ATI RN PEDIATRICS PROCTORED CMS 2025/2026 EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES.
Questions Answers
Ensure the oxygen source is functioning in the child's
room.
A nurse is planning care for a newly admitted school-age child
The nurse should recognize that maintaining the child's airway
who has generalized seizure disorder. Which of the following
is important during a seizure. The nurse should ensure that the
interventions should the nurse plan to include?
oxygen source is functioning because the child might require
supplemental oxygen following a seizure.
"You should offer your child high-protein meals and
snacks throughout the day."
A nurse is providing dietary teaching to the guardian of a
school-age child who has cystic fibrosis. Which of the The nurse should instruct the guardian to provide a diet that is
following statements should the nurse make? well-balanced and high in protein and calories. Children who
have cystic fibrosis require a higher percentage of the
recommended dietary allowances of all nutrients to meet their
energy requirements. Children who have good nutritional intake
have improved lung function and decreased risk of infection.
A nurse is providing discharge teaching to the parents of a 6-
"Allow the stent to drain directly into your infant's diaper."
month-old infant who is postoperative following hypospadias
repair with a stent placement. Which of the following The nurse should instruct the parents to ensure that the stent
instructions should the nurse include in the teaching? drains directly into the infant's diaper to prevent kinking or
twisting that can interfere with urine flow.
A nurse is caring for a school-age child who has primary Decreased edema
nephrotic syndrome and is taking prednisone. Following 1
week of treatment, which of the following manifestations indicates A child who has nephrotic syndrome can experience ede- ma
to the nurse that the medication is ettective? due to the increased glomerular permeability, which increases
protein loss. Prednisone decreases glomerular permeability,
which causes fluid to shift from the extracel- lular spaces,
resulting in decreased edema.
A nurse is receiving change-of-shift report for four chil-
dren. Which of the following children should the nurse
assess first?
,A toddler who has a concussion and an episode of forceful
vomiting
When using the urgent vs. nonurgent approach to client care,
the nurse should assess this child first. An episode of forceful
vomiting is an indication of increased intracranial pressure in a
toddler who has a concussion.
Restricted ability to move the toes
A nurse is providing discharge teaching to the guardians of a
The nurse should inform the guardians that a restricted ability
toddler who had a lower leg cast applied 24 hr ago. The nurse
of the toddler to move their toes is an indication of neurovascular
should instruct the guardians to report which of the following
compromise and requires immediate nonotification of the
findings to the provider?
provider. Permanent muscle and tissue damage can occur in
just a few hours.
Wheezes
The nurse should identify the sound during ausculta- tion as
wheezes, which are high-pitched, musical or whistling-like
sounds heard primarily on expiration as air passes through and
vibrates narrowed airways.
A nurse in an emergency department is auscultating the lungs Notes:
of an adolescent who is experiencing dyspnea. The nurse should The nurse should identify crackles as high-pitched, short, and
identify the sound as which of the following? (Click on the audio noncontinuous sounds usually heard at the end of in- inspiration.
button to listen to the clip.) Crackles occur when air expands deflated alveoli or when the
passage of air through small airways is dis- rupted.
The nurse should identify a pleural friction rub as a loud, rough,
grating sound that can be heard during inspiration or expiration.
A pleural friction rub occurs when the pleurae are inflamed and
the surfaces rub together.
, The nurse should identify rhonchi as low-pitched, continuous
sounds that have a snore-like quality and are usually louder
during expiration. Rhonchi occur when the larger airways are
obstructed.
Potassium chloride
A nurse is caring for a preschooler who has congestive heart The nurse should identify that a child who has congestive heart
failure. The nurse observes wide QRS complexes and peaked T failure can develop electrolyte imbalances, such as hyperkalemia
waves on the cardiac monitor. Which of the following or hypokalemia. The nurse should identify that the child is
prescriptions should the nurse clarify with the provider? exhibiting manifestations of hyper- kalemia and contact the
provider about the administration of potassium chloride, which
can increase the severity of hyperkalemia.
The child should be able to stand on the balls of their feet when
sitting on the bike.
A nurse is planning an educational program for
school-age children and their parents about bicycle safety. Which
To decrease the risk for injury, parents should ensure that the bike
of the following information should the nurse plan to include?
is the correct size for the child. When seated on the bike, the
child should be able to stand with the ball of each foot touching
the ground and should be able to stand with each foot flat on
the ground when straddling the bike's center bar.
A nurse is monitoring the oxygen saturation level of an infant
using pulse oximetry. The nurse should secure the sensor to Great toe
which of the following areas on the infant?
The nurse should secure the sensor to the great toe of the infant
and then place a snug-fitting sock on the foot to hold the sensor
in place. The nurse should also check the skin under the sensor
site frequently for temperature, color, and the presence of a pulse.
