ATI PEDS PROCTORED FORM A,B & C /PEDS ATI
PROCTORED EXAM PREPARATION FORM A,B,C/ATI PEDS
PROCTORED PRACTICE EXAM EACH FORM CONTAINS 70
QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+
Question 1
A nurse is assessing a 4-year-old child during a well-child visit. Which of the
following developmental milestones should the nurse expect to observe?
A) Rides a two-wheel bicycle.
B) Ties shoelaces.
C) Rides a tricycle.
D) Copies a diamond shape.
E) Prints entire alphabet.
Correct Answer: C) Rides a tricycle.
Rationale: Most 4-year-olds can ride a tricycle, hop on one foot, and
throw a ball overhead. Riding a two-wheel bike, tying shoelaces,
and copying a diamond are typically developed by 5-6 years.
Question 2
A 10-year-old child is admitted with a diagnosis of acute asthma
exacerbation. Which of the following findings would indicate impending
respiratory failure?
A) Wheezing present on inspiration and expiration.
B) Productive cough with clear sputum.
C) Diminished or absent breath sounds.
D) Peak expiratory flow rate (PEFR) 80% of personal best.
E) Mild dyspnea with exertion.
Correct Answer: C) Diminished or absent breath sounds.
Rationale: In a child with asthma, diminished or absent breath
sounds (a "silent chest") indicate severely constricted airways and
very little air movement, signifying impending respiratory failure.
Wheezing is common but diminished sounds are more ominous.
Question 3
A nurse is caring for an infant with a ventriculoperitoneal (VP) shunt. Which
finding is a priority concern and indicates a potential shunt malfunction?
A) Soft, non-bulging fontanel.
B) Head circumference remaining stable.
C) High-pitched cry and irritability.
D) Episodes of spitting up after feeding.
E) Positive Babinski reflex.
Correct Answer: C) High-pitched cry and irritability.
,Rationale: A high-pitched cry and increased irritability are signs of
increased intracranial pressure (ICP) in an infant, which can indicate
shunt malfunction. Other signs of increased ICP include bulging
fontanel, increasing head circumference, vomiting, and lethargy.
Question 4
A school-age child with Type 1 Diabetes Mellitus (T1DM) reports feeling shaky
and lightheaded. The child's blood glucose is 65 mg/dL. What is the
nurse's initial action?
A) Administer regular insulin.
B) Provide 15g of a simple carbohydrate.
C) Give a complex carbohydrate with protein.
D) Encourage the child to rest.
E) Prepare to administer glucagon.
Correct Answer: B) Provide 15g of a simple carbohydrate.
Rationale: For mild to moderate hypoglycemia (blood glucose <70
mg/dL) in a conscious child, the initial action is to administer 15
grams of a simple carbohydrate (e.g., 4 oz juice, glucose tablets) to
rapidly raise blood glucose.
Question 5
A nurse is teaching parents of a toddler about poison prevention. Which
statement by the parents indicates an understanding of the teaching?
A) "We keep all cleaning supplies under the kitchen sink in child-proof
containers."
B) "We store medications in a locked cabinet out of our child's
reach."
C) "Our child knows not to touch brightly colored pills."
D) "We use child-resistant caps, so we don't worry about where we store
medicines."
E) "It's safe to leave cosmetics on the counter since they aren't harmful."
Correct Answer: B) "We store medications in a locked cabinet out of
our child's reach."
Rationale: Medications, even with child-resistant caps, should
always be stored in a locked cabinet and out of a child's reach.
Child-resistant containers are not child-proof. Cleaning supplies
should also be locked up. Cosmetics can be harmful.
Question 6
A nurse is assessing a 3-year-old child in the emergency department who
presents with a "barking" cough, inspiratory stridor, and respiratory distress.
,The child's temperature is 100.8°F (38.2°C). The nurse suspects croup
(laryngotracheobronchitis). Which intervention should the nurse anticipate as
a priority?
A) Administer intravenous antibiotics.
B) Prepare for endotracheal intubation.
C) Administer a nebulized corticosteroid.
D) Initiate contact precautions.
E) Obtain a throat culture.
Correct Answer: C) Administer a nebulized corticosteroid.
Rationale: Croup is typically viral, and the primary treatment for
moderate to severe symptoms includes nebulized corticosteroids
(e.g., budesonide) and racemic epinephrine to reduce airway
inflammation and edema. Antibiotics are not indicated unless a
bacterial co-infection is present.
Question 7
A nurse is providing discharge teaching to the parents of an infant following
surgical repair of a cleft lip. Which instruction should the nurse include in the
teaching plan?
A) Encourage the infant to suck vigorously on a pacifier to promote healing.
