ATI PEDIATRICS NGN EXAM 2024-2025
/PEDIATRICS ATI PROCTORED NEXT
GENERATION PRACTICE EXAM ACTUAL EXAM
150 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative. - Answer - B
Rationale: The nurse should initially minimize physical contact with the toddler, and then
progress from the least traumatic to the most traumatic procedures.
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and
is planning to attend college. The nurse should inform the client that he should receive
which of the following immunizations prior to moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster - Answer - B
Rationale: The meningococcal polysaccharide immunization is used to prevent infection
by certain groups of meningococcal bacteria. Meningococcal infection can cause life-
threatening illnesses, such as meningococcal meningitis, which affects the brain, and
meningococcemia, which affects the blood. Both of these conditions can be fatal.
College freshmen, particularly those who live in dormitories, are at an increased risk for
meningococcal disease relative to other persons their age. Therefore, the Centers for
Disease Control and Prevention has issued a recommendation that all incoming college
students receive the meningococcal immunization.
A nurse is teaching the parent of an infant about food allergens. Which of the following
foods should the nurse include as being the most common food allergy in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg - Answer - A
Rationale: According to evidence-based practice, the nurse should instruct the parent
that cow's milk is the most common food allergy in children. Some children are sensitive
to the protein, called casein, found in cow's milk. They have difficulty metabolizing the
casein and are, therefore, allergic to cow's milk.
,A nurse is teaching the parent of a toddler about home safety. Which of the following
statements by the parent indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something poisonous." - Answer -
A
Rationale: Locking up medications and other potential poisons prevents access.
Toddlers have
improved gross and fine motor skills that allow for further exploration of the environment
and
possible access to hazardous substances.
A nurse is performing a physical assessment on a 6-month-old infant. Which of the
following reflexes should the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro - Answer - B
Rationale: The Babinski reflex, which is elicited by stroking the bottom of the foot and
causing
the toes to fan and the big toe to dorsiflex, should be present until the age of 1 year.
Persistence
of neonatal reflexes might indicate neurological deficits.
A nurse is preparing to administer recommended immunizations to a 2-month-old infant.
Which of the following immunizations should the nurse plan to administer?
a. Human papillomavirus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis
(TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV) - Answer - C
Rationale: The recommended immunizations for a 2-month-old infant include Hib and
IPV. The
Hib immunization series consists of 3 to 4 doses, depending on the immunization used,
and at a
minimum is administered at the ages of 2 months, 4 months, and 12 to 15 months. The
IPV
immunization series consists of 4 doses and is administered at the ages of 2 months, 4
months, 6
to 18 months, and 4 to 6 years.
A nurse is developing a plan of care for a school-age child who underwent a surgical
procedure that resulted in temporary loss of vision. Which of the following interventions
should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
,b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child. - Answer - B
Rationale: The noises in a facility can be frightening to a child who is experiencing a
sensory
loss. It is important to explain these noises to allay the child's fears.
A nurse is assessing a 3-year-old child who is 1 day postoperative following a
tonsillectomy.
Which of the following methods should the nurse use to determine if the child is
experiencing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
d. Check the child's temperature. - Answer - B
Rationale: Pain is a subjective experience even for a 3-year-old child. The FACES scale
can be
used to accurately determine the presence of pain in children as young as 3 years of
age.
12. A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following
findings indicates the need for further assessment?
a. Grabs feet and pulls them to her mouth
b. Posterior fontanel is closed
c. Legs remain crossed and extended when supine
d. Birth weight has doubled - Answer - C
Rationale: Legs crossed and extended when supine is an unexpected finding and
requires further
assessment. At 6 months of age, the legs flex at the knees when the infant is supine.
Crossed and
extended legs when supine is a finding associated with cerebral palsy.
A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child.
The
mother asks if this game has any developmental significance. The nurse should inform
the
mother that peek-a-boo helps develop which of the following concepts in the child?
a. Hand-eye coordination
b. Sense of trust
c. Object permanence
d. Egocentrism - Answer - C
Rationale: Object permanence refers to the cognitive skill of knowing an object still
exists even
when it is out of sight. In discovering a hidden object while playing peek-a-boo, the
infant
experiences validation of this concept.
