ATI PEDS 2025/26 PROCTORED EXAM /ATI
PEDIATRIC PROCTORED EXAM 2025 NEWEST 3
VERSIONS,,,,Alpha.
(NGN) A nurse is reviewing a child's medical record. Which of the following
medications should the nurse expect the provider to prescribe or reconcile
from the child's home meds list?
Scenario: Cystic fibrosis at 3 months, failure to thrive, has chronic
obstructive pulmonary disease. Wheezing, rhonchi, paroxysmal cough,
dyspnea. Parent reports large frothy, foul-smelling stool. Child has deficient
levels of vitamins A, D, E and K
Barrel shape chest, clubbed finger bilaterally, RR 40/min wheezing rhonchi,
bilateral dyspnea, paroxysmal cough.
Temp: 101.1 HR: 100 RR:40 BP: 100/57
Labs: sputum culture positive for pseudomonas aeruginosa
Stool analysis: the presence of fat and enzymes.
Chest x ray: obstructive emphysema
WBC: 20,000mm3
A. Meperidine
B. Dornase alfa
C. Acetaminophen
D. Water soluble vitamins
E. Pancreatic lipase
- ANSWER-B. Dornase alfa
D. Water soluble vitamins
E. Pancreatic lipase
(NGN) A nurse is caring for a 7-year-old child who has urinary incontinence.
A 7-year-old client who weight is 18.1 kg (39.9 lb.) was admitted with a UTI.
The child reports pain and burning upon urination and feeling like they need
to go to the bathroom all the time. The child guardian reports client has
been incontinent of urine the past 2 nights and the urine has very strong
odor.
T: 100.4 HR 80 RR: 22 BP: 106/65
T: 101.1 F HR: 90 RR: 23 BP: 105/65
Indicate if the potential intervention is anticipated or contraindicated for the
client.
A. Educate the child about proper personal hygiene.
B. Administer sulfamethoxazole and trimethronin.
C. Administer salicylic acid for pain and fever.
D. Ensure child receives a maximum of 1,200 mL/day of fluid.
E. Advise child guardians about use of sunscreen.
1
, - ANSWER-- Anticipated:
A. Educate the child about proper personal hygiene.
B. Administer sulfamethoxazole and trimethronin.
E. Advise child guardians about use of sunscreen.
- Contraindicated:
C. Administer salicylic acid for pain and fever.
D. Ensure child receives a maximum of 1,200 mL/day of fluid.
(NGN) Child presents to ED guardian reports a child woke up coughing with
a low-grade fever. Child alert restless in guardians' arms. RR easy. No cough
noted. Child became agitated. Hoarse cry noted with audible inspiratory
stridor. Barking non-productive cough present.
7:15
T: 100.6
98 o2
0800?
T: 101 HR 112 RR: 24 o2 96
Assessment findings consistent with Acute Laryngotrancheobronchitis, or
Pneumonia.
A. Irritability
B. Cough findings at 0800
C. Stridor
D. Temperature
- ANSWER-- Acute Laryngotrancheobronchitis:
A. Irritability
B. Cough findings at 0800
C. Stridor
D. Temperature
- Pneumonia:
B. Cough findings at 0800
D. Temperature
(NGN) Received the child awake, alert, and crying. Parent noticed battery on
control toy missing parent states child was drooling more than usual and
witnessed gaging periodically.
0930
The child is lying on the parent's chest with eyes open and requesting sippy
cups. He continues to have expiratory wheeze in bilateral upper lobes.
Preparing child for diagnostic testing.
Nurse should ---- followed by ----.
A. Keep them NPO.
B. Teach parents importance of inspecting Childs gasp area?
2
, C. Obtain informed consent.
D. Prepare for flexible endoscopy.
E. Monitor for return of gag reflex.
F. Encourage parents to inspect toys for easily removable parts.
- ANSWER-A. Keep them NPO.
D. Prepare for flexible endoscopy.
The nurse is caring for a client who is postop following the placement of a
halo vest to manage cervical fracture. Which actions should the nurse take?
A. Tighten screws on halo device on-quarter turn every 48 hr.
B. Reposition client using turning sheet.
C. Encourage flexion and extension of neck.
D. Assess pin sites for infection once every other day
- ANSWER-B. Reposition client using turning sheet.
ED preparing to discharge 3-year-old
The child's guardian states that the child has been unable to sleep recently
and has been irritable. Guardian expresses concern about the child's atopic
dermatitis worsening and the child scratching excessively, which results in
the areas bleeding. Guardian states child has hx of allergic rhinitis.
Pimecrolimus 1% cream applied to skin lesions daily. Assessment alert/
responsive.
RR even unlabored 24/min. No adventitious sounds. Small clusters of
reddish, scaly patches with lichenifications and depigmentation on the child's
bilateral limbs and lower extremities.
a. You should apply emollients in your child's skin after bathing.
b. You should cut and file your child's fingernails frequently.
c. Your child will experience occasional flare-ups of this condition.
d. Your child condition is contagious when lesions are present.
e. You can apply gloves to your child's hands.
- ANSWER-a. You should apply emollients in your child's skin after
bathing.
b. You should cut and file your child's fingernails frequently.
c. Your child will experience occasional flare-ups of this condition.
e. You can apply gloves to your child's hands.
g. You should use a mild detergent for your child's laundry.
A nurse is teaching the parent of a school-age child about bicycle safety.
Which instruction should the nurse include in the teaching?
A. Your child's feet should be 3-6 inches off the ground when seated on a
tricycle.
