ATI RN PEDIATRICS CMS PROCTORED 2024/2025 EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES.
Questions Answers
A nurse is a providers office is preparing to administer
vaccinations to a toddler during a well-child visit. Which of the
A. Withhold the measles, mumps, and rubella (MMR) vac-
actions should the nurse plan to take? (kid has increased RR
cine.
& HR; allergy to Neomycin)
Rationale: The nurse should recognize that an allergy to
A. Withhold the measles, mumps, and rubella (MMR)
neomycin with an anaphylactic reaction is a contraindica- tion for
vaccine.
receiving the MMR vaccine. Clients who have a severe allergy
B. Withhold the diphtheria, tetanus, and pertussis (DTaP)
to eggs or gelatin should not receive this vaccine.
vaccine.
C. Withhold the influenza vaccine.
D. Withhold the tuberculin skin test (TST).
A nurse is providing teaching to the parent of a school-
aged child who has a new prescription for oral
nystatin for the treatment of oral candidacies. Which of the A. "Shake the medication prior to administration."
following instructions should the nurse include? Rationale: The nurse should instruct the parent to shake the
A. "Shake the medication prior to administration." medication prior to administration to disperse the medication
B. "Provide the medication through a straw." evenly within the suspension.
C. "Rinse the child's mouth with water immediately after giving
the medication."
D. "Mix the medication with applesauce if the child dislikes the
taste."
A nurse is reviewing the lumbar puncture results of a
school-aged child who has suspected bacterial menin- gitis. C. Increased protein concentration
Which of the following findings should the nurse identify as Rationale: The nurse should identify that an increased protein
an indication of bacterial meningitis? concentration in the spinal fluid is a finding that can indicate
A. Decreased cerebrospinal fluid pressure bacterial meningitis.
B. Decreased WBC count
C. Increased protein concentration
D. Increased glucose level
A nurse is caring for a preschooler whose father is going home
home for a few hours while another relative stays
, ATI RN PEDIATRICS CMS PROCTORED 2024/2025 EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES.
Questions Answers
with the child. Which of the following statements should the
nurse make to explain to the child when their father will B. "Your daddy will be back after you eat."
return? Rationale: Preschoolers make sense of time best when they can
A. "Your daddy will be back at 7 p.m." associate it with an expected daily routine, such as meals and
B. "Your daddy will be back after you eat." bedtime. Therefore, the child comprehends time best when it is
C. "Your daddy will be back in the morning." explained to them in relation to an event they are familiar with,
D."Your daddy will be back after he takes care of your such as eating.
brother."
A nurse is reviewing the laboratory report of a school-aged child
who is experiencing fatigue. Which of the following findings A. Hematocrit 28%
should the nurse recognize as an indication of anemia? Rationale: The nurse should recognize that this hematocrit level is
A. Hematocrit 28% below the expected reference range of 32% to 44% for a
B. Hemoglobin 13.5 g/dL school-age child. The child can exhibit fatigue, lightheadedness,
C. WBC count 8,000/mm3 tachycardia, dyspnea, and pallor due to the decreased oxygen-
D. Platelets 250,000/mm3 carrying capacity.
A nurse is reviewing the laboratory results of an infant who is
receiving treatment for severe dehydration. The nurse should
B. Sodium 140 mEq/L
identify which of the following lab values indicates that the
Rationale: The nurse should identify that a sodium level of 140
treatment is working?
mEq/L is within the expected reference range of 134 to 150
A. Potassium 2.9 mEq/L
mEq/L and indicates the current treatment regimen the infant is
B. Sodium 140 mEq/L
receiving for dehydration is effective.
C. Urine specific gravity 1.035
D. BUN 25 mg/dL
A. Hgb 8.5 g/dL
A nurse is reviewing the laboratory report of a 7-year-old child
Rationale: A child receiving chemotherapy is at risk for
who is going through chemotherapy. which of
anemia due to the chemotherapy effects on the
the following lab values should the nurse report to the
blood-forming cells of the bone marrow. The development of
provider?
anemia is diagnosed through laboratory testing of hemoglobin
A. Hgb 8.5 g/dL
and hematocrit levels. The nurse should recognize that a
B. WBC count 9,500/mm3
hemoglobin level of 8.5 g/dL is below
, ATI RN PEDIATRICS CMS PROCTORED 2024/2025 EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES.
