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ATI NSG234 Pediatrics Exam (II)

RN - Nursing Exam(s) 50 Questions ✓ Free Access

ATI Pediatrics

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Q1: A nurse is caring for a 7-year-old child in the urgent care with complaints of blurred vision. The nurse should complete which of the following as the priority action?

Answer Choices:

A. Administer saline drops
B. Obtain visual acuity
C. Cleanse the eyes
D. Obtain a history
Correct Answer: Obtain visual acuity
Rationale:

👁️ Assessing visual acuity is the priority to determine the extent and severity of the blurred vision and to guide further care.

👁️ Administering saline drops or cleansing the eyes may be needed later but only after assessing vision.

👁️ Obtaining a history is important but should follow the initial assessment of vision.

Q2: A nurse is caring for a 6-week-old infant diagnosed with pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

Answer Choices:

A. Distended neck veins
B. Red currant jelly stools
C. Weight loss
D. Occasional vomiting
Correct Answer: Weight loss
Rationale:

🚼 Pyloric stenosis causes projectile vomiting, leading to weight loss and signs of dehydration if untreated.

🚼 The infant remains hungry but cannot keep food down, resulting in poor weight gain or weight loss.

🚼 Distended neck veins are unrelated.

🚼 Red currant jelly stools are typical of intussusception, not pyloric stenosis.

🚼 Vomiting in pyloric stenosis is persistent and projectile, not occasional.

Q3: A nurse is caring for a female newborn with an apparent anorectal malformation. The nurse should assess the infant for which of the following other potential finding?

Answer Choices:

A. Soft non tender abdomen.
B. Normal appearing perineum.
C. Meconium leakage via the vagina or urethra.
D. Poor sucking reflex.
Correct Answer: Meconium leakage via the vagina or urethra.
Rationale:

🩺 In anorectal malformations, there may be abnormal connections (fistulas) between the rectum and the vagina or urethra, causing meconium to leak through these openings.

🩺 This is a key sign to assess in female newborns.

🩺 A soft, non-tender abdomen and normal sucking reflex are unrelated.

🩺 The perineum usually appears abnormal or missing the normal anal opening in anorectal malformations.

Q4: A nurse is caring for a 3-year-old child with sudden onset of fever, crying and rubbing of the left ear. The nurse should suspect that the child has what type of problem?

Answer Choices:

A. Otitis Externa
B. Otitis Media
C. A viral sore throat
D. Sinus infection
Correct Answer: Otitis Media
Rationale:

👂 Sudden fever, ear pain, and ear rubbing are classic signs of otitis media, an infection of the middle ear common in young children.

👂 Otitis externa involves the outer ear and usually causes ear canal pain, not deep ear pain with fever.

👂 Viral sore throat and sinus infection may cause discomfort but are less likely to cause localized ear pain and ear rubbing.

Q5: A nurse is reinforcing teaching about nutritional considerations with the parent of a toddler. The nurse should recognize that which statement made by the parent indicates correct information about nutrition?

Answer Choices:

A. "I always give my toddler fruit juice instead of water to keep them hydrated throughout the day."
B. "I let my toddler eat as many sweets and snacks as they want because they are a picky eater."
C. "I make sure to offer a variety of foods from different food groups to my toddler each day."
D. "I avoid giving my toddler any dairy products as they are not necessary for their diet."
Correct Answer: "I make sure to offer a variety of foods from different food groups to my toddler each day."
Rationale:

🍎 Offering a variety of foods from different food groups ensures toddlers receive essential nutrients for growth and development.

🍎 Balanced nutrition supports healthy eating habits.

🍎 Giving fruit juice instead of water can lead to excess sugar intake and dental issues.

🍎 Allowing unlimited sweets and snacks promotes poor nutrition and unhealthy eating habits.

🍎 Dairy products are important sources of calcium and vitamin D, crucial for toddlers’ bone development.

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Exam Details
Total Questions: 50 practice questions
Category: RN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: ATI PEDIATRIC NURSING
Last Updated: Dec 02, 2025
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