ATI PEDIATRICS FINAL EXAM STUDY GUIDE(99 QUESTIONS
WITH CORRECT AND VERIFIED ANSWERS)
1. A nurse is teaching the mother of a child who has cystic fibrosis and has a
prescription for pancreatic enzymes three times per day. Which of the
following statements indicatesthat the mother understands the teaching?
• “My child will take the enzymes to improve her metabolism.”
• “My child will take the enzymes 2 hours before meals.”
• “My child will take the enzymes following meals.”
• “My child will take the enzymes to help digest the fat in foods.”
2. A nurse is teaching a parent of a child with hemophilia how to control a
minor bleeding episode. Which of the following statements by the parent
indicates a need for further teaching?
• “I will have my child rest.”
• “I will compress the site.”
• “I will apply heat.”
• “I will elevate the affected part.”
3. A nurse in an emergency department is caring for an infant who has a 2-
day history of vomiting and an elevated temperature. Which of the following
should the nurse recognizeas the most reliable indicator of fluid loss?
• Body weight
• Skin integrity
• Blood pressure
• Respiratory rate
4. Which of the following children should the nurse identify as a potential action of
abuse?
• A child who has frequent visitors
• A child who uses the call light frequently
• A child who has a BMI indicating obesity
• A child whose parents answer questions for the child
5. A nurse is assessing a 3 month old. Which of the following findings should
he report to the provider?
• Unable to pick up an object with his fingers
• Unable to sit without support
• Unable to raise head when in prone position
• Unable to bring an object to mouth

• 2 mL/kg/hr.
• 0.5 mL/kg/hr.
• 7.5 mL/kg/hr.
• 15 mL/kg/hr.
7. A nurse is planning care for an infant who has spina bifida and is to
undergo surgical ? Which of the following interventions should the nurse
include in the plan of care?
• Maintain the infant in the supine position
• Provide a latex free environment
• Limit visitors to immediate family members
• Initiate contact precautions
8. A nurse is caring for a child who has just died. The parents ask to be left
alone so that they ? The nurse should:
• Discourage this because it will only prolong their grief
• Grant their request
• Kindly explain that they need to say good bye to their child now and leave
• Assess why they feel that this is necessary
9. A nurse is educating new parents on risk factors for sudden infant
death syndrome (SIDS). Which of the following statements by a parent
would indicate a need for additional teaching?
• “I will give my baby a pacifier during naps and at bedtime.”
• “Our baby will sleep in my bed because I am breastfeeding.”
• “My baby will be placed on her back when sleeping.”
• “We will remove blankets and toys from the crib.”
10. A nurse is caring for an adolescent who has spina bifida and is paralyzed
from the waist down. Which of the following statements by the client would
indicate to the nurse a needfor further teaching?
• “I only need to catheterize myself twice every day.”
• “I only use a suppository every night to have a bowel movement.”
• “I do wheelchair exercises while watching TV.”
• “I carry a water bottle with me because I drink a lot of water.”
11. A parent tells a nurse that her toddler drink a quart of milk a day and has a
poor appetite for solid foods. The nurse should explain that the toddler is
at risk for which of the following disorders?

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• Diabetes mellitus
12. A toddler weighs 77 pounds. What is the appropriate maintenance IV fluid rate?
• 75 mL/hr.
• 45 mL/hr.
• 33 mL/hr.
• 52 mL/hr.
13. A nurse is caring for a toddler admitted to a pediatric unit. Which of
the following statements should the nurse use when preparing to check
the child’s vital signs?
• “Can you stand still while I feel how warm you are?”
• “I am going to take your blood pressure now.”
• “I am going to listen to your heart.”
• “Can I listen to your lungs?”
14. A nurse is providing teaching to a parent of a child who has celiac
disease. The nurse should include which of the following food choices
for this child?
• Rye
• Wheat
• Barley
• Rice
15. A nurse is caring for a toddler. Which of the following statements should
the nurse use when preparing to obtain the child’s vital signs?
• “I am going to take you blood pressure now.”
• “Can you stand very still while I feel how warm you are?”
• “I am going to listen to your heart.”
• “Can I listen to your lungs?”
16. A nurse is panning care for a 5 month old infant who is scheduled for a
lumbar puncture to rule out meningitis. Which of the following actions should
the nurse include in the planof care?
• Keep the infant NPO for 6 hr. prior the procedure
• Place the infant in an infant seat for 2 hr. following the procedure
• Hold the infant’s chin to his chest and knees to his abdomen

