ATI Care of Children RN 2019 Proctored Exam – Level 3/
Peds 2019 All 70 Questions with the Correct Answers
AGRADE
1. A nurse is assessing a school aged child who has heart failure and is taking furosemide. Which
of the following findings should the nurse identify as an indication that the medication is
effective?
A. A increase in venous pressure
B. A decrease in peripheral edema
C. A decrease in cardiac output
D. An increase in potassium levels
Answer: B. A decrease in peripheral edema
2. A nurse is assessing an infant who has acute otitis media. Which of the following findings
should the nurse expect (SATA)
A. Increased appetite
B. Enlarged subclavian lymph nodes
C. Crying
D. Restlessness
E. Fever
Answer: C. Crying
D. Restlessness
E. Fever
3. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine
iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse
include in the teaching?
A. We will measure the amount of protein in your baby's urine over a 24 hour period.
B. The test will measure the amount of water in your baby's sweat.
C. A nurse will insert an IV prior to the test
D. Your baby will need to fast for 8 hours prior to the test
Answer: B. The test will measure the amount of water in your baby's sweat
4. A nurse in an urgent care clinic is prioritizing care for children. Which of the following
children should the nurse assess first?
A. A toddler who has nephrotic syndrome and facial edema
B. A preschool age child who has a muffled voice and no spontaneous cough
C. A preschool age child who has diabetes mellitus and a blood glucose of 200 mg/dL
D. An adolescent who has Crohn's disease and a recent weight loss of 5 kg mg (11 lb)
Answer: B. A preschool age child who has a muffled voice and no spontaneous cough.
5. A nurse is providing teaching to the parents of a toddler who is to undergo a sweat chloride
test. Which of the following statements should the nurse include?
A. The purpose of the test is to determine if your child has Crohn's disease
B. The technician will use a device to produce an electrical current during the test.
C. During the test your child will be in a room that is cold
D. Your child's sweat will be collected over 24 hours
Answer: D. Your child's sweat will be collected over 24 hours
6. 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?
A. Apply bacterial ointment to lesions
B. Soak hair brushes in boiling water for 10 minutes
C. Administer acyclovir PO two times per day
D. Seal soft toys in a plastic bag for 14 days
Answer: A. Apply bacterial ointment to lesions.
7. A nurse in the emergency department is caring for an adolescent who is requesting testing for
an STI. Which of the following action is appropriate for the nurse to take?
A. Request verbal consent from the social worker
B. Contact the patients parents to obtain phone consent
C. Postpone the testing until the patients parents are present.
D. Obtain written consent from the patient
Answer: D. Obtain written consent from the client
8. A nurse in the emergency department is assessing the toddler who has hyperpyrexia severe
dyspnea and drooling which of the following actions should the nurse take first?
A. Obtain a blood culture from the toddler
B. Administering antibiotics to the toddler
C. Insert an IV catheter for the toddler
D. Prepare the toddler for nasotracheal intubation
Answer: D. Prepare the toddler for nasotracheal intubation
9. A nurse is providing teaching to a 10 year old child scheduled for an arterial cardiac
catheterization. Which of the following information should the nurse include in the teaching?
A. You will have your dressing removed 12 hours after the procedure
B. You will need to keep your legs straight for 8 hours following the procedure
C. You will be on a clear liquid diet for 24 hours following the procedure
D. You will be on bed rest for 2 days after the procedure
Answer: B. You will need to keep your legs straight for 8 hours following the procedure
10. A nurse is caring for a preschooler who is post operative following a tonsillectomy. The child
is now ready to resume oral intake which of the following dietary choices should the nurse offer
the child?
A. Sugar free cherry gelatin
B. Vanilla ice cream
C. Chocolate milk
D. Lime flavored ice pop
Answer: D. Lime flavored ice pop
11. A nurse is caring for an infant who has patent ductus arteriosus. The nurse should identify
that the defect is a switch of the following locations of the heart.
Answer: In an infant with patent ductus arteriosus (PDA), the nurse should identify that the
defect involves an abnormal connection between the aorta and the pulmonary artery, which
allows blood to flow from the aorta into the pulmonary artery.