B) Place the infant in a prone position for sleep to prevent aspiration.
C) Clean the suture line gently with a sterile cotton swab and
prescribed solution.
D) Feed the infant with a spoon to avoid pressure on the incision.
E) Allow the infant to cry for short periods to strengthen lung capacity.
Correct Answer: C) Clean the suture line gently with a sterile cotton
swab and prescribed solution.
Rationale: Post-operative care for cleft lip repair includes gentle
cleaning of the suture line as prescribed to prevent infection and
promote healing. Avoiding vigorous sucking (pacifier or bottle
nipple) is crucial to protect the incision. The infant should be
positioned supine or on their side. Crying should be minimized.
Question 8
A nurse is preparing to administer an intramuscular (IM) injection to a 9-
month-old infant. Which site is the most appropriate for this injection?
A) Deltoid
B) Dorsogluteal
C) Ventrogluteal
D) Vastus lateralis
E) Rectus femoris
, Correct Answer: D) Vastus lateralis
Rationale: The vastus lateralis muscle in the thigh is the preferred
and safest site for IM injections in infants and toddlers due to its
large muscle mass and distance from major nerves and blood
vessels.
Question 9
A child is admitted with Kawasaki disease. The nurse understands that a
priority in the management of this condition is to monitor for which potential
complication?
A) Renal failure
B) Respiratory distress
C) Coronary artery aneurysms
D) Seizures
E) Gastrointestinal bleeding
Correct Answer: C) Coronary artery aneurysms
Rationale: Kawasaki disease is a systemic vasculitis that primarily
affects young children and is a leading cause of acquired heart
disease. The most serious complication, and a priority concern, is
the development of coronary artery aneurysms.
Question 10
A nurse is teaching the parents of a child newly diagnosed with celiac
disease. Which food should the nurse instruct the parents to avoid giving
their child?
A) Rice
B) Corn
C) Wheat bread
D) Potatoes
E) Fresh fruits
Correct Answer: C) Wheat bread
Rationale: Celiac disease is an autoimmune disorder triggered by
the ingestion of gluten, a protein found in wheat, barley, and rye.
Wheat bread contains gluten, so it must be avoided.
Question 11
A nurse is caring for an 8-year-old child admitted with acute
glomerulonephritis. Which finding should the nurse expect to observe?
A) Polyuria
B) Hypotension
C) Frothy urine
PROCTORED EXAM PREPARATION FORM A,B,C/ATI PEDS
PROCTORED PRACTICE EXAM EACH FORM CONTAINS 70
QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+
Question 1
A nurse is assessing a 4-year-old child during a well-child visit. Which of the
following developmental milestones should the nurse expect to observe?
A) Rides a two-wheel bicycle.
B) Ties shoelaces.
C) Rides a tricycle.
D) Copies a diamond shape.
E) Prints entire alphabet.
Correct Answer: C) Rides a tricycle.
Rationale: Most 4-year-olds can ride a tricycle, hop on one foot, and
throw a ball overhead. Riding a two-wheel bike, tying shoelaces,
and copying a diamond are typically developed by 5-6 years.
Question 2
A 10-year-old child is admitted with a diagnosis of acute asthma
exacerbation. Which of the following findings would indicate impending
respiratory failure?
A) Wheezing present on inspiration and expiration.
B) Productive cough with clear sputum.
C) Diminished or absent breath sounds.
D) Peak expiratory flow rate (PEFR) 80% of personal best.
E) Mild dyspnea with exertion.
Correct Answer: C) Diminished or absent breath sounds.
Rationale: In a child with asthma, diminished or absent breath
sounds (a "silent chest") indicate severely constricted airways and
very little air movement, signifying impending respiratory failure.
Wheezing is common but diminished sounds are more ominous.
Question 3
A nurse is caring for an infant with a ventriculoperitoneal (VP) shunt. Which
finding is a priority concern and indicates a potential shunt malfunction?
A) Soft, non-bulging fontanel.
B) Head circumference remaining stable.
C) High-pitched cry and irritability.
D) Episodes of spitting up after feeding.
E) Positive Babinski reflex.
Correct Answer: C) High-pitched cry and irritability.
,Rationale: A high-pitched cry and increased irritability are signs of
increased intracranial pressure (ICP) in an infant, which can indicate
shunt malfunction. Other signs of increased ICP include bulging
fontanel, increasing head circumference, vomiting, and lethargy.
Question 4
A school-age child with Type 1 Diabetes Mellitus (T1DM) reports feeling shaky
and lightheaded. The child's blood glucose is 65 mg/dL. What is the
nurse's initial action?
A) Administer regular insulin.
