ATI PEDIATRIC PROCTORED
EXAM (3 Different Version Exams)
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Each Exam has 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.
, ATI PEDIATRIC PROCTORED EXAM
SAMPLE V1 Qs & Ans
1. NGN Scenario:
A nurse is educating the parent of a school-age child diagnosed with acute
glomerulonephritis about recommended dietary modifications. The child’s most
recent labs show mild fluid retention, and the provider has recommended dietary
changes to manage symptoms.
Question:
Which of the following dietary instructions should the nurse include in the teaching?
A. Increase the child’s calcium intake.
B. Decrease the child’s sodium intake.
C. Increase the child’s intake of carbohydrates.
D. Decrease the child’s fat intake.
Answer: B. Decrease the child’s sodium intake
Explanation:
• Children with glomerulonephritis often exhibit fluid retention and edema; limiting
sodium intake helps reduce fluid retention.
• Increasing carbs or calcium is not specifically indicated for glomerulonephritis,
and fat restriction is not the primary intervention.
────────────────────────────────────────────────────────────
────────────
2. NGN Scenario:
,A nurse is providing discharge teaching to parents of a school-age child newly
diagnosed with a seizure disorder. The child’s typical seizure pattern includes
occasional generalized tonic-clonic activity. Parents are unsure about what to do
during a seizure if it occurs at home.
Question:
Which of the following instructions should the nurse include regarding actions to
take during a seizure?
A. Minimize movement of the limbs.
B. Insert a tongue blade between the teeth.
C. Clear the area of hard objects.
D. Place the child in a prone position.
Answer: C. Clear the area of hard objects
Explanation:
• The top priority is to protect the child from injury by removing any nearby objects
that could cause harm.
• Do not insert anything into the child’s mouth during a seizure.
• Prone positioning is not recommended; side-lying after a seizure is often
preferred to maintain airway patency.
────────────────────────────────────────────────────────────
────────────
3. NGN Scenario:
A nurse is assessing an adolescent who has type 1 diabetes mellitus. The child
presents with recent lab results showing elevated glycemic indices.
Question:
Which of the following findings is the highest priority for the nurse to address
immediately?
,A. HbA1c of 11.5%
B. Cholesterol of 189 mg/dL
C. Preprandial blood glucose of 124 mg/dL
D. Glycosuria
Answer: A. HbA1c of 11.5%
Explanation:
• An HbA1c of 11.5% is significantly above target (generally <7.5% for many
pediatric patients), indicating poor long-term glycemic control and an increased risk
of complications.
• While glycosuria and cholesterol levels warrant attention, the critical finding
requiring immediate intervention is the very high HbA1c.
, ATI PEDIATRIC PROCTORED EXAM
SAMPLE V2 Qs & Ans
1. NGN-Style Case Scenario:
A 12-year-old Child arrives at the emergency department with a suspected bleach
ingestion. Examination reveals no visible oral burns, and the admitting provider
asks the nurse about possible injury severity.
Question:
Which of the following statements by the nurse best demonstrates an
understanding of corrosive ingestion?
A. “If there are no burns on the lips or mouth, it means the esophagus must also be
uninjured.”
B. “We will neutralize the bleach immediately by giving an acid beverage.”
C. “Injury caused by a corrosive liquid can cover a larger surface area than a
corrosive solid.”
D. “We should administer activated charcoal immediately.”
Answer: C. “Injury caused by a corrosive liquid can cover a larger surface area than
a corrosive solid.”
Rationale:
Corrosive liquids tend to spread broadly over mucosal surfaces, causing more
extensive tissue damage. Absence of oral burns does not rule out possible
esophageal or gastric injury, and immediate neutralization with an acid can
exacerbate injuries.
────────────────────────────────────────────────────────
,2. NGN-Style Teaching Scenario:
A child with bacterial endocarditis is prescribed moderate-term IV antibiotic
therapy. The provider plans to insert a peripherally inserted central catheter (PICC).
Question:
Which nursing statement is most appropriate when teaching the parent about the
PICC line?
A. “A PICC can remain in place for several weeks if we care for it properly.”
B. “The public health nurse will change the insertion site every 3 days.”
C. “Keep an arm board on at all times so the PICC does not move.”
D. “Your child must go to the operating room for PICC line placement.”
Answer: A. “A PICC can remain in place for several weeks if we care for it properly.”
Rationale:
A PICC line is ideal for short- to moderate-term IV antibiotic therapy. With proper
maintenance and aseptic technique, it can remain in place for weeks to months.
────────────────────────────────────────────────────────
3. Safety & Poison Control:
The parents of a toddler ask for anticipatory guidance about what to do first if their
child accidentally ingests a toxic substance.
Question:
Which response by the nurse is correct?
A. “Give your toddler some milk right away.”
B. “Go to the emergency department immediately.”
C. “Call the poison control center before taking any other action.”
D. “Induce vomiting using ipecac syrup.”
,Answer: C. “Call the poison control center before taking any other action.”
Rationale:
Poison control centers provide step-by-step guidance based on the specific
substance ingested. Immediate calls allow for the most appropriate and up-to-date
interventions.
ATI PEDIATRIC PROCTORED EXAM
SAMPLE V3 Qs & Ans
────────────────────────────────────────────────────────
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.
