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ATI RN PEDIATRICS (CHILD HEALTH) PROCTORED EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED, Exams of Nursing

Rasmussen College - FloridaNursing

ATI RN PEDIATRICS (CHILD HEALTH) PROCTORED EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2025 Q&A | INSTANT DOWNLOAD PDF

Typology: Exams

2024/2025

Available from 07/06/2025

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ATI RN PEDIATRICS (CHILD HEALTH) PROCTORED
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025 Q&A | INSTANT
DOWNLOAD PDF
1. A nurse is caring for a 3-month-old infant who has a ventricular septal
defect. Which of the following findings should the nurse expect?
• Cyanosis when crying
• Loud, harsh murmur
• Bradycardia
• Polycythemia
A loud, harsh murmur is a classic sign of a ventricular septal defect due to
turbulent blood flow through the septal opening.
2. A nurse is reinforcing teaching with a parent of a child who has impetigo.
Which of the following instructions should the nurse include?
• Apply topical antibacterial ointment to lesions.
• Keep lesions covered with an occlusive dressing.
• Administer antihistamines.
• Wash with alcohol-based cleansers.
Topical antibacterial ointments like mupirocin are first-line treatment for
impetigo.
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Download ATI RN PEDIATRICS (CHILD HEALTH) PROCTORED EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED and more Exams Nursing in PDF only on Docsity!

ATI RN PEDIATRICS (CHILD HEALTH) PROCTORED

EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED

ANSWERS) PLUS RATIONALES 2025 Q&A | INSTANT

DOWNLOAD PDF

  1. A nurse is caring for a 3-month-old infant who has a ventricular septal defect. Which of the following findings should the nurse expect?
  • Cyanosis when crying
  • Loud, harsh murmur
  • Bradycardia
  • Polycythemia A loud, harsh murmur is a classic sign of a ventricular septal defect due to turbulent blood flow through the septal opening.
  1. A nurse is reinforcing teaching with a parent of a child who has impetigo. Which of the following instructions should the nurse include?
  • Apply topical antibacterial ointment to lesions.
  • Keep lesions covered with an occlusive dressing.
  • Administer antihistamines.
  • Wash with alcohol-based cleansers. Topical antibacterial ointments like mupirocin are first-line treatment for impetigo.
  1. A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?
  • Rolls from back to front
  • Absence of babbling
  • Grasps objects with both hands
  • Begins to show stranger anxiety Babbling typically starts around 4 months; absence at 5 months may indicate a hearing or developmental delay.
  1. A nurse is caring for a child with sickle cell anemia who is experiencing vaso-occlusive crisis. Which of the following interventions is the priority?
  • Administer oxygen
  • Administer IV fluids
  • Apply warm compresses
  • Monitor for infection Hydration reduces blood viscosity and helps relieve the vaso-occlusive pain episodes.
  1. A nurse is reviewing dietary needs with the parent of a toddler who has iron deficiency anemia. Which food should the nurse recommend?
  • Applesauce
  • Iron-fortified cereal
  • Whole milk
  • Enlarged tonsils
  • White patches on tongue Ear pain causes toddlers to tug at their ear, a common sign of otitis media.
  1. A nurse is teaching a parent about prevention of sudden infant death syndrome (SIDS). Which statement by the parent indicates understanding?
  • "I'll place my baby on their side to sleep."
  • "I'll place my baby on their back to sleep."
  • "I'll use a soft mattress in the crib."
  • "I'll keep my baby's crib near a heater." Back sleeping significantly reduces the risk of SIDS. 10.A nurse is caring for a preschooler who has nephrotic syndrome. Which finding should the nurse expect?
  • Hematuria
  • Facial edema
  • Hypertension
  • Polyuria Facial edema is a hallmark sign due to massive protein loss leading to hypoalbuminemia. 11.A nurse is providing teaching to a parent of a child who has lice. Which of the following instructions should the nurse include?
  • Use a vinegar rinse daily
  • Boil combs and brushes for 10 minutes
  • Cut the child’s hair short
  • Apply corticosteroid cream Boiling items helps kill lice and prevent reinfestation. 12.A nurse is reviewing lab results for a child with leukemia. Which finding should the nurse report?
  • Platelet count 45,000/mm³
  • Hemoglobin 11.5 g/dL
  • WBC count 6,000/mm³
  • RBC count 4.2 million/mm³ A low platelet count increases the risk for bleeding and requires intervention. 13.A nurse is teaching an adolescent who has type 1 diabetes mellitus about illness management. Which instruction should the nurse include?
  • Decrease insulin dose when ill
  • Check blood glucose every 3 hours
  • Avoid eating solid foods
  • Stop insulin if not eating Glucose levels can increase during illness, even without eating; close monitoring is essential.

