ATI 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. (NGN-Style, Case Scenario)
,A nurse is initiating a family assessment for a 6-year-old Child admitted with asthma. Which
components should be part of a FAMILY assessment (not just the child’s assessment)? Select
the best combination.
1. Medical history of parents and siblings
2. Parents’ educational levels
3. Child’s physical growth percentiles
4. Family support systems
5. Stressors impacting the family
A. 1 & 3
B. 1, 2 & 4
C. 1, 2, 4 & 5
D. 2, 3 & 5
Correct Answer: C (1, 2, 4 & 5)
Expert Explanation:
• A family assessment includes parents’ medical history, educational background, support
systems, and stressors.
• Child’s physical growth percentiles (Choice 3) are part of the individual child assessment.
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2. (NGN-Style)
A nurse prepares to assess a 4-year-old preschooler for a health check-up. Which nursing
action would best help reduce anxiety in this child?
,A. Use extensive medical terminology to explain your actions.
B. Allow the child to role-play using miniature equipment.
C. Keep all medical equipment in full view on the exam table.
D. Separate the child from the caregiver to encourage cooperation.
Correct Answer: B
Expert Explanation:
• Using miniature equipment for role-play helps a preschooler feel more comfortable and in
control.
• Minimizing visible scary equipment, using simple terms, and keeping the caregiver present
all reduce fear.
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3. (Vitals-Based Question)
A nurse checks the vital signs of a 3-year-old at a well-child visit. Which of the following
vital sign findings is most concerning and requires practitioner notification?
A. Temperature 37.2°C (99.0°F)
B. Heart rate 106/min
C. Respirations 30/min
D. Blood pressure 88/54 mm Hg
Correct Answer: C
Expert Explanation:
• A respiratory rate of 30/min is above the normal range for a 3-year-old (generally 20–25
breaths/min).
, 4. (NGN-Style, Brief Scenario)
A nurse manager is teaching newly hired pediatric nurses about family theories. The nurse
manager discusses several theories, including family systems theory, family stress theory, and
the developmental theory. Which statement by a new nurse best reflects understanding of
the DEVELOPMENTAL theory?
A. It views family change as inevitably causing stress in all members.
B. It emphasizes that one member’s change can affect the entire family system.
C. It focuses on strategies to help families adapt to stressors in a healthy way.
D. It defines consistent ways in which families change over time.
Correct Answer: D
Expert Explanation:
• The developmental theory details predictable patterns or stages through which families
progress.
• Family stress theory states that stress is inevitable (Choice A).
• Family systems theory (Choice B) highlights how a change in one member affects others.
• Family stress theory also provides guidance for adaptation strategies (Choice C).
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5. (NGN-Style, Brief Scenario)
A nurse is working with a group of parents of adolescents on communication skills. During
class, one parent states, “My son knows he better do whatever I say immediately.” The nurse
recognizes this style as:
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. (NGN-Style, Case Scenario)
,A nurse is initiating a family assessment for a 6-year-old Child admitted with asthma. Which
components should be part of a FAMILY assessment (not just the child’s assessment)? Select
the best combination.
1. Medical history of parents and siblings
2. Parents’ educational levels
3. Child’s physical growth percentiles
4. Family support systems
5. Stressors impacting the family
A. 1 & 3
B. 1, 2 & 4
C. 1, 2, 4 & 5
D. 2, 3 & 5
Correct Answer: C (1, 2, 4 & 5)
Expert Explanation:
• A family assessment includes parents’ medical history, educational background, support
systems, and stressors.
• Child’s physical growth percentiles (Choice 3) are part of the individual child assessment.
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2. (NGN-Style)
A nurse prepares to assess a 4-year-old preschooler for a health check-up. Which nursing
action would best help reduce anxiety in this child?
,A. Use extensive medical terminology to explain your actions.
B. Allow the child to role-play using miniature equipment.
C. Keep all medical equipment in full view on the exam table.
D. Separate the child from the caregiver to encourage cooperation.
Correct Answer: B
Expert Explanation:
• Using miniature equipment for role-play helps a preschooler feel more comfortable and in
control.
• Minimizing visible scary equipment, using simple terms, and keeping the caregiver present
all reduce fear.
───────────────────────────────────────
─────────────────
3. (Vitals-Based Question)
A nurse checks the vital signs of a 3-year-old at a well-child visit. Which of the following
vital sign findings is most concerning and requires practitioner notification?
A. Temperature 37.2°C (99.0°F)
B. Heart rate 106/min
C. Respirations 30/min
D. Blood pressure 88/54 mm Hg
Correct Answer: C
Expert Explanation:
• A respiratory rate of 30/min is above the normal range for a 3-year-old (generally 20–25
breaths/min).
, 4. (NGN-Style, Brief Scenario)
A nurse manager is teaching newly hired pediatric nurses about family theories. The nurse
manager discusses several theories, including family systems theory, family stress theory, and
the developmental theory. Which statement by a new nurse best reflects understanding of
the DEVELOPMENTAL theory?
A. It views family change as inevitably causing stress in all members.
B. It emphasizes that one member’s change can affect the entire family system.
C. It focuses on strategies to help families adapt to stressors in a healthy way.
D. It defines consistent ways in which families change over time.
Correct Answer: D
Expert Explanation:
• The developmental theory details predictable patterns or stages through which families
progress.
• Family stress theory states that stress is inevitable (Choice A).
• Family systems theory (Choice B) highlights how a change in one member affects others.
• Family stress theory also provides guidance for adaptation strategies (Choice C).
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5. (NGN-Style, Brief Scenario)
A nurse is working with a group of parents of adolescents on communication skills. During
class, one parent states, “My son knows he better do whatever I say immediately.” The nurse
recognizes this style as:
