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All-in-One ATI Pediatrics Test Bank: NCLEX Questions and Answers
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All-in-One ATI Pediatrics Test Bank: NCLEX Questions and Answers
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1. A 3-month-old infant is scheduled for a routine well-child visit. Which of thefollowing milestones should the nurse expect to observe in this infant?
A) Can sit without support
B) Can lift head while prone
C) Begins to crawl
D) Can pull to stand
Answer: B) Can lift head while prone
Rationale: At 3 months, infants typically begin to lift their heads while lying prone (on their
stomach). Other milestones such as sitting without support and crawling usually occur at later
ages.
2. A nurse is teaching the parents of a 4-year-old child about injury prevention.
Which statement by the parent indicates a need for further teaching?
A) “I will make sure my child wears a helmet while riding a bicycle.”
B) “I will allow my child to play outside without supervision.”
C) “I will install safety gates at the top and bottom of the stairs.”
D) “I will make sure my child does not play near a pool without adult supervision.”
Answer: B) “I will allow my child to play outside without supervision.”
Rationale: Preschool children, such as a 4-year-old, should always be supervised during outdoor
play to prevent injury.
3. A 7-year-old child is admitted to the hospital with a diagnosis of acute asthma
exacerbation. Which of the following actions should the nurse take first?
A) Administer the prescribed corticosteroid
B) Administer a bronchodilator
C) Obtain a chest X-ray
D) Assess oxygen saturation levels
Answer: B) Administer a bronchodilator
Rationale: In acute asthma exacerbations, the priority action is to administer a bronchodilator to
open the airways, improving respiratory function before other interventions.
,4. A nurse is caring for a 2-year-old who has just been diagnosed with otitis
media. Which of the following is the most appropriate action for the nurse to
take?
A) Administer pain medication as prescribed
B) Encourage the child to lie on the affected side
C) Provide a warm compress to the ear
D) Avoid giving any fluids to the child
Answer: A) Administer pain medication as prescribed
Rationale: Pain relief is a priority in the management of otitis media. Fluid intake should not be
restricted, and warmth may be helpful, but pain management is the first priority.
5. A nurse is providing dietary education for a parent of a 9-month-old infant.
Which of the following foods should the nurse recommend introducing at this
age?
A) Whole milk
B) Cow’s milk
C) Small pieces of cooked vegetables
D) Honey
Answer: C) Small pieces of cooked vegetables
Rationale: At 9 months, infants can begin eating soft, small pieces of cooked vegetables and
other solid foods. Whole milk and honey should not be introduced until later due to the risk of
allergies and botulism.
6. A 10-year-old child with a history of type 1 diabetes is feeling nauseous,
thirsty, and has a fruity odor on their breath. The nurse should suspect which of
the following?
A) Hypoglycemia
B) Hyperglycemia
C) Diabetic ketoacidosis
D) Insulin shock
Answer: C) Diabetic ketoacidosis
Rationale: Fruity breath odor, nausea, and excessive thirst are classic signs of diabetic
ketoacidosis (DKA), a potentially life-threatening complication of type 1 diabetes.
, 7. A 3-year-old child with cystic fibrosis is prescribed pancreatic enzymes. The
nurse should instruct the parents to administer the enzymes:
A) Immediately before meals
B) 30 minutes after meals
C) After the child has eaten a snack
D) During the child’s bath time
Answer: A) Immediately before meals
Rationale: Pancreatic enzymes should be taken immediately before meals or snacks to aid in the
digestion and absorption of food.
8. A nurse is caring for a child with meningitis. Which of the following findings
should the nurse anticipate?
A) Decreased temperature
B) Seizures
C) Hyperactivity
D) Increased appetite
Answer: B) Seizures
Rationale: Meningitis often causes neurological changes, including seizures. Other common
symptoms include fever, headache, and stiff neck.
9. A nurse is caring for a child following a tonsillectomy. Which of the following
findings would be concerning and require immediate intervention?
A) Low-grade fever
B) Frequent swallowing
C) Mild sore throat
D) Decreased appetite
Answer: B) Frequent swallowing
Rationale: Frequent swallowing could indicate bleeding at the surgical site, which is a serious
complication following a tonsillectomy and requires immediate intervention.
10. A 5-year-old child presents with a rash that started on the face and spread to
the trunk and extremities. The nurse suspects rubella. Which of the following is
the priority action?
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