17.A nurse is assessing a 4-year-old child during a well-child visit. Which finding requires further evaluation?

  • Copies a square
  • Stutters when speaking
  • Knows 4 colors
  • Hops on one foot Persistent stuttering after age 4 can indicate a speech or language delay. 18.A nurse is caring for a toddler who has severe dehydration. Which IV fluid should the nurse administer first?
  • D5W
  • D5 0.45% NaCl
  • 0.9% sodium chloride
  • Lactated Ringer’s with D Isotonic fluids like 0.9% NaCl rapidly restore extracellular fluid volume. 19.A nurse is assessing a child with suspected physical abuse. Which finding is most concerning?
  • Recurrent ear infections
  • Bruises in various stages of healing
  • Thumb-sucking
  • Temper tantrums Injuries at different stages of healing are highly suspicious for abuse.

20.A nurse is reinforcing teaching with a parent of an infant who has GERD. Which instruction should the nurse include?

  • Lay the infant flat after feedings
  • Hold the infant upright for 30 minutes after feeding
  • Limit feedings to once every 6 hours
  • Avoid burping the infant Upright positioning helps prevent reflux and aspiration. 21.A nurse is caring for a 6-year-old child who has measles. Which of the following isolation precautions should the nurse implement?
  • Contact
  • Droplet
  • Airborne
  • Protective Measles is transmitted via airborne particles; a negative pressure room and N mask are required. 22.A nurse is planning care for an infant who has developmental dysplasia of the hip and is in a Pavlik harness. Which action should the nurse take?
  • Check the straps every 1 to 2 weeks.
  • Remove the harness for bathing daily.
  • Adjust the harness straps daily.
  • Provide acetaminophen for pain
  • Allow frequent throat clearing
  • Give milk products only Acetaminophen is used for post-op pain; acidic juices should be avoided as they can irritate the throat. 26.A nurse is caring for a school-age child newly diagnosed with type 1 diabetes. Which symptom should the nurse expect?
  • Bradycardia
  • Weight gain
  • Polyuria
  • Constipation Polyuria results from osmotic diuresis due to high blood glucose levels. 27.A nurse is assessing a child who has suspected appendicitis. Which finding should the nurse report immediately?
  • Nausea and vomiting
  • Sudden relief of pain
  • Abdominal tenderness
  • Low-grade fever Sudden relief of pain may indicate perforation of the appendix, which is a surgical emergency.

28.A nurse is planning care for a preschooler who is hospitalized. Which activity should the nurse include?

  • Playing with puppets
  • Solving puzzles
  • Drawing abstract art
  • Reading novels Preschoolers engage in imaginative play like puppets and dress-up, which promotes coping. 29.A nurse is caring for a child who has cystic fibrosis. Which intervention is most important?
  • Limit salt in the diet
  • Chest physiotherapy
  • Provide high-fat diet
  • Offer low-protein meals Airway clearance techniques like chest physiotherapy are critical in managing thick secretions. 30.A nurse is preparing to assess a 10-month-old infant. Which behavior is expected?
  • Walks without assistance
  • Feeds self with spoon
  • Creeps on hands and knees
  • 20/30 vision
  • Tanner stage 2 development
  • Heart rate of 130/min
  • Capillary refill of 2 seconds A heart rate of 130/min is too high for a school-age child and may indicate a problem. 34.A nurse is planning care for an adolescent who has scoliosis and is scheduled for spinal fusion. Which intervention is appropriate post-op?
  • Assess for decreased sensation in the extremities
  • Encourage high-impact exercises
  • Remove compression stockings after 12 hours
  • Limit fluid intake Neurovascular checks are essential after spinal surgery to monitor for complications. 35.A nurse is caring for a child who has an acute asthma exacerbation. Which of the following should the nurse administer first?
  • Inhaled corticosteroid
  • Short-acting beta-agonist
  • Oral prednisone
  • Leukotriene receptor antagonist

A short-acting beta-agonist like albuterol is the first-line medication during an acute attack. 36.A nurse is providing teaching to a parent of a 2-week-old infant. Which statement by the parent indicates the need for further teaching?