Questions Answers
C. Prealbumin 18 mg/dL the expected reference range of 10 to 15.5 g/dL for a
D. Platelets 300,000/mm3 7-year-old child and should be reported to the provider.
A nurse is teaching the parents of an infant ways to pre- vent
sudden infant death syndrome (SIDS). Which of the following
D. "Give the infant a pacifier at bedtime."
instructions should the nurse include?
Rationale: The nurse should inform the parent that protective
A. "Place the infant in a prone position to sleep."
factors against SIDS include breastfeeding and the use of a
B. "Allow the infant to sleep on a large pillow."
pacifier when the infant is sleeping.
C. "Use a soft mattress in the infant's crib."
D. "Give the infant a pacifier at bedtime."
A nurse is caring for a preschooler who has been receiving IV
fluids via a peripheral IV catheter. When preparing to
discontinue the IV fluids and catheter, which of the follow- ing First, the nurse should turn ott the IV pump. Next, the
actions should the nurse plan to take? (place in order) Remove nurse should occlude the IV tubing, and then remove the
the tape securing the catheter tape securing the catheter. Last, the nurse should apply
Turn ott the IV pump Occlude pressure over the catheter insertion site.
the IV tubing
Apply pressure over the catheter insertion site
A school nurse is assessing an adolescent who has mul- tiple
burns in various stages of healing. Which of the following
behaviors should the nurse identify as possible indication of
C. Denies discomfort during assessment of injuries
physical abuse?
Rationale: The nurse should suspect child maltreatment in the form
A. Expresses a reluctance to leave home
of physical abuse if the adolescent has a blunted response to
B. Provides a detailed description of how the burns oc-
painful stimuli or injury.
curred
C. Denies discomfort during assessment of injuries
D. Describes strong relationships with peers
A nurse is teaching the parent of an infant who has the Palvik
Harness for the treatment of developmental dys- plasia of the
hip. The nurse should identify that which of the following
statements made by the parents indicates
CORRECT ANSWERS WITH RATIONALES.
Questions Answers
A nurse is a providers office is preparing to administer
vaccinations to a toddler during a well-child visit. Which of the
A. Withhold the measles, mumps, and rubella (MMR) vac-
actions should the nurse plan to take? (kid has increased RR
cine.
& HR; allergy to Neomycin)
Rationale: The nurse should recognize that an allergy to
A. Withhold the measles, mumps, and rubella (MMR)
neomycin with an anaphylactic reaction is a contraindica- tion for
vaccine.
receiving the MMR vaccine. Clients who have a severe allergy
B. Withhold the diphtheria, tetanus, and pertussis (DTaP)
to eggs or gelatin should not receive this vaccine.
vaccine.
C. Withhold the influenza vaccine.
D. Withhold the tuberculin skin test (TST).
A nurse is providing teaching to the parent of a school-
aged child who has a new prescription for oral
nystatin for the treatment of oral candidacies. Which of the A. "Shake the medication prior to administration."
following instructions should the nurse include? Rationale: The nurse should instruct the parent to shake the
A. "Shake the medication prior to administration." medication prior to administration to disperse the medication
B. "Provide the medication through a straw." evenly within the suspension.
C. "Rinse the child's mouth with water immediately after giving
the medication."
D. "Mix the medication with applesauce if the child dislikes the
taste."
A nurse is reviewing the lumbar puncture results of a
school-aged child who has suspected bacterial menin- gitis. C. Increased protein concentration
Which of the following findings should the nurse identify as Rationale: The nurse should identify that an increased protein
an indication of bacterial meningitis? concentration in the spinal fluid is a finding that can indicate
A. Decreased cerebrospinal fluid pressure bacterial meningitis.
B. Decreased WBC count
C. Increased protein concentration
D. Increased glucose level
A nurse is caring for a preschooler whose father is going home
home for a few hours while another relative stays
, ATI RN PEDIATRICS CMS PROCTORED 2024/2025 EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES.
