PROCTORED TEST BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
500+ Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
500+ 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. Hemophilia A
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A nurse is assisting in the care of a school-age child who has hemophilia A. Which of the
following findings should the nurse recognize as a typical manifestation of this disorder?
A. Concave fingernails
B. Joint pain and stiffness
C. Prominent frontal bossing
D. Increased risk of infection
Answer: B
Rationale: Hemophilia A is a bleeding disorder characterized by a deficiency of factor VIII.
Children commonly experience bleeding into joints (hemarthrosis), leading to joint pain and
stiffness. Concave fingernails (A) suggest iron-deficiency anemia, prominent frontal bossing
(C) is more often associated with conditions like thalassemia, and increased infection risk (D)
is not the hallmark of hemophilia.
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2. Toddler Dietary Teaching
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A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler. Which of the
following should the nurse include?
,A. “It is recommended that the toddler consume no more than 12 ounces of fruit juice each
day.”
B. “An appropriate serving size is 1 tablespoon of food per year of age.”
C. “Introduce healthy finger foods like raw carrot and celery sticks.”
D. “Encourage 5 cups of low-fat milk each day.”
Answer: B
Rationale: Toddlers should receive approximately 1 tablespoon of each food per year of age at
mealtime to prevent overfeeding. Option A (12 ounces of juice) is actually higher than most
recommended guidelines (often ≤ 4–6 oz/day). Raw carrots and celery (C) pose a choking
hazard in this age group unless cut very finely or cooked. Five cups of milk daily (D) often
exceeds recommended dairy servings (2–3 cups/day at this age).
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3. Immunizations for an Adolescent
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A nurse in a clinic is collecting data from an adolescent who has received all recommended
immunizations through 6 years of age. Which of the following vaccines should the nurse
anticipate administering next?
A. Haemophilus influenzae type b (Hib)
B. Rotavirus (RV)
C. Polio (IPV)
D. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
, Answer: D
Rationale: Tdap is routinely given around 11–12 years of age as a booster. Hib (A), RV (B),
and final IPV (C) doses are typically completed by early childhood.
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4. Oral Iron Supplements
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A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a
school-age child who has iron deficiency anemia. Which guardian statement indicates
understanding of the teaching?
A. “I will give my child a double dose if a dose is missed.”
B. “I will give this medication with skim milk.”
C. “This medication will turn my child’s stools white.”
D. “I will give this medication to my child using a straw.”
Answer: D
Rationale: Iron can stain tooth enamel. Administering it with a straw (or dropper) minimizes
contact with teeth. Giving double doses (A) can lead to toxicity. Milk (B) decreases iron
absorption. Iron often turns stools dark or black, not white (C).
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5. Parent Refusal of Infant Vaccines