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 parent of a 7-year-old child who has type 1
diabetes mellitus about interventions for mild hypoglycemia. Which of the following
statements by the parent indicates effective understanding?
A. “I will give my child IV dextrose immediately if they feel shaky.”
B. “I should offer my child diet soda as a quick source of sugar.”
C. “I should give 4 oz of orange juice, then provide cheese and crackers.”
D. “I will encourage my child to drink water and rest.”
Answer: C
Expert Explanation: A fast-acting carbohydrate (4 oz of orange juice) followed by a protein-
containing snack (cheese and crackers) is appropriate for mild hypoglycemia.
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2. A nurse is assisting with the care of an adolescent following a cardiac catheterization.
Which of the following findings is the PRIORITY to report to the provider?
A. Dizziness upon standing
B. Mild discomfort at the catheter insertion site
C. Bleeding noted on the dressing
D. Nausea postprocedure
Answer: C
Expert Explanation: Bleeding at the insertion site is a high-priority concern, as it can indicate
hemorrhage or problems with vessel integrity.
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3. A nurse is reinforcing techniques to facilitate communication with a 10-year-old child
who has hearing loss. Which of the following strategies should the nurse recommend?
A. Speak in a loud voice directly into the child’s ear.
B. Face the child and use facial expressions when speaking.
C. Turn the lights low to reduce distractions.
D. Discuss instructions only when the child’s hearing aids are removed.
Answer: B
Expert Explanation: Children with hearing impairment benefit from visual cues, such as
facial expressions and clear visibility of the speaker’s mouth.
4. NGN-Style Scenario:
A nurse is preparing to administer an enteral feeding to a 6-year-old child with cerebral
palsy who has a nasogastric (NG) tube. Which of the following actions should the nurse take
FIRST?
A. Warm the feeding solution in a microwave before administration.
B. Check the pH of stomach contents to verify placement.
C. Flush the NG tube with 50 mL of water before feeding.
D. Place the child flat in bed to promote comfort.
Answer: B
Expert Explanation: Verifying NG tube placement by aspirating and checking the pH (≤5)
helps ensure that the tube is in the stomach, reducing the risk of aspiration.
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5. A nurse is collecting data on a 2-month-old infant. Which of the following sites is the
most appropriate for obtaining the infant’s heart rate?
A. Radial
B. Apical
C. Carotid
D. Brachial
Answer: B
Expert Explanation: In infants and young children, measuring the apical pulse for 1 full
minute is the most reliable method to assess heart rate.
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6. A nurse is reinforcing home safety instructions with the parents of a toddler. Which
parent statement indicates an understanding of injury prevention?
A. “We will store all toys in a chest with a heavy lid.”
B. “We will leave our toddler unsupervised for short kitchen tasks.”
C. “We will start teaching our toddler about the hazards of stair gates.”
D. “We will purchase a toy storage box with a lightweight lid.”
Answer: D
Expert Explanation: A lightweight lid prevents potential head or hand injuries if the lid falls
onto the child.
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 parent of a 7-year-old child who has type 1
diabetes mellitus about interventions for mild hypoglycemia. Which of the following
statements by the parent indicates effective understanding?
A. “I will give my child IV dextrose immediately if they feel shaky.”
B. “I should offer my child diet soda as a quick source of sugar.”
C. “I should give 4 oz of orange juice, then provide cheese and crackers.”
D. “I will encourage my child to drink water and rest.”
Answer: C
Expert Explanation: A fast-acting carbohydrate (4 oz of orange juice) followed by a protein-
containing snack (cheese and crackers) is appropriate for mild hypoglycemia.
───────────────────────────────────────
─────────────────
2. A nurse is assisting with the care of an adolescent following a cardiac catheterization.
Which of the following findings is the PRIORITY to report to the provider?
A. Dizziness upon standing
B. Mild discomfort at the catheter insertion site
C. Bleeding noted on the dressing
D. Nausea postprocedure
Answer: C
Expert Explanation: Bleeding at the insertion site is a high-priority concern, as it can indicate
hemorrhage or problems with vessel integrity.
,───────────────────────────────────────
─────────────────
3. A nurse is reinforcing techniques to facilitate communication with a 10-year-old child
who has hearing loss. Which of the following strategies should the nurse recommend?
A. Speak in a loud voice directly into the child’s ear.
B. Face the child and use facial expressions when speaking.
C. Turn the lights low to reduce distractions.
D. Discuss instructions only when the child’s hearing aids are removed.
Answer: B
Expert Explanation: Children with hearing impairment benefit from visual cues, such as
facial expressions and clear visibility of the speaker’s mouth.
4. NGN-Style Scenario:
A nurse is preparing to administer an enteral feeding to a 6-year-old child with cerebral
palsy who has a nasogastric (NG) tube. Which of the following actions should the nurse take
FIRST?
A. Warm the feeding solution in a microwave before administration.
B. Check the pH of stomach contents to verify placement.
C. Flush the NG tube with 50 mL of water before feeding.
D. Place the child flat in bed to promote comfort.
Answer: B
Expert Explanation: Verifying NG tube placement by aspirating and checking the pH (≤5)
helps ensure that the tube is in the stomach, reducing the risk of aspiration.
, ───────────────────────────────────────
─────────────────
5. A nurse is collecting data on a 2-month-old infant. Which of the following sites is the
most appropriate for obtaining the infant’s heart rate?
A. Radial
B. Apical
C. Carotid
D. Brachial
Answer: B
Expert Explanation: In infants and young children, measuring the apical pulse for 1 full
minute is the most reliable method to assess heart rate.
───────────────────────────────────────
─────────────────
6. A nurse is reinforcing home safety instructions with the parents of a toddler. Which
parent statement indicates an understanding of injury prevention?
A. “We will store all toys in a chest with a heavy lid.”
B. “We will leave our toddler unsupervised for short kitchen tasks.”
C. “We will start teaching our toddler about the hazards of stair gates.”
D. “We will purchase a toy storage box with a lightweight lid.”
Answer: D
Expert Explanation: A lightweight lid prevents potential head or hand injuries if the lid falls
onto the child.
