ATI PN 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 PN PEDIATRIC PROCTORED EXAM
SAMPLE V1 Qs & Ans
1. A nurse is reinforcing teaching with the parents of a 7-year-old child about behavioral
expectations. Which of the following behaviors is typical for this age?
A. Consistently engaging in parallel play
B. Wanting to spend a lot of time alone
C. Preferring to engage only in solitary computer games
D. Being unable to separate from parents at any time
Answer: B. Wanting to spend a lot of time alone.
Expert Explanation: School-age children often start to value privacy and may enjoy
solitary activities, yet still engage with peers at other times.
2. A nurse is reinforcing teaching about liquid oral iron supplements with the guardian
of a school-age child who has iron deficiency anemia. Which statement by the guardian
indicates an understanding of the teaching?
A. “I will mix the medication with milk to hide the taste.”
B. “I will give this medication at bedtime with warm tea.”
C. “I will give this medication to my child with a straw.”
D. “I will let my child take the iron right after brushing teeth.”
Answer: C. “I will give this medication to my child with a straw.”
,Expert Explanation: Using a straw helps prevent the liquid iron from staining the teeth.
It is also recommended to administer with vitamin C or juice (not milk) to enhance
absorption.
3. A nurse in a pediatric clinic cares for an infant with heart failure who has a
prescription for digoxin. Which of the following statements by the parent indicates that
the medication is having the desired therapeutic effect?
A. “My baby’s heart rate is much faster than before.”
B. “My baby is breathing easier than they used to.”
C. “My baby now has more frequent wet diapers.”
D. “My baby is spitting up more often these days.”
Answer: B. “My baby is breathing easier than they used to.”
Expert Explanation: An improvement in respiratory effort and reduced work of
breathing suggests digoxin is improving cardiac function and reducing pulmonary
congestion.
, ATI PN PEDIATRIC PROCTORED EXAM
SAMPLE V2 Qs & Ans
1. A nurse is reviewing the lab results of a school-age child who has gastroenteritis.
Which finding is most important to report to the provider?
A. Mildly decreased potassium
B. Decreased sodium level
C. Slightly elevated chloride
D. Elevated blood urea nitrogen (BUN)
Correct Answer: B. Decreased sodium level
Expert Explanation:
Hyponatremia can be especially dangerous in pediatric clients. Electrolyte
imbalances such as low sodium may indicate significant fluid and electrolyte shifts,
requiring urgent provider notification for intervention.
────────────────────────────────────────────────────────────
────────────
2. A nurse is assessing a toddler with constipation. Which finding requires follow-up
from the nurse?
A. Toddler appears lethargic
B. Bowel sounds are hyperactive
C. The abdomen is flat and soft
D. Nonpalpable fecal mass on examination
Correct Answer: A. Toddler appears lethargic
Expert Explanation:
, Lethargy can indicate more severe dehydration or serious illness. Although
hypoactive bowel sounds, a distended abdomen, or a palpable fecal mass are also
concerns, lethargy is a critical sign that warrants immediate follow-up.
────────────────────────────────────────────────────────────
────────────
3. A parent of a school-age child with nephrotic syndrome asks the nurse why they
must check the child’s urine for protein. Which explanation by the nurse is best?
A. “It helps ensure your child has enough hydration.”
B. “A decrease in urine protein shows the treatment is effective.”
C. “The provider requires continuous monitoring for routine purposes.”
D. “Protein levels help predict if your child might be developing diabetes.”
Correct Answer: B. “A decrease in urine protein shows the treatment is
effective.”
Expert Explanation:
In nephrotic syndrome, the excessive protein loss is measured through urine
protein. Improvement is indicated by decreased proteinuria, demonstrating
effective therapy and improving kidney function.
, ATI PN PEDIATRIC PROCTORED EXAM
SAMPLE V3 Qs & Ans
1. A nurse is reinforcing teaching with the parent of a 7-year-old child who
has type 1 diabetes mellitus about interventions for mild hypoglycemia.
Which of the following statements by the parent indicates effective
understanding?
