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ATI RN PEDIATRIC NURSING PROCTORED
EXAM WITH NGN ACTUAL PREP QUESTIONS
AND WELL REVISED ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED
SOLUTIONS – ASSURES PASS
1. A 5-year-old child with cystic fibrosis is hospitalized for respiratory distress.
Which intervention should the nurse prioritize?
A. Restrict fluid intake
B. Administer prescribed pancreatic enzymes before meals
C. Perform chest physiotherapy multiple times per day
D. Limit protein intake
Rationale: Chest physiotherapy helps mobilize secretions and improve airway
clearance in children with cystic fibrosis, which is critical in preventing
respiratory complications.
2. A 10-year-old patient is admitted with nephrotic syndrome. Which finding
should the nurse expect?
A. Hyperactive deep tendon reflexes
B. Generalized edema, especially periorbital
C. Polyuria with decreased protein in urine
D. Bradycardia
Rationale: Nephrotic syndrome is characterized by significant protein loss in
urine, leading to hypoalbuminemia and generalized edema.
,2|Page
3. A child presents with sudden onset of barking cough, stridor, and low-grade
fever. The nurse suspects croup. Which action is most appropriate?
A. Encourage oral fluids
B. Administer humidified oxygen
C. Prepare for immediate intubation
D. Give IV antibiotics
Rationale: Humidified oxygen and keeping the child calm are first-line
interventions for mild to moderate croup; antibiotics are only indicated if bacterial
infection is confirmed.
4. The nurse is caring for a child with a new diagnosis of type 1 diabetes
mellitus. Which statement by the parent indicates correct understanding of
disease management?
A. “I will give my child sugar-free drinks only.”
B. “I will monitor blood glucose levels multiple times daily.”
C. “Insulin can be given only before breakfast.”
D. “My child does not need to count carbohydrates.”
Rationale: Frequent blood glucose monitoring is essential in children with type 1
diabetes to prevent hypo- and hyperglycemia and guide insulin dosing.
5. A 7-year-old is receiving chemotherapy for leukemia. The nurse notes the
child has a temperature of 101.5°F. What is the priority action?
A. Administer acetaminophen
B. Increase oral fluids
C. Notify the healthcare provider immediately
D. Apply cooling blankets
,3|Page
Rationale: Children receiving chemotherapy are immunocompromised; a fever
may indicate neutropenic sepsis, which requires immediate medical evaluation.
6. A child with dehydration due to gastroenteritis is ordered oral rehydration
therapy. Which instruction should the nurse give the parents?
A. Offer plain water only
B. Offer full-strength juice
C. Provide small, frequent sips of oral rehydration solution
D. Wait until vomiting stops
Rationale: Oral rehydration solution is absorbed effectively in small, frequent
amounts, even if vomiting occurs, to prevent worsening dehydration.
7. The nurse is teaching a parent about administration of iron supplements to a
toddler. Which statement indicates correct understanding?
A. “I will give iron with milk for better absorption.”
B. “I will give iron once a week.”
C. “I will give iron with vitamin C to increase absorption.”
D. “I can crush iron tablets and mix them with formula at bedtime.”
Rationale: Vitamin C enhances iron absorption; iron should not be given with milk
or formula as calcium inhibits absorption.
8. A 4-year-old with a newly placed tracheostomy requires suctioning. Which
action should the nurse perform first?
A. Apply suction while inserting the catheter
B. Hyperoxygenate the child before suctioning
C. Insert the catheter beyond the carina
D. Suction continuously for 15 seconds
, 4|Page
Rationale: Hyperoxygenating the child before suctioning prevents hypoxemia;
suctioning should be intermittent and limited to 5–10 seconds.
9. A 2-year-old child presents with acute otitis media. Which symptom is most
consistent with this diagnosis?
A. Persistent cough and wheezing
B. Pulling at the ear, irritability, and fever
C. Diarrhea and vomiting
D. Abdominal distension
Rationale: Ear pulling, irritability, and fever are classic signs of acute otitis media
in toddlers.
10.The nurse is caring for a child with a ventriculoperitoneal shunt. Which
assessment finding requires immediate intervention?
A. Mild headache that improves with rest
B. Increasing head circumference and vomiting
C. Low-grade fever
D. Occasional irritability
Rationale: Increased head circumference and vomiting may indicate shunt
malfunction or increased intracranial pressure, which is a medical emergency.
11.A 6-year-old with sickle cell anemia presents with severe pain in the
extremities. Which intervention is the priority?
