NGN ATI PEDS PROCTORED EXAM LATEST 2025/2026 / PEDS ATI PROCTORED
ACTUAL EXAM ALL 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse in a provider's office is preparing to administer immunizations to a
toddler during a well-child visit. Which of the following actions should the
nurse plan to take?
Prescriptions:
-tuberculin skin test (TST)
-measles mumps rubella
vaccine
-inactivated influenza vaccine
-diphtheria, tetanus, and pertussis (DTaP vaccine)
Vital signs
-respiratory rate 24/minute
-heart rate 115/minute
-temperature 37.4 degrees Celsius or 99.3 degrees Fahrenheit
History and physical
-Age 12 months 9 days
-height 71.1cm/28-in
allergies
neomycin - anaphylactic reaction
caregiver reports:
-rhinitis with clear nasal drainage for 2days
-occasional nonproductive cough for 2 days
-history of asthma
,A- Withhold the measles mumps and rubella MMR vaccine
B- withhold the DTaP vaccine
C- withhold the influenza vaccine
D- withhold the tuberculin skin test TST - ANSWER - A- Withhold the measles mumps and
rubella MMR vaccine; The nurse should recognize that an allergy to neomycin with an
anaphylactic
reaction is a contraindication to receiving the MMR vaccine. Clients who have a
severe allergy to eggs or gelatin should not receive this vaccine.
A nurse in a provider's office is assessing a client who has heart failure. The client has
gained weight since her last, and her ankles are edematous. Which of the following
findings is another clinical manifestation of fluid volume excess
A) Sunken eyeball
B) Hypotension
C) Poor skin turgor
D) Bounding pulse - ANSWER - D) Bounding pulse
A nurse in an Emergency Department is assessing a three-month-old infant
who has rotavirus and is experiencing acute vomiting and diarrhea. Which of
the following manifestations should the nurse identify as an indication that
the infant has moderate to severe dehydration?
A- Heart rate 124/ minute
B- increase tear production
C- sunken anterior fontanel
D- capillary refill 2 seconds - ANSWER - C- sunken anterior fontanel; The nurse should
recognize that a sunken anterior fontanel is an indication of
moderate to severe dehydration due to the acute loss of fluid.
,A nurse in an Emergency Department is assessing a three-month-old infant
who has rotavirus and is experiencing acute vomiting and diarrhea. Which of
the following manifestations should the nurse identify as an indication that
the infant has moderate to severe dehydration?
A- Heart rate 124/ minute
B- increase tear production
C- sunken anterior fontanel
D- capillary refill 2 seconds - ANSWER - C- sunken anterior fontanel; The nurse should
recognize that a sunken anterior fontanel is an indication of
moderate to severe dehydration due to the acute loss of fluid.
A nurse in an emergency department is caring for a school-age child who is experiencing
an anaphylactic reaction. Which of the following is the
priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the
child - ANSWER - D- administer IM epinephrine to the
child; When using the urgent vs no urgent approach to client care, the nurse determines
that
the priority action is administering IM epinephrine to the child. During an
anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately it causes decreased blood
return to the heart.
, A nurse in an emergency department is caring for a school-age child who is experiencing
an anaphylactic reaction. Which of the following is the
priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the
child - ANSWER - D- administer IM epinephrine to the
child; When using the urgent vs no urgent approach to client care, the nurse determines
that
the priority action is administering IM epinephrine to the child. During an
anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately it causes decreased blood
return to the heart.
A nurse in an emergency department is performing a physical assessment
on a 2-week-old male infant. Which of the following manifestations is the
priority for the nurse to report to the provider?
A- Excoriated scrotal area
B- multiple capillary hemangiomas
C- depressed posterior fontanel
D- substernal retractions - ANSWER - D- substernal retractions; When using the airway,
breathing, circulation approach to client care, the nurse
should determine that the priority finding to report to the provider is substernal
retractions. This finding indicates the infant is experiencing acute respiratory
distress and increased respiratory effort, which could quickly progress to
respiratory failure.