Questions Answers
with the child. Which of the following statements should the
nurse make to explain to the child when their father will B. "Your daddy will be back after you eat."
return? Rationale: Preschoolers make sense of time best when they can
A. "Your daddy will be back at 7 p.m." associate it with an expected daily routine, such as meals and
B. "Your daddy will be back after you eat." bedtime. Therefore, the child comprehends time best when it is
C. "Your daddy will be back in the morning." explained to them in relation to an event they are familiar with,
D."Your daddy will be back after he takes care of your such as eating.
brother."
A nurse is reviewing the laboratory report of a school-aged child
who is experiencing fatigue. Which of the following findings A. Hematocrit 28%
should the nurse recognize as an indication of anemia? Rationale: The nurse should recognize that this hematocrit level is
A. Hematocrit 28% below the expected reference range of 32% to 44% for a
B. Hemoglobin 13.5 g/dL school-age child. The child can exhibit fatigue, lightheadedness,
C. WBC count 8,000/mm3 tachycardia, dyspnea, and pallor due to the decreased oxygen-
D. Platelets 250,000/mm3 carrying capacity.
A nurse is reviewing the laboratory results of an infant who is
receiving treatment for severe dehydration. The nurse should
B. Sodium 140 mEq/L
identify which of the following lab values indicates that the
Rationale: The nurse should identify that a sodium level of 140
treatment is working?
mEq/L is within the expected reference range of 134 to 150
A. Potassium 2.9 mEq/L
mEq/L and indicates the current treatment regimen the infant is
B. Sodium 140 mEq/L
receiving for dehydration is effective.
C. Urine specific gravity 1.035
D. BUN 25 mg/dL
A. Hgb 8.5 g/dL
A nurse is reviewing the laboratory report of a 7-year-old child
Rationale: A child receiving chemotherapy is at risk for
who is going through chemotherapy. which of
anemia due to the chemotherapy effects on the
the following lab values should the nurse report to the
blood-forming cells of the bone marrow. The development of
provider?
anemia is diagnosed through laboratory testing of hemoglobin
A. Hgb 8.5 g/dL
and hematocrit levels. The nurse should recognize that a
B. WBC count 9,500/mm3
hemoglobin level of 8.5 g/dL is below
, ATI RN PEDIATRICS CMS PROCTORED 2024/2025 EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES.
Questions Answers
C. Prealbumin 18 mg/dL the expected reference range of 10 to 15.5 g/dL for a
D. Platelets 300,000/mm3 7-year-old child and should be reported to the provider.
A nurse is teaching the parents of an infant ways to pre- vent
sudden infant death syndrome (SIDS). Which of the following
D. "Give the infant a pacifier at bedtime."
instructions should the nurse include?
Rationale: The nurse should inform the parent that protective
A. "Place the infant in a prone position to sleep."
factors against SIDS include breastfeeding and the use of a
B. "Allow the infant to sleep on a large pillow."
pacifier when the infant is sleeping.
C. "Use a soft mattress in the infant's crib."
D. "Give the infant a pacifier at bedtime."
A nurse is caring for a preschooler who has been receiving IV
fluids via a peripheral IV catheter. When preparing to
discontinue the IV fluids and catheter, which of the follow- ing First, the nurse should turn ott the IV pump. Next, the
actions should the nurse plan to take? (place in order) Remove nurse should occlude the IV tubing, and then remove the
the tape securing the catheter tape securing the catheter. Last, the nurse should apply
Turn ott the IV pump Occlude pressure over the catheter insertion site.
the IV tubing
Apply pressure over the catheter insertion site
A school nurse is assessing an adolescent who has mul- tiple
burns in various stages of healing. Which of the following
behaviors should the nurse identify as possible indication of
C. Denies discomfort during assessment of injuries
physical abuse?
Rationale: The nurse should suspect child maltreatment in the form
A. Expresses a reluctance to leave home
of physical abuse if the adolescent has a blunted response to
B. Provides a detailed description of how the burns oc-
painful stimuli or injury.
curred
C. Denies discomfort during assessment of injuries
D. Describes strong relationships with peers
A nurse is teaching the parent of an infant who has the Palvik
Harness for the treatment of developmental dys- plasia of the
hip. The nurse should identify that which of the following
statements made by the parents indicates