, A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of
the following actions should the nurse take?
a. Have the toddler wear a disposable gown when in the unit's playroom.
b. Wear sterile gloves when changing the toddler's diapers.
c. Wear a mask when assisting the toddler with meals.
d. Ask visitors to wear an N-95 mask when entering the room. - Answer - C
Rationale: The nurse should wear a mask when within 3 to 6 feet of the toddler to
prevent the
transmission of infections that are spread via large droplet particles expelled in the air.
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the provider?
a. Head lags when pulled from a lying to a sitting position
b. Absence of startle and crawl reflexes
c. Inability to pick up a rattle after dropping it
d. Rolls from back to side - Answer - A
Rationale: At the age of 5 months, the infant should have no head lag when pulled to a
sitting
position; therefore, the nurse should report this finding to the provider
16. A nurse is planning to collect a specimen from a male infant using a urine collection
bag.
Which of the following actions should the nurse take?
a. Wash and dry the infant's genitalia and perineum thoroughly.
b. Apply a small coating of water-soluble lubricant to the skin of the infant's perineal
area.
c. Avoid placing the scrotum inside the collection bag.
d. Wait several hours after positioning the device before checking it. - Answer - A
Rationale: This is the method used to obtain a routine urine specimen of any sort in a
child who
is not toilet trained. The skin should be washed and dried to promote application of the
adhesive
of the collection device.
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of
3
mcg/dL. When teaching the toddler's parents about the correlation of nutrition with lead
poisoning, which of the following information is appropriate for the nurse to include in
the
teaching?
a. Decrease the child's vitamin C intake until the blood lead level decreases to zero.
b. Administer a folic acid supplement to the child each day.
c. Give pancreatic enzymes to the child with meals and snacks.
d. Ensure the child's dietary intake of calcium and iron is adequate. - Answer - D
/PEDIATRICS ATI PROCTORED NEXT
GENERATION PRACTICE EXAM ACTUAL EXAM
150 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative. - Answer - B
Rationale: The nurse should initially minimize physical contact with the toddler, and then
progress from the least traumatic to the most traumatic procedures.
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and
is planning to attend college. The nurse should inform the client that he should receive
which of the following immunizations prior to moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster - Answer - B
Rationale: The meningococcal polysaccharide immunization is used to prevent infection
by certain groups of meningococcal bacteria. Meningococcal infection can cause life-
threatening illnesses, such as meningococcal meningitis, which affects the brain, and
meningococcemia, which affects the blood. Both of these conditions can be fatal.
College freshmen, particularly those who live in dormitories, are at an increased risk for
meningococcal disease relative to other persons their age. Therefore, the Centers for
Disease Control and Prevention has issued a recommendation that all incoming college
students receive the meningococcal immunization.
A nurse is teaching the parent of an infant about food allergens. Which of the following
foods should the nurse include as being the most common food allergy in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg - Answer - A
Rationale: According to evidence-based practice, the nurse should instruct the parent
that cow's milk is the most common food allergy in children. Some children are sensitive
to the protein, called casein, found in cow's milk. They have difficulty metabolizing the
casein and are, therefore, allergic to cow's milk.
,A nurse is teaching the parent of a toddler about home safety. Which of the following
statements by the parent indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something poisonous." - Answer -
A
Rationale: Locking up medications and other potential poisons prevents access.
Toddlers have
improved gross and fine motor skills that allow for further exploration of the environment
and
possible access to hazardous substances.
A nurse is performing a physical assessment on a 6-month-old infant. Which of the
following reflexes should the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro - Answer - B
Rationale: The Babinski reflex, which is elicited by stroking the bottom of the foot and
causing
the toes to fan and the big toe to dorsiflex, should be present until the age of 1 year.
Persistence
of neonatal reflexes might indicate neurological deficits.
