NGN ATI RN PEDIATRICS
2026 RETAKE
1. A nurse is teaching the parent of an infant about ways to prevent SIDS. Which
of the following instructions should the nurse include?
• ANSWER>>> Give the infant a pacifier at bedtime.
2. A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action
by the nurse?
• ANSWER>>> Administer epinephrine IM to the child.
3. A nurse is caring for a preschooler whose father is going home for a few hours
while another relative stays with the child. Which of the following statements
should the nurse make to explain to the child when their father will return?
• ANSWER>>> "Your daddy will be back after you eat."
4. A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify that which of the
following laboratory values indicates effectiveness of the current treatment?
• ANSWER>>> Sodium 140 mEq/L.
5. A nurse is creating a plan of care for a school-age child who has heart disease
and has developed heart failure. Which of the following interventions should the
nurse include in the plan?
• ANSWER>>> Provide small, frequent meals for the child.
6. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider?
• ANSWER>>> Inability to sit without support.
,7. A nurse is providing discharge teaching to the parents of a toddler who has a
new diagnosis of cystic fibrosis. Which of the following statements by the parent
indicates an understanding of the teaching?
• ANSWER>>> "I will give my child pancreatic enzymes with meals and
snacks."
8. A nurse is caring for a child who has a new diagnosis of type 1 diabetes mellitus.
Which of the following findings is a manifestation of diabetic ketoacidosis?
• ANSWER>>> Kussmaul respirations.
9. A nurse is planning care for a child who has a seizure disorder and is prescribed
valproic acid. The nurse should monitor the child for which of the following
adverse effects?
• ANSWER>>> Hepatotoxicity.
10. A nurse is assessing a 4-year-old child for signs of developmental delay. Which
of the following fine motor skills should the nurse expect the child to be able to
perform?
• ANSWER>>> Draw a circle.
11. A nurse is caring for an infant who has gastroesophageal reflux. Which of the
following feeding positions should the nurse recommend?
• ANSWER>>> Upright (semi-Fowler's) position for 30 minutes after
feeding.
12. A nurse is teaching a parent about home care for a child who has a new
diagnosis of impetigo. Which of the following instructions should the nurse
include?
• ANSWER>>> Apply topical mupirocin as prescribed.
13. A nurse is assessing a 10-year-old child who has a history of sickle cell anemia
and reports severe joint pain. The nurse should suspect which of the following
complications?
• ANSWER>>> Vaso-occlusive crisis.
14. A nurse is preparing to administer immunizations to a 2-month-old infant.
Which of the following vaccines should the nurse administer?
, • ANSWER>>> DTaP, Hib, IPV, PCV13, RV.
15. A nurse is caring for a child who has nephrotic syndrome. Which of the
following findings should the nurse expect?
• ANSWER>>> Periorbital edema.
16. A nurse is teaching the parents of a child who has a new diagnosis of attention-
deficit/hyperactivity disorder (ADHD) about methylphenidate. Which of the
following instructions should the nurse include?
• ANSWER>>> "Give the medication in the morning before school."
17. A nurse is assessing a newborn who was born at 39 weeks of gestation. Which
of the following findings requires further evaluation?
• ANSWER>>> Apical heart rate of 90/min while awake.
18. A nurse is providing discharge teaching to the parent of a child who has a new
prescription for an albuterol metered-dose inhaler with a spacer. Which of the
following instructions should the nurse include?
• ANSWER>>> "Have your child wait 1 minute between puffs."
19. A nurse is caring for a child who has suspected appendicitis. Which of the
following actions should the nurse take?
• ANSWER>>> Withhold oral intake and prepare for surgery
consultation.
20. A nurse is evaluating the developmental milestones of a 12-month-old infant.
Which of the following milestones should the nurse expect?
• ANSWER>>> Uses a pincer grasp to pick up small objects.
21. A nurse is assessing a child who has acute lymphocytic leukemia (ALL).
Which of the following findings is the most common initial manifestation?
• ANSWER>>> Fever and pallor.
22. A nurse is caring for a child who is receiving chemotherapy and has a platelet
count of 20,000/mm³. Which of the following precautions should the nurse take?
• ANSWER>>> Avoid intramuscular injections.
