ATI RN 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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QUESTION 1 (NGN-Style: Single Best Answer)
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CASE SCENARIO:
A nurse is teaching the parent of a preschooler who has a history of acute asthma
attacks. The child has mild intermittent asthma symptoms, and today’s vital signs
are within normal limits for age.
1. Which of the following statements by the parent indicates an understanding of
how to prevent acute asthma attacks?
A. “I will use a humidifier in my child’s room at night.”
B. “I will give my child a cough suppressant every 6 hours if he has a cough.”
C. “I should avoid using a wet mop on my floors when I am cleaning.”
D. “I should keep my child indoors when I mow the yard.”
ANSWER: D
EXPERT EXPLANATION: Yard work such as mowing often stirs up grass, weed, and
other environmental allergens that can trigger an acute asthma attack. Keeping the
child indoors during lawn maintenance or high pollen counts can significantly reduce
exposure to triggers. The other options do not accurately reflect recommended
preventative measures for asthma.
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QUESTION 2 (NGN-Style: Single Best Answer)
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CASE SCENARIO:
A nurse is assessing a 6-year-old child immediately following surgery for a
perforated appendix. The child’s current vital signs are: Temp 99.3°F (37.4°C), HR
110/min, RR 24/min, BP 105/68 mm Hg, O2 sat 98% on room air.
,2. Which of the following findings should the nurse expect immediately after
surgery for a perforated appendix?
A. Purulent drainage from the NG tube
B. Hypoactive bowel sounds
C. Passage of dark-red stool with mucus
D. Urine output of 20 mL/hr
ANSWER: B
EXPERT EXPLANATION: Hypoactive bowel sounds are an expected finding in the
immediate postoperative period following abdominal surgery (such as for a
perforated appendix or peritonitis). Decreased gastrointestinal motility is common,
and normal bowel sounds typically return once peristalsis resumes.
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QUESTION 3 (NGN-Style: Point-and-Click / Hot Spot)
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CASE SCENARIO:
A nurse is assessing a school-age child who sustained an acute spinal cord injury 1
week ago. The nurse is evaluating deep tendon reflexes to monitor neurologic
function.
3. Which of the following anatomical areas (as labeled A, B, C) should the nurse tap
to elicit the biceps reflex?
A. Antecubital fossa (over the biceps tendon)
B. Olecranon area (over the triceps tendon)
C. Lateral forearm near the styloid process of the radius (brachioradialis tendon)
ANSWER: A
, EXPERT EXPLANATION: The nurse elicits the biceps reflex by placing a thumb on
the biceps tendon in the antecubital fossa area (labeled as “A” in the diagram) and
tapping the thumb with the reflex hammer. The triceps and brachioradialis reflexes
are tested at locations B and C, respectively.
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QUESTION 4 (NGN-Style: Drag-and-Drop / Anticipated vs. Contraindicated)
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CASE SCENARIO:
A nurse is caring for a toddler who has hemophilia. The provider is considering
several new prescriptions after the toddler’s recent fall indicated possible joint
involvement (hemarthrosis).
4. Classify each of the following potential provider prescriptions as “Anticipated” or
“Contraindicated” in an acute hemarthrosis episode.
1) Administer Factor VIII
2) Apply ice packs to the affected joints
3) Administer morphine PRN for pain
4) Perform passive range-of-motion (ROM) exercises during the first 12 hr
5) Elevate the affected joints
ANSWERS:
• Administer Factor VIII → Anticipated
• Apply ice packs → Anticipated
• Administer morphine PRN → Anticipated
• Perform passive ROM in first 12 hr → Contraindicated
• Elevate affected joints → Anticipated
EXPERT EXPLANATION:
• Factor VIII infusion helps control bleeding in hemophilia.
• Ice packs and elevation reduce bleeding and swelling during acute hemarthrosis.
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.
