrus juice
D. Apply topical lidocaine
Answer: B
Rationale: A soft toothbrush prevents trauma; hydrogen peroxide and citrus
irritate mucosa; lidocaine can impair swallowing reflex.
9. A nurse is teaching parents about injury prevention for toddlers. Which
statement indicates understanding?
A. “We will keep cleaning supplies locked up.”
, 4|Page
B. “We can leave our toddler alone in the bathtub for a minute.”
C. “We’ll use baby walkers to help with walking.”
D. “We don’t need to cover electrical outlets anymore.”
Answer: A
Rationale: Toddlers are at risk for poisoning—locking chemicals is appropriate.
The other statements show unsafe practices.
10. A nurse assesses a 9-month-old infant. Which developmental milestone should
be expected?
A. Uses pincer grasp
B. Walks independently
C. Says 10 words
D. Removes clothing
Answer: A
Rationale: Pincer grasp develops at 9 months. Walking is 12–15 months; 10 words
around 18 months; removing clothing is toddler.
11. Which lab finding is expected in iron-deficiency anemia?
A. Elevated MCV
B. Elevated hemoglobin
C. Low hematocrit
D. High reticulocyte count
Answer: C
Rationale: Iron deficiency anemia shows low Hgb/Hct, microcytic RBCs, and
sometimes low reticulocyte count.
12. A school-age child with cystic fibrosis is admitted. What is a priority nursing
intervention?
A. Encourage high-fat diet
B. Give pancreatic enzymes with meals