B. Your child should ride bicycle against flow of traffic.
3
PEDIATRIC PROCTORED EXAM 2025 NEWEST 3
VERSIONS,,,,Alpha.
(NGN) A nurse is reviewing a child's medical record. Which of the following
medications should the nurse expect the provider to prescribe or reconcile
from the child's home meds list?
Scenario: Cystic fibrosis at 3 months, failure to thrive, has chronic
obstructive pulmonary disease. Wheezing, rhonchi, paroxysmal cough,
dyspnea. Parent reports large frothy, foul-smelling stool. Child has deficient
levels of vitamins A, D, E and K
Barrel shape chest, clubbed finger bilaterally, RR 40/min wheezing rhonchi,
bilateral dyspnea, paroxysmal cough.
Temp: 101.1 HR: 100 RR:40 BP: 100/57
Labs: sputum culture positive for pseudomonas aeruginosa
Stool analysis: the presence of fat and enzymes.
Chest x ray: obstructive emphysema
WBC: 20,000mm3
A. Meperidine
B. Dornase alfa
C. Acetaminophen
D. Water soluble vitamins
E. Pancreatic lipase
- ANSWER-B. Dornase alfa
D. Water soluble vitamins
E. Pancreatic lipase
(NGN) A nurse is caring for a 7-year-old child who has urinary incontinence.
A 7-year-old client who weight is 18.1 kg (39.9 lb.) was admitted with a UTI.
The child reports pain and burning upon urination and feeling like they need
to go to the bathroom all the time. The child guardian reports client has
been incontinent of urine the past 2 nights and the urine has very strong
odor.
T: 100.4 HR 80 RR: 22 BP: 106/65
T: 101.1 F HR: 90 RR: 23 BP: 105/65
Indicate if the potential intervention is anticipated or contraindicated for the
client.
A. Educate the child about proper personal hygiene.
B. Administer sulfamethoxazole and trimethronin.
C. Administer salicylic acid for pain and fever.
D. Ensure child receives a maximum of 1,200 mL/day of fluid.
E. Advise child guardians about use of sunscreen.
1
, - ANSWER-- Anticipated:
A. Educate the child about proper personal hygiene.
B. Administer sulfamethoxazole and trimethronin.
E. Advise child guardians about use of sunscreen.
- Contraindicated:
C. Administer salicylic acid for pain and fever.
D. Ensure child receives a maximum of 1,200 mL/day of fluid.
(NGN) Child presents to ED guardian reports a child woke up coughing with
a low-grade fever. Child alert restless in guardians' arms. RR easy. No cough
noted. Child became agitated. Hoarse cry noted with audible inspiratory
stridor. Barking non-productive cough present.
7:15
T: 100.6
98 o2
0800?
T: 101 HR 112 RR: 24 o2 96
Assessment findings consistent with Acute Laryngotrancheobronchitis, or
Pneumonia.
A. Irritability
B. Cough findings at 0800
C. Stridor
D. Temperature
- ANSWER-- Acute Laryngotrancheobronchitis:
A. Irritability
B. Cough findings at 0800
C. Stridor
D. Temperature
- Pneumonia:
B. Cough findings at 0800
D. Temperature
(NGN) Received the child awake, alert, and crying. Parent noticed battery on
control toy missing parent states child was drooling more than usual and
witnessed gaging periodically.
0930
The child is lying on the parent's chest with eyes open and requesting sippy
cups. He continues to have expiratory wheeze in bilateral upper lobes.
Preparing child for diagnostic testing.
Nurse should ---- followed by ----.
A. Keep them NPO.
B. Teach parents importance of inspecting Childs gasp area?
2
, C. Obtain informed consent.
D. Prepare for flexible endoscopy.
E. Monitor for return of gag reflex.
F. Encourage parents to inspect toys for easily removable parts.
- ANSWER-A. Keep them NPO.
D. Prepare for flexible endoscopy.
The nurse is caring for a client who is postop following the placement of a
halo vest to manage cervical fracture. Which actions should the nurse take?
A. Tighten screws on halo device on-quarter turn every 48 hr.
B. Reposition client using turning sheet.
C. Encourage flexion and extension of neck.
D. Assess pin sites for infection once every other day
- ANSWER-B. Reposition client using turning sheet.
ED preparing to discharge 3-year-old
The child's guardian states that the child has been unable to sleep recently
and has been irritable. Guardian expresses concern about the child's atopic
dermatitis worsening and the child scratching excessively, which results in
the areas bleeding. Guardian states child has hx of allergic rhinitis.
Pimecrolimus 1% cream applied to skin lesions daily. Assessment alert/
responsive.
RR even unlabored 24/min. No adventitious sounds. Small clusters of
reddish, scaly patches with lichenifications and depigmentation on the child's
bilateral limbs and lower extremities.
a. You should apply emollients in your child's skin after bathing.
b. You should cut and file your child's fingernails frequently.
c. Your child will experience occasional flare-ups of this condition.
d. Your child condition is contagious when lesions are present.
e. You can apply gloves to your child's hands.
- ANSWER-a. You should apply emollients in your child's skin after
bathing.
b. You should cut and file your child's fingernails frequently.
c. Your child will experience occasional flare-ups of this condition.
e. You can apply gloves to your child's hands.
g. You should use a mild detergent for your child's laundry.
A nurse is teaching the parent of a school-age child about bicycle safety.
Which instruction should the nurse include in the teaching?
A. Your child's feet should be 3-6 inches off the ground when seated on a
tricycle.
B. Your child should ride bicycle against flow of traffic.
3