12. A school nurse is assessing a 7 year old student. The nurse should identify which of the
following findings is a potential indicator of physical abuse?
A. Abrasions to the knees
B. Front deciduous teeth missing
C. Weight in 45th percentile
D. Bruising around the wrists
Answer: D. Bruising around the wrists
13. A nurse is caring for a 10 month old child who was brought to the ER by his parents
following a head injury. Which of the following actions should the nurse take first?
A. Inspect for fluid leaking from the ears
B. Asses respiratory status
C. Check pupil reactions
D. Examine the scalp for lacerations
Answer: B. Assess respiratory status
14. 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?
A. Assign consistent nursing staff care for the infant
B. Keep the infant in a visually stimulating environment
C. Use half strength formula when feeding the infant
D. Give the infant fruit juice between feedings
Answer: A. Assign consistent nursing staff care for the infant
15. A nurse is providing teaching about home care to the parent of a child who has scabies.
Which of the following instructions should the nurse include in the teaching?
A. Wash your patients hair with shampoo containing Ketoconazole
B. Soak combs and brushes in boiling water for 10 minutes
C. Apply petroleum jelly to the affected areas
D. Treat everyone who came into close contact with the child
Answer: D. Treat everyone who came into close contact with the child
16. A nurse is caring for a preschooler who refuses to take a start dose of oral diphenhydramine.
Which of the following statements should the nurse make?
A. The medication isn't bad it tastes like candy
B. Let me know when you want to take the medication
C. The medication will treat your hypersensitivity reaction
D. Sometimes when a child has to take medications they feel sad
Answer: D. Sometimes when a child has to take medication they feel sad
17. A nurse is teaching the parent of a school age child about bicycle safety. Which of the
following instructions should the nurse include in the teaching?
A. Your child should walk the bicycle through intersections
B. Your child's feet should be 3-6 inches off the ground when seated on the bicycle
C. You should try to keep the bicycle at least 3 feet from the curb while riding in the street
D. Your child should ride the bicycle against the flow of traffic
Answer: A. Your child should walk the bicycle through the intersections
18. A nurse is caring for a school age child following the application of a cast to a fractured right
tibia. Which of the following actions should the nurse take first?
A. Teach the child about cast care
B. Pad the edges of the cast
C. Administer pain medication
D. Elevate the child's leg
Answer: D. Elevate the child's leg
19. A nurse is preparing to administer immunizations to a 3 month old infant. Which of the
following is an appropriate action for the nurse to take to deliver atraumatic care?
A. Provide a pacifier Coates with an oral sucrose solution prior to injections
B. Use a 20 gauge needle for the injections.
C. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections
D. Inject the immunizations into the deltoid muscle
Answer: A. Provide a pacifier coated with an oral sucrose solution prior to the injections
20. A nurse is preparing a school age child for an invasive procedure. Which of the following
actions should the nurse plan to take?
A. Plan for 30 minute teaching session about the procedure
B. Use vague language to describe the procedure
C. Explain the procedure to the child when they are in the playroom
D. Demonstrate deep breathing and counting exercises
Answer: D. Demonstrate deep breathing and counting exercises
21. A nurse is providing teaching to the parents of a 2 month old infant who has developmental
dysplasia of the hip and has a prescription for a Pavlik harness. Which of the following
statements by the parents indicates an understanding of the teaching?
A. We should adjust the straps daily
B. We will apply lotion to the skin under the straps
C. We will place the diaper under the straps
D. We should expect our baby to wear this harness for two weeks
Answer: C. We will place the diaper under the straps
22. A nurse is preparing to collect a urine specimen from a female infant using a urine collection
bag. Which of the following actions should the nurse take?
