NGN ATI PEDS PROCTORED EXAM LATEST 2026 PEDS ATI
PROCTORED ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS)
1. A nurse is caring for a toddler who has a high fever and is diagnosed with acute
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otitis media. Which of the following actions should the nurse take first?
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A. Administer prescribed acetaminophen
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B. Encourage fluid intake
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C. Teach the caregiver about antibiotic therapy
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D. Apply a warm compress to the affected ear
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Answer: A |
Rationale: According to Maslow’s hierarchy and nursing priority principles,
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managing pain and fever is essential. Administering acetaminophen helps reduce
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fever and discomfort, which supports rest and fluid intake. Education and warm
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compresses are supportive, but not priority interventions.
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2. A school-aged child is admitted with sickle cell crisis. Which of the following
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interventions is the nurse’s priority?
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A. Monitor oxygen saturation
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B. Provide high-calorie meals
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C. Apply warm compresses to joints
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D. Encourage ambulation
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Answer: A |
Rationale: Oxygen saturation monitoring is a priority because sickle cell crisis can
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cause hypoxia. Hypoxia worsens sickling of RBCs. Pain management and hydration
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are important, but airway and oxygenation always take precedence.
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3. A nurse is providing dietary teaching to the parent of a toddler with celiac disease.
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Which food should the nurse recommend?
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A. Oatmeal
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B. Whole wheat toast
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C. Rice cereal
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D. Barley soup
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Answer: C |
Rationale: Celiac disease requires a gluten-free diet. Rice cereal is safe, while oats,
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wheat, and barley contain gluten or are often contaminated.
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4. A 5-year-old child is scheduled for a tonsillectomy. Which of the following
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findings should the nurse report to the provider?
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A. Recent upper respiratory infection
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B. Reports of moderate anxiety
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C. Mild hoarseness
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D. Loose tooth
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Answer: A |
Rationale: A recent respiratory infection increases the risk for post-op
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complications like airway obstruction. Surgery should be postponed until the
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infection resolves.
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5. A nurse is caring for an adolescent who has been diagnosed with bacterial
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meningitis. What is the priority nursing action?
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A. Monitor intake and output
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B. Place the client in droplet isolation
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C. Maintain NPO status
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D. Administer an antipyretic
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Answer: B |
Rationale: Droplet precautions are critical for meningitis to prevent transmission.
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Isolation should be initiated immediately. Other actions follow standard care but are
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not the immediate priority.
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6. A 4-month-old infant is scheduled for routine immunizations. Which vaccine
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should the nurse expect to administer?
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A. MMR |
B. Varicella
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C. Hepatitis A
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D. Rotavirus
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Answer: D |
Rationale: Rotavirus is part of the 2-, 4-, and 6-month vaccine schedule. MMR and
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Varicella are given at 12 months. Hep A starts at 12 months.
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