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17. A nurse is assessing a toddler who has acute nephrotic syndrome. Which of
the following findings should the nurse report to the provider?
•
• Poor appetite
• Irritability
• Facial edema
18. A parent calls a clinic and reports to a nurse that his 2 old infant is
hungry more than usual but is projectile vomiting immediately after
eating. Which of the following responses should the nurse make?
• “Try switching to a different formula.”
• “Bring your baby in to the clinic today.”
• “Give your infant an oral rehydration solution.”
• “Burp your baby more frequently during feedings.”
19. A nurse is panning home care for a 9 year old child who is discharged
following an acute asthma attack. Which of the following growth and
developmental stages according to Erikson should the nurse consider in
the planning?
• Identity versus role confusion
• Initiative versus guilt
• Industry versus inferiority
• Autonomy versus shame and doubt
20. A nurse is caring for a child who has been physically abused by a family
member. Whichof the following is an appropriate statement for the nurse to
say to the child?
• “I promise I won’t tell anyone about this.”
• “Your family is bad for doing this to you.”
• “Let’s discuss what happened together with your family.”
• “It is not your fault that this happened.”
21. A nurse is assessing an infant with Trisomy 21 (Down’s syndrome).
Which of the following are common characteristics? (Select all that
apply)
• Muscular hypertonicity
• Large ears
• Protruding tongue
Yellow nasal drainage

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22. A nurse in an emergency department is assessing a 3 year old child who has
a high fever, severe dyspnea, and is drooling. Which of the following
interventions is the nurse’s priority?
• Prepare for nasotracheal intubation
• Obtain blood culture specimens
• Insert an IV catheter
• Administer an antipyretic
23. A nurse is assessing a client who sustained a basal skull fracture and notes a
thin streamof clear drainage coming from the client’s right nostril. Which of
the following actions should the nurse take first?
• Ask the client to blow his nose
• Suction the nostril
• Notify the physician
• Test the drainage for glucose
24. A nurse at the pediatric hotline receives a call from a mother who plans
to administer aspirin (St. Joseph Children’s) to a toddler for a fever and
wants to know the dosage. Which of the following statements by the
nurse is an appropriate response?
• “Give her acetaminophen, not aspirin.”
• “Give her no more than three baby aspirin every four hours.”
• “Follow directions on the aspirin bottle for her age and weight.”
• “You’ll have to call your physician.”
25. A nurse is obtaining a health history from a child who has suspected
acute rheumatic fever. Which of the following questions should the
nurse ask?
• “Have you given your child aspirin in the past 2 weeks?”
• “Has your child had any injuries recently?”
• “Has your son had a sore throat recently?”
• “Was your son born with this cardiac defect?”
26. A nurse is caring for a client who has an unrepaired femur fracture of the
midshaft. Which of the following techniques should the nurse use when
performing an assessmentof the
client’s neurovascular status?
• Measure the circumference of the thigh
• Monitor the client’s calf for edema
• Palpate the femoral pulse

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• RBC
• Creatinine clearance
• Specific gravity
• BUN
28. A nurse is promoting meningococcal conjugate vaccine (Menactra) at a health
fair. Whichof the following individuals are candidates for the vaccination?
• An 18 year old youth who lives in a college
• A 65 year old person who volunteers at an elementary school
• A 78 year old person who lives in an assisted living home
• A 7 year old child who attends daycare before and after school
29. A client who is postpartum asks the nurse at a pediatric clinic what to
do when her newborn cries persistently. Which of the following strategies
should the nurse suggest? (Select all that apply)
• Turn on the radio
• Swaddle the newborn in a receiving blanket
• Allow the newborn to continue crying
• Carry the newborn
• Take the newborn for a ride in the car
30. A nurse is providing anticipatory guidance about child development to the
parents of a preschooler. Which of the following developmental tasks
should the nurse include as being expected of a preschooler?
• Participates in imaginary play
• Builds a collection of cards
• Controls impulsive feelings
• Expresses need for privacy
31. A nurse is providing education to a school age child who has a new
diagnosis of asthma. Which of the following statements should the nurse
include in the teaching?
• “Use the peak expiratory flow meter once per week.”
• “You should stop playing basketball, but you can swim instead.”
• “Take cromolyn sodium at the first sign of breathing difficulty.”
• “Avoid triggers that cause an attack.”
32. A nurse is caring for a child who has cystic fibrosis (CF) and is being
discharged after initial diagnosis and treatment. The nurse should
recognize that the parent understands the child’s nutritional needs when

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ATI Pediatrics Final Exam Study Guide with Answers (99 Solved Questions)

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