ATI PEDS CMS QUESTIONS WITH VERIFIED ANSWERS LATEST 2023/2024
UPDATE
1. A nurse is caring for a child who has sickle cell anemia. Which of the following findings is a
priority for the nurse to report to the provider?
Answer: Facial twitching
2. A nurse is providing teaching about medication administration to the parents of the toddler
who has a new prescription for liquid ferrous sulfate. Which of the following instructions should
the nurse include?
Answer: Dilute the drops of water prior to administration
3. A nurse is providing teaching to the parent of an infant who has a diaper rash. Which of the
following statements by the parents indicate an understanding of the teaching?
Answer: I will use superabsorbent disposable diapers
4. A nurse is providing discharge to the parents of a school aged child following placement of a
ventriculoperitoneal shunt. The nurse should determine the teaching was effective when the
parents identify which of the following as an indicator that the shunt has been displaced?
Answer: Elevated temperature
5. A nurse is planning care for a child immediately following the insertion of a chest tube for
continuous suction with a closed drainage system. Which of the following interventions should
the nurse include in the plan of care?
Answer: Ensure continuous bubbling is present in the suction control chamber
6. A nurses caring for an infant who has heart failure and is receiving digoxin. Which of the
following findings indicates a positive response to the medication?
Answer: Urine output 2 mL/kg/hr
7. A nurse is assessing a six month old infant who has respiratory syncytial virus. The nurse
should immediately report which of the following findings to the provider?
Answer: Tachypnea
8. A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the following
actions should the nurse take first.
Answer: Initiate contact precautions
9. A nurse in the emergency department is assessing an adolescent who reports inhalation of
gasoline. Which of the fallowing should the nurse expect?
Answer: Ataxia
10. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines.
Which of the fallowing instructions should the nurse include in the teaching?
Answer: You can replace milk with non dairy source of calcium
11. A nurse is caring for a school age child who is in 90/90 skeletal traction. Which of the
fallowing actions should the nurse take?
Answer: Place the child on an alternating pressure mattress
12. A nurse is providing teaching to a parent of a child who has cystic fibrosis and a new
prescription for dornase alfa. Which of the following instructions should the nurse include in the
teaching?
Answer: Store the medication in the refrigerator
13. A nurse is preparing to administer immunizations to a 5 year old child who is up to date with
the current immunization schedule. Which of the following immunizations should the nurse plan
to administer?
Answer: Varicella
14. A nurse is providing teaching to the parents of a child who has impetigo. Which of the
following instructions should the nurse include in the teaching?
Answer: Apply bacterial ointment to lesions
15. A nurse is prioritizing care for four clients which of the following clients should the nurse
assess first?
Answer: An adolescent who has sickle cell anemia and slurred speech
16. A nurse in a providing office is assessing the vital signs of a 1 year old toddler which of the
following findings should the nursed report to the provider?
Answer: Respiratory rate 54
17. A nurse is preparing to assess a 4 year old child visual acuity. Which of the following actions
should the nurse prepare to take?
Answer: Test the child without glasses before testing with
18. A nurse is providing teaching to a parent of a child who has HIV. Which of the following
statement by the parent indicates an understanding of the teaching?
Answer: My child will need to repeat the childhood immunization once hes in remission
19. A nurse is caring for a preschool-age child who has a terminal illness. Which of the following
should the nurse...
Answer: Believes the condition is permanent
20. A nurse is planning care for a child who was experiencing sickle cell crisis. Which of the
following interventions should the nurse have in plan of care?
Answer: Administer meperidine as needed for pain
21. A nurse educating an adolescent following an application of an arm cast. Which of the
following statements by the client indicates an understanding of the teaching?
Answer: I should limit the use of my fingers of my broken arm
22. A nurse is providing teaching to a 2 month old infant about immunization schedules which of
the following statements from the parents indicate an understanding of the teaching?
Answer: My child needs to get the MMR immunization when she is 12 months old
23. A nurse in providing injury prevention to the parents of the toddler which of the following
safety measures should the nurse incorporate in the teaching.
Answer: Check clothing for loose buttons
24. Indicates that the infant is experiencing ICP?
Answer: Irritability
25. A nurse in a urgent care clinic is prioritizing care for 4 children which of the children should
the nurse asses first?
Answer: A toddler who has nephrotic syndrome and facial edema
26. A nurse in a emergency department is assessing a school age child who has asthma of the
following findings should the nurse prioritize?
Answer: Decrease breath sounds
27. A nurse is providing to a parent to an 11 month old infant who has acute diarrhea ad
dehydration what should the nurse instruct the parent to provide to the infant
Answer: Oral electrolyte solution
28. A nurse is preparing to administer an immunization to a 3 month old infant which of the
following is relives atraumatic care?
Answer: Provide a pacifier coated with oral sucrose solution prior to the injections
29. A nurse is providing teaching to the parents of a school age child newly diagnosed with a
seizure disorder. The nurse should teach the parents which of the following actions during a
seizure?
Answer: Clear the area of hard objects
30. A nurse is caring for a school age child who is experiencing a sickle cell crisis. Which of the
following actions should the nurse take?
Answer: Apply warm compress to the infected joints
31. A nurse is admitting an infant who has GERD which of the following is priority assessment
finding?
Answer: Excessive crying
32. A nurse is caring for an infant that has severe dehydration. Which clinical finding should the
nurse expect?
Answer: Rapid respirations
33. A nurse is caring for a 4 year old child who has meningitis and is receiving gentamacin.
Which of the following labs values should the nurse to the provider
Answer: Creatinine 1.4mg
34. A nurse is reviewing the laboratory report of A school age Child who has rheumatic fever
which of the following laboratory findings should the nurse expect?
Answer: Increased antistreptolysin O titer
35. And nurses planning care for a toddler who has developed oral ulcers in response to
chemotherapy which of the following actions should the nurse include in the plan of care?
Answer: Cleanse the gums with saline soaked gauze
36. In nurses planning care for the child immediately following her insertion of a chest tube for
continuous suctioned with a close drainage system which of the following intervention should
the nurse include in the plan of care?
Answer: ensure continuous bubbling is present in the suction control chamber
37. A nurse is assessing an adolescent who has Cushing syndrome which of the following
findings should the nurse expect
Answer: blood glucose of 320
38. A nurse is providing postoperative care for a child following an arterial cardiac
catheterization which of the following actions should the nurse take?
Answer: Keep affected extremity straight for about 6 hours
39. A nurse is assessing a seven -year-old student the nurse should identify which of the
following finding as a potential indicator for physical abuse
Answer: Bruising around the wrist'
40. A nurses providing discharge teaching to the parents of a father who was iron deficiency
anemia and a new prescription for Ferrous sulfate which of the following instructions for the
nurse include
Answer: Administer the medication to your child with the dropper
41. A nurse is providing teaching to the parents of a school aged child who has ADHD. Which of
the following instructions should the nurse include?
Answer: Place the childs daily activities on an organizational chart.
42. A nurse in the PACU is caring for a school aged child immediately after a tonsillectomy.
Which of the following actions should the nurse take?
Answer: Place the child in a side lying position
43. A nurse in the ER is caring for an adolescent who was requesting testing for STIs. Which of
the following actions is appropriate for the nurse to take?
Answer: Obtain the written consent from the client.
44. A nurse is providing dietary teaching to a parent of a 10-month-old infant who has
phenylketonuria. Which of the following responses by the parent indicates an understanding of
the teaching?
Answer: "I will steam carrots and will cut them into small pieces for her"
45. A nurse is caring for a child who’s 2 days post-op following an appendectomy due to the
rupture of the appendix the childs NG tube is set to low intermittent suction. Which of the
following indicates that the childs GI function has returned?
Answer: The auscultates bowel sounds.
46. A nurse is administering an opioid to an adolescent who is in a sickle cell crisis. Which
statement is true regarding opioid pain management?
Answer: Oral opioid dose should be larger than parenteral doses.
47. A nurse is reviewing laboratory results of a school aged child. Which of the following
findings to the nurse reports the provider?
Answer: Platelets 110,000
48. A nurse is reviewing the results of the newborn screening of a newborn who is one week old.
Results include total T4 0.8mcg/dl phenylalanine 0.7 and negative galactosemia. Which of the
following nursing include in the plan of care?
Answer: Instruct the newborns parent about how to administer levothyroxine
49. A nurse is caring for toddler who post operative following cleft palate repair. Which of the
following actions should the nurse take?
