ATI RN PEDIATRIC
PROCTORED TEST BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
500+ Qs & Ans to Pass the Exam
This ATI test contains:
/ / / /
Passing/Score/Guarantee/
500+/pediatric/nursing/questions/
multiple-
choice/format/(A,/B,/C,/D)/with/correct/answers
structured/rationales./
incorporate/Next/Generation/NCLEX/(NGN)-style./
Some/questions/feature/brief/“scenario”/elements/and/rationales/consist
ent/with/entry-level/practical/nursing/standards.
,────────────────────────────────────────────────────
1./NGN-Style/Case/Scenario
────────────────────────────────────────────────────
A/nurse/is/caring/for/a/preschool-
age/child/who/awakens/during/the/night/crying/and/appearing/frightened./The/parent/report
s/that/the/child/sometimes/returns/to/sleep/immediately/and/has/no/memory/of/the/episode,
/whereas/other/nights/the/child/cries,/remembers/vivid/imagery,/and/is/afraid/to/go/back/to/s
leep.
Which/of/the/following/findings/would/most/strongly/indicate/that/the/child/is/experiencing/N
IGHTMARES/rather/than/night/terrors?
A./The/child/quickly/returns/to/sleep/and/shows/no/recall/of/the/incident/in/the/morning.//
B./The/child/is/agitated/and/thrashes/during/the/event,/with/profuse/sweating.//
C./The/child/does/not/respond/to/the/parent's/comfort/during/the/event.//
D./The/child/awakens/fully/and/can/recall/the/frightening/content/of/the/dream.//
Answer:/D//
Expert/Explanation:/Children/who/experience/nightmares/typically/awaken/fully,/rememb
er/the/frightening/dream,/and/can/often/be/comforted/by/a/caregiver./In/contrast,/a/child/wh
o/has/night/terrors/is/difficult/to/console,/may/scream/or/appear/panicked,/quickly/returns/to
/sleep/afterward,/and/usually/has/no/memory/of/the/event.
────────────────────────────────────────────────────
2./NGN-Style/Case/Scenario
────────────────────────────────────────────────────
,A/nurse/is/caring/for/a/toddler/who/has/acute/otitis/media/and/a/fever/of/40.0°C/(104.0°F)./A
fter/administering/acetaminophen,/the/nurse/plans/interventions/to/reduce/the/toddler’s/te
mperature.
Which/of/the/following/is/the/most/appropriate/next/action?
A./Dress/the/toddler/in/minimal/clothing.//
B./Provide/a/hyperthermia/blanket.//
C./Place/the/toddler/in/a/basin/of/cold/water.//
D./Offer/a/high-protein/snack.//
Answer:/A//
Expert/Explanation:/Dressing/the/toddler/in/minimal/clothing/helps/promote/heat/loss/thro
ugh/evaporation/and/convection./Hyperthermia/blankets,/cold-
water/baths,/or/other/extreme/measures/can/cause/shivering,/which/increases/metabolic/o
utput/and/can/raise/body/temperature/further.
────────────────────────────────────────────────────
3./NGN-Style/Case/Scenario
────────────────────────────────────────────────────
A/school-
age/child/with/asthma/is/admitted/for/increased/respiratory/distress./The/nurse/reviews/the/
child’s/data:
•/Current/O2/therapy:/2/L/min/by/nasal/cannula//
•/Oxygen/saturation:/89%//
•/Arterial/blood/gases/(ABGs):/pH/7.50,/PaCO2/28/mm/Hg,/HCO3–/23/mEq/L//
•/WBC/Count:/18,000/mm³//
•/Respiratory/Assessment:/Tachypnea,/subcostal/retractions,/increased/wheezing//
Which/of/the/following/findings/is/the/HIGHEST/priority/to/report/to/the/provider?
, A./Elevated/white/blood/cell/count//
B./pH/of/7.50/indicating/possible/respiratory/alkalosis//
C./Oxygen/saturation/of/89%/despite/supplemental/oxygen//
D./Presence/of/increased/wheezing/on/auscultation//
Answer:/C//
Expert/Explanation:/An/oxygen/saturation/of/89%/despite/supplemental/oxygen/is/a/critic
al/finding/because/it/indicates/the/child/is/not/adequately/oxygenating/and/might/be/progre
ssing/into/more/severe/respiratory/compromise./While/the/other/findings/also/warrant/repo
rting,/low/oxygen/saturation/takes/priority.
────────────────────────────────────────────────────
4./A/nurse/is/caring/for/a/preschooler/with/congestive/heart/failure/who/is/displaying/wide/Q
RS/complexes/and/peaked/T/waves/on/the/cardiac/monitor./The/provider/prescribes/additi
onal/medications.
Which/of/the/following/prescriptions/should/the/nurse/clarify/before/administering?
A./Furosemide/IV/bolus//
B./Enalapril/PO//
C./Potassium/chloride/PO//
D./Digoxin/PO//
Answer:/C//
Expert/Explanation:/Wide/QRS/complexes/and/peaked/T/waves/can/be/indicative/of/hyp
erkalemia./Administering/additional/potassium/(such/as/potassium/chloride)/could/worsen/
hyperkalemia/and/place/the/child/at/risk/for/life-threatening/cardiac/arrhythmias.
