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) A nurse is reviewing a 3-month-old child’s medical record. The child has cystic
fibrosis (CF) with failure to thrive, chronic obstructive pulmonary disease (COPD), and
malabsorption of fat-soluble vitamins (A, D, E, K). The child has large, frothy, foul-smelling
stools, clubbing, barrel chest, recurrent pulmonary infections with Pseudomonas aeruginosa,
and a current cough producing thick secretions. Which of the following medications should
this child be receiving?
A. Meperidine
B. Dornase alfa
C. Acetaminophen
D. Pancreatic lipase
Answer: B, Dornase alfa; D (water-soluble vitamin preparations for fat-soluble vitamin
deficiency) and Pancreatic lipase (as enzymes).
(Though the question prompt shows more answer lines, typically, on an exam, you would see
them listed as separate answer choices. Dornase alfa helps reduce mucus viscosity in CF,
vitamin supplementation is needed when fat-soluble vitamin levels are low, and pancreatic
enzymes aid digestion.)
Expert Explanation:
• Dornase alfa (Pulmozyme) thins pulmonary secretions.
• Patients with CF need replacement pancreatic enzymes (pancrelipase) to aid digestion.
• Fat-soluble vitamin deficiency often requires water-miscible (water-soluble) forms of
vitamins A, D, E, K.
• Meperidine is not indicated for routine pain control in children with CF, and
acetaminophen alone does not address the thick secretions or malabsorption.
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2. (NGN) A nurse is caring for a 7-year-old child (18.1 kg/39.9 lb) admitted with a UTI. The
child experiences burning and frequency and has had urinary incontinence for 2 nights with
a strong urine odor. Which of the following interventions are anticipated vs. contraindicated
for this client?
A. Educate the child about proper personal hygiene.
B. Administer sulfamethoxazole and trimethoprim.
C. Administer salicylic acid for pain and fever.
D. Ensure the child receives a maximum of 1,200 mL/day of fluid.
E. Advise the child’s guardians about using sunscreen.
• Anticipated: A, B, E
• Contraindicated: C, D
Expert Explanation:
• Proper hygiene (A) decreases reinfection.
• An appropriate antibiotic (B) is indicated for UTI.
• Sunscreen (E) is advised when taking sulfonamides due to photosensitivity.
• Salicylates (C) are avoided in children due to the risk of Reye syndrome (and there are safer
alternatives like acetaminophen or ibuprofen).
• Restricting fluids (D) in a UTI is contraindicated; adequate hydration is necessary.
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, 3. (NGN) A parent brings a child to the ED for sudden onset of hoarseness, low-grade fever,
restlessness, inspiratory stridor, and a barking cough. At 0800, the child is febrile,
tachycardic (HR 112), with audible stridor and a barking cough. Which findings are
consistent with acute laryngotracheobronchitis (croup) vs. pneumonia?
A. Irritability
B. Cough findings at 0800
C. Stridor
D. Temperatures of 101°F
• Acute Laryngotracheobronchitis: A (irritability), B (barking cough), C (stridor), D (mild to
moderate fever)
• Pneumonia: B (productive cough), D (fever is often higher, but pneumonia can also have a
high fever)
Expert Explanation:
• Croup typically presents with a barking cough, inspiratory stridor, hoarseness, and
sometimes low-grade fever (≤102°F).
• Pneumonia often presents with higher fever, productive cough, potential crackles, and
more systemic signs.
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4. (NGN) A child is brought to the ED after a parent notices a missing battery in a toy. The
child has drooling and periodic gagging. The child is awake, crying, with bilateral expiratory
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) A nurse is reviewing a 3-month-old child’s medical record. The child has cystic
fibrosis (CF) with failure to thrive, chronic obstructive pulmonary disease (COPD), and
malabsorption of fat-soluble vitamins (A, D, E, K). The child has large, frothy, foul-smelling
stools, clubbing, barrel chest, recurrent pulmonary infections with Pseudomonas aeruginosa,
and a current cough producing thick secretions. Which of the following medications should
this child be receiving?
A. Meperidine
B. Dornase alfa
C. Acetaminophen
D. Pancreatic lipase
Answer: B, Dornase alfa; D (water-soluble vitamin preparations for fat-soluble vitamin
deficiency) and Pancreatic lipase (as enzymes).
(Though the question prompt shows more answer lines, typically, on an exam, you would see
them listed as separate answer choices. Dornase alfa helps reduce mucus viscosity in CF,
vitamin supplementation is needed when fat-soluble vitamin levels are low, and pancreatic
enzymes aid digestion.)
Expert Explanation:
• Dornase alfa (Pulmozyme) thins pulmonary secretions.
• Patients with CF need replacement pancreatic enzymes (pancrelipase) to aid digestion.
• Fat-soluble vitamin deficiency often requires water-miscible (water-soluble) forms of
vitamins A, D, E, K.
• Meperidine is not indicated for routine pain control in children with CF, and
acetaminophen alone does not address the thick secretions or malabsorption.
,───────────────────────────────────────
─────────────────
2. (NGN) A nurse is caring for a 7-year-old child (18.1 kg/39.9 lb) admitted with a UTI. The
child experiences burning and frequency and has had urinary incontinence for 2 nights with
a strong urine odor. Which of the following interventions are anticipated vs. contraindicated
for this client?
A. Educate the child about proper personal hygiene.
B. Administer sulfamethoxazole and trimethoprim.
C. Administer salicylic acid for pain and fever.
D. Ensure the child receives a maximum of 1,200 mL/day of fluid.
E. Advise the child’s guardians about using sunscreen.
• Anticipated: A, B, E
• Contraindicated: C, D
Expert Explanation:
• Proper hygiene (A) decreases reinfection.
• An appropriate antibiotic (B) is indicated for UTI.
• Sunscreen (E) is advised when taking sulfonamides due to photosensitivity.
• Salicylates (C) are avoided in children due to the risk of Reye syndrome (and there are safer
alternatives like acetaminophen or ibuprofen).
• Restricting fluids (D) in a UTI is contraindicated; adequate hydration is necessary.
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, 3. (NGN) A parent brings a child to the ED for sudden onset of hoarseness, low-grade fever,
restlessness, inspiratory stridor, and a barking cough. At 0800, the child is febrile,
tachycardic (HR 112), with audible stridor and a barking cough. Which findings are
consistent with acute laryngotracheobronchitis (croup) vs. pneumonia?
A. Irritability
B. Cough findings at 0800
C. Stridor
D. Temperatures of 101°F
• Acute Laryngotracheobronchitis: A (irritability), B (barking cough), C (stridor), D (mild to
moderate fever)
• Pneumonia: B (productive cough), D (fever is often higher, but pneumonia can also have a
high fever)
Expert Explanation:
• Croup typically presents with a barking cough, inspiratory stridor, hoarseness, and
sometimes low-grade fever (≤102°F).
• Pneumonia often presents with higher fever, productive cough, potential crackles, and
more systemic signs.
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4. (NGN) A child is brought to the ED after a parent notices a missing battery in a toy. The
child has drooling and periodic gagging. The child is awake, crying, with bilateral expiratory
