ATI PEDIATRIC PROCTORED EXAM:
Book & Assessments A & B 2024-2025.
Real Questions & Answers.
A guardian calls the clinic nurse after his child has developed symptoms of varicella and
asks when the child will no longer be contagious. Which of the following responses
should the nurse make?
A. "When your child no longer has a fever."
B. "Three days after the rash started."
C. "Six days after lesions appear if they are crusted."
D. "When your child's lesions disappear." - ans"Six days after lesions appear if they are
crusted."
A nurse caring for a child who is receiving oxygen therapy and is on a continuous
oxygen saturation monitor that is reading 89%. Which of the following actions should the
nurse take first?
A. Increase the oxygen flow rate
B. Encourage the child to take deep breaths
C. Ensure proper placement of the sensor probe
D. Place the child in the Fowler's position - ansEnsure proper placement of the sensor
probe
A nurse has just received change-of-shift report for four children in a pediatric unit.
Which of the following children should the nurse collect data from first?
A. A child who is 2 days postoperative following an appendectomy and reports incisional
pain
B. A child who has a new diagnosis of diabetes mellitus and HbA1c level of 7.5%
C. A child who has a fever and nuchal rigidity
D. A child who experienced a seizure 1 hr ago and is resting - ansA child who has a
fever and nuchal rigidity
A nurse in a clinic is collecting data from an adolescent who has received all
recommended immunizations through the age of 6 years. Which of the following
immunizations should the nurse plan to administer?
A. Haemophilus influenza type b (Hib)
B. Rotavirus (RV)
C. Polio (IPV)
D. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap) - ansTetanus, diphtheria
toxoids, and acellular pertussis (Tdap)
,A nurse in a community center is assisting with an in-service to a group of guardians on
management of airway obstructions in toddlers. Which of the following responses by
one of the caregivers indicates an understanding of the information? (select all that
apply)
a. "I will push on my child's abdomen."
b. "I will hyperextend my child's head to open the airway."
c. "I will use my finger to check my child's mouth for objects."
d. "I will use my finger to check my child's mouth for objects."
e. "I will place my child in my car and take them to the closest emergency facility." -
ans1. "I will push on my child's abdomen."
2. "I will place my child in my car and take them to the closest emergency facility."
A nurse in a community center is reinforcing teaching about poison control with a group
of parents. A parent asks what to do if a child ingests a large quantity of
acetaminophen. Identify the sequence of actions the nurse should recommend to the
parent.
A. identify the medication and dosage strength
B. Determine if the child is breathing
C. Empty the child's mouth of remaining pills and residue
D. Call a poison control center - ans1. Determine if the child is breathing
2. Empty the child's mouth of remaining pills and residue
3. identify the medication and dosage strength
4. Call a poison control center
A nurse in a community center is reinforcing teaching with a group of adolescents about
HIV/AIDS. Which of the following statements should the nurse include in the teaching?
A. "You can contract HIV through casual kissing."
B. "HIV is transmitted through IV substance use."
C. "HIV is now curable if caught in the early stages."
D. "Medications inhibit inhibit transmission of the HIV virus." - ans"HIV is transmitted
through IV substance use."
A nurse in a pediatric clinic is caring for an infant who has hear failure and a prescription
for digoxin. Which of the following statements by the parent indicates the desired
therapeutic effect of the medication?
A. "My baby is breathing easier than she use to."
B. "My baby is taking longer naps."
C. "My baby is having fewer wet diapers."
D. "My baby's heart rate is faster than it used to be." - ans"My baby is breathing easier
than she use to."
,A nurse in a pediatric clinic is collecting data from an infant who recently started taking
digoxin. Which of the following manifestations should the nurse identify as an indication
of digoxin toxicity and report to the provider?
A. irritability
B. diaphoresis
C. vomiting
D. tachycardia - ansvomiting
A nurse in a pediatric clinic is collecting data from an infant who was recently exposed
to pertussis. The nurse should recognize which of the following as a manifestation of
pertussis?
A. Dry cough
B. Abdominal pain
C. Muscle stiffness
D. Swollen eyelids - ansdry cough
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering
an IM antibiotic to a child 5 min ago. Which of the following manifestations should the
nurse expect to observe first?
A. wheezing
B. angioedema
C. hives
D. hypotension - anshives
A nurse in a pediatric is talking on the telephone with the parent of a 6 month who has a
urinary tract infection and started taking an oral antibiotic the day before. Listen to the
audio clip and determine which of the following responses the nurse should make.
A. "Mix the medicine with 1/4 cup of juice before giving it to your baby."
B. "Mix the medicine with 1 teaspoon of honey before giving it to your baby."
C. "Mix the medicine with 1/4 cup of formula before giving it to your baby."
D. "Mix the medicine with 1 teaspoon of applesauce before giving it to your baby." -
ans"Mix the medicine with 1 teaspoon of applesauce before giving it to your baby."
