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Pediatric Nursing Proctored Exam QBank 2025–2026 | 200 Verified
ATI CMS NGN Questions with Rationales | Guaranteed Pass Prep
Question 1
A nurse is caring for a 3-year-old with laryngotracheobronchitis (croup). The child
presents with stridor, a barking cough, and mild intercostal retractions. Which
nursing intervention is most appropriate?
A. Administer a cough suppressant
B. Provide cool mist via humidified air
C. Place the child in the Trendelenburg position
D. Encourage vigorous coughing to clear the airway
Correct Answer: B. Provide cool mist via humidified air
Rationale: Croup causes inflammation of the upper airway. Cool, humidified air
reduces swelling and eases breathing. Cough suppressants are contraindicated
because they may impair secretion clearance. Trendelenburg worsens respiratory
effort, and forceful coughing may exacerbate airway irritation.
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Question 2
During a well-baby checkup, a 2-month-old infant is found to have a bulging
anterior fontanel while lying quietly. What should the nurse do first?
A. Continue with the assessment
B. Ask the parent if the infant has been crying
C. Notify the provider immediately
D. Document the finding and recheck later
Correct Answer: C. Notify the provider immediately
Rationale: A bulging fontanel at rest is an abnormal finding and can indicate
increased intracranial pressure. Immediate evaluation is necessary to prevent
further neurologic compromise.
Question 3
A 4-month-old infant is due for routine immunizations. Which vaccines should the
nurse expect to administer during this visit?
A. MMR, Hepatitis A, and Varicella
B. DTaP, IPV, Hib, PCV13, and Rotavirus
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C. Influenza and Hepatitis A
D. BCG and Meningococcal
Correct Answer: B. DTaP, IPV, Hib, PCV13, and Rotavirus
Rationale: At 4 months, infants receive their second doses of DTaP, IPV, Hib,
pneumococcal (PCV13), and rotavirus. MMR, Hep A, and varicella are not given
until 12 months or older. BCG is not routine in the U.S.
Question 4
A school-age child with cystic fibrosis is being discharged. Which parent statement
indicates understanding of home care?
A. “We will stop chest physiotherapy if he feels tired.”
B. “I’ll give enzymes only when he eats dairy.”
C. “He should receive chest physiotherapy before meals.”
D. “He will need IV antibiotics daily at home.”
Correct Answer: C. “He should receive chest physiotherapy before meals.”
Rationale: Chest physiotherapy before meals helps mobilize secretions, improving
appetite and digestion. Enzymes are given with all meals, not just dairy. Stopping
therapy due to tiredness can worsen symptoms. IV antibiotics are for acute
exacerbations.
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Question 5
A nurse is assessing a 6-month-old infant who was born at 30 weeks gestation.
Which developmental milestone is expected?
A. Crawling and pulling to stand
B. Saying two-word phrases
C. Sitting with support and smiling responsively
D. Playing peekaboo and waving
Correct Answer: C. Sitting with support and smiling responsively
Rationale: Adjusted age is 4 months (6 actual – 2 months premature). At this
stage, infants can sit with support, smile responsively, and coo. Crawling and two-
word phrases come later.
Question 6
A 7-year-old with newly diagnosed type 1 diabetes is learning how to manage their
condition. What teaching strategy is most effective?
A. Provide a printed manual for the child to read
B. Use interactive, age-appropriate teaching tools like games or pictures
Pediatric Nursing Proctored Exam QBank 2025–2026 | 200 Verified
ATI CMS NGN Questions with Rationales | Guaranteed Pass Prep
Question 1
A nurse is caring for a 3-year-old with laryngotracheobronchitis (croup). The child
presents with stridor, a barking cough, and mild intercostal retractions. Which
nursing intervention is most appropriate?
A. Administer a cough suppressant
B. Provide cool mist via humidified air
C. Place the child in the Trendelenburg position
D. Encourage vigorous coughing to clear the airway
Correct Answer: B. Provide cool mist via humidified air
Rationale: Croup causes inflammation of the upper airway. Cool, humidified air
reduces swelling and eases breathing. Cough suppressants are contraindicated
because they may impair secretion clearance. Trendelenburg worsens respiratory
effort, and forceful coughing may exacerbate airway irritation.
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Question 2
During a well-baby checkup, a 2-month-old infant is found to have a bulging
anterior fontanel while lying quietly. What should the nurse do first?
A. Continue with the assessment
B. Ask the parent if the infant has been crying
C. Notify the provider immediately
D. Document the finding and recheck later
Correct Answer: C. Notify the provider immediately
Rationale: A bulging fontanel at rest is an abnormal finding and can indicate
increased intracranial pressure. Immediate evaluation is necessary to prevent
further neurologic compromise.
Question 3
A 4-month-old infant is due for routine immunizations. Which vaccines should the
nurse expect to administer during this visit?
A. MMR, Hepatitis A, and Varicella
B. DTaP, IPV, Hib, PCV13, and Rotavirus
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C. Influenza and Hepatitis A
D. BCG and Meningococcal
Correct Answer: B. DTaP, IPV, Hib, PCV13, and Rotavirus
Rationale: At 4 months, infants receive their second doses of DTaP, IPV, Hib,
pneumococcal (PCV13), and rotavirus. MMR, Hep A, and varicella are not given
until 12 months or older. BCG is not routine in the U.S.
Question 4
A school-age child with cystic fibrosis is being discharged. Which parent statement
indicates understanding of home care?
A. “We will stop chest physiotherapy if he feels tired.”
B. “I’ll give enzymes only when he eats dairy.”
C. “He should receive chest physiotherapy before meals.”
D. “He will need IV antibiotics daily at home.”
Correct Answer: C. “He should receive chest physiotherapy before meals.”
Rationale: Chest physiotherapy before meals helps mobilize secretions, improving
appetite and digestion. Enzymes are given with all meals, not just dairy. Stopping
therapy due to tiredness can worsen symptoms. IV antibiotics are for acute
exacerbations.
, 4
Question 5
A nurse is assessing a 6-month-old infant who was born at 30 weeks gestation.
Which developmental milestone is expected?
A. Crawling and pulling to stand
B. Saying two-word phrases
C. Sitting with support and smiling responsively
D. Playing peekaboo and waving
Correct Answer: C. Sitting with support and smiling responsively
Rationale: Adjusted age is 4 months (6 actual – 2 months premature). At this
stage, infants can sit with support, smile responsively, and coo. Crawling and two-
word phrases come later.
Question 6
A 7-year-old with newly diagnosed type 1 diabetes is learning how to manage their
condition. What teaching strategy is most effective?
A. Provide a printed manual for the child to read
B. Use interactive, age-appropriate teaching tools like games or pictures
