ATI PEDS Proctored Exam 2023/2024
Questions and Correct Answers – Graded A+
1. A nurse is completing an admission assessment on an adolescent child who
is a vegetarian. Which of the following items should the nurse suggest the
client order for lunch to prevent iron deficiency?
• Peanut butter and jelly sandwich
2. A nurse is caring for a 1-month-old infant who weighs 3,540 g and is
prescribed cefazolin 25 mg/kg/day divided every 12 hours. How many mg
should the nurse administer per dose?
• 44 mg (3.54 kg x 25 = 88.5 mg/day ÷ 2 = 44.25 mg → 44 mg)
3. A nurse is performing a pre-college assessment on an adolescent. Which of
the following vaccines should the nurse administer?
• Meningococcal polysaccharide vaccine (MenACWY)
4. A nurse is assessing a child who has left-sided heart failure. Which of the
following findings should the nurse expect?
• Nocturia
5. A nurse is caring for a client who has active tuberculosis (TB) and is to be
started on IV rifampin therapy. This medication can cause which of the
following adverse effects?
• Body secretions turning a red-orange color
6. A nurse is caring for a 5-week-old infant who has pyloric stenosis. Which of
the following medications should the nurse avoid administering?
• Propranolol
7. A nurse receives a call from a parent of a child who has von Willebrand
disease and reports a nosebleed. Which of the following instructions should
the nurse give to the parent?
, • Have your child sit with her head tilted forward and hold pressure on
her nose for 10 minutes
8. A nurse is assessing a child who is in sickle cell crisis. Which of the
following findings should the nurse expect?
• Pain
9. A nurse is providing preoperative teaching by demonstrating
diaphragmatic breathing to a patient who is having surgery. Which of the
following actions should the nurse include in the demonstration?
• Place her hands on the sides of her rib cage
10. A nurse is assessing a 6-month-old infant during a well-child visit. Which
of the following findings should the nurse report to the provider?
• Inability to sit without support
11. A nurse is providing discharge teaching to the parents of a child who has
cystic fibrosis. Which of the following instructions should the nurse include?
• Administer pancreatic enzymes with meals and snacks
12. A nurse is assessing a toddler who has Kawasaki disease. Which of the
following findings should the nurse expect?
• Strawberry tongue
13. A nurse is caring for a child who has a new diagnosis of type 1 diabetes
mellitus. Which of the following findings is a manifestation of diabetic
ketoacidosis (DKA)?
• Deep, rapid respirations
14. A nurse is planning care for a child who has nephrotic syndrome. Which
of the following interventions should the nurse include?
• Monitor daily weight and urine output
15. A nurse is assessing a newborn who was born at 32 weeks of gestation.
Which of the following findings should the nurse expect?
• Lanugo over the back and shoulders
, 16. A nurse is providing teaching to an adolescent about testicular self-
examination. Which of the following statements by the adolescent indicates
understanding?
• "I will perform the exam after a warm shower"
17. A nurse is caring for a child who has a fracture and is in Buck's traction.
Which of the following actions should the nurse take?
• Ensure the weights are hanging freely
18. A nurse is assessing a 2-year-old child who has suspected autism spectrum
disorder. Which of the following findings should the nurse expect?
• Lack of eye contact and repetitive movements
19. A nurse is preparing to administer immunizations to a 4-year-old child.
Which of the following vaccines should the nurse administer?
• MMR, DTaP, IPV, and Varicella
20. A nurse is caring for a child who has acute glomerulonephritis. Which of
the following findings should the nurse expect?
• Periorbital edema and tea-colored urine
21. A nurse is assessing a child who has leukemia and is receiving
chemotherapy. Which of the following findings is the priority to report to the
provider?
• Fever of 38.5°C (101.3°F)
22. A nurse is providing discharge teaching to the parents of a child who has a
new prescription for an epinephrine auto-injector for a peanut allergy. Which
of the following instructions should the nurse include?
• Inject the medication into the outer thigh and hold for 3 seconds
23. A nurse is caring for a child who has intussusception. Which of the
following findings should the nurse expect?