A nurse in a provider's office is caring for a preschooler who has findings of croup.
Which of the following statements by the parent requires immediate intervention by the
nurse?
A. "My child has refused to drink any fluid for the past hours."
B. "My child has been coughing throughout the night."
C. "My child is very hoarse and has a fever by 100.4 degrees Fahrenheit."
D. "My child recently had the flu." - ans"My child has refused to drink any fluid for the
past hours."
, A nurse in an urgent care clinic is admitting an infant who experienced a life threatening
event. Which of the following prescriptions by the provider should the nurse anticipate?
(select all that apply)
a. Electroencephalogram
b. Electrocardiogram
c. Urine culture
d. Arterial blood gases
e. Blood culture - ans1. Electroencephalogram
2. Electrocardiogram
3. Blood culture
A nurse in an urgent in an urgent care clinic is caring for a child whose guardian reports
that the child has swallowed paint thinner. The child is lethargic, gagging, and cyanotic.
Which of the following actions should the nurse anticipate assisting with?
a. Induce vomiting with syrup of ipecac
b. Insert a nasogastric tube, and administer activated charcoal
c. Prepare for intubation with a cuffed endotracheal tube
d. Administer chelation therapy using deferoxamine mesylate - ansPrepare for
intubation with a cuffed endotracheal tube
A nurse is a care provider's office is preparing to administer scheduled vaccines to an
infant. The infant's parent refuses to allow the nurse to administer the vaccines. Which
of the following actions should the nurse take?
A. Ask the parent why they do not want the vaccines to be administered
B. Provide the parent with a vaccine information sheet (VIS)
C. Question the parent if their other children are vaccinated
D. Tell the parent that the vaccines must be completed at the next visit - ansProvide the
parent with a vaccine information sheet (VIS)
A nurse is assisting a group of guardians of adolescents to develop skills that will
improve communication within the family. The nurse hears one guardian state, "My son
knows he better do what I say." Which of the following parenting styles is the parent
exhibiting?
A. Authoritarian
B. Permissive
C. Authoritative
D. Passive - ans
A nurse is assisting a group of guardians of adolescents to develop skills that will
improve communication within the family. The nurse hears one guardian state, "My son
Book & Assessments A & B 2024-2025.
Real Questions & Answers.
A guardian calls the clinic nurse after his child has developed symptoms of varicella and
asks when the child will no longer be contagious. Which of the following responses
should the nurse make?
A. "When your child no longer has a fever."
B. "Three days after the rash started."
C. "Six days after lesions appear if they are crusted."
D. "When your child's lesions disappear." - ans"Six days after lesions appear if they are
crusted."
A nurse caring for a child who is receiving oxygen therapy and is on a continuous
oxygen saturation monitor that is reading 89%. Which of the following actions should the
nurse take first?
A. Increase the oxygen flow rate
B. Encourage the child to take deep breaths
C. Ensure proper placement of the sensor probe
D. Place the child in the Fowler's position - ansEnsure proper placement of the sensor
probe
A nurse has just received change-of-shift report for four children in a pediatric unit.
Which of the following children should the nurse collect data from first?
A. A child who is 2 days postoperative following an appendectomy and reports incisional
pain
B. A child who has a new diagnosis of diabetes mellitus and HbA1c level of 7.5%
C. A child who has a fever and nuchal rigidity
D. A child who experienced a seizure 1 hr ago and is resting - ansA child who has a
fever and nuchal rigidity
A nurse in a clinic is collecting data from an adolescent who has received all
recommended immunizations through the age of 6 years. Which of the following
immunizations should the nurse plan to administer?
A. Haemophilus influenza type b (Hib)
B. Rotavirus (RV)
C. Polio (IPV)
D. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap) - ansTetanus, diphtheria
toxoids, and acellular pertussis (Tdap)
,A nurse in a community center is assisting with an in-service to a group of guardians on
management of airway obstructions in toddlers. Which of the following responses by
one of the caregivers indicates an understanding of the information? (select all that
apply)
a. "I will push on my child's abdomen."
b. "I will hyperextend my child's head to open the airway."
c. "I will use my finger to check my child's mouth for objects."
d. "I will use my finger to check my child's mouth for objects."
e. "I will place my child in my car and take them to the closest emergency facility." -
ans1. "I will push on my child's abdomen."
2. "I will place my child in my car and take them to the closest emergency facility."
A nurse in a community center is reinforcing teaching about poison control with a group
of parents. A parent asks what to do if a child ingests a large quantity of
acetaminophen. Identify the sequence of actions the nurse should recommend to the
parent.
