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 reviewing the lab results of a school-age child who has gastroenteritis. Which finding is
most important to report to the provider?
A. Mildly decreased potassium
B. Decreased sodium level
C. Slightly elevated chloride
D. Elevated blood urea nitrogen (BUN)
Correct Answer: B. Decreased sodium level
Expert Explanation:
Hyponatremia can be especially dangerous in pediatric clients. Electrolyte imbalances such as low
sodium may indicate significant fluid and electrolyte shifts, requiring urgent provider notification for
intervention.
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2. A nurse is assessing a toddler with constipation. Which finding requires follow-up from the nurse?
A. Toddler appears lethargic
B. Bowel sounds are hyperactive
C. The abdomen is flat and soft
D. Nonpalpable fecal mass on examination
Correct Answer: A. Toddler appears lethargic
Expert Explanation:
Lethargy can indicate more severe dehydration or serious illness. Although hypoactive bowel
sounds, a distended abdomen, or a palpable fecal mass are also concerns, lethargy is a critical sign that
warrants immediate follow-up.
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3. A parent of a school-age child with nephrotic syndrome asks the nurse why they must check the
child’s urine for protein. Which explanation by the nurse is best?
A. “It helps ensure your child has enough hydration.”
B. “A decrease in urine protein shows the treatment is effective.”
C. “The provider requires continuous monitoring for routine purposes.”
D. “Protein levels help predict if your child might be developing diabetes.”
Correct Answer: B. “A decrease in urine protein shows the treatment is effective.”
Expert Explanation:
In nephrotic syndrome, the excessive protein loss is measured through urine protein. Improvement
is indicated by decreased proteinuria, demonstrating effective therapy and improving kidney function.
4. A nurse is collecting data from a 6-month-old child who is experiencing a sickle cell crisis. Which
area should the nurse palpate to assess for splenic sequestration?
A. Right upper quadrant
B. Left upper quadrant
C. Right lower quadrant
D. Left lower quadrant
Correct Answer: B. Left upper quadrant
Expert Explanation:
The spleen is located in the left upper quadrant of the abdomen. In sickle cell disease, splenic
sequestration occurs when sickled red blood cells pool in the spleen, causing acute enlargement and
potential circulatory collapse if untreated.
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5. A nurse is teaching a group of parents about poison control. Which of the following actions is most
appropriate for the parent to take first if a child ingests potentially toxic medication?
A. Identify the medication and dosage
B. Call the poison control center immediately
C. Check if the child is breathing
D. Remove any medication from the child’s mouth
Correct Answer: C. Check if the child is breathing
Expert Explanation:
The priority is always to ensure airway, breathing, and circulation (ABCs). After assessing and
ensuring the child is breathing, the parent should remove any residual medication from the mouth,
identify the medication, and then call the poison control center.
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6. A nurse is caring for a child who has tonic-clonic seizures. Which of the following actions should
the nurse take?
A. Place the child in prone position during the seizure
B. Restrain the child’s arms and legs
C. Insert a padded tongue blade
D. Keep suction equipment readily available
Correct Answer: D. Keep suction equipment readily available
Expert Explanation:
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 reviewing the lab results of a school-age child who has gastroenteritis. Which finding is
most important to report to the provider?
A. Mildly decreased potassium
B. Decreased sodium level
C. Slightly elevated chloride
D. Elevated blood urea nitrogen (BUN)
Correct Answer: B. Decreased sodium level
Expert Explanation:
Hyponatremia can be especially dangerous in pediatric clients. Electrolyte imbalances such as low
sodium may indicate significant fluid and electrolyte shifts, requiring urgent provider notification for
intervention.
──────────────────────────────────────────
──────────────────────────────
2. A nurse is assessing a toddler with constipation. Which finding requires follow-up from the nurse?
A. Toddler appears lethargic
B. Bowel sounds are hyperactive
C. The abdomen is flat and soft
D. Nonpalpable fecal mass on examination
Correct Answer: A. Toddler appears lethargic
Expert Explanation:
Lethargy can indicate more severe dehydration or serious illness. Although hypoactive bowel
sounds, a distended abdomen, or a palpable fecal mass are also concerns, lethargy is a critical sign that
warrants immediate follow-up.
,──────────────────────────────────────────
──────────────────────────────
3. A parent of a school-age child with nephrotic syndrome asks the nurse why they must check the
child’s urine for protein. Which explanation by the nurse is best?
A. “It helps ensure your child has enough hydration.”
B. “A decrease in urine protein shows the treatment is effective.”
C. “The provider requires continuous monitoring for routine purposes.”
D. “Protein levels help predict if your child might be developing diabetes.”
Correct Answer: B. “A decrease in urine protein shows the treatment is effective.”
Expert Explanation:
In nephrotic syndrome, the excessive protein loss is measured through urine protein. Improvement
is indicated by decreased proteinuria, demonstrating effective therapy and improving kidney function.
4. A nurse is collecting data from a 6-month-old child who is experiencing a sickle cell crisis. Which
area should the nurse palpate to assess for splenic sequestration?
A. Right upper quadrant
B. Left upper quadrant
C. Right lower quadrant
D. Left lower quadrant
Correct Answer: B. Left upper quadrant
Expert Explanation:
The spleen is located in the left upper quadrant of the abdomen. In sickle cell disease, splenic
sequestration occurs when sickled red blood cells pool in the spleen, causing acute enlargement and
potential circulatory collapse if untreated.
, ──────────────────────────────────────────
──────────────────────────────
5. A nurse is teaching a group of parents about poison control. Which of the following actions is most
appropriate for the parent to take first if a child ingests potentially toxic medication?
A. Identify the medication and dosage
B. Call the poison control center immediately
C. Check if the child is breathing
D. Remove any medication from the child’s mouth
Correct Answer: C. Check if the child is breathing
Expert Explanation:
The priority is always to ensure airway, breathing, and circulation (ABCs). After assessing and
ensuring the child is breathing, the parent should remove any residual medication from the mouth,
identify the medication, and then call the poison control center.
──────────────────────────────────────────
──────────────────────────────
6. A nurse is caring for a child who has tonic-clonic seizures. Which of the following actions should
the nurse take?
A. Place the child in prone position during the seizure
B. Restrain the child’s arms and legs
C. Insert a padded tongue blade
D. Keep suction equipment readily available
Correct Answer: D. Keep suction equipment readily available
Expert Explanation:
