2019 ATI PEDIATRICS EXAM PROCTORED WITH
NGN| CONTAINS VERIFIED QUESTIONS AND
ANSWERS WITH DETAILED RATIONALES|
UPDATED 2024/2025 | VERIFIED AND
NCLEX GUARANTEED PASS
Correct answers are bolded. Rationales are italicized.
1. A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain
scales is most appropriate?
A. FACES
B. Numeric
C. CRIES
D. Visual analog
The FACES pain scale is appropriate for toddlers aged 3 and up, allowing them to select a face
that represents their pain level.
2. A nurse is planning a session to educate parents on preventing sunburn in children. Which
instruction should be included?
A. "Let your child play outside between 10 a.m. and 2 p.m."
B. "Use a waterproof sunscreen with at least SPF 15."
,C. "Dress your child in loose-weave polyester fabric."
D. "Reapply sunscreen every 4 hours."
Parents should use sunscreen with minimum SPF 15 before exposure. Sunscreen should be
reapplied every 2–3 hours, and children should avoid peak sun hours.
3. During a hearing screening, which child should be referred for further evaluation?
A. An 18-month-old with unclear speech
B. A 3-month-old with a strong startle reflex
C. A 4-year-old who likes playing with others
D. An 8-month-old who does not babble
By 7 months, infants should babble. Lack of this behavior warrants further hearing evaluation.
4. A 3-month-old with rotavirus presents with vomiting and diarrhea. Which sign indicates
moderate to severe dehydration?
A. Heart rate of 124/min
B. Increased tear production
C. Sunken anterior fontanel
D. Capillary refill of 2 seconds
A sunken fontanel is a clear sign of fluid loss and moderate to severe dehydration.
5. What should the nurse include when teaching a family about caring for a school-age child
with juvenile idiopathic arthritis?
A. "Limit large joint movements."
B. "Encourage independent self-care."
, C. "Use a soft mattress for sleeping."
D. "Schedule daily 2-hour afternoon naps."
Encouraging self-care promotes mobility and independence, both of which are crucial for
children with arthritis.
6. When planning care for a child with a tunneled central venous device, which action
should the nurse take?
A. Use sterile scissors to remove the dressing
B. Flush each lumen weekly with saline
C. Use a non-coring angled needle
D. Cover the site with a semipermeable transparent dressing
This type of dressing reduces infection risk while allowing site observation.
7. What behavior should the nurse expect from a toddler during anticipatory guidance?
A. Controls impulses
B. Understands right from wrong
C. Separates from parents for extended periods
D. Shows likes and dislikes
Toddlers are developing independence and often express preferences strongly.
8. A nurse is teaching a parent of a child with moderate persistent asthma. Which statement
is appropriate?
A. "Give salmeterol every 4 hours during an attack."
B. "Weigh your child weekly on corticosteroids."
NGN| CONTAINS VERIFIED QUESTIONS AND
ANSWERS WITH DETAILED RATIONALES|
UPDATED 2024/2025 | VERIFIED AND
NCLEX GUARANTEED PASS
Correct answers are bolded. Rationales are italicized.
1. A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain
scales is most appropriate?
A. FACES
B. Numeric
C. CRIES
D. Visual analog
The FACES pain scale is appropriate for toddlers aged 3 and up, allowing them to select a face
that represents their pain level.
2. A nurse is planning a session to educate parents on preventing sunburn in children. Which
instruction should be included?
A. "Let your child play outside between 10 a.m. and 2 p.m."
B. "Use a waterproof sunscreen with at least SPF 15."
,C. "Dress your child in loose-weave polyester fabric."
D. "Reapply sunscreen every 4 hours."
Parents should use sunscreen with minimum SPF 15 before exposure. Sunscreen should be
reapplied every 2–3 hours, and children should avoid peak sun hours.
3. During a hearing screening, which child should be referred for further evaluation?
A. An 18-month-old with unclear speech
B. A 3-month-old with a strong startle reflex
C. A 4-year-old who likes playing with others
D. An 8-month-old who does not babble
By 7 months, infants should babble. Lack of this behavior warrants further hearing evaluation.
4. A 3-month-old with rotavirus presents with vomiting and diarrhea. Which sign indicates
moderate to severe dehydration?
A. Heart rate of 124/min
B. Increased tear production
C. Sunken anterior fontanel
D. Capillary refill of 2 seconds
A sunken fontanel is a clear sign of fluid loss and moderate to severe dehydration.
5. What should the nurse include when teaching a family about caring for a school-age child
with juvenile idiopathic arthritis?
A. "Limit large joint movements."
B. "Encourage independent self-care."
, C. "Use a soft mattress for sleeping."
D. "Schedule daily 2-hour afternoon naps."
Encouraging self-care promotes mobility and independence, both of which are crucial for
children with arthritis.
6. When planning care for a child with a tunneled central venous device, which action
should the nurse take?
A. Use sterile scissors to remove the dressing
B. Flush each lumen weekly with saline
C. Use a non-coring angled needle
D. Cover the site with a semipermeable transparent dressing
This type of dressing reduces infection risk while allowing site observation.
7. What behavior should the nurse expect from a toddler during anticipatory guidance?
A. Controls impulses
B. Understands right from wrong
C. Separates from parents for extended periods
D. Shows likes and dislikes
Toddlers are developing independence and often express preferences strongly.
8. A nurse is teaching a parent of a child with moderate persistent asthma. Which statement
is appropriate?
A. "Give salmeterol every 4 hours during an attack."
B. "Weigh your child weekly on corticosteroids."