────────────────────────────────────────────────────
5./NGN-Style/Case/Scenario
PROCTORED TEST BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
500+ Qs & Ans to Pass the Exam
This ATI test contains:
/ / / /
Passing/Score/Guarantee/
500+/pediatric/nursing/questions/
multiple-
choice/format/(A,/B,/C,/D)/with/correct/answers
structured/rationales./
incorporate/Next/Generation/NCLEX/(NGN)-style./
Some/questions/feature/brief/“scenario”/elements/and/rationales/consist
ent/with/entry-level/practical/nursing/standards.
,────────────────────────────────────────────────────
1./NGN-Style/Case/Scenario
────────────────────────────────────────────────────
A/nurse/is/caring/for/a/preschool-
age/child/who/awakens/during/the/night/crying/and/appearing/frightened./The/parent/report
s/that/the/child/sometimes/returns/to/sleep/immediately/and/has/no/memory/of/the/episode,
/whereas/other/nights/the/child/cries,/remembers/vivid/imagery,/and/is/afraid/to/go/back/to/s
leep.
Which/of/the/following/findings/would/most/strongly/indicate/that/the/child/is/experiencing/N
IGHTMARES/rather/than/night/terrors?
A./The/child/quickly/returns/to/sleep/and/shows/no/recall/of/the/incident/in/the/morning.//
B./The/child/is/agitated/and/thrashes/during/the/event,/with/profuse/sweating.//
C./The/child/does/not/respond/to/the/parent's/comfort/during/the/event.//
D./The/child/awakens/fully/and/can/recall/the/frightening/content/of/the/dream.//
Answer:/D//
Expert/Explanation:/Children/who/experience/nightmares/typically/awaken/fully,/rememb
er/the/frightening/dream,/and/can/often/be/comforted/by/a/caregiver./In/contrast,/a/child/wh
o/has/night/terrors/is/difficult/to/console,/may/scream/or/appear/panicked,/quickly/returns/to
/sleep/afterward,/and/usually/has/no/memory/of/the/event.
────────────────────────────────────────────────────
2./NGN-Style/Case/Scenario
────────────────────────────────────────────────────
,A/nurse/is/caring/for/a/toddler/who/has/acute/otitis/media/and/a/fever/of/40.0°C/(104.0°F)./A
fter/administering/acetaminophen,/the/nurse/plans/interventions/to/reduce/the/toddler’s/te
mperature.
Which/of/the/following/is/the/most/appropriate/next/action?
A./Dress/the/toddler/in/minimal/clothing.//
B./Provide/a/hyperthermia/blanket.//
C./Place/the/toddler/in/a/basin/of/cold/water.//
D./Offer/a/high-protein/snack.//
Answer:/A//
Expert/Explanation:/Dressing/the/toddler/in/minimal/clothing/helps/promote/heat/loss/thro
ugh/evaporation/and/convection./Hyperthermia/blankets,/cold-
water/baths,/or/other/extreme/measures/can/cause/shivering,/which/increases/metabolic/o
utput/and/can/raise/body/temperature/further.
────────────────────────────────────────────────────
3./NGN-Style/Case/Scenario
────────────────────────────────────────────────────
A/school-
age/child/with/asthma/is/admitted/for/increased/respiratory/distress./The/nurse/reviews/the/
child’s/data:
•/Current/O2/therapy:/2/L/min/by/nasal/cannula//
•/Oxygen/saturation:/89%//
•/Arterial/blood/gases/(ABGs):/pH/7.50,/PaCO2/28/mm/Hg,/HCO3–/23/mEq/L//
•/WBC/Count:/18,000/mm³//
•/Respiratory/Assessment:/Tachypnea,/subcostal/retractions,/increased/wheezing//
Which/of/the/following/findings/is/the/HIGHEST/priority/to/report/to/the/provider?
, A./Elevated/white/blood/cell/count//
B./pH/of/7.50/indicating/possible/respiratory/alkalosis//
C./Oxygen/saturation/of/89%/despite/supplemental/oxygen//
D./Presence/of/increased/wheezing/on/auscultation//
Answer:/C//
Expert/Explanation:/An/oxygen/saturation/of/89%/despite/supplemental/oxygen/is/a/critic
al/finding/because/it/indicates/the/child/is/not/adequately/oxygenating/and/might/be/progre
ssing/into/more/severe/respiratory/compromise./While/the/other/findings/also/warrant/repo
rting,/low/oxygen/saturation/takes/priority.
────────────────────────────────────────────────────
4./A/nurse/is/caring/for/a/preschooler/with/congestive/heart/failure/who/is/displaying/wide/Q
RS/complexes/and/peaked/T/waves/on/the/cardiac/monitor./The/provider/prescribes/additi
onal/medications.
Which/of/the/following/prescriptions/should/the/nurse/clarify/before/administering?
A./Furosemide/IV/bolus//
B./Enalapril/PO//
C./Potassium/chloride/PO//
D./Digoxin/PO//
Answer:/C//
Expert/Explanation:/Wide/QRS/complexes/and/peaked/T/waves/can/be/indicative/of/hyp
erkalemia./Administering/additional/potassium/(such/as/potassium/chloride)/could/worsen/
hyperkalemia/and/place/the/child/at/risk/for/life-threatening/cardiac/arrhythmias.
────────────────────────────────────────────────────
5./NGN-Style/Case/Scenario