A. Apply lidocaine gel to the perineum before attaching the bag
B. Position the opening of the bag over the urethra and the anus
C. Stretch the perineum taut when applying the bag
D. Place a snug fitting diaper over the drainage bag
Answer: C. Stretch the perineum taut when applying the bag
23. A nurse is 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?
A. Schedule routine oral care every 8 hours
B. Cleanse the gums with saline soaked gauze
C. More sending me closer with lemon glycerin swabs
D. Administer oral viscous lidocaine
Answer: B. Cleanse the gums with saline soaked gauze
24. A nurse is providing discharge teaching to the parents of an infant who is at risk for SIDS.
Which of the following statements by the parent indicates an understanding of the teaching?
A. I will have my baby sleep next to me in the bed during the night
B. Elmo my baby stuffed animal to the corner of her crib while she sleeps
C. I will dress my baby in lightweight clothing to sleep
D. I will lay my baby on her side to sleep for her naps
Answer: C. I will dress my baby in lightweight clothing to sleep
25. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following
findings should indicate to the nurse that the medication is having a therapeutic effect?
A. Increase BP
B. Limb withdrawal
C. Relaxed facial expressions
D. Bradycardia
Answer: C. Relaxed facial expressions
26. A nurse is caring for a 3 month old infant who has cleft of the soft palate. Which of the
following actions should the nurse take?
A. Discontinue feeding if the patients eyes become watery
B. Postpone burping the infant until after completing each feeding
C. Elevate the infants head to a 10 degree angle during feedings.
D. Feed the infant 177.4 ml (6 oz) of formula 3 times a day.
Answer: A. Discontinue feeding if the patients eyes become watery
27. A nurse is caring for a child who has hyponatremia. Which of the following findings should
the nurse expect?
A. Tetany
B. Weight gain
C. Elevated heart rate
D. Excessive diaphoresis
Answer: A. Tetany
28. A nurse in the ER is caring for a preschool age child who has acute acetylsalicylic acid
poisoning. Which was the following should the nurse expect?
A. Jaundice
B. Hyperpyrexia
C. Polyuria
D. Neck vein distention
Answer: B. Hyperpyrexia
29. A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube.
Which of the following actions should the nurse take first?
A. Set the administration rate on the feeding pump
B. Flush the tube with water
C. Check the pH of the gastric secretions
D. Attach the feeding bag tubing to the end of the NG tube.
Answer: C. Check the pH of the gastric secretions
30. A nurse is caring for an adolescent who is 1 hour postoperative following an appendectomy.
Which of the following findings should the nurse report to the provider?
A. Temperature of 36.4°C
B. Muscle rigidity
C. Heart rate 64/min
D. Abdominal pain
Answer: B. Muscle rigidity
31. A nurse is planning care for an 8 month old infant who has heart failure. Which of the
following actions should the nurse include in the plan of care?
A. Provide less frequent, higher volume feedings
B. Repeat a digoxin dosage if the infant vomits within 1 hour of administration
C. Place the infant in a prone position
D. Administer a cool humidified oxygen via nasal cannula
Answer: D. Administer a cool humidified oxygen via nasal cannula
32. A nurse is a providers office is preparing a administer immunizations to a 12 year old client
during a well child visit. Which of the following immunizations should the nurse plan to
administer?
A. DTAP
B. HPV
C. Varicella
D. Hepatitis A
Answer: B. HPV
33. A nurse is planning care for a school aged child who was admitted from the ER 2 hours ago.
Which of the following interventions should the nurse include to promote adequate sleep for the
child?
A. Provide the child with video games prior to bedtime to reduce stress
B. Follow the child's home sleep routine to reduce anxiety
C. Leave the lights on in the child's room to promote safety
D. Allow the child to adjust their bedtime to promote autonomy
Answer: B. Follow the child's home sleep routine to reduce anxiety
34. A nurse is preparing to initiate IV therapy for a newly admitted 12 month old infant. Which
of the following actions should the nurse plan to take?
A. Start the IV in the infants foot
B. Change the IV site every 3 days
C. Use a 24 gauge catheter to start the IV
D. Cover the insertion site with an opaque dressing
Answer: C. Use a 24 gauge catheter to start the IV
35. A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new
prescription for digoxin. Which of the following manifestations should the nurse include as an
indication of digoxin toxicity?