A. “I will give my child IV dextrose immediately if they feel shaky.”
B. “I should offer my child diet soda as a quick source of sugar.”
C. “I should give 4 oz of orange juice, then provide cheese and crackers.”
D. “I will encourage my child to drink water and rest.”
Answer: C
,Expert Explanation: A fast-acting carbohydrate (4 oz of orange juice)
followed by a protein-containing snack (cheese and crackers) is appropriate
for mild hypoglycemia.
───────────────────────────────────────────────────────
─
2. A nurse is assisting with the care of an adolescent following a cardiac
catheterization. Which of the following findings is the PRIORITY to report to
the provider?
A. Dizziness upon standing
B. Mild discomfort at the catheter insertion site
C. Bleeding noted on the dressing
D. Nausea postprocedure
Answer: C
Expert Explanation: Bleeding at the insertion site is a high-priority
concern, as it can indicate hemorrhage or problems with vessel integrity.
───────────────────────────────────────────────────────
─
3. A nurse is reinforcing techniques to facilitate communication with a 10-
year-old child who has hearing loss. Which of the following strategies should
the nurse recommend?
A. Speak in a loud voice directly into the child’s ear.
B. Face the child and use facial expressions when speaking.
C. Turn the lights low to reduce distractions.
D. Discuss instructions only when the child’s hearing aids are removed.
, Answer: B
Expert Explanation: Children with hearing impairment benefit from visual
cues, such as facial expressions and clear visibility of the speaker’s mouth.
4. NGN-Style Scenario:
A nurse is preparing to administer an enteral feeding to a 6-year-old child
with cerebral palsy who has a nasogastric (NG) tube. Which of the following
actions should the nurse take FIRST?
A. Warm the feeding solution in a microwave before administration.
B. Check the pH of stomach contents to verify placement.
C. Flush the NG tube with 50 mL of water before feeding.
D. Place the child flat in bed to promote comfort.
Answer: B
Expert Explanation: Verifying NG tube placement by aspirating and
checking the pH (≤5) helps ensure that the tube is in the stomach, reducing
the risk of aspiration.
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 PN PEDIATRIC PROCTORED EXAM
SAMPLE V1 Qs & Ans
1. A nurse is reinforcing teaching with the parents of a 7-year-old child about behavioral
expectations. Which of the following behaviors is typical for this age?
A. Consistently engaging in parallel play
B. Wanting to spend a lot of time alone
C. Preferring to engage only in solitary computer games
D. Being unable to separate from parents at any time
Answer: B. Wanting to spend a lot of time alone.
Expert Explanation: School-age children often start to value privacy and may enjoy
solitary activities, yet still engage with peers at other times.
2. A nurse is reinforcing teaching about liquid oral iron supplements with the guardian
of a school-age child who has iron deficiency anemia. Which statement by the guardian
indicates an understanding of the teaching?
A. “I will mix the medication with milk to hide the taste.”
B. “I will give this medication at bedtime with warm tea.”
C. “I will give this medication to my child with a straw.”
D. “I will let my child take the iron right after brushing teeth.”
Answer: C. “I will give this medication to my child with a straw.”
,Expert Explanation: Using a straw helps prevent the liquid iron from staining the teeth.
It is also recommended to administer with vitamin C or juice (not milk) to enhance
absorption.
3. A nurse in a pediatric clinic cares for an infant with heart failure who has a
prescription for digoxin. Which of the following statements by the parent indicates that
the medication is having the desired therapeutic effect?
A. “My baby’s heart rate is much faster than before.”
B. “My baby is breathing easier than they used to.”
C. “My baby now has more frequent wet diapers.”
D. “My baby is spitting up more often these days.”
Answer: B. “My baby is breathing easier than they used to.”
Expert Explanation: An improvement in respiratory effort and reduced work of
breathing suggests digoxin is improving cardiac function and reducing pulmonary
congestion.
, ATI PN PEDIATRIC PROCTORED EXAM
SAMPLE V2 Qs & Ans
1. A nurse is reviewing the lab results of a school-age child who has gastroenteritis.
Which finding is most important to report to the provider?