CORRECT ANSWERS WITH RATIONALES.
Questions Answers
Ensure the oxygen source is functioning in the child's
room.
A nurse is planning care for a newly admitted school-age child
The nurse should recognize that maintaining the child's airway
who has generalized seizure disorder. Which of the following
is important during a seizure. The nurse should ensure that the
interventions should the nurse plan to include?
oxygen source is functioning because the child might require
supplemental oxygen following a seizure.
"You should offer your child high-protein meals and
snacks throughout the day."
A nurse is providing dietary teaching to the guardian of a
school-age child who has cystic fibrosis. Which of the The nurse should instruct the guardian to provide a diet that is
following statements should the nurse make? well-balanced and high in protein and calories. Children who
have cystic fibrosis require a higher percentage of the
recommended dietary allowances of all nutrients to meet their
energy requirements. Children who have good nutritional intake
have improved lung function and decreased risk of infection.
A nurse is providing discharge teaching to the parents of a 6-
"Allow the stent to drain directly into your infant's diaper."
month-old infant who is postoperative following hypospadias
repair with a stent placement. Which of the following The nurse should instruct the parents to ensure that the stent
instructions should the nurse include in the teaching? drains directly into the infant's diaper to prevent kinking or
twisting that can interfere with urine flow.
A nurse is caring for a school-age child who has primary Decreased edema
nephrotic syndrome and is taking prednisone. Following 1
week of treatment, which of the following manifestations indicates A child who has nephrotic syndrome can experience ede- ma
to the nurse that the medication is ettective? due to the increased glomerular permeability, which increases
protein loss. Prednisone decreases glomerular permeability,
which causes fluid to shift from the extracel- lular spaces,
resulting in decreased edema.
A nurse is receiving change-of-shift report for four chil-
dren. Which of the following children should the nurse
assess first?
,A toddler who has a concussion and an episode of forceful
vomiting
When using the urgent vs. nonurgent approach to client care,
the nurse should assess this child first. An episode of forceful
vomiting is an indication of increased intracranial pressure in a
toddler who has a concussion.
Restricted ability to move the toes
A nurse is providing discharge teaching to the guardians of a
The nurse should inform the guardians that a restricted ability
toddler who had a lower leg cast applied 24 hr ago. The nurse
of the toddler to move their toes is an indication of neurovascular
should instruct the guardians to report which of the following
compromise and requires immediate nonotification of the
findings to the provider?
provider. Permanent muscle and tissue damage can occur in
just a few hours.
Wheezes
The nurse should identify the sound during ausculta- tion as
wheezes, which are high-pitched, musical or whistling-like
sounds heard primarily on expiration as air passes through and
vibrates narrowed airways.
A nurse in an emergency department is auscultating the lungs Notes:
of an adolescent who is experiencing dyspnea. The nurse should The nurse should identify crackles as high-pitched, short, and
identify the sound as which of the following? (Click on the audio noncontinuous sounds usually heard at the end of in- inspiration.
button to listen to the clip.) Crackles occur when air expands deflated alveoli or when the
passage of air through small airways is dis- rupted.
The nurse should identify a pleural friction rub as a loud, rough,
grating sound that can be heard during inspiration or expiration.
A pleural friction rub occurs when the pleurae are inflamed and
the surfaces rub together.
, The nurse should identify rhonchi as low-pitched, continuous
sounds that have a snore-like quality and are usually louder
during expiration. Rhonchi occur when the larger airways are
obstructed.
Potassium chloride
A nurse is caring for a preschooler who has congestive heart The nurse should identify that a child who has congestive heart
failure. The nurse observes wide QRS complexes and peaked T failure can develop electrolyte imbalances, such as hyperkalemia
waves on the cardiac monitor. Which of the following or hypokalemia. The nurse should identify that the child is
prescriptions should the nurse clarify with the provider? exhibiting manifestations of hyper- kalemia and contact the
provider about the administration of potassium chloride, which
can increase the severity of hyperkalemia.
The child should be able to stand on the balls of their feet when
sitting on the bike.
A nurse is planning an educational program for
school-age children and their parents about bicycle safety. Which
To decrease the risk for injury, parents should ensure that the bike
of the following information should the nurse plan to include?
is the correct size for the child. When seated on the bike, the
child should be able to stand with the ball of each foot touching
the ground and should be able to stand with each foot flat on
the ground when straddling the bike's center bar.
A nurse is monitoring the oxygen saturation level of an infant
using pulse oximetry. The nurse should secure the sensor to Great toe
which of the following areas on the infant?
The nurse should secure the sensor to the great toe of the infant
and then place a snug-fitting sock on the foot to hold the sensor
in place. The nurse should also check the skin under the sensor
site frequently for temperature, color, and the presence of a pulse.
