2026 NEXT GENERATION NCLEX ATI PEDS Q&A,
CLINICAL JUDGMENT CASE STUDIES EXAM QUESTIONS
WITH CORRECT ANSWERS PLUS RATIONALES
Exam: |NGN |ATI |Pediatric |Nursing
Question |1:
What |is |the |primary |concern |when |caring |for |an |infant |with |a |congenital |heart |defect?
• A) |Weight |gain
• B) |Adequate |oxygenation
• C) |Proper |nutrition
• D) |Maintaining |a |normal |body |temperature
Correct |Option: |B
Rationale: |Adequate |oxygenation |is |crucial |in |infants |with |congenital |heart |defects, |as |impaired
|circulation |may |lead |to |hypoxia.
Question |2:
Which |immunization |should |be |given |at |12 |months |of |age?
• A) |MMR
• B) |DTaP
• C) |IPV
• D) |Varicella
Correct |Option: |D
|
Rationale: |The |varicella |vaccine |is |typically |administered |at |12 |months |to |protect |against
|chickenpox.
Question |3:
,In |children, |what |is |the |primary |treatment |for |asthma |exacerbations?
• A) |Bronchodilators
, • B) |Short-acting |beta |agonists
• C) |Antihistamines
• D) |Corticosteroids
Correct |Option: |B
Rationale: |Short-acting |beta |agonists, |such |as |albuterol, |provide |quick |relief |by |dilating |the
|airways |during |asthma |exacerbations.
Question |4:
What |is |a |common |sign |of |dehydration |in |infants?
• A) |Edema
• B) |Decreased |urine |output
• C) |Increased |energy
• D) |Weight |gain
Correct |Option: |B
Rationale: |Decreased |urine |output |is |a |key |indicator |of |dehydration |in |infants, |alongside |other
|signs |like |dry |mouth |and |lethargy.
Question |5:
Which |developmental |milestone |is |expected |in |a |2-year-old |child?
• A) |Sitting |without |support
• B) |Using |two-word |phrases
• C) |Riding |a |bicycle
• D) |Playing |cooperatively
Correct |Option: |B
, Rationale: |By |age |2, |children |typically |begin |to |use |two-word |phrases |to |communicate
|effectively.
Question |6:
What |is |the |most |appropriate |nursing |action |when |a |child |is |diagnosed |with |Kawasaki
|disease?
• A) |Administering |antibiotics
• B) |Administering |IV |immunoglobulin
• C) |Encouraging |fluid |intake
• D) |Monitoring |heart |rate
Correct |Option: |B
Rationale: |IV |immunoglobulin |is |essential |in |treating |Kawasaki |disease |to |prevent |coronary
|artery |complications.
Question |7:
What |should |a |nurse |monitor |for |in |a |child |receiving |chemotherapy?
• A) |Weight |gain
• B) |Increased |energy |levels
• C) |Signs |of |infection
• D) |Elevated |blood |pressure
Correct |Option: |C
Rationale: |Chemotherapy |can |cause |immunosuppression, |making |children |more |susceptible |to
|infections.
Question |8:
What |is |the |primary |focus |of |assessment |in |a |toddler |with |respiratory |distress?