Prepare for the ATI Pediatrics exam with these practice questions and answers. This guide covers pediatric nursing care, developmental milestones, and childhood conditions.
Q: a nurse is assessing a 12 month old infant during a well child visit. which of the following findings should the nurse report to the providera. closed anterior fontanelb. eruption of six teethc. birth weight doubledd. birth length increased by 50%
Answer: C
Q: a nurse is performing a developmental screening on a 10 month old infant. which of the following fine motor skills should the nurse expect the infant to perform? (select all that apply)a. grasp a rattle by the handleb. try building a 2 block towerc. use a crude pincer graspd. place objects into a containere. walk with one hand held
Answer: ACB (@ 12months)D (@ 11 months)E (@ 12 months)
Q: a nurse is conducting a well-baby visit with a 4 month old infant. which of the following immunizations should the nurse plan to adminiter to the infant (select all that apply)a. MMRb. polio (IPV)c. pneumococcal vaccine (PCV)d. varicellae. rotavirus (RV)
Answer: B C EA (1st MMR is given between 12-15 months)D (given at minimum 12 months)
Q: a nurse is providing education about introducing new foods to the parents of a 4 month old infant. the nurse should recommend that the parents introduce which of the following foods firsta. strained yellow vegetablesb. iron fortified cerealsc. pureed fruitsd. whole milk
Answer: BA (6 months)C (6 months)D (12 months)
Q: a nurse is providing teaching about dental care and teething to the parent of a 9 month old infant. which of the following statements by the parents indicate an understanding of the teaching?a. I can give my baby a warm teething ring to relieve discomfortb. I should clean my baby’s teeth with a cool, wet wash clothc. I can give Advil for up to 5 days while my baby is teethingd. I should place a diluted juice in the bottle my baby drink while falling asleep
Answer: b
Q: a nurse is assessing a 2.5 year old toddler at a well child visit. which of the following findings should the nurse report to the providera. height increased by 7.5 (3″) in the past yearb. head circumference exceeds chest circumferencec. anterior and posterior fontanels are closedd. current weight equals four times the birth weight
Answer: B
Q: a nurse is performing a developmental screening on an 18 month old. which of the following skills should the toddler be able to perform (select all that apply)a. build a tower with 6 blocksb. throw a ball overhandc. walk up and down the stairsd. draw circlese. use a spoon without rotation
Answer: B EA (@ 2 years)C (@ 2 years)D (@ 2.5 years)
Q: a nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. which of the following statements by the parent indicates an understanding of the teaching?a. I will send my child’s favorite stuffed animal when she will be napping away from homeb. my child should be able to stand one foot for a secondc. the soccer team my child will be playing on starts practicing next weekd. I should expect my child to be able to draw circles
Answer: A
Q: a nurse is providing anticipatory guidance to the parents of a toddler. which of the following should the nurse include (select all that apply)a. develop food habits that will prevent dental cariesb. meeting caloric needs results in an increased appetitec. expression of bedtime fears is commond. expect behaviors associated with negativism and tribalisme. annual screening for phenylketonuria are important
Answer: A C D
Q: a nurse is providing teaching to the parent of a preschool age child about methods to promote sleep. which of the following statements by the parent indicates an understanding of the teachinga. I will sleep in the bed with my child if she wakes up during the nightb. I will let my child stay up an additional 2 hours on weekend nightsc. I will let my child watch TV for 30 minutes just before bedtime each nightd. I will keep a dim lamp on in my child’s room during the night
Answer: D
Q: a nurse is conducting a well child visit with a 5 year old. which of the following immunizations should the nurse plan to administer to the child (select all that apply)a. DTaPb. IPVc. MMRd. PCVe. Hib
Answer: A B C
Q: a nurse is preparing an education program for a group of parents of preschool-age children about promoting optimum nutrition. which of the following information should the nurse include in the teaching?a. saturated fats should equal 20% of total daily caloric intakeb. average calorie intake should by 1800 calories per dayc. daily intake of fruits and vegetables should total 2 servingsd. healthy diets include a total of 8 G protein each day
Answer: B
Q: a nurse is performing a developmental screening on a 3 year old child. which of the following skills should the nurse expect the child to performa. ride a tricycleb. hop on one footc. jump roped. throw a ball overhead