A. Diaphoresis
B. Bradycardia
C. Polyuria
D. Jaundice
Answer: B. Bradycardia
36. A nurse is reviewing laboratory results of a child who was recently admitted for a suspected
rheumatic fever. The nurse should identify which of the following laboratory tests can contribute
to confirming the diagnosis? (SATA)
A. Partial thromboplastin (PIT)
B. Erythrocyte sedimentation rate (ESR)
C. C reactive protein (CRP)
D. Antistrepolysin O (ASO) titer
E. Blood urea nitrogen (BUN)
Answer: B. Erythrocyte sedimentation rate (ESR)
C. C reactive protein (CRP)
D. Antistrepolysin O (ASO) titer
37. A nurse is teaching a group of female adolescents about healthy eating. Which of the
following instructions should the nurse include in the teaching?
A. Limit your sodium intake to 3,000 mg per day
B. Consume 1500 to 1700 calories per day
C. Decrease your vitamin D intake once you start to menstruate
D. Increase the amount of your dietary iron intake
Answer: D. Increase the amount of your dietary iron intake
38. A nurse is caring for an infant who receives intermittent enteral feedings through a
gastronomy tube. Which of the following actions should the nurse take when administering a
feeding? (SATA)
A. Instill the formula over a period of 30-45 minutes
B. Hear the formula to 39 C prior to administration
C. Check for residual volume by aspiration stomach contents
D. Place the infant in supine position
E. Offer the infant a pacifier during feedings
Answer: A. I still the formula over a period of 30-45 minutes
C. Check for residual volume by aspiration of stomach contents
E. Offer the infant a pacifier during feedings
39. A nurse is planning care for a child who has osteomyelitis. Which of the following
interventions should the nurse include in the plan of care?
A. Provide a high calorie low protein diet
B. Maintain a patent IV catheter
C. Encourage frequent physical activity to increase bone mass
D. Initiate contact precautions for the child
Answer: B. maintain a patent IV catheter
40. A nurse is admitting a child who has acute epiglottis. Which is the following crooks should
the nurse take?
A. Initiate droplet isolation precautions
B. Obtain a throat culture
C. Assist the child to a supine position
D. Check obscene saturation every 4 hours
Answer: A. Initiate droplet isolation precautions
41. A nurse is providing teaching to the guardians of a school age child who has sickle cell
disease about the management of the illness. Which of the following instructions should the
nurse include?
A. Limit fluids at bedtime
B. Have the child wear a surgical mask to school
C. Apply cold compress to painful areas
D. Encourage physical activity as tolerated
Answer: C. Apply cold compress to painful areas
42. A nurse is assessing a 5 month old infant. Which of the following findings should the nurse
report to the provider?
A. Unable to hold s bottle
B. Unable to roll from back to abdomen
C. Exhibits head lag pull to sitting position
D. Absent grasp reflex
Answer: C. Exhibits head lag pull to sitting position
43. A nurse is caring for a 5 year old child following a tonsillectomy and adenoidectomy. Which
of the following findings should the nurse identify as an indication of hemorrhage?
A. Heart rate 54/min
B. Continuous swallowing
C. Flushing of the face
D. Blood pressure 95/56
Answer: B. Continuous swallowing
44. A nurse is discussing coping mechanisms with a parent of a 3 months old infant. Which of
the following therapeutic questions should the nurse ask the parent.?
A. Does parenting cause you stress
B. Are you willing to take new parenting classes
C. What do you do when your infant is having a bad day
D. Is it overwhelming when your infant is having a bad day?
Answer: C. What do you do when your infant is fussy?
45. A nurse is providing teaching about the effects of sun exposure to a parent of a toddler.
Which of the following responses by the parents indicates an understanding of the teaching?
A. My child should remain under a beach umbrella during morning hours
B. I should dress my child in loose wear clothing
C. I should apply 10 spf sunscreen to my child's entire body
D. My child should wear a wide brimmed hat
Answer: D. My child should wear a wide brimmed hat
46. A nurse is evaluating a 4 year old child who has cystic fibrosis and has been receiving chest
physiotherapy treatments. The nurse should identify which of the following findings as an
indication that the therapy has been effective ?