────────────────────────────────────────────────────────
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?
EXAM (3 Different Version Exams)
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Each Exam has 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.
, ATI PEDIATRIC PROCTORED EXAM
SAMPLE V1 Qs & Ans
1. NGN Scenario:
A nurse is educating the parent of a school-age child diagnosed with acute
glomerulonephritis about recommended dietary modifications. The child’s most
recent labs show mild fluid retention, and the provider has recommended dietary
changes to manage symptoms.
Question:
Which of the following dietary instructions should the nurse include in the teaching?
A. Increase the child’s calcium intake.
B. Decrease the child’s sodium intake.
C. Increase the child’s intake of carbohydrates.
D. Decrease the child’s fat intake.
Answer: B. Decrease the child’s sodium intake
Explanation:
• Children with glomerulonephritis often exhibit fluid retention and edema; limiting
sodium intake helps reduce fluid retention.
• Increasing carbs or calcium is not specifically indicated for glomerulonephritis,
and fat restriction is not the primary intervention.
────────────────────────────────────────────────────────────
────────────
2. NGN Scenario:
,A nurse is providing discharge teaching to parents of a school-age child newly
diagnosed with a seizure disorder. The child’s typical seizure pattern includes
occasional generalized tonic-clonic activity. Parents are unsure about what to do
during a seizure if it occurs at home.
Question:
Which of the following instructions should the nurse include regarding actions to
take during a seizure?
A. Minimize movement of the limbs.
B. Insert a tongue blade between the teeth.
C. Clear the area of hard objects.
D. Place the child in a prone position.
Answer: C. Clear the area of hard objects
Explanation:
• The top priority is to protect the child from injury by removing any nearby objects
that could cause harm.
• Do not insert anything into the child’s mouth during a seizure.
• Prone positioning is not recommended; side-lying after a seizure is often
preferred to maintain airway patency.
────────────────────────────────────────────────────────────
────────────
3. NGN Scenario:
A nurse is assessing an adolescent who has type 1 diabetes mellitus. The child
presents with recent lab results showing elevated glycemic indices.
Question:
Which of the following findings is the highest priority for the nurse to address
immediately?
,A. HbA1c of 11.5%
B. Cholesterol of 189 mg/dL
C. Preprandial blood glucose of 124 mg/dL
D. Glycosuria
Answer: A. HbA1c of 11.5%
Explanation:
• An HbA1c of 11.5% is significantly above target (generally <7.5% for many
pediatric patients), indicating poor long-term glycemic control and an increased risk
of complications.
• While glycosuria and cholesterol levels warrant attention, the critical finding
requiring immediate intervention is the very high HbA1c.
, ATI PEDIATRIC PROCTORED EXAM
SAMPLE V2 Qs & Ans
1. NGN-Style Case Scenario:
A 12-year-old Child arrives at the emergency department with a suspected bleach
ingestion. Examination reveals no visible oral burns, and the admitting provider
asks the nurse about possible injury severity.
Question:
Which of the following statements by the nurse best demonstrates an
understanding of corrosive ingestion?
A. “If there are no burns on the lips or mouth, it means the esophagus must also be
uninjured.”
B. “We will neutralize the bleach immediately by giving an acid beverage.”
C. “Injury caused by a corrosive liquid can cover a larger surface area than a
corrosive solid.”
D. “We should administer activated charcoal immediately.”
Answer: C. “Injury caused by a corrosive liquid can cover a larger surface area than
a corrosive solid.”
Rationale:
Corrosive liquids tend to spread broadly over mucosal surfaces, causing more
extensive tissue damage. Absence of oral burns does not rule out possible
esophageal or gastric injury, and immediate neutralization with an acid can
exacerbate injuries.
────────────────────────────────────────────────────────
,2. NGN-Style Teaching Scenario:
A child with bacterial endocarditis is prescribed moderate-term IV antibiotic
therapy. The provider plans to insert a peripherally inserted central catheter (PICC).
Question:
Which nursing statement is most appropriate when teaching the parent about the
PICC line?
A. “A PICC can remain in place for several weeks if we care for it properly.”
B. “The public health nurse will change the insertion site every 3 days.”
C. “Keep an arm board on at all times so the PICC does not move.”
D. “Your child must go to the operating room for PICC line placement.”
Answer: A. “A PICC can remain in place for several weeks if we care for it properly.”
Rationale:
A PICC line is ideal for short- to moderate-term IV antibiotic therapy. With proper
maintenance and aseptic technique, it can remain in place for weeks to months.
────────────────────────────────────────────────────────
3. Safety & Poison Control:
The parents of a toddler ask for anticipatory guidance about what to do first if their
child accidentally ingests a toxic substance.
Question:
Which response by the nurse is correct?
A. “Give your toddler some milk right away.”
B. “Go to the emergency department immediately.”
C. “Call the poison control center before taking any other action.”
D. “Induce vomiting using ipecac syrup.”
,Answer: C. “Call the poison control center before taking any other action.”
Rationale:
Poison control centers provide step-by-step guidance based on the specific
substance ingested. Immediate calls allow for the most appropriate and up-to-date
interventions.
ATI PEDIATRIC PROCTORED EXAM
SAMPLE V3 Qs & Ans
────────────────────────────────────────────────────────
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.
────────────────────────────────────────────────────────
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?