Answer: A
Q: a nurse is caring for a preschool age child who says she needs to leave the hospital because her doll is scared to be at home alone. which of the following characteristics of pre-operational thought is the child experiencinga. egocentrismb. centrationc. animismd. magical thinking
Answer: C
Q: a nurse is discussing pre-pubsecence and pre-adolescence with a group of parents of school aged children. which of the following information should the nurse include in the discussiona. initial physiologic changes appear during early childhoodb. changes in height and weight occur slowly during this periodc. growth differences between boys and girls become evidentd. signs of sexual maturation become highly visible in boys
Answer: C
Q: a nurse is conducting a well child visit with a child who is scheduled to receive the recommended immunizations for 11-12 years old. which of the following immunizations should the nurse administer (select all that apply)a. trivalent inactivated influenza (TIV)b. PCVc. Meningococcal (MCV4)D. Tdape. RV
Answer: A C D
Q: a nurse is providing education about age appropriate activities for the parents of a 6 year old child. which of the following activities should the nurse include in teaching>a. jumping ropeb. playing card gamesc. solving jigsaw puzzlesd. joining competitive sports
Answer: A
Q: a nurse is teaching a course about safety during the school age years to a group of parents. which of the following information should the nurse include in the course (select all that apply)a. gating stairs at the top and bottomb. wearing helmets when riding bicycles or skateboardingc. riding safely in bed of pickup trucksd. implementing firearm safetye. wearing seat belts
Answer: B D E
Q: a nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. which of the following statements by one of the parents indicates an understanding of the teachinga. girls usually stop growing about 2 years after menarcheb. girls are expected to gain about 65 pounds during pubertyc. girls experience menstruation prior to breast developmentd. girls typically grow more than 10″ during puberty
Answer: A
Q: a nurse is providing anticipatory guidance to the parent of a 13 year old. which of the following screenings should the nurse recommend for the adolescent (select all that apply)a. BMIb. blood lead levelc. 24 hr dietary recalld. weighte. scoliosis
Answer: A D E
Q: a nurse is caring for an adolescent whose mother expresses concerns about her child sleeping such long hours. which of the following conditions should the nurse inform the mother as requiring additional sleep during adolescencea. sleep terrorsb. rapid growthc. elevated zinc levelsd. slowed metabolism
Answer: B
Q: a nurse is teaching a class about puberty in boys. which of the following should the nurse include as the first manifestation of sexual maturationa. pubic hair growthb. vocal changesc. testicular enlargementd. facial hair growth
Answer: C
Q: a nurse is planning to administer the influenza vaccine to a toddler. which of the following actions should the nurse takea. administer SQ in abdomenb. use a 20 gauge needlec. divide the medication into 2 injectionsd. place the child in the supine position
Answer: D (to get to the vastus lateralis location)
Q: a nurse is teaching a parent of an infant about administration of oral medications. which of the following should the nurse include in the teaching (select all that apply)a. use a universal dropper for medication adminb. ask the pharmacy to add flavoringc. add the med to formulad. use the nipple of a bottle to admine. hold the infant in a semireclining position
Answer: B D E
Q: a nurse is preparing to administer medication to a toddler. which of the following actions should the nurse take (select all that apply)a. identify the toddler by asking the parentb. tell the parent to administer the medc. calculate safe dosaged. ask the toddler what toy he wants to holde. offer juice after the medication
Answer: C D E
Q: a nurse is caring for an infant who needs otic medication. which of the following is an appropriate action for the nurse to takea. hold the infant in an upright positionb. pull the pinna down and straight backc. hyperextend the infants neckd. ensure that the med is cool
Answer: B
Q: a nurse is reviewing the medical record of a newborn who has necrotizing entercolitis (NEC). which of the following findings is a risk factor for NECa. macrosomiab. transient tachypnea of the newborn (TTN)c. maternal gestational hypertensiond. gestational age 36 weeks
Answer: D
Q: a nurse is assessing a newborn who has congenital hypothyroidism. which of the following findings should the nurse expect (select all that apply)a. hypotonicityb. cool extremitiesc. short neckd. tachycardiae. hyperreflexia