A. Encourage ambulation
B. Administer prescribed opioids
C. Apply cold packs to the joints
D. Restrict fluid intake
ATI RN PEDIATRIC NURSING PROCTORED
EXAM WITH NGN ACTUAL PREP QUESTIONS
AND WELL REVISED ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED
SOLUTIONS – ASSURES PASS
1. A 5-year-old child with cystic fibrosis is hospitalized for respiratory distress.
Which intervention should the nurse prioritize?
A. Restrict fluid intake
B. Administer prescribed pancreatic enzymes before meals
C. Perform chest physiotherapy multiple times per day
D. Limit protein intake
Rationale: Chest physiotherapy helps mobilize secretions and improve airway
clearance in children with cystic fibrosis, which is critical in preventing
respiratory complications.
2. A 10-year-old patient is admitted with nephrotic syndrome. Which finding
should the nurse expect?
A. Hyperactive deep tendon reflexes
B. Generalized edema, especially periorbital
C. Polyuria with decreased protein in urine
D. Bradycardia
Rationale: Nephrotic syndrome is characterized by significant protein loss in
urine, leading to hypoalbuminemia and generalized edema.
,2|Page
3. A child presents with sudden onset of barking cough, stridor, and low-grade
fever. The nurse suspects croup. Which action is most appropriate?
A. Encourage oral fluids
B. Administer humidified oxygen
C. Prepare for immediate intubation
D. Give IV antibiotics
Rationale: Humidified oxygen and keeping the child calm are first-line
interventions for mild to moderate croup; antibiotics are only indicated if bacterial
infection is confirmed.
4. The nurse is caring for a child with a new diagnosis of type 1 diabetes
mellitus. Which statement by the parent indicates correct understanding of
disease management?
A. “I will give my child sugar-free drinks only.”
B. “I will monitor blood glucose levels multiple times daily.”
C. “Insulin can be given only before breakfast.”
D. “My child does not need to count carbohydrates.”
Rationale: Frequent blood glucose monitoring is essential in children with type 1
diabetes to prevent hypo- and hyperglycemia and guide insulin dosing.
5. A 7-year-old is receiving chemotherapy for leukemia. The nurse notes the
child has a temperature of 101.5°F. What is the priority action?
A. Administer acetaminophen
B. Increase oral fluids
C. Notify the healthcare provider immediately
D. Apply cooling blankets
,3|Page
Rationale: Children receiving chemotherapy are immunocompromised; a fever
may indicate neutropenic sepsis, which requires immediate medical evaluation.
6. A child with dehydration due to gastroenteritis is ordered oral rehydration
therapy. Which instruction should the nurse give the parents?
A. Offer plain water only
B. Offer full-strength juice
C. Provide small, frequent sips of oral rehydration solution
D. Wait until vomiting stops
Rationale: Oral rehydration solution is absorbed effectively in small, frequent
amounts, even if vomiting occurs, to prevent worsening dehydration.
7. The nurse is teaching a parent about administration of iron supplements to a
toddler. Which statement indicates correct understanding?
A. “I will give iron with milk for better absorption.”
B. “I will give iron once a week.”
C. “I will give iron with vitamin C to increase absorption.”
D. “I can crush iron tablets and mix them with formula at bedtime.”
Rationale: Vitamin C enhances iron absorption; iron should not be given with milk
or formula as calcium inhibits absorption.
8. A 4-year-old with a newly placed tracheostomy requires suctioning. Which
action should the nurse perform first?
A. Apply suction while inserting the catheter
B. Hyperoxygenate the child before suctioning
C. Insert the catheter beyond the carina
D. Suction continuously for 15 seconds
, 4|Page
Rationale: Hyperoxygenating the child before suctioning prevents hypoxemia;
suctioning should be intermittent and limited to 5–10 seconds.
9. A 2-year-old child presents with acute otitis media. Which symptom is most
consistent with this diagnosis?
A. Persistent cough and wheezing
B. Pulling at the ear, irritability, and fever
C. Diarrhea and vomiting
D. Abdominal distension
Rationale: Ear pulling, irritability, and fever are classic signs of acute otitis media
in toddlers.
10.The nurse is caring for a child with a ventriculoperitoneal shunt. Which
assessment finding requires immediate intervention?
A. Mild headache that improves with rest
B. Increasing head circumference and vomiting
C. Low-grade fever
D. Occasional irritability
Rationale: Increased head circumference and vomiting may indicate shunt
malfunction or increased intracranial pressure, which is a medical emergency.
11.A 6-year-old with sickle cell anemia presents with severe pain in the
extremities. Which intervention is the priority?
A. Encourage ambulation
B. Administer prescribed opioids
C. Apply cold packs to the joints
D. Restrict fluid intake