A nurse is preparing to administer recommended immunizations to a 2-month-old infant.
Which of the following immunizations should the nurse plan to administer?
a. Human papillomavirus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis
(TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV) - Answer - C
Rationale: The recommended immunizations for a 2-month-old infant include Hib and
IPV. The
Hib immunization series consists of 3 to 4 doses, depending on the immunization used,
and at a
minimum is administered at the ages of 2 months, 4 months, and 12 to 15 months. The
IPV
immunization series consists of 4 doses and is administered at the ages of 2 months, 4
months, 6
to 18 months, and 4 to 6 years.
A nurse is developing a plan of care for a school-age child who underwent a surgical
procedure that resulted in temporary loss of vision. Which of the following interventions
should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
,b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child. - Answer - B
Rationale: The noises in a facility can be frightening to a child who is experiencing a
sensory
loss. It is important to explain these noises to allay the child's fears.
A nurse is assessing a 3-year-old child who is 1 day postoperative following a
tonsillectomy.
Which of the following methods should the nurse use to determine if the child is
experiencing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
d. Check the child's temperature. - Answer - B
Rationale: Pain is a subjective experience even for a 3-year-old child. The FACES scale
can be
used to accurately determine the presence of pain in children as young as 3 years of
age.
12. A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following
findings indicates the need for further assessment?
a. Grabs feet and pulls them to her mouth
b. Posterior fontanel is closed
c. Legs remain crossed and extended when supine
d. Birth weight has doubled - Answer - C
Rationale: Legs crossed and extended when supine is an unexpected finding and
requires further
assessment. At 6 months of age, the legs flex at the knees when the infant is supine.
Crossed and
extended legs when supine is a finding associated with cerebral palsy.
A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child.
The
mother asks if this game has any developmental significance. The nurse should inform
the
mother that peek-a-boo helps develop which of the following concepts in the child?
a. Hand-eye coordination
b. Sense of trust
c. Object permanence
d. Egocentrism - Answer - C
Rationale: Object permanence refers to the cognitive skill of knowing an object still
exists even
when it is out of sight. In discovering a hidden object while playing peek-a-boo, the
infant
experiences validation of this concept.
, A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of
the following actions should the nurse take?
a. Have the toddler wear a disposable gown when in the unit's playroom.
b. Wear sterile gloves when changing the toddler's diapers.
c. Wear a mask when assisting the toddler with meals.
d. Ask visitors to wear an N-95 mask when entering the room. - Answer - C
Rationale: The nurse should wear a mask when within 3 to 6 feet of the toddler to
prevent the
transmission of infections that are spread via large droplet particles expelled in the air.
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the provider?
a. Head lags when pulled from a lying to a sitting position
b. Absence of startle and crawl reflexes
c. Inability to pick up a rattle after dropping it
d. Rolls from back to side - Answer - A
Rationale: At the age of 5 months, the infant should have no head lag when pulled to a
sitting
position; therefore, the nurse should report this finding to the provider
16. A nurse is planning to collect a specimen from a male infant using a urine collection
bag.
Which of the following actions should the nurse take?
a. Wash and dry the infant's genitalia and perineum thoroughly.
b. Apply a small coating of water-soluble lubricant to the skin of the infant's perineal
area.
c. Avoid placing the scrotum inside the collection bag.
d. Wait several hours after positioning the device before checking it. - Answer - A
Rationale: This is the method used to obtain a routine urine specimen of any sort in a
child who
is not toilet trained. The skin should be washed and dried to promote application of the
adhesive
of the collection device.
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of
3
mcg/dL. When teaching the toddler's parents about the correlation of nutrition with lead
poisoning, which of the following information is appropriate for the nurse to include in
the
teaching?
a. Decrease the child's vitamin C intake until the blood lead level decreases to zero.
b. Administer a folic acid supplement to the child each day.
c. Give pancreatic enzymes to the child with meals and snacks.
d. Ensure the child's dietary intake of calcium and iron is adequate. - Answer - D
