ATI PN PEDIATRICS PROCTORED EXAM - (60 QUESTIONS) UP-TO-
DATE ACTUAL EXAM QUESTIONS AND 100% ACCURATE
SOLUTIONS | VERIFIED ANSWERS - INSTANT PDF DOWNLOAD
Examiner/Administrator: Assessment Technologies Institute (ATI)
Candidate Name: ____________________________
Candidate ID: _______________________________
Date: ______________________________________
Examination Centre: _________________________
Candidate Instructions (Read Carefully):
This assessment consists of approximately 60 multiple-choice questions
designed to evaluate the candidate’s competency in practical nursing care for
pediatric clients. You are allotted 90 minutes to complete the examination.
Select the one best answer for each question. Carefully read each clinical
scenario and apply evidence-based pediatric nursing principles. No external
materials are permitted. Answers should be based on current nursing
standards, safety guidelines, and ATI-aligned competencies. Ensure accuracy,
as there is no penalty for guessing.
Core Competency Areas Assessed:
• Growth and Development
• Pediatric Safety and Injury Prevention
• Acute and Chronic Illness Management
• Family-Centered Care
• Medication Administration and Dosage Calculations
• Pediatric Nutrition
• Immunizations and Preventive Care
This is a professionally developed simulation inspired by the format and rigor
of the ATI PN Pediatrics Proctored Exam. It is intended solely for
educational preparation and does not contain actual exam content.
,This examination evaluates the candidate’s ability to apply pediatric nursing
knowledge in realistic clinical scenarios, emphasizing critical thinking,
prioritization, and safe care delivery. Competency in recognizing
developmental milestones, managing pediatric conditions, and
communicating effectively with children and caregivers is essential. The
questions are structured to reflect real-world clinical judgment and decision-
making expected of a practical nurse in pediatric settings.
Q1. A nurse is assessing a 4-month-old infant during a well-child visit. Which
finding requires immediate follow-up by the nurse?
A. The infant pushes up on elbows when prone
B. The infant exhibits a persistent head lag when pulled to sit
C. The infant coos and babbles
D. The infant grasps a rattle briefly
Correct Answer: B. The infant exhibits a persistent head lag when
pulled to sit
Explanation: By 4 months, infants should have good head control. Persistent
head lag suggests developmental delay or possible neuromuscular disorder. A,
C, and D are expected developmental milestones at this age.
Q2. A nurse is caring for a toddler diagnosed with acute otitis media. Which
parental statement indicates a need for further teaching?
A. “I will give the full course of antibiotics.”
B. “I will place my child flat during feeding.”
C. “I will monitor for fever.”
D. “I will return if symptoms worsen.”
Correct Answer: B. “I will place my child flat during feeding.”
Explanation: Feeding in a flat position can increase risk of ear infections
due to fluid entering the eustachian tube. The other statements reflect correct
understanding.
Q3. A nurse is administering digoxin to an infant. Which action is most
appropriate?
A. Check apical pulse for 30 seconds
B. Administer medication with formula
,C. Check apical pulse for 1 full minute
D. Double dose if vomiting occurs
Correct Answer: C. Check apical pulse for 1 full minute
Explanation: Digoxin requires a full 1-minute apical pulse check due to risk
of bradycardia. A is insufficient, B may interfere with absorption, and D is
unsafe.
Q4. A nurse is teaching parents about immunizations. Which vaccine is
contraindicated in an immunocompromised child?
A. Inactivated polio vaccine
B. Hepatitis B vaccine
C. MMR vaccine
D. DTaP vaccine
Correct Answer: C. MMR vaccine
Explanation: MMR is a live vaccine and contraindicated in
immunocompromised clients. The others are inactivated or safe.
Q5. A nurse is assessing a child with dehydration. Which finding indicates
severe dehydration?
A. Slightly dry mucous membranes
B. Capillary refill of 1 second
C. Sunken fontanel and tachycardia
D. Urine output of 1 mL/kg/hr
Correct Answer: C. Sunken fontanel and tachycardia
Explanation: Severe dehydration includes sunken fontanel, tachycardia,
poor perfusion. Others indicate mild or normal findings.
Q6. A nurse is caring for a child with asthma. Which medication is used for
long-term control?
A. Albuterol
B. Ipratropium
C. Fluticasone
D. Epinephrine
, Correct Answer: C. Fluticasone
Explanation: Fluticasone is an inhaled corticosteroid used for long-term
control. Albuterol is rescue, others are not first-line long-term controllers.
Q7. A nurse is assessing a 2-year-old child. Which behavior is expected?
A. Plays cooperatively
B. Uses 2-word phrases
C. Understands abstract concepts
D. Writes letters
Correct Answer: B. Uses 2-word phrases
Explanation: Toddlers use simple phrases. Cooperative play and abstract
thinking occur later.
Q8. A nurse is caring for a child with croup. Which symptom is expected?
A. Inspiratory stridor
B. Drooling
C. High fever
D. Dysphagia
Correct Answer: A. Inspiratory stridor
Explanation: Croup presents with stridor and barking cough. Drooling
suggests epiglottitis.
Q9. A nurse is providing care for a child with iron deficiency anemia. Which
food should be recommended?
A. Milk
B. Rice
C. Spinach
D. Apples
Correct Answer: C. Spinach
Explanation: Spinach is rich in iron. Milk can inhibit iron absorption.
