ATI RN PEDIATRIC NURSING PROCTORED
EXAM (NGN-STYLE) ACTUAL PREP QUESTIONS
AND WELL REVISED ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED
SOLUTIONS – ASSURES PASS
1. A nurse is caring for a 2-year-old toddler admitted with dehydration
secondary to acute gastroenteritis. Which assessment finding is the most
reliable indicator of moderate dehydration in this child?
A. Dry oral mucous membranes
B. Sunken anterior fontanel
C. Decreased urine output
D. Increased heart rate
Rationale: Decreased urine output is the most reliable indicator of
hydration status in young children. Other findings may occur but are less
specific or appear later.
2. A nurse is teaching parents about preventing sudden infant death syndrome
(SIDS). Which instruction should the nurse include?
A. Place the infant on their back to sleep
B. Use soft bedding to maintain warmth
C. Share the bed to promote bonding
D. Position the infant on the side
Rationale: Supine positioning during sleep is the most effective evidence-
based intervention to reduce the risk of SIDS.
3. A school-age child is diagnosed with acute poststreptococcal
glomerulonephritis. Which assessment finding should the nurse expect?
, A. Polyuria
B. Hypotension
C. Periorbital edema
D. Hyperglycemia
Rationale: Fluid retention due to decreased glomerular filtration commonly
causes periorbital edema in this condition.
4. A nurse is caring for an infant with bronchiolitis. Which intervention is the
highest priority?
A. Administer oral fluids
B. Provide chest physiotherapy
C. Maintain a patent airway
D. Administer antibiotics
Rationale: Airway patency is the priority due to increased mucus production
and risk of respiratory compromise.
5. A nurse is assessing a 6-month-old infant. Which developmental milestone
should the nurse expect?
A. Walking independently
B. Speaking two-word sentences
C. Sitting with support
D. Using a pincer grasp
Rationale: By 6 months, infants typically can sit with support but cannot yet
walk or speak.
6. A nurse is preparing to administer digoxin to an infant. Which finding
requires the nurse to withhold the medication?
A. Respiratory rate of 30/min
B. Apical pulse of 85/min
C. Blood pressure of 90/60 mm Hg
, D. Oxygen saturation of 95%
Rationale: Digoxin should be withheld if the apical pulse is below 90–
110/min in infants due to risk of toxicity.
7. A nurse is caring for a child with cystic fibrosis. Which intervention helps
reduce pulmonary complications?
A. Limiting fluid intake
B. Administering antitussives
C. Performing chest physiotherapy
D. Providing a low-calorie diet
Rationale: Chest physiotherapy helps mobilize thick secretions and improves
airway clearance.
8. A nurse is teaching parents of a child with phenylketonuria (PKU). Which
statement indicates understanding?
A. “My child can eat unlimited protein.”
B. “This condition resolves with age.”
C. “Foods high in phenylalanine must be restricted.”
D. “Medication is the only treatment.”
Rationale: Dietary restriction of phenylalanine is the cornerstone of PKU
management.
9. A nurse is caring for a child with suspected epiglottitis. Which action is the
priority?
A. Obtain a throat culture
B. Inspect the throat
C. Administer oral fluids
D. Prepare for emergency airway management
Rationale: Epiglottitis can cause sudden airway obstruction; securing the
airway is the priority.
, 10.A nurse is assessing a neonate 12 hours after birth. Which finding requires
immediate follow-up?
A. Acrocyanosis
B. Respiratory rate of 70/min
C. Presence of vernix
D. Irregular breathing pattern
Rationale: Tachypnea in a newborn may indicate respiratory distress and
requires prompt evaluation.
11.A nurse is caring for a child with sickle cell disease experiencing a vaso-
occlusive crisis. Which intervention is most important?
A. Apply cold compresses
B. Administer prescribed opioid analgesics
C. Restrict fluids
D. Encourage ambulation
Rationale: Adequate pain control is essential during a vaso-occlusive crisis
to reduce stress and oxygen demand.
