ATI PN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
70 pediatric nursing questions
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales consistent with entry-
level practical nursing standards.
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1. A nurse is reinforcing teaching with the parents of a 7-year-old child about behavioral
expectations. Which of the following behaviors is typical for this age?
A. Consistently engaging in parallel play
B. Wanting to spend a lot of time alone
C. Preferring to engage only in solitary computer games
D. Being unable to separate from parents at any time
Answer: B. Wanting to spend a lot of time alone.
Expert Explanation: School-age children often start to value privacy and may enjoy solitary
activities, yet still engage with peers at other times.
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2. A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a
school-age child who has iron deficiency anemia. Which statement by the guardian indicates
an understanding of the teaching?
A. “I will mix the medication with milk to hide the taste.”
B. “I will give this medication at bedtime with warm tea.”
C. “I will give this medication to my child with a straw.”
D. “I will let my child take the iron right after brushing teeth.”
Answer: C. “I will give this medication to my child with a straw.”
Expert Explanation: Using a straw helps prevent the liquid iron from staining the teeth. It is
also recommended to administer with vitamin C or juice (not milk) to enhance absorption.
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3. A nurse in a pediatric clinic cares for an infant with heart failure who has a prescription
for digoxin. Which of the following statements by the parent indicates that the medication is
having the desired therapeutic effect?
A. “My baby’s heart rate is much faster than before.”
B. “My baby is breathing easier than they used to.”
C. “My baby now has more frequent wet diapers.”
D. “My baby is spitting up more often these days.”
Answer: B. “My baby is breathing easier than they used to.”
Expert Explanation: An improvement in respiratory effort and reduced work of breathing
suggests digoxin is improving cardiac function and reducing pulmonary congestion.
4. A nurse is collecting data for an adolescent who has asthma and recently received an
albuterol nebulizer treatment. Which of the following findings indicates an improvement in
the adolescent’s condition?
A. Heart rate of 130/min
B. O2 saturation of 88% on room air
C. Respiratory rate of 20/min
D. Prolonged expiratory wheezes
Answer: C. Respiratory rate of 20/min.
, Expert Explanation: A normal or near-normal respiratory rate (around 12-20/min for
adolescents) indicates improved ventilation and less respiratory distress following a
bronchodilator treatment.
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5. A nurse is collecting data from an 18-month-old toddler who came to the urgent care
clinic. Which of the following findings should the nurse investigate further?
A. Heart rate of 106/min
B. Blood pressure 120/80 mm Hg
C. Temper tantrums when upset
D. Respiratory rate of 28/min
Answer: B. Blood pressure 120/80 mm Hg.
Expert Explanation: A blood pressure of 120/80 mm Hg is elevated for an 18-month-old. This
finding requires further evaluation.
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6. A nurse is collecting data from a school-age child. Which of the following findings is a
manifestation that might indicate physical abuse?
A. Burns on the palms that the child states happened at camp
B. Singular large bruise on the shin from playing soccer
C. Bruises at various stages of healing
D. A single cut on the lip from accidental fall
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
70 pediatric nursing questions
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales consistent with entry-
level practical nursing standards.
,───────────────────────────────────────
1. A nurse is reinforcing teaching with the parents of a 7-year-old child about behavioral
expectations. Which of the following behaviors is typical for this age?
A. Consistently engaging in parallel play
B. Wanting to spend a lot of time alone
C. Preferring to engage only in solitary computer games
D. Being unable to separate from parents at any time
Answer: B. Wanting to spend a lot of time alone.
Expert Explanation: School-age children often start to value privacy and may enjoy solitary
activities, yet still engage with peers at other times.
───────────────────────────────────────
─────────────────
2. A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a
school-age child who has iron deficiency anemia. Which statement by the guardian indicates
an understanding of the teaching?
A. “I will mix the medication with milk to hide the taste.”
B. “I will give this medication at bedtime with warm tea.”
C. “I will give this medication to my child with a straw.”
D. “I will let my child take the iron right after brushing teeth.”
Answer: C. “I will give this medication to my child with a straw.”
Expert Explanation: Using a straw helps prevent the liquid iron from staining the teeth. It is
also recommended to administer with vitamin C or juice (not milk) to enhance absorption.
,───────────────────────────────────────
─────────────────
3. A nurse in a pediatric clinic cares for an infant with heart failure who has a prescription
for digoxin. Which of the following statements by the parent indicates that the medication is
having the desired therapeutic effect?
A. “My baby’s heart rate is much faster than before.”
B. “My baby is breathing easier than they used to.”
C. “My baby now has more frequent wet diapers.”
D. “My baby is spitting up more often these days.”
Answer: B. “My baby is breathing easier than they used to.”
Expert Explanation: An improvement in respiratory effort and reduced work of breathing
suggests digoxin is improving cardiac function and reducing pulmonary congestion.
4. A nurse is collecting data for an adolescent who has asthma and recently received an
albuterol nebulizer treatment. Which of the following findings indicates an improvement in
the adolescent’s condition?
A. Heart rate of 130/min
B. O2 saturation of 88% on room air
C. Respiratory rate of 20/min
D. Prolonged expiratory wheezes
Answer: C. Respiratory rate of 20/min.
, Expert Explanation: A normal or near-normal respiratory rate (around 12-20/min for
adolescents) indicates improved ventilation and less respiratory distress following a
bronchodilator treatment.
───────────────────────────────────────
─────────────────
5. A nurse is collecting data from an 18-month-old toddler who came to the urgent care
clinic. Which of the following findings should the nurse investigate further?
A. Heart rate of 106/min
B. Blood pressure 120/80 mm Hg
C. Temper tantrums when upset
D. Respiratory rate of 28/min
Answer: B. Blood pressure 120/80 mm Hg.
Expert Explanation: A blood pressure of 120/80 mm Hg is elevated for an 18-month-old. This
finding requires further evaluation.
───────────────────────────────────────
─────────────────
6. A nurse is collecting data from a school-age child. Which of the following findings is a
manifestation that might indicate physical abuse?
A. Burns on the palms that the child states happened at camp
B. Singular large bruise on the shin from playing soccer
C. Bruises at various stages of healing
D. A single cut on the lip from accidental fall
