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ATI PEDIATRICS CMS ACTUAL EXAM
PRACTICE QUESTIONS WITH VERIFIED
DETAILED ANSWERS WITH RATIONALES
TESTED AND APPROVED!!!
A nurse is teaching an adolescent client who has type 1 diabetes mellitus about managing
hypoglycemia. Which of the following statements should the nurse include in the teaching?
A. "You should drink 8 oz of a regular soft drink if you experience hypoglycemia."
B. "You should drink 4 oz of orange juice if you experience hypoglycemia."
C. "You should take 2 glucose tablets if you experience hypoglycemia."
D. "You should take 3 tsp of sugar if you experience hypoglycemia." -- ANSWER--Correct
Answer: B. "You should drink 4 oz of orange juice if you experience hypoglycemia." The
nurse should tell the client to drink 4 oz of orange juice if hypoglycemia occurs.
Incorrect Answers:
A. The nurse should tell the client to drink 6 oz (NOT 8 oz) of a regular soft drink if
hypoglycemia occurs.
C. The nurse should tell the client to take 4 glucose tablets (NOT 2) if hypoglycemia occurs.
D. The nurse should tell the client to take 2 tsp (NOT 3) of sugar if hypoglycemia occurs
A nurse is assessing a 6-year-old client at a well-child visit. Which of the following findings
requires further assessment by the nurse?
A. Presence of sparse, fine pubic hair
B. Decreased head circumference compared to full height
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C. Increased leg length in relation to height
D. Presence of a loose central incisor -- ANSWER--Correct Answer: A. Presence of sparse,
fine pubic hair
The development of sexual characteristics prior to the age of 9 years in boys and 8 years in
girls is an indication of precocious puberty and requires further evaluation.
Incorrect Answers:
B. The head circumference of a school-age child decreases when compared to full height due
to skeletal lengthening.
C. Body proportion varies with a slimmer appearance and longer legs in a school-age child.
Leg length increases and waist circumference decreases related to height in this age group.
D. The deciduous teeth start shedding at this age, beginning with the lower central incisors
RBC Range: -- ANSWER--Male: 4.3-5.9 million/mm3
Female 3.5 -5.5 million/mm3
A nurse is assessing an infant who develops respiratory distress, absence of breath sounds on
one side, and deviation of the trachea away from the affected side. Based on these
manifestations, which of the following conditions is the infant experiencing?
A. Tension pneumothorax
B. Flail chest
C. Pulmonary contusion
D. Fractured rib -- ANSWER--Correct Answer: A. Tension pneumothorax
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The nurse should identify these manifestations as an indication the infant is developing a
tension pneumothorax. The infant might also become cyanotic and show asymmetry of the
thorax.
Incorrect Answers:
B. Manifestations of flail chest include a pulling of the traumatized rib area inward
during inspiration and outward during expiration.
C. Manifestations of pulmonary contusion include decreased breath sounds, tachycardia,
tachypnea, and blood-tinged secretions.
D. Manifestations of a rib fracture include pain and ecchymosis in the area of trauma,
swelling, and muscle spasms.
TSH Range: -- ANSWER--(0.5-5.0 µU/mL
A nurse is teaching a school-age child who is to undergo a bone marrow aspiration. Which of
the following statements should the nurse make?
A. "I will give you an antibiotic before your procedure."
B. "I will place you on your side during the procedure."
C. "You might have a headache following the procedure."
D. "I will place a pressure dressing over the area following the procedure." -- ANSWER-
Correct Answer: D. "I will place a pressure dressing over the area following the
procedure."
Applying a pressure dressing over the area following the procedure helps prevent bleeding
from the site.
Incorrect Answers:
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A. The child should not receive an antibiotic prior to a bone marrow biopsy because the
use of an antibiotic might skew the test results.
B. The child should be in the prone position because the provider will obtain the
specimen from the iliac crest.
C. Bone marrow aspiration will not affect the brain or its fluids. Lumbar punctures are
likely to cause headaches
A nurse is providing teaching to a parent of a preschooler who has impetigo. Which of the
following statements by the parent indicates an understanding of the teaching?
A. "Impetigo is caused by a virus."
B. "Impetigo is contagious for 48 hours after vesicles rupture."
C. "I will wash my child's clothes in hot water."
D. "My child now has immunity against impetigo." -- ANSWER--Correct Answer: C. "I will
wash my child's clothes in hot water."
The parent should wash the child's clothes in hot water to kill bacteria. The parent should also
keep the child's towels and washcloths separate from those of other members of the
household.
Incorrect Answers:
A. Impetigo is a bacterial infection of the skin caused by staphylococci or streptococci
bacteria.
B. Impetigo is spread via direct contact and is contagious from the time of initial
appearance of lesions UNTIL ALL LESIONS have healed.
D. Impetigo does not cause the formation of antibodies that prevent reinfection. Therefore,
the child can get impetigo again in the future.
