ATI PEDS Proctored Exam Latest Solutions 2026

ATI PROCTORED PEDS

1. A nurse is completing an admission assessment on an adolescent child who is a vegetarian.  He 

eats milk products but does not like beans.  Which of the following items should the nurse

suggest the client order for lunch to provide nutrients most likely to be lacking in his diet?

a. Peanut butter and jelly sandwich

2. A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of 

cephazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose?

3. A nurse is preforming a pre-college assessment on an adolescent. Which of the following 

immunizations should the nurse anticipate administering?

a. Meningococcal polysaccharide vaccine

4. A nurse is assessing a client who has left-sided heart failure. Which of the following findings

should the nurse expect?

a. Dependent edema

5. A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy.  The 

nurse should instruct the client that this medication can cause which of the following adverse

effects?

a. Body secretions turning a red-orange color

6. A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following 

manifestations should the nurse expect?

a. Projectile vomiting

7. A nurse receives a call from a parent of a child who has von Willebrand disease and has having a

nosebleed. Which of the following instructions should the nurse give to the parents?

a. “have you child sit with their head tilted forward and hold pressure on her nose for 10

minutes.”

8. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the

nurse expect? 

a. Pain

9. A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client 

who is scheduled for surgery in the morning. Which of the following actions should the nurse

include in the demonstration?

a. Place both hands on the sides of her rib cage.

10. A nurse is assessing a 3-year-old child who has aortic stenosis.  Which of the following findings 

should the nurse expect? (select all that apply).

a. Most common: Murmur

b.  weak pulses, HTN, dizziness, chest pain

11. A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP). Which of

the following manifestations is the most appropriate for the nurse to monitor? 

a. Fever?

12. A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for

initial surgery. Which of the following statements indicates an understanding of the teaching?

a. “I’m glad that my child’s ostomy is only temporary.”

13. A school nurse identifies that a child has pediculosis capitis and educates the child’s parents

about the condition. Which of the following statements by the parents indicated an

understanding of the teaching?

a. “all recently used clothes, bedding, and towels must be washed in hot water.”

14. A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The 

nurse should instruct that the transition to whole milk can occur at which of the following ages?

a. 12 months

15. A nurse is assessing a 6-month old patient at a well-child visit.  Which of the following findings

should the nurse expect?

a. Closed posterior fontanel (8 weeks).

16. A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in suspension 

form.  Which of the following actions should the nurse take before administering each dose?

a. ??

17. A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for

acquiring urinary tract infections. Which of the following actions should the nurse include in the

client’s plan of care?

a. Encourage fluid intake at and between meals.

18. A nurse is planning care for a child who has suspected epiglottis. Which of the following actions 

should the nurse take?

a. place the child in an upright position

19. A nurse is instructing a group of clients regarding calcium rich food. Which of the following

should the nurse include in the teaching as the best source of calcium?

a. 1 cup milk

20. A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The 

parent begins to cry and says “ I don’t understand why my child is so upset. I’ve never seen my

child act this way around others before.” Which of the following statements should the nurse

make?

a. “This is a normal, expected reaction for a child of this age.”

21. A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the 

following strategies should the nurse use to elicit the child’s cooperation?

a. Offer the child a choice of taking it with juice or water.

22. A nurse is caring for a client who requires droplet precautions. Which of the following personal

protective equipment should the nurse wear when setting up the meal tray?

a. Mask

23. A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the 

following actions by the client indicates an understanding of the teaching?

a. The client holds his breath 10 seconds after inhaling the medication.

24. A nurse is caring for a 2-month-old infant who is post-operative following surgical repair of a cleft

lip. Which of the following actions should the nurse take?

a. Administer ibuprofen as needed for pain.

25. A nurse is caring for a child who has Kawasaki disease. Which of the following systems should 

the nurse monitor in response to this diagnosis?

a. Cardiovascular

26. A nurse is providing teaching to a client who has oral candidiasis and a new script for nystatin

suspension.  Which of the following statements by the client indicates an understanding of the

teaching?

a. “I will store the medicine at room temp”