2024-2025 PEDS ATI PROCTORED EXAM
REVISION QUESTIONS WITH ANSWERS AND
EXPLANATION
1 . The nurse is preparing to administer an immunization to a
four-year-old child.
Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the
immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3
seconds: C- administer the immunization using a 24-gauge
needle; The nurse should administer an immunization for a 4-
year-old child using a 24gauge needle to minimize the amount of
pain experienced by the toddler.
2. A nurse is reviewing the laboratory report of an infant who is
receiving treatment for severe dehydration. The nurse should
identify which of the following laboratory values indicates
effectiveness of the current treatment? A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg: B- sodium 140; The nurse should identify that a
sodium level of 140 mEq/L is within the expected reference range and
indicates the current treatment regimen the infant is receiving for
dehydration is effective.
3. The nurse is providing teaching about Social Development to
the parents of a preschooler. Which of the following play
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, 2024-2025 PEDS ATI PROCTORED EXAM
REVISION QUESTIONS WITH ANSWERS AND
EXPLANATION
activities should the nurse recommend for the child? A- Play
pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up: D- playing dress-up; The nurse should
instruct the parents that at the preschool age, play should focus on
social, mental, and physical development. Therefore, playing dress-
up is a recommended play activity for this child.
4. A nurse is teaching the parents of a newborn about ways to
prevent sudden infant death syndrome SIDS. Which of the
following instructions should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.: D- Give the infant a
pacifier at bedtime;
The nurse should inform the parent that protective factors against SIDS
include breastfeeding and the use of a pacifier when the infant is
sleeping.
A- The nurse should instruct the parent to place the infant in a supine
5. A nurse is assessing an infant who has pneumonia. Which of
the following findings is the priority for the nurse to report to
the provider? A- Nasal flaring B. WBC 11,300
C- diarrhea
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, 2024-2025 PEDS ATI PROCTORED EXAM
REVISION QUESTIONS WITH ANSWERS AND
EXPLANATION
D- abdominal distension: A- Nasal flaring; When using the airway,
breathing, circulation approach to client care, the nurse should place
the priority on nasal flaring. Nasal flaring indicates that the infant is
experiencing acute respiratory distress.
6. A school nurse is assessing a school-age child blood pressure
while he is seated in a chair. The child starts to experience a
tonic-clonic seizure. Which of the following actions should the
nurse take first?
A- Clear the immediate area around the child of
hazardous objects B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child: C- assist the child to a side-lying
position on the floor; The greatest risk to this child is aspiration,
occlusion of the airway, and bodily injury from falling out of the chair.
The nurse should ease the child down to floor in a side-lying position
immediately. This position enables the child's secretions to drain from
the mouth, preventing aspiration, and maintaining a patent airway.
7. A nurse is receiving change-of-shift Report on for children.
Which of the following children should the nurse assesses first?
A- A toddler who has a concussion and an episode of
forceful vomiting B- an adolescent who has infective
endocarditis and reports having a headache
C- an adolescent who was placed into Halo traction 1 hour ago
and rates his pain at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and brown
colored urine: A- A toddler who has a concussion and an episode of
forceful vomiting; When using the urgent vs. no urgent approach to
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