ATI PEDIATRIC EXAM TEST BANK EVERYTHING
ON ATI PEDIATRICS INCLUDING NCLEX 200+
QUESTIONS AND CORRECT ANSWERS(BEST
DOCUMENT FOR ATI PEDS WITH
RATIONALES)AGRADE
1. A nurse is assessing a 4-year-old child for pain. Which pain assessment
tool is appropriate for this age group?
o A. Numeric Rating Scale
o B. Faces Pain Scale
o C. Visual Analog Scale
o D. FLACC Scale
Rationale: The Faces Pain Scale is suitable for children aged 3 to 8 years as
it uses facial expressions to help them identify their pain level.
2. A nurse is caring for a child with a suspected diagnosis of cystic fibrosis.
Which of the following is a common diagnostic test for this condition?
o A. Sweat chloride test
o B. Mantoux test
o C. Serum immunoglobulin assay
o D. Sweat electrolyte test
Rationale: The sweat electrolyte test is commonly used to diagnose cystic
fibrosis, as children with this condition have higher levels of chloride in their
sweat.
3. What is the first action a nurse should take when a child is experiencing
anaphylaxis?
o A. Administer epinephrine
o B. Start an IV line
o C. Administer oxygen
o D. Monitor vital signs
Rationale: Administering epinephrine is the first line of treatment for
anaphylaxis to quickly counteract the allergic reaction.
,4. A nurse is educating parents on how to manage their child's asthma.
Which of the following should be included in the teaching?
o A. Administer long-acting beta-agonists for acute asthma attacks
o B. Use a peak flow meter to monitor asthma control
o C. Avoid using corticosteroids for long-term control
o D. Limit physical activity to prevent attacks
Rationale: Using a peak flow meter helps monitor asthma control and can
signal if an attack is imminent, allowing for early intervention.
5. Which of the following is an early sign of increased intracranial
pressure in infants?
o A. Bradycardia
o B. Bulging fontanel
o C. Hypotension
o D. High-pitched cry
Rationale: A high-pitched cry is an early sign of increased intracranial
pressure in infants.
6. A nurse is providing postoperative care for a child who had a
tonsillectomy. Which of the following should the nurse report to the
provider?
o A. Sore throat
o B. Frequent swallowing
o C. Mild ear pain
o D. Low-grade fever
Rationale: Frequent swallowing may indicate bleeding, which is a
complication that needs to be reported to the provider immediately.
7. What is the priority nursing intervention for a child experiencing a
febrile seizure?
o A. Administer antipyretics
o B. Protect the child from injury
o C. Apply cooling measures
o D. Assess for the cause of the fever
Rationale: The priority is to protect the child from injury during a seizure.
, 8. A nurse is assessing a 3-month-old infant who has pyloric stenosis.
Which of the following findings should the nurse expect?
o A. Projectile vomiting
o B. Bilious vomiting
o C. Chronic diarrhea
o D. Distended abdomen
Rationale: Projectile vomiting is a classic sign of pyloric stenosis due to the
obstruction at the pyloric sphincter.
9. Which vaccine should not be administered to a child who is
immunocompromised?
o A. Hepatitis B
o B. MMR (Measles, Mumps, Rubella)
o C. DTaP (Diphtheria, Tetanus, Pertussis)
o D. Hib (Haemophilus influenzae type b)
Rationale: The MMR vaccine contains live attenuated viruses, which
should not be administered to immunocompromised individuals.
10.A nurse is caring for a child with acute lymphoblastic leukemia (ALL).
Which laboratory finding is most indicative of this condition?
o A. Elevated hemoglobin
o B. Elevated blast cells
o C. Low platelet count
o D. Increased neutrophils
Rationale: Elevated blast cells in the blood or bone marrow are indicative of
acute lymphoblastic leukemia.
Questions 11-20
11.Which intervention should be included in the plan of care for a child
with sickle cell anemia?
o A. Restrict fluid intake
o B. Administer analgesics for pain management
o C. Apply cold compresses for joint pain
o D. Encourage vigorous exercise
, Rationale: Pain management with analgesics is crucial for children with
sickle cell anemia, especially during a pain crisis.
12.A nurse is assessing an infant with suspected developmental dysplasia of
the hip. Which finding would support this diagnosis?
o A. Asymmetrical gluteal folds
o B. Positive Babinski reflex
o C. Hypertonic muscle tone
o D. Absent Moro reflex
Rationale: Asymmetrical gluteal folds are a common sign of developmental
dysplasia of the hip.
13.Which of the following conditions is a contraindication for the
administration of the rotavirus vaccine?
o A. Mild diarrhea
o B. Severe combined immunodeficiency (SCID)
o C. History of seizures
o D. Family history of diabetes
Rationale: The rotavirus vaccine is contraindicated in infants with severe
combined immunodeficiency.
14.A nurse is caring for a child with Kawasaki disease. Which of the
following is a priority assessment?
o A. Abdominal pain
o B. Skin rash
o C. Coronary artery aneurysm
o D. Joint pain
Rationale: The priority in Kawasaki disease is monitoring for coronary
artery aneurysms due to the risk of coronary complications.
15.What is the primary goal of treatment for a child with nephrotic
syndrome?
o A. Increase fluid intake
o B. Reduce protein in the diet
o C. Reduce proteinuria
o D. Administer antibiotics
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