B) Provide 15g of a simple carbohydrate.
C) Give a complex carbohydrate with protein.
D) Encourage the child to rest.
E) Prepare to administer glucagon.
Correct Answer: B) Provide 15g of a simple carbohydrate.
Rationale: For mild to moderate hypoglycemia (blood glucose <70
mg/dL) in a conscious child, the initial action is to administer 15
grams of a simple carbohydrate (e.g., 4 oz juice, glucose tablets) to
rapidly raise blood glucose.
Question 5
A nurse is teaching parents of a toddler about poison prevention. Which
statement by the parents indicates an understanding of the teaching?
A) "We keep all cleaning supplies under the kitchen sink in child-proof
containers."
B) "We store medications in a locked cabinet out of our child's
reach."
C) "Our child knows not to touch brightly colored pills."
D) "We use child-resistant caps, so we don't worry about where we store
medicines."
E) "It's safe to leave cosmetics on the counter since they aren't harmful."
Correct Answer: B) "We store medications in a locked cabinet out of
our child's reach."
Rationale: Medications, even with child-resistant caps, should
always be stored in a locked cabinet and out of a child's reach.
Child-resistant containers are not child-proof. Cleaning supplies
should also be locked up. Cosmetics can be harmful.
Question 6
A nurse is assessing a 3-year-old child in the emergency department who
presents with a "barking" cough, inspiratory stridor, and respiratory distress.
,The child's temperature is 100.8°F (38.2°C). The nurse suspects croup
(laryngotracheobronchitis). Which intervention should the nurse anticipate as
a priority?
A) Administer intravenous antibiotics.
B) Prepare for endotracheal intubation.
C) Administer a nebulized corticosteroid.
D) Initiate contact precautions.
E) Obtain a throat culture.
Correct Answer: C) Administer a nebulized corticosteroid.
Rationale: Croup is typically viral, and the primary treatment for
moderate to severe symptoms includes nebulized corticosteroids
(e.g., budesonide) and racemic epinephrine to reduce airway
inflammation and edema. Antibiotics are not indicated unless a
bacterial co-infection is present.
Question 7
A nurse is providing discharge teaching to the parents of an infant following
surgical repair of a cleft lip. Which instruction should the nurse include in the
teaching plan?
A) Encourage the infant to suck vigorously on a pacifier to promote healing.
B) Place the infant in a prone position for sleep to prevent aspiration.
C) Clean the suture line gently with a sterile cotton swab and
prescribed solution.
D) Feed the infant with a spoon to avoid pressure on the incision.
E) Allow the infant to cry for short periods to strengthen lung capacity.
Correct Answer: C) Clean the suture line gently with a sterile cotton
swab and prescribed solution.
Rationale: Post-operative care for cleft lip repair includes gentle
cleaning of the suture line as prescribed to prevent infection and
promote healing. Avoiding vigorous sucking (pacifier or bottle
nipple) is crucial to protect the incision. The infant should be
positioned supine or on their side. Crying should be minimized.
Question 8
A nurse is preparing to administer an intramuscular (IM) injection to a 9-
month-old infant. Which site is the most appropriate for this injection?
A) Deltoid
B) Dorsogluteal
C) Ventrogluteal
D) Vastus lateralis
E) Rectus femoris
, Correct Answer: D) Vastus lateralis
Rationale: The vastus lateralis muscle in the thigh is the preferred
and safest site for IM injections in infants and toddlers due to its
large muscle mass and distance from major nerves and blood
vessels.
Question 9
A child is admitted with Kawasaki disease. The nurse understands that a
priority in the management of this condition is to monitor for which potential
complication?
A) Renal failure
B) Respiratory distress
C) Coronary artery aneurysms
D) Seizures
E) Gastrointestinal bleeding
Correct Answer: C) Coronary artery aneurysms
Rationale: Kawasaki disease is a systemic vasculitis that primarily
affects young children and is a leading cause of acquired heart
disease. The most serious complication, and a priority concern, is
the development of coronary artery aneurysms.
Question 10
A nurse is teaching the parents of a child newly diagnosed with celiac
disease. Which food should the nurse instruct the parents to avoid giving
their child?
A) Rice
B) Corn
C) Wheat bread
D) Potatoes
E) Fresh fruits
Correct Answer: C) Wheat bread
Rationale: Celiac disease is an autoimmune disorder triggered by
the ingestion of gluten, a protein found in wheat, barley, and rye.
Wheat bread contains gluten, so it must be avoided.
Question 11
A nurse is caring for an 8-year-old child admitted with acute
glomerulonephritis. Which finding should the nurse expect to observe?
A) Polyuria
B) Hypotension
C) Frothy urine