Answer: Administer opioids for mouth pain
50. A nurse is assessing a child who has measles. Which of the following areas should the nurse
inspect for koplik spots?
Answer: Inside the mouth
51. A nurse is assessing an infant who has acute otitis media which of the following findings
should the nurse expect?
Answer: Crying, Fever, Restlessness
52. A nurse is caring for a 4 year old child who has moderate dehydration. Which of the
following should the nurse expect?
Answer: Orthostatic hypertension
53. A nurse is providing teaching to the parents of the child who is receiving radiation therapy.
Which of the fallowing instructions should the nurse include in the teaching?
Answer: Avoid giving your child lengthy baths, Encourage mild activity daily, Dress your child
in loose fitting clothing.
54. A nurse is assessing a school age child who has type 1 diabetes mellitus. The nurse notes that
the child is diaphoretic. Which of the following actions should the nurse take?
Answer: Obtain blood glucose level
55. A nurse is caring for a child who is to receive first dose of IV gentamycin. Which of the
following actions should the nurse take?
Answer: Maintain strict I/O's
56. A nurse is providing teaching to the parents of an infant who is to under go pilocarpine
iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse
include in the teaching?
Answer: Test will measure the amount of chloride in the babys sweat.
57. A nurse is caring for a child who is terminally ill. The parents tell the nurse that the child will
be fine because they know another child who survived the same illness. Which of the following
responses should the nurse make?
Answer: "Tell me what you know about your child's illness"
58. A nurse is caring for a child who has bacterial meningitis, which of the following criteria
should indicates the nurse should remove the child from droplet precautions?
Answer: Antibiotics initiated 24 hours ago
59. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should
the nurse expect?
Answer: Steatorrhea
60. A nurses in a family practice clinic is assessing a preschool aged child who recently
experienced the death of a sibling. Which of the following reactions is an age appropriate
response to death?
Answer: The child feels responsible to the child's death.
61. A nurse is admitting a school age who has osteomyelitis which of the following actions?
Answer: Obtain a blood culture.
62. A nurse is assessing a 24 month toddler which of the finding should. .. ?
Answer: Has a vocabulary of 40 words
63. A nurse is providing anticipatory guidance to a parents of a 1 month old infant. The nurse
should include that it is recommended to start the series of which of the following immunization
first?
Answer: Inactivated poliovirus
64. A nurse is providing education about dietary modifications to the parents of the school age
child who has glomerulonephritis. Which of the following information should the nurse include
in the teaching?
Answer: Decrease the child sodium intake
65. A nurse is assessing an adolescent who has type 1 diabetes mellitus which of the following
findings is the nurse priority?
Answer: Glycosuria
66. A nurse is reviewing the laboratory report of a toddler was has hemolytic uremic syndrome.
Which lab values should the nurse expect?
Answer: BUN of 28
67. A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12kg and is
postoperative following an open heart surgery. Which of the following findings should the nurse
report to the provider?
Answer: Urine output 15 mL over the past 2 hours.
68. A nurse is providing teaching to the parents of a preschool age child who has celiac disease.
Which of following instructions should the nurse include?
Answer: "Avoid all foods containing wheat, barley, rye, and oats to maintain a strict gluten-free
diet."
69. A nurse is caring for a school age child who is 1 hour post op following a tonsillectomy.
Which of the actions should the nurse take?
Answer: swallowing, Discourage coughing
70. A nurse administered albuterol by metered dose inhaler for a preschool aged child who is
experiencing asthma exacerbation. Which of the following should the nurse report to the
providers?
Answer: retractions
71. What signs of respiratory distress should the nurse expect?
Answer: Cyanosis, Dyspnea, Bounding peripheral pulses
72. A nurse in the emergency department is assessing a toddler who has a head injury. Which of
the following findings should the nurse report to the provider?
Answer: Vomiting
73. A nurse is caring for a toddler who is terminal stage of neuroblastomas, the parent ask how
can we help our child know which of the following responses by the nurse is appropriate?
Answer: Stay close to your child
74. During a well baby visit the parents of a 2 week old new born tells the nurse my baby always
keeps her head tilted to the right side. The nurse should further assess which of the following
areas?