A. identify the medication and dosage strength
B. Determine if the child is breathing
C. Empty the child's mouth of remaining pills and residue
D. Call a poison control center - ans1. Determine if the child is breathing
2. Empty the child's mouth of remaining pills and residue
3. identify the medication and dosage strength
4. Call a poison control center
A nurse in a community center is reinforcing teaching with a group of adolescents about
HIV/AIDS. Which of the following statements should the nurse include in the teaching?
A. "You can contract HIV through casual kissing."
B. "HIV is transmitted through IV substance use."
C. "HIV is now curable if caught in the early stages."
D. "Medications inhibit inhibit transmission of the HIV virus." - ans"HIV is transmitted
through IV substance use."
A nurse in a pediatric clinic is caring for an infant who has hear failure and a prescription
for digoxin. Which of the following statements by the parent indicates the desired
therapeutic effect of the medication?
A. "My baby is breathing easier than she use to."
B. "My baby is taking longer naps."
C. "My baby is having fewer wet diapers."
D. "My baby's heart rate is faster than it used to be." - ans"My baby is breathing easier
than she use to."
,A nurse in a pediatric clinic is collecting data from an infant who recently started taking
digoxin. Which of the following manifestations should the nurse identify as an indication
of digoxin toxicity and report to the provider?
A. irritability
B. diaphoresis
C. vomiting
D. tachycardia - ansvomiting
A nurse in a pediatric clinic is collecting data from an infant who was recently exposed
to pertussis. The nurse should recognize which of the following as a manifestation of
pertussis?
A. Dry cough
B. Abdominal pain
C. Muscle stiffness
D. Swollen eyelids - ansdry cough
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering
an IM antibiotic to a child 5 min ago. Which of the following manifestations should the
nurse expect to observe first?
A. wheezing
B. angioedema
C. hives
D. hypotension - anshives
A nurse in a pediatric is talking on the telephone with the parent of a 6 month who has a
urinary tract infection and started taking an oral antibiotic the day before. Listen to the
audio clip and determine which of the following responses the nurse should make.
A. "Mix the medicine with 1/4 cup of juice before giving it to your baby."
B. "Mix the medicine with 1 teaspoon of honey before giving it to your baby."
C. "Mix the medicine with 1/4 cup of formula before giving it to your baby."
D. "Mix the medicine with 1 teaspoon of applesauce before giving it to your baby." -
ans"Mix the medicine with 1 teaspoon of applesauce before giving it to your baby."
A nurse in a provider's office is caring for a preschooler who has findings of croup.
Which of the following statements by the parent requires immediate intervention by the
nurse?
A. "My child has refused to drink any fluid for the past hours."
B. "My child has been coughing throughout the night."
C. "My child is very hoarse and has a fever by 100.4 degrees Fahrenheit."
D. "My child recently had the flu." - ans"My child has refused to drink any fluid for the
past hours."
, A nurse in an urgent care clinic is admitting an infant who experienced a life threatening
event. Which of the following prescriptions by the provider should the nurse anticipate?
(select all that apply)
a. Electroencephalogram
b. Electrocardiogram
c. Urine culture
d. Arterial blood gases
e. Blood culture - ans1. Electroencephalogram
2. Electrocardiogram
3. Blood culture
A nurse in an urgent in an urgent care clinic is caring for a child whose guardian reports
that the child has swallowed paint thinner. The child is lethargic, gagging, and cyanotic.
Which of the following actions should the nurse anticipate assisting with?
a. Induce vomiting with syrup of ipecac
b. Insert a nasogastric tube, and administer activated charcoal
c. Prepare for intubation with a cuffed endotracheal tube
d. Administer chelation therapy using deferoxamine mesylate - ansPrepare for
intubation with a cuffed endotracheal tube
A nurse is a care provider's office is preparing to administer scheduled vaccines to an
infant. The infant's parent refuses to allow the nurse to administer the vaccines. Which
of the following actions should the nurse take?
A. Ask the parent why they do not want the vaccines to be administered
B. Provide the parent with a vaccine information sheet (VIS)
C. Question the parent if their other children are vaccinated
D. Tell the parent that the vaccines must be completed at the next visit - ansProvide the
parent with a vaccine information sheet (VIS)
A nurse is assisting a group of guardians of adolescents to develop skills that will
improve communication within the family. The nurse hears one guardian state, "My son
knows he better do what I say." Which of the following parenting styles is the parent
exhibiting?
A. Authoritarian
B. Permissive
C. Authoritative
D. Passive - ans
A nurse is assisting a group of guardians of adolescents to develop skills that will
improve communication within the family. The nurse hears one guardian state, "My son