2026 RETAKE
1. A nurse is teaching the parent of an infant about ways to prevent SIDS. Which
of the following instructions should the nurse include?
• ANSWER>>> Give the infant a pacifier at bedtime.
2. A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action
by the nurse?
• ANSWER>>> Administer epinephrine IM to the child.
3. A nurse is caring for a preschooler whose father is going home for a few hours
while another relative stays with the child. Which of the following statements
should the nurse make to explain to the child when their father will return?
• ANSWER>>> "Your daddy will be back after you eat."
4. A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify that which of the
following laboratory values indicates effectiveness of the current treatment?
• ANSWER>>> Sodium 140 mEq/L.
5. A nurse is creating a plan of care for a school-age child who has heart disease
and has developed heart failure. Which of the following interventions should the
nurse include in the plan?
• ANSWER>>> Provide small, frequent meals for the child.
6. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider?
• ANSWER>>> Inability to sit without support.
,7. A nurse is providing discharge teaching to the parents of a toddler who has a
new diagnosis of cystic fibrosis. Which of the following statements by the parent
indicates an understanding of the teaching?
• ANSWER>>> "I will give my child pancreatic enzymes with meals and
snacks."
8. A nurse is caring for a child who has a new diagnosis of type 1 diabetes mellitus.
Which of the following findings is a manifestation of diabetic ketoacidosis?
• ANSWER>>> Kussmaul respirations.
9. A nurse is planning care for a child who has a seizure disorder and is prescribed
valproic acid. The nurse should monitor the child for which of the following
adverse effects?
• ANSWER>>> Hepatotoxicity.
10. A nurse is assessing a 4-year-old child for signs of developmental delay. Which
of the following fine motor skills should the nurse expect the child to be able to
perform?
• ANSWER>>> Draw a circle.
11. A nurse is caring for an infant who has gastroesophageal reflux. Which of the
following feeding positions should the nurse recommend?
• ANSWER>>> Upright (semi-Fowler's) position for 30 minutes after
feeding.
12. A nurse is teaching a parent about home care for a child who has a new
diagnosis of impetigo. Which of the following instructions should the nurse
include?
• ANSWER>>> Apply topical mupirocin as prescribed.
13. A nurse is assessing a 10-year-old child who has a history of sickle cell anemia
and reports severe joint pain. The nurse should suspect which of the following
complications?
• ANSWER>>> Vaso-occlusive crisis.
14. A nurse is preparing to administer immunizations to a 2-month-old infant.
Which of the following vaccines should the nurse administer?
, • ANSWER>>> DTaP, Hib, IPV, PCV13, RV.
15. A nurse is caring for a child who has nephrotic syndrome. Which of the
following findings should the nurse expect?
• ANSWER>>> Periorbital edema.
16. A nurse is teaching the parents of a child who has a new diagnosis of attention-
deficit/hyperactivity disorder (ADHD) about methylphenidate. Which of the
following instructions should the nurse include?
• ANSWER>>> "Give the medication in the morning before school."
17. A nurse is assessing a newborn who was born at 39 weeks of gestation. Which
of the following findings requires further evaluation?
• ANSWER>>> Apical heart rate of 90/min while awake.
18. A nurse is providing discharge teaching to the parent of a child who has a new
prescription for an albuterol metered-dose inhaler with a spacer. Which of the
following instructions should the nurse include?
• ANSWER>>> "Have your child wait 1 minute between puffs."
19. A nurse is caring for a child who has suspected appendicitis. Which of the
following actions should the nurse take?
• ANSWER>>> Withhold oral intake and prepare for surgery
consultation.
20. A nurse is evaluating the developmental milestones of a 12-month-old infant.
Which of the following milestones should the nurse expect?
• ANSWER>>> Uses a pincer grasp to pick up small objects.
21. A nurse is assessing a child who has acute lymphocytic leukemia (ALL).
Which of the following findings is the most common initial manifestation?
• ANSWER>>> Fever and pallor.
22. A nurse is caring for a child who is receiving chemotherapy and has a platelet
count of 20,000/mm³. Which of the following precautions should the nurse take?
• ANSWER>>> Avoid intramuscular injections.