12.A nurse is teaching parents about administering liquid medication to a
toddler. Which instruction should be included?
A. Mix medication with the child’s favorite food
B. Administer medication in a bottle
C. Use an oral syringe for accurate dosing
D. Give medication immediately before bedtime
Rationale: Oral syringes provide the most accurate dosing for liquid
medications in young children.
13.A nurse is assessing a child with suspected increased intracranial pressure
(ICP). Which finding supports this diagnosis?
A. Bradycardia and hypotension
EXAM (NGN-STYLE) ACTUAL PREP QUESTIONS
AND WELL REVISED ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED
SOLUTIONS – ASSURES PASS
1. A nurse is caring for a 2-year-old toddler admitted with dehydration
secondary to acute gastroenteritis. Which assessment finding is the most
reliable indicator of moderate dehydration in this child?
A. Dry oral mucous membranes
B. Sunken anterior fontanel
C. Decreased urine output
D. Increased heart rate
Rationale: Decreased urine output is the most reliable indicator of
hydration status in young children. Other findings may occur but are less
specific or appear later.
2. A nurse is teaching parents about preventing sudden infant death syndrome
(SIDS). Which instruction should the nurse include?
A. Place the infant on their back to sleep
B. Use soft bedding to maintain warmth
C. Share the bed to promote bonding
D. Position the infant on the side
Rationale: Supine positioning during sleep is the most effective evidence-
based intervention to reduce the risk of SIDS.
3. A school-age child is diagnosed with acute poststreptococcal
glomerulonephritis. Which assessment finding should the nurse expect?
, A. Polyuria
B. Hypotension
C. Periorbital edema
D. Hyperglycemia
Rationale: Fluid retention due to decreased glomerular filtration commonly
causes periorbital edema in this condition.
4. A nurse is caring for an infant with bronchiolitis. Which intervention is the
highest priority?
A. Administer oral fluids
B. Provide chest physiotherapy
C. Maintain a patent airway
D. Administer antibiotics
Rationale: Airway patency is the priority due to increased mucus production
and risk of respiratory compromise.
5. A nurse is assessing a 6-month-old infant. Which developmental milestone
should the nurse expect?
A. Walking independently
B. Speaking two-word sentences
C. Sitting with support
D. Using a pincer grasp
Rationale: By 6 months, infants typically can sit with support but cannot yet
walk or speak.
6. A nurse is preparing to administer digoxin to an infant. Which finding
requires the nurse to withhold the medication?
A. Respiratory rate of 30/min
B. Apical pulse of 85/min
C. Blood pressure of 90/60 mm Hg
, D. Oxygen saturation of 95%
Rationale: Digoxin should be withheld if the apical pulse is below 90–
110/min in infants due to risk of toxicity.
7. A nurse is caring for a child with cystic fibrosis. Which intervention helps
reduce pulmonary complications?
A. Limiting fluid intake
B. Administering antitussives
C. Performing chest physiotherapy
D. Providing a low-calorie diet
Rationale: Chest physiotherapy helps mobilize thick secretions and improves
airway clearance.
8. A nurse is teaching parents of a child with phenylketonuria (PKU). Which
statement indicates understanding?
A. “My child can eat unlimited protein.”
B. “This condition resolves with age.”
C. “Foods high in phenylalanine must be restricted.”
D. “Medication is the only treatment.”
Rationale: Dietary restriction of phenylalanine is the cornerstone of PKU
management.
9. A nurse is caring for a child with suspected epiglottitis. Which action is the
priority?
A. Obtain a throat culture
B. Inspect the throat
C. Administer oral fluids
D. Prepare for emergency airway management
Rationale: Epiglottitis can cause sudden airway obstruction; securing the
airway is the priority.
, 10.A nurse is assessing a neonate 12 hours after birth. Which finding requires
immediate follow-up?
A. Acrocyanosis
B. Respiratory rate of 70/min
C. Presence of vernix
D. Irregular breathing pattern
Rationale: Tachypnea in a newborn