Answer: Sternocleidomastoid muscle
75. A nurse is caring for a single mother of a 6 month old infant. During a well baby visit the
mother expresses feelings inexperienced in care of the baby. The nurse should recommend which
of the following community resource.
Answer: Parent enhancement center
76. A nurse is teaching a group of female adolescent about healthy eating. Which of the
following instructions should the nurse include in the teaching?
Answer: Consume 1500-1700 calories per day
77. A nurse is providing discharge teaching to the parents of a school age child who has cystic
fibrosis which response by the parents indicates an understanding if the teaching?
Answer: I will give my child pancreatic enzyme with snacks and meals
78. A nurse is caring for a child who has impetigo contagiosa that developed in the hospital.
Which of the following actions should the nurse take?
Answer: Initiate contact isolation precautions
79. A nurse is providing teaching to the parents of a school age child who has ADHD and a new
prescription of for methylphenidate. The nurse should explain that this medication should have
which of the following therapeutic effects?
Answer: Increasing focus
80. A nurse is teaching an adolescent how to manage his cystic fibrosis. Which of the following
statements by the adolescent indicates understanding of the teaching?
Answer: "I will increase my intake of vitamin D"
81. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant
which of the following restraints should the nurse plan to use for this procedure?
Answer: Mummy restraint
82. A nurse in the providers office is caring for a preschool age child who might have a acute
epiglottitis which of the following actions should the nurse take?
Answer: Provide humidifier oxygen via nasal cannula
83. A nurse is planning care for adolescent follow repair of Meckel diverticulum. Which of the
following actions should the nurse include in the plan of care?
Answer: Maintain an NG tube for decompression
84. A nurses preparing to perform peritoneal dialysis for your child was elevated serum
creatinine level after explaining the procedure which of the following action should the nurse
plan to take?
Answer: Obtain child's weight
85. A nurses caring for an adolescent who is one hour postoperative following appendectomy
which of the following findings should the nurse report to the provider?
Answer: Muscle rigidity
86. And nurses caring for preschool age child whose postoperative following a tonsillectomy and
is clearing her throat frequently which of the following action should take first?
Answer: Give the child small sips of water
87. A charge nurse is planning care for an infant who has failure to thrive which of the following
actions should the nurse include in the plan of care?
Answer: Use half strength formula when feeding the infant Locate rooting reflex Mouth area
88. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden
infant death syndrome. Which of the following statements by the parents indicate an
understanding of the teaching?
Answer: "I will dress my baby in light weight clothing to sleep"
89. A nurse in the providers office is providing teaching to the parents of a preschooler who has
down syndrome which of the following statements buy one of the parents indicates an
understanding of instructions?
Answer: "We'll be sure to demonstrate a new skill before expecting our son to perform it"
90. A nurse is teaching a parent of a 10 month old about home safety what should be included in
the teaching?
Answer: Place gates on top and bottom of stairs, Ensure that the crib mattress is in the lowest
position.
91. A nurse is assessing a 3 month old infant who has diarrhea which of the following should the
nurse expect?
Answer: Increased hematocrit
92. A nurse is providing teaching to a parent of an infant who has 1 cm umbilical hernia which of
the following instructions should the nurse include in the teaching?
Answer: The bulge can temporarily enlarge when your baby cries
93. A nurse is admitting for pertussis which transmission based precaution should the nurse
initiate?
Answer: Droplet precautions
94. A nurse is assessing a toddler who has a history of lead poisoning. Which of the following
actions should the nurse take?
Answer: Perform developmental testing for delays
95. In nurses reviewing the medical record of a 24 month old child who has acute lymphocytic
leukemia which of the following actions should the nurse take?
Answer: Initiate bleeding precautions
96. A nurse is providing teaching to the parent of the school's child was diabetes mellitus about
managing diabetes during illness. Which of the following statements by the parents and the kids
understanding of the teaching?
Answer: "I'll increase them on fluids"
97. A nurse is caring for an infant who has tetralogy of fallot and is having a hypercyanotic
episode after crying. Which of the following intervention should the nurse implement?
Answer: Place them in knee chest position
98. A nurse in the emergency room is caring for a child who is 18 kg and injects 500 mg
acetaminophen about four hours ago. Which of the following actions does the nurse take?
Answer: Prepare to give oral N-acetylcysteine
