ATI for Pediatrics

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Sample questions from ATI for Pediatrics

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A nurse is assessing a 2-year-old child during a well-child visit. Which finding is most consistent with expected development?

   • A.Uses two-word phrases and follows a simple two-step direction
   • B.Uses sentences of four or more words and shares toys consistently
   • C.Reads a short story aloud and ties shoelaces
   • D.Has no stranger anxiety and prefers cooperative group play

   Rationale: Two-word phrases and the ability to follow simple directions are expected around 2 years of age. Four-word sentences and consistent sharing are generally later skills, while reading and tying shoes occur much later. Stranger anxiety and parallel play are common in toddlers, so the exam takeaway is to match findings to the child's age rather than expecting school-age skills.

2. 2.A nurse is preparing to administer an intramuscular immunization to a 6-month-old infant. Which site is appropriate?

   • A.Deltoid muscle
   • B.Vastus lateralis muscle
   • C.Dorsogluteal muscle
   • D.Ventrogluteal muscle

   Rationale: The vastus lateralis is the preferred intramuscular site for infants because it is well developed and avoids major nerves and vessels. The deltoid may be used when muscle mass is adequate, but it is often too small in young infants. The dorsogluteal site is avoided because of sciatic nerve injury risk, and the ventrogluteal site is not the routine preferred site for an infant immunization.

3. 3.A nurse is teaching the parents of a 4-month-old infant about safe sleep. Which instruction should the nurse include?

   • A.Place the infant prone after feedings to prevent aspiration.
   • B.Use a firm, flat sleep surface and place the infant supine.
   • C.Position the infant on the side with a rolled blanket behind the back.
   • D.Place a soft pillow under the infant's head to maintain alignment.

   Rationale: Infants should be placed supine on a firm, flat sleep surface without soft bedding to reduce the risk of sudden unexpected infant death and suffocation. Prone and side positioning are not recommended for routine sleep, even after feeding. Pillows and rolled blankets create hazards, so the exam takeaway is back to sleep in an uncluttered crib.

4. 4.A nurse is caring for a 3-year-old child who is hospitalized for the first time. Which action is most likely to reduce the child's fear?

   • A.Explain all procedures using detailed medical terminology.
   • B.Allow the child to handle safe medical equipment before a procedure.
   • C.Tell the child that the procedure will not hurt.
   • D.Ask the parent to leave so the child can become independent.

   Answer and rationale are in the full material.

5. 5.A nurse is assessing a 5-year-old child with suspected dehydration. Which finding is the most reliable indicator of fluid status?

   • A.Skin turgor over the hand
   • B.Daily weight compared with a recent baseline
   • C.Presence of tears while crying
   • D.Capillary refill measured immediately after the child has been running

   Answer and rationale are in the full material.