ATI PEDIATRICS CMS ACTUAL EXAM
PRACTICE QUESTIONS WITH VERIFIED
DETAILED ANSWERS WITH RATIONALES
TESTED AND APPROVED!!!
A nurse is teaching an adolescent client who has type 1 diabetes mellitus about managing
hypoglycemia. Which of the following statements should the nurse include in the teaching?
A. "You should drink 8 oz of a regular soft drink if you experience hypoglycemia."
B. "You should drink 4 oz of orange juice if you experience hypoglycemia."
C. "You should take 2 glucose tablets if you experience hypoglycemia."
D. "You should take 3 tsp of sugar if you experience hypoglycemia." -- ANSWER--Correct
Answer: B. "You should drink 4 oz of orange juice if you experience hypoglycemia." The
nurse should tell the client to drink 4 oz of orange juice if hypoglycemia occurs.
Incorrect Answers:
A. The nurse should tell the client to drink 6 oz (NOT 8 oz) of a regular soft drink if
hypoglycemia occurs.
C. The nurse should tell the client to take 4 glucose tablets (NOT 2) if hypoglycemia occurs.
D. The nurse should tell the client to take 2 tsp (NOT 3) of sugar if hypoglycemia occurs
A nurse is assessing a 6-year-old client at a well-child visit. Which of the following findings
requires further assessment by the nurse?
A. Presence of sparse, fine pubic hair
B. Decreased head circumference compared to full height
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C. Increased leg length in relation to height
D. Presence of a loose central incisor -- ANSWER--Correct Answer: A. Presence of sparse,
fine pubic hair
The development of sexual characteristics prior to the age of 9 years in boys and 8 years in
girls is an indication of precocious puberty and requires further evaluation.
Incorrect Answers:
B. The head circumference of a school-age child decreases when compared to full height due
to skeletal lengthening.
C. Body proportion varies with a slimmer appearance and longer legs in a school-age child.
Leg length increases and waist circumference decreases related to height in this age group.
D. The deciduous teeth start shedding at this age, beginning with the lower central incisors
RBC Range: -- ANSWER--Male: 4.3-5.9 million/mm3
Female 3.5 -5.5 million/mm3
A nurse is assessing an infant who develops respiratory distress, absence of breath sounds on
one side, and deviation of the trachea away from the affected side. Based on these
manifestations, which of the following conditions is the infant experiencing?
A. Tension pneumothorax
B. Flail chest
C. Pulmonary contusion
D. Fractured rib -- ANSWER--Correct Answer: A. Tension pneumothorax
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The nurse should identify these manifestations as an indication the infant is developing a
tension pneumothorax. The infant might also become cyanotic and show asymmetry of the
thorax.
Incorrect Answers:
B. Manifestations of flail chest include a pulling of the traumatized rib area inward
during inspiration and outward during expiration.
C. Manifestations of pulmonary contusion include decreased breath sounds, tachycardia,
tachypnea, and blood-tinged secretions.
D. Manifestations of a rib fracture include pain and ecchymosis in the area of trauma,
swelling, and muscle spasms.
TSH Range: -- ANSWER--(0.5-5.0 µU/mL
A nurse is teaching a school-age child who is to undergo a bone marrow aspiration. Which of
the following statements should the nurse make?
A. "I will give you an antibiotic before your procedure."
B. "I will place you on your side during the procedure."
C. "You might have a headache following the procedure."
D. "I will place a pressure dressing over the area following the procedure." -- ANSWER-
Correct Answer: D. "I will place a pressure dressing over the area following the
procedure."
Applying a pressure dressing over the area following the procedure helps prevent bleeding
from the site.
Incorrect Answers:
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A. The child should not receive an antibiotic prior to a bone marrow biopsy because the
use of an antibiotic might skew the test results.
B. The child should be in the prone position because the provider will obtain the
specimen from the iliac crest.
C. Bone marrow aspiration will not affect the brain or its fluids. Lumbar punctures are
likely to cause headaches
A nurse is providing teaching to a parent of a preschooler who has impetigo. Which of the
following statements by the parent indicates an understanding of the teaching?
A. "Impetigo is caused by a virus."
B. "Impetigo is contagious for 48 hours after vesicles rupture."
C. "I will wash my child's clothes in hot water."
D. "My child now has immunity against impetigo." -- ANSWER--Correct Answer: C. "I will
wash my child's clothes in hot water."
The parent should wash the child's clothes in hot water to kill bacteria. The parent should also
keep the child's towels and washcloths separate from those of other members of the
household.
Incorrect Answers:
A. Impetigo is a bacterial infection of the skin caused by staphylococci or streptococci
bacteria.
B. Impetigo is spread via direct contact and is contagious from the time of initial
appearance of lesions UNTIL ALL LESIONS have healed.
D. Impetigo does not cause the formation of antibodies that prevent reinfection. Therefore,
the child can get impetigo again in the future.