,────────────────────────────────────────────────────────
QUESTION 1 (NGN-Style: Single Best Answer)
────────────────────────────────────────────────────────
CASE SCENARIO:
A nurse is teaching the parent of a preschooler who has a history of acute asthma
attacks. The child has mild intermittent asthma symptoms, and today’s vital signs
are within normal limits for age.
1. Which of the following statements by the parent indicates an understanding of
how to prevent acute asthma attacks?
A. “I will use a humidifier in my child’s room at night.”
B. “I will give my child a cough suppressant every 6 hours if he has a cough.”
C. “I should avoid using a wet mop on my floors when I am cleaning.”
D. “I should keep my child indoors when I mow the yard.”
ANSWER: D
EXPERT EXPLANATION: Yard work such as mowing often stirs up grass, weed, and
other environmental allergens that can trigger an acute asthma attack. Keeping the
child indoors during lawn maintenance or high pollen counts can significantly reduce
exposure to triggers. The other options do not accurately reflect recommended
preventative measures for asthma.
────────────────────────────────────────────────────────
QUESTION 2 (NGN-Style: Single Best Answer)
────────────────────────────────────────────────────────
CASE SCENARIO:
A nurse is assessing a 6-year-old child immediately following surgery for a
perforated appendix. The child’s current vital signs are: Temp 99.3°F (37.4°C), HR
110/min, RR 24/min, BP 105/68 mm Hg, O2 sat 98% on room air.
,2. Which of the following findings should the nurse expect immediately after
surgery for a perforated appendix?
A. Purulent drainage from the NG tube
B. Hypoactive bowel sounds
C. Passage of dark-red stool with mucus
D. Urine output of 20 mL/hr
ANSWER: B
EXPERT EXPLANATION: Hypoactive bowel sounds are an expected finding in the
immediate postoperative period following abdominal surgery (such as for a
perforated appendix or peritonitis). Decreased gastrointestinal motility is common,
and normal bowel sounds typically return once peristalsis resumes.
────────────────────────────────────────────────────────
QUESTION 3 (NGN-Style: Point-and-Click / Hot Spot)
────────────────────────────────────────────────────────
CASE SCENARIO:
A nurse is assessing a school-age child who sustained an acute spinal cord injury 1
week ago. The nurse is evaluating deep tendon reflexes to monitor neurologic
function.
3. Which of the following anatomical areas (as labeled A, B, C) should the nurse tap
to elicit the biceps reflex?
A. Antecubital fossa (over the biceps tendon)
B. Olecranon area (over the triceps tendon)
C. Lateral forearm near the styloid process of the radius (brachioradialis tendon)
ANSWER: A
, EXPERT EXPLANATION: The nurse elicits the biceps reflex by placing a thumb on
the biceps tendon in the antecubital fossa area (labeled as “A” in the diagram) and
tapping the thumb with the reflex hammer. The triceps and brachioradialis reflexes
are tested at locations B and C, respectively.
────────────────────────────────────────────────────────
QUESTION 4 (NGN-Style: Drag-and-Drop / Anticipated vs. Contraindicated)
────────────────────────────────────────────────────────
CASE SCENARIO:
A nurse is caring for a toddler who has hemophilia. The provider is considering
several new prescriptions after the toddler’s recent fall indicated possible joint
involvement (hemarthrosis).
4. Classify each of the following potential provider prescriptions as “Anticipated” or
“Contraindicated” in an acute hemarthrosis episode.
1) Administer Factor VIII
2) Apply ice packs to the affected joints
3) Administer morphine PRN for pain
4) Perform passive range-of-motion (ROM) exercises during the first 12 hr
5) Elevate the affected joints
ANSWERS:
• Administer Factor VIII → Anticipated
• Apply ice packs → Anticipated
• Administer morphine PRN → Anticipated
• Perform passive ROM in first 12 hr → Contraindicated
• Elevate affected joints → Anticipated
EXPERT EXPLANATION:
• Factor VIII infusion helps control bleeding in hemophilia.
• Ice packs and elevation reduce bleeding and swelling during acute hemarthrosis.