Answer: B C
Q: a nurse is teaching the parent of a newborn how to treat the newborns plagiocephaly. which of the following statements by the parent indicates an understanding of the teachinga. I should put my baby to sleep on her belly during her afternoon napb. a should ensure my baby’s head is in the same position each time she sleepsc. I should have my baby wear the prescribed helmet 23 hours a dayd. I should allow my baby to sleep in her infant swing
Answer: C
Q: a nurse is developing a plan of care for a newborn who has hyperbilirubinemia and is to undergo phototherapy. which of the following actions should the nurse include in the plan of carea. reposition the newborn q4hb. lotion the newborns skin twice dailyc. check the newborns temp q8d. remove the newborns eye mask during feedings
Answer: D
Q: a nurse is providing preconception teaching with a client who has PKU. which of the following information should the nurse include in the teachinga. follow a low phenylalanine diet once pregnancy is confirmedb. the client will undergo testing of phenylalanine levels one to two times per week throughout pregnancyc. increase intake of dietary proteins prior to conceptiond. the client will require a C section due to the likelihood of having a fetus with macrosomia
Answer: B
Q: a nurse is caring for a child who is experiencing respiratory distress. which of the following findings are early manifestations of respiratory distress (select all that apply)a. bradypneab. peripheral cyanosisc. tachycaridad. diaphoresise. restlessness
Answer: C D E
Q: a nurse in the ED is caring for a child whose parent reports that the child has swallowed paint thinner. the child is lethargic, gagging, and cyanotic. which of the following actions should the nurse takea. induce vomiting with syrup of ipecacb. insert NG and administer activated charcoalc. prepare for intubation with a cuffed endotracheal tubed. administer chelation therapy using deferoxamine mesylate
Answer: C
Q: a nurse in the ED is admitting the infant who experienced a life threatening event. which of the following prescriptions by the provider should the nurse anticipate (select all that apply)a. electroencephalogramb electrocardiogramc. urine cultured. arterial blood gase. blood culture
Answer: A B C E
Q: a nurse is providing teaching to a parent about acetaminophen poisoning. which of the following information should the nurse include in the teachinga. nausea begins 24 hours after injectionb. pallor can appear as early as 2 hours after ingestionc. jaundice will appear in 12 hours if the child is toxicd. children can have 4 g / day of acetaminophen
Answer: B
Q: a nurse in a community center is providing an in service to a group of parents on management of airway obstructions in toddlers. which of the following responses by the parents indicates understanding? (select all that apply)a. I will push on my child’s abdomenb. I will hyperextend my child’s head to open his airwayc. I will listen over my child’s mouth for sounds of breathingd. I will use my finger to check my child’s mouth for objetse. I will place my child in my car and take hm to the closest ER facility
Answer: A C
Q: a nurse is teaching a group of parents about characteristics of infants who have failure to thrive. which of the following characteristics should the nurse include in teaching>a. intense fear of strangersb. increased risk for childhood obesityc. inability to form close relationships with siblingsd. developmental delays
Answer: D
Q: a nurse is providing instruction to the teacher of a child who has ADHD. which of the following strategies should the nurse include in the teaching (select all that apply)a. eliminate testingb. allow for regular breaksc. combine verbal instruction with visual cuesd. establish consistent classroom rulese. increase stimuli in the environment
Answer: B C D
Q: a nurse is teaching a parent about post-traumatic stress disorder (PTSD). which of the following information should the nurse include in the teaching (select all that apply)a. children who have PTSD can benefit from psychotherapyb. a manifestation of PTSD is phobiasc. personality disorders are a complication of PTSDd. PTSD develops following a traumatic evente. there are 6 stages of PTSD
Answer: A B D
Q: a nurse is teaching the parent of a child about risk factors for ADHD. which of the following should the nurse include in the teachinga. formula feeding as an infantb. history of head traumac. history of preterm birthd. child of a single parent
Answer: B
Q: a nurse is caring for a child who has depression. which of the following findings should the nurse expect (select all that apply)a. preferring being with peersb. weight loss or gainc. report low self esteemd. sleeping more than usuale. hyperactivity
Answer: B C D