ACTUAL EXAM ALL 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse in a provider's office is preparing to administer immunizations to a
toddler during a well-child visit. Which of the following actions should the
nurse plan to take?
Prescriptions:
-tuberculin skin test (TST)
-measles mumps rubella
vaccine
-inactivated influenza vaccine
-diphtheria, tetanus, and pertussis (DTaP vaccine)
Vital signs
-respiratory rate 24/minute
-heart rate 115/minute
-temperature 37.4 degrees Celsius or 99.3 degrees Fahrenheit
History and physical
-Age 12 months 9 days
-height 71.1cm/28-in
allergies
neomycin - anaphylactic reaction
caregiver reports:
-rhinitis with clear nasal drainage for 2days
-occasional nonproductive cough for 2 days
-history of asthma
,A- Withhold the measles mumps and rubella MMR vaccine
B- withhold the DTaP vaccine
C- withhold the influenza vaccine
D- withhold the tuberculin skin test TST - ANSWER - A- Withhold the measles mumps and
rubella MMR vaccine; The nurse should recognize that an allergy to neomycin with an
anaphylactic
reaction is a contraindication to receiving the MMR vaccine. Clients who have a
severe allergy to eggs or gelatin should not receive this vaccine.
A nurse in a provider's office is assessing a client who has heart failure. The client has
gained weight since her last, and her ankles are edematous. Which of the following
findings is another clinical manifestation of fluid volume excess
A) Sunken eyeball
B) Hypotension
C) Poor skin turgor
D) Bounding pulse - ANSWER - D) Bounding pulse
A nurse in an Emergency Department is assessing a three-month-old infant
who has rotavirus and is experiencing acute vomiting and diarrhea. Which of
the following manifestations should the nurse identify as an indication that
the infant has moderate to severe dehydration?
A- Heart rate 124/ minute
B- increase tear production
C- sunken anterior fontanel
D- capillary refill 2 seconds - ANSWER - C- sunken anterior fontanel; The nurse should
recognize that a sunken anterior fontanel is an indication of
moderate to severe dehydration due to the acute loss of fluid.
,A nurse in an Emergency Department is assessing a three-month-old infant
who has rotavirus and is experiencing acute vomiting and diarrhea. Which of
the following manifestations should the nurse identify as an indication that
the infant has moderate to severe dehydration?
A- Heart rate 124/ minute
B- increase tear production
C- sunken anterior fontanel
D- capillary refill 2 seconds - ANSWER - C- sunken anterior fontanel; The nurse should
recognize that a sunken anterior fontanel is an indication of
moderate to severe dehydration due to the acute loss of fluid.
A nurse in an emergency department is caring for a school-age child who is experiencing
an anaphylactic reaction. Which of the following is the
priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the
child - ANSWER - D- administer IM epinephrine to the
child; When using the urgent vs no urgent approach to client care, the nurse determines
that
the priority action is administering IM epinephrine to the child. During an
anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately it causes decreased blood
return to the heart.
, A nurse in an emergency department is caring for a school-age child who is experiencing
an anaphylactic reaction. Which of the following is the
priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the
child - ANSWER - D- administer IM epinephrine to the
child; When using the urgent vs no urgent approach to client care, the nurse determines
that
the priority action is administering IM epinephrine to the child. During an
anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately it causes decreased blood
return to the heart.
A nurse in an emergency department is performing a physical assessment
on a 2-week-old male infant. Which of the following manifestations is the
priority for the nurse to report to the provider?
A- Excoriated scrotal area
B- multiple capillary hemangiomas
C- depressed posterior fontanel
D- substernal retractions - ANSWER - D- substernal retractions; When using the airway,
breathing, circulation approach to client care, the nurse
should determine that the priority finding to report to the provider is substernal
retractions. This finding indicates the infant is experiencing acute respiratory
distress and increased respiratory effort, which could quickly progress to
respiratory failure.