DATE ACTUAL EXAM QUESTIONS AND 100% ACCURATE
SOLUTIONS | VERIFIED ANSWERS - INSTANT PDF DOWNLOAD
Examiner/Administrator: Assessment Technologies Institute (ATI)
Candidate Name: ____________________________
Candidate ID: _______________________________
Date: ______________________________________
Examination Centre: _________________________
Candidate Instructions (Read Carefully):
This assessment consists of approximately 60 multiple-choice questions
designed to evaluate the candidate’s competency in practical nursing care for
pediatric clients. You are allotted 90 minutes to complete the examination.
Select the one best answer for each question. Carefully read each clinical
scenario and apply evidence-based pediatric nursing principles. No external
materials are permitted. Answers should be based on current nursing
standards, safety guidelines, and ATI-aligned competencies. Ensure accuracy,
as there is no penalty for guessing.
Core Competency Areas Assessed:
• Growth and Development
• Pediatric Safety and Injury Prevention
• Acute and Chronic Illness Management
• Family-Centered Care
• Medication Administration and Dosage Calculations
• Pediatric Nutrition
• Immunizations and Preventive Care
This is a professionally developed simulation inspired by the format and rigor
of the ATI PN Pediatrics Proctored Exam. It is intended solely for
educational preparation and does not contain actual exam content.
,This examination evaluates the candidate’s ability to apply pediatric nursing
knowledge in realistic clinical scenarios, emphasizing critical thinking,
prioritization, and safe care delivery. Competency in recognizing
developmental milestones, managing pediatric conditions, and
communicating effectively with children and caregivers is essential. The
questions are structured to reflect real-world clinical judgment and decision-
making expected of a practical nurse in pediatric settings.
Q1. A nurse is assessing a 4-month-old infant during a well-child visit. Which
finding requires immediate follow-up by the nurse?
A. The infant pushes up on elbows when prone
B. The infant exhibits a persistent head lag when pulled to sit
C. The infant coos and babbles
D. The infant grasps a rattle briefly
Correct Answer: B. The infant exhibits a persistent head lag when
pulled to sit
Explanation: By 4 months, infants should have good head control. Persistent
head lag suggests developmental delay or possible neuromuscular disorder. A,
C, and D are expected developmental milestones at this age.
Q2. A nurse is caring for a toddler diagnosed with acute otitis media. Which
parental statement indicates a need for further teaching?
A. “I will give the full course of antibiotics.”
B. “I will place my child flat during feeding.”
C. “I will monitor for fever.”
D. “I will return if symptoms worsen.”
Correct Answer: B. “I will place my child flat during feeding.”
Explanation: Feeding in a flat position can increase risk of ear infections
due to fluid entering the eustachian tube. The other statements reflect correct
understanding.
Q3. A nurse is administering digoxin to an infant. Which action is most
appropriate?
A. Check apical pulse for 30 seconds
B. Administer medication with formula
,C. Check apical pulse for 1 full minute
D. Double dose if vomiting occurs
Correct Answer: C. Check apical pulse for 1 full minute
Explanation: Digoxin requires a full 1-minute apical pulse check due to risk
of bradycardia. A is insufficient, B may interfere with absorption, and D is
unsafe.
Q4. A nurse is teaching parents about immunizations. Which vaccine is
contraindicated in an immunocompromised child?
A. Inactivated polio vaccine
B. Hepatitis B vaccine
C. MMR vaccine
D. DTaP vaccine
Correct Answer: C. MMR vaccine
Explanation: MMR is a live vaccine and contraindicated in
immunocompromised clients. The others are inactivated or safe.
Q5. A nurse is assessing a child with dehydration. Which finding indicates
severe dehydration?
A. Slightly dry mucous membranes
B. Capillary refill of 1 second
C. Sunken fontanel and tachycardia
D. Urine output of 1 mL/kg/hr
Correct Answer: C. Sunken fontanel and tachycardia
Explanation: Severe dehydration includes sunken fontanel, tachycardia,
poor perfusion. Others indicate mild or normal findings.
Q6. A nurse is caring for a child with asthma. Which medication is used for
long-term control?
A. Albuterol
B. Ipratropium
C. Fluticasone
D. Epinephrine
, Correct Answer: C. Fluticasone
Explanation: Fluticasone is an inhaled corticosteroid used for long-term
control. Albuterol is rescue, others are not first-line long-term controllers.
Q7. A nurse is assessing a 2-year-old child. Which behavior is expected?
A. Plays cooperatively
B. Uses 2-word phrases
C. Understands abstract concepts
D. Writes letters
Correct Answer: B. Uses 2-word phrases
Explanation: Toddlers use simple phrases. Cooperative play and abstract
thinking occur later.
Q8. A nurse is caring for a child with croup. Which symptom is expected?
A. Inspiratory stridor
B. Drooling
C. High fever
D. Dysphagia
Correct Answer: A. Inspiratory stridor
Explanation: Croup presents with stridor and barking cough. Drooling
suggests epiglottitis.
Q9. A nurse is providing care for a child with iron deficiency anemia. Which
food should be recommended?
A. Milk
B. Rice
C. Spinach
D. Apples
Correct Answer: C. Spinach
Explanation: Spinach is rich in iron. Milk can inhibit iron absorption.