A. Mildly decreased potassium
B. Decreased sodium level
C. Slightly elevated chloride
D. Elevated blood urea nitrogen (BUN)
Correct Answer: B. Decreased sodium level
Expert Explanation:
Hyponatremia can be especially dangerous in pediatric clients. Electrolyte
imbalances such as low sodium may indicate significant fluid and electrolyte shifts,
requiring urgent provider notification for intervention.
────────────────────────────────────────────────────────────
────────────
2. A nurse is assessing a toddler with constipation. Which finding requires follow-up
from the nurse?
A. Toddler appears lethargic
B. Bowel sounds are hyperactive
C. The abdomen is flat and soft
D. Nonpalpable fecal mass on examination
Correct Answer: A. Toddler appears lethargic
Expert Explanation:
, Lethargy can indicate more severe dehydration or serious illness. Although
hypoactive bowel sounds, a distended abdomen, or a palpable fecal mass are also
concerns, lethargy is a critical sign that warrants immediate follow-up.
────────────────────────────────────────────────────────────
────────────
3. A parent of a school-age child with nephrotic syndrome asks the nurse why they
must check the child’s urine for protein. Which explanation by the nurse is best?
A. “It helps ensure your child has enough hydration.”
B. “A decrease in urine protein shows the treatment is effective.”
C. “The provider requires continuous monitoring for routine purposes.”
D. “Protein levels help predict if your child might be developing diabetes.”
Correct Answer: B. “A decrease in urine protein shows the treatment is
effective.”
Expert Explanation:
In nephrotic syndrome, the excessive protein loss is measured through urine
protein. Improvement is indicated by decreased proteinuria, demonstrating
effective therapy and improving kidney function.
, ATI PN PEDIATRIC PROCTORED EXAM
SAMPLE V3 Qs & Ans
1. A nurse is reinforcing teaching with the parent of a 7-year-old child who
has type 1 diabetes mellitus about interventions for mild hypoglycemia.
Which of the following statements by the parent indicates effective
understanding?
A. “I will give my child IV dextrose immediately if they feel shaky.”
B. “I should offer my child diet soda as a quick source of sugar.”
C. “I should give 4 oz of orange juice, then provide cheese and crackers.”
D. “I will encourage my child to drink water and rest.”
Answer: C
,Expert Explanation: A fast-acting carbohydrate (4 oz of orange juice)
followed by a protein-containing snack (cheese and crackers) is appropriate
for mild hypoglycemia.
───────────────────────────────────────────────────────
─
2. A nurse is assisting with the care of an adolescent following a cardiac
catheterization. Which of the following findings is the PRIORITY to report to
the provider?
A. Dizziness upon standing
B. Mild discomfort at the catheter insertion site
C. Bleeding noted on the dressing
D. Nausea postprocedure
Answer: C
Expert Explanation: Bleeding at the insertion site is a high-priority
concern, as it can indicate hemorrhage or problems with vessel integrity.
───────────────────────────────────────────────────────
─
3. A nurse is reinforcing techniques to facilitate communication with a 10-
year-old child who has hearing loss. Which of the following strategies should
the nurse recommend?
A. Speak in a loud voice directly into the child’s ear.
B. Face the child and use facial expressions when speaking.
C. Turn the lights low to reduce distractions.
D. Discuss instructions only when the child’s hearing aids are removed.
, Answer: B
Expert Explanation: Children with hearing impairment benefit from visual
cues, such as facial expressions and clear visibility of the speaker’s mouth.
4. NGN-Style Scenario:
A nurse is preparing to administer an enteral feeding to a 6-year-old child
with cerebral palsy who has a nasogastric (NG) tube. Which of the following
actions should the nurse take FIRST?
A. Warm the feeding solution in a microwave before administration.
B. Check the pH of stomach contents to verify placement.
C. Flush the NG tube with 50 mL of water before feeding.
D. Place the child flat in bed to promote comfort.
Answer: B
Expert Explanation: Verifying NG tube placement by aspirating and
checking the pH (≤5) helps ensure that the tube is in the stomach, reducing
the risk of aspiration.