• Currant jelly stools
Questions and Correct Answers – Graded A+
1. A nurse is completing an admission assessment on an adolescent child who
is a vegetarian. Which of the following items should the nurse suggest the
client order for lunch to prevent iron deficiency?
• Peanut butter and jelly sandwich
2. A nurse is caring for a 1-month-old infant who weighs 3,540 g and is
prescribed cefazolin 25 mg/kg/day divided every 12 hours. How many mg
should the nurse administer per dose?
• 44 mg (3.54 kg x 25 = 88.5 mg/day ÷ 2 = 44.25 mg → 44 mg)
3. A nurse is performing a pre-college assessment on an adolescent. Which of
the following vaccines should the nurse administer?
• Meningococcal polysaccharide vaccine (MenACWY)
4. A nurse is assessing a child who has left-sided heart failure. Which of the
following findings should the nurse expect?
• Nocturia
5. A nurse is caring for a client who has active tuberculosis (TB) and is to be
started on IV rifampin therapy. This medication can cause which of the
following adverse effects?
• Body secretions turning a red-orange color
6. A nurse is caring for a 5-week-old infant who has pyloric stenosis. Which of
the following medications should the nurse avoid administering?
• Propranolol
7. A nurse receives a call from a parent of a child who has von Willebrand
disease and reports a nosebleed. Which of the following instructions should
the nurse give to the parent?
, • Have your child sit with her head tilted forward and hold pressure on
her nose for 10 minutes
8. A nurse is assessing a child who is in sickle cell crisis. Which of the
following findings should the nurse expect?
• Pain
9. A nurse is providing preoperative teaching by demonstrating
diaphragmatic breathing to a patient who is having surgery. Which of the
following actions should the nurse include in the demonstration?
• Place her hands on the sides of her rib cage
10. A nurse is assessing a 6-month-old infant during a well-child visit. Which
of the following findings should the nurse report to the provider?
• Inability to sit without support
11. A nurse is providing discharge teaching to the parents of a child who has
cystic fibrosis. Which of the following instructions should the nurse include?
• Administer pancreatic enzymes with meals and snacks
12. A nurse is assessing a toddler who has Kawasaki disease. Which of the
following findings should the nurse expect?
• Strawberry tongue
13. A nurse is caring for a child who has a new diagnosis of type 1 diabetes
mellitus. Which of the following findings is a manifestation of diabetic
ketoacidosis (DKA)?
• Deep, rapid respirations
14. A nurse is planning care for a child who has nephrotic syndrome. Which
of the following interventions should the nurse include?
• Monitor daily weight and urine output
15. A nurse is assessing a newborn who was born at 32 weeks of gestation.
Which of the following findings should the nurse expect?
• Lanugo over the back and shoulders
, 16. A nurse is providing teaching to an adolescent about testicular self-
examination. Which of the following statements by the adolescent indicates
understanding?
• "I will perform the exam after a warm shower"
17. A nurse is caring for a child who has a fracture and is in Buck's traction.
Which of the following actions should the nurse take?
• Ensure the weights are hanging freely
18. A nurse is assessing a 2-year-old child who has suspected autism spectrum
disorder. Which of the following findings should the nurse expect?
• Lack of eye contact and repetitive movements
19. A nurse is preparing to administer immunizations to a 4-year-old child.
Which of the following vaccines should the nurse administer?
• MMR, DTaP, IPV, and Varicella
20. A nurse is caring for a child who has acute glomerulonephritis. Which of
the following findings should the nurse expect?
• Periorbital edema and tea-colored urine
21. A nurse is assessing a child who has leukemia and is receiving
chemotherapy. Which of the following findings is the priority to report to the
provider?
• Fever of 38.5°C (101.3°F)
22. A nurse is providing discharge teaching to the parents of a child who has a
new prescription for an epinephrine auto-injector for a peanut allergy. Which
of the following instructions should the nurse include?
• Inject the medication into the outer thigh and hold for 3 seconds
23. A nurse is caring for a child who has intussusception. Which of the
following findings should the nurse expect?
• Currant jelly stools