  • "I will lay my baby on his back to sleep."
  • "I will keep the crib free of pillows and toys."
  • "I will warm bottles in the microwave."
  • "I will support my baby's head when holding him." Microwaving bottles can cause uneven heating and burns—this requires correction. 37.A nurse is reviewing lab results for a child with hemophilia A. Which result should the nurse expect?
  • Normal platelet count
  • Normal bleeding time
  • Prolonged aPTT
  • Decreased hemoglobin Hemophilia A affects factor VIII, leading to prolonged activated partial thromboplastin time. 38.A nurse is caring for a toddler with diarrhea. Which finding indicates dehydration?
  • Moist mucous membranes
  • Bradycardia
  • HCO₃ 28 mEq/L
  • pH 7.
  • pH 7.
  • PaCO₂ 45 mmHg A pH below 7.35 indicates acidosis; in the presence of diarrhea, metabolic acidosis is likely. 42.A nurse is assessing an adolescent for scoliosis. Which technique should the nurse use?
  • Measure limb length
  • Have the child bend forward at the waist
  • Check gait while walking
  • Inspect for joint swelling The forward-bend test allows visualization of spinal curvature or rib asymmetry. 43.A nurse is assessing a child with suspected mumps. Which finding should the nurse expect?
  • Rash
  • Swelling of the parotid glands
  • Koplik spots
  • Conjunctivitis Parotitis, or swelling of the parotid glands, is a classic manifestation of mumps.

44.A nurse is caring for a child who has a new tracheostomy. Which of the following is the priority action?

  • Provide humidified air
  • Ensure the tracheostomy ties are secure
  • Suction every hour
  • Clean the site daily Secure ties are vital to prevent accidental decannulation, which is a respiratory emergency. 45.A nurse is teaching a parent how to care for their child with a cast. Which statement indicates understanding?
  • "I will use a pencil to scratch inside the cast."
  • "I will dry the cast with a hair dryer on high heat."
  • "I will check my child’s fingers for color and warmth."
  • "I will cover the cast with plastic while it's drying." Neurovascular checks are essential to ensure circulation is not impaired. 46.A nurse is providing care to a child with a fracture in the acute stage. Which intervention is appropriate?
  • Apply warm compress
  • Elevate the affected extremity
  • Perform passive range-of-motion exercises
  • Apply continuous pressure dressing
  • Bloody urine Currant jelly stools are caused by mixing of blood and mucus, characteristic of intussusception. 50.A nurse is caring for a child post cardiac catheterization. Which is the priority assessment?
  • Check temperature
  • Assess for bleeding at the insertion site
  • Monitor for infection
  • Encourage oral fluids Bleeding at the insertion site is a potential life-threatening complication and takes priority. 51.A nurse is caring for an infant with respiratory syncytial virus (RSV). Which precaution should the nurse implement?
  • Contact precautions
  • Airborne precautions
  • Protective isolation
  • Reverse isolation RSV is primarily spread through direct contact with secretions; contact precautions are essential. 52.A nurse is caring for a child with juvenile idiopathic arthritis. Which intervention is appropriate?
  • Restrict all physical activity
  • Apply moist heat to affected joints
  • Use cold compresses before bedtime
  • Provide a high-protein diet Moist heat helps reduce joint stiffness and pain in children with JIA. 53.A nurse is planning care for a toddler who is hospitalized. Which activity should the nurse offer?
  • Playing with building blocks
  • Coloring inside the lines
  • Board games
  • Reading books independently Toddlers enjoy parallel play and activities that encourage fine motor development, like building blocks. 54.A nurse is assessing a 6-month-old infant at a well-baby checkup. Which developmental milestone is expected?
  • Sits with support
  • Pulls self to standing
  • Says three words
  • Waves goodbye At 6 months, sitting with support is typical. Pulling to stand occurs closer to 9 months.