A. Reduced pain
B. Increased urine output
C. Increased expectoration
D. Increase heart rate
Answer: C. Increased expectoration
47. A nurse is planning care for a 6 month old infant who has bacterial meningitis. Which of the
following interventions should the nurse include in the plan of care?
A. Provide frequent ROM to the neck and shoulders
B. Keep the TV on in the room to provide background noise
C. Place the infant in a semiprivate room
D. Pad the side rails of the crib
Answer: D. Pad the side rails of the crib
48. A nurse is providing the medical record of a school age child who has cystic fibrosis. Which
of the following findings should the nurse report to the provider?
A. Heart rate
B. WBC count
C. Oxygen saturation
D. HbA1c
Answer: D. HbA1c
49. A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of the
following findings should the nurse report?
A. Cap refill of 2 seconds
B. Increased respiratory rate
C. Hypertension
D. Increased urine output
Answer: B. Increased respiratory rate
50. A nurse is assessing an infant who has intussusception. Which of the following findings
should the nurse expect?
A. Sausage shaped abdominal mass
B. Board like abdomen
C. Constipation
D. Increased urinary output
Answer: A. Sausage shaped abdominal mass
51. A nurse is caring for a 4 year old child who has meningitis gentamicin. Which of the
following laboratory values should the nurse report to the provider?
A. BUN 6mg/dL
B. Creatinine 0.3 mg/dL
C. BUN 12 mg/dL
D. Creatinine 1.4 mg/dL
Answer: D. Creatinine 1.4 mg/dL
52. A nurse is a providers office is assessing the vital signs of a 2 year old child at a well child
visit. Which of the following findings should the nurse report to the provider?
A. Temperature 37.2
B. Respiratory rate 26/min
C. Blood pressure 118/74
D. Pulse rate 98/min
Answer: C. Blood pressure 118/74
53. A nurse is preparing to administer medication to a toddler whose parent is nearby. Which of
the following actions should the nurse take to identify the toddler?
A. Check the toddlers ID band against the medical record.
B. Ask the parents to confirm the toddlers identity
C. Check the toddlers room number against their ID band
D. Ask another nurse to confirm the toddlers identity
Answer: A. Check the toddlers ID band against the medical record
54. A nurse is teaching home care to the parents of a preschool aged child who has heart failure.
Which of the following information should the nurse include in the teaching?
A. Provide periods of rest
B. Weigh the child once each month
C. Withhold digoxin if the child's pulse is more than 100
D. Increase the child's oxygen flow rate until the child no longer has cyanosis
Answer: A. Provide periods of rest
55. A nurse in a PACU is caring for a school age child immediately following a tonsillectomy.
Which of the following actions should the nurse take?
A. Offer the child ice cream when alert
B. Instruct the child to drink fluids through a straw
C. Place the child in a side lying position
D. Encourage the child to deep breathe and cough
Answer: C. Place the child in a side lying position
56. A nurse is reviewing the medical record of a 15 month old child who is scheduled to receive
the MMR vaccine. Which of the following findings should the nurse identify as a
contraindication for receiving this vaccine?
A. Temperature of 37.2
B. Upper respiratory infection 2 days ago
C. Allergy to neomycin
D. Family history of seizures
Answer: C. Allergy to neomycin
57. A nurse is assessing a school age child's cranial nerve function. Which of the following
actions should the nurse ask the child to take when assessing the accessory nerve?
A. Move their tongue in all directions
B. Show their teeth while smiling
C. Follow a flight in the six cardinal movements
D. Shrug their shoulders against mild pressure
Answer: D. Shrug their shoulders against mild pressure
58. A nurse is performing a cranial nerve assessment on a school age child. Which of the
following findings indicate proper functioning of the trigeminal nerve?
A. The child exhibits a gag reflex when stimulated with a tongue blade
B. The child has symmetrical jaw strength when bitting down
C. The child correctly identifies specific scents
D. The child maintains balance when standing with eyes closed
Answer: B. The child has symmetrical jaw strength when biting down
59. A nurse is providing support to a family whose infant died from SIDS. Which of the
following actions should the nurse take?
A. Acknowledge the family members feeling of guilt
B. Discourage the parents from allowing siblings to view the body
C. Provide a follow up phone call 1 week following the infants death
D. Avoid discussing the details of the attempt to revive the infant
Answer: A. Acknowledge the family members feelings of guilt
60. A nurse in the ER is caring for a child who has a temperature of 39.1 C and a suspected
diagnosis of bacterial meningitis. Which of the following actions should the nurse take first?
A. Implement droplet precautions for the child
B. Administer an antipyretic to the child
C. Dim the lights in the child's room
D. Prepare the child for a lumbar puncture
Answer: A. Implement droplet precautions for the child
61. A nurse is caring for an infant who has rotavirus. Which of the following findings indicates
that the infant is moderately dehydrated?
A. Respiratory rate of 28/min
B. Cap refill of 1 second
C. Bradycardia
D. Weight loss 7%
Answer: D. Weight loss 7%
62. A nurse is providing teaching to the guardians of a school age child who has a seizure
disorder. Which of the following factors should the nurse include as a common trigger that
increase the risk of seizures?
A. Decreased temperature
B. Prolonged headache
C. Exposure to second-hand smoke
D. Lack of sleep
Answer: D. Lack of sleep
63. A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes
the patients potassium level is 3.2. Which of the following assessment findings should the nurse
expect?
A. Hyperactive bowel sounds
B. Oliguria
C. Hypertension
D. Hyporeflexia
Answer: D. Hyporeflexia
64. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following
immunizations should the nurse include in the plan?
A. Rotavirus
B. MMR
C. Pneumococcal conjugate (PCV13)
D. Respiratory syncytial virus (RSV)
Answer: C. Pneumococcal conjugate (PCV13)
65. A nurse is planning care for a child who has varicella. Which of the following interventions
should the nurse plan to include?
A. Administer aspirin for fever
B. Initiate airborne precautions
C. Provide the child with a warm blanket
D. Assess the oral cavity for koplik spots
Answer: B. Initiate airborne precautions
66. A nurse is assessing a 6 month old infant who has RSV. The nurse should immediately report
which of the following findings to the provider?
A. Rhinorrhea
B. Tachypnea
C. Pharyngitis
D. Coughing
Answer: B. Tachypnea
67. A nurse is prioritizing care for 4 patients. Which of the following patients should the nurse
assess first?
A. A toddler who has a partial thickness burn on his right hand and requires a dressing change
B. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10
C. A toddler who has a new diagnosis of osteomyelitis abs is to receive a IV bolus of nafcillin
D. An adolescent who has sickle cell anemia and slurred speech
Answer: D. An adolescent who has sickle cell anemia and slurred speech
68. A nurse is providing teaching to the parents of a school aged child newly diagnosed with a
seizure disorder. The nurse should teach the parents to take which of the following actions during
a seizure?
A. Insert a tongue blade between the teeth
B. Clear the area of hard objects
C. Place the child in a prone position
D. Minimize movements of the limbs
Answer: B. Clear the area of hard objects
69. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines.
Which of the following instructions should the nurse include in the teaching?
A. You should consume flavored yogurt instead of plain yogurt
B. You can replace milk with nondairy sources of calcium
C. You might tolerate plain milk better with chocolate milk
D. You can drink milk on an empty stomach
Answer: B. You can replace milk with nondairy sources of calcium
70. A nurse is assessing a toddler who has cystic fibrosis. Which of the followings findings
should the nurse expect?
A. Steatorrhea (fatty stool)
B. Visible peristalsis
C. Weight gain
D. Rhinorrhea
Answer: A. Steatorrhea (fatty stool)
71. A nurse in an ER is assessing an adolescent who reports inhalation of gasoline. Which of the
following findings should the nurse expect?
A. Hyperactive reflexes
B. Pinpoint pupils
C. Hypothermia
D. Ataxia (feeling of being drunk)
Answer: D. Ataxia (feeling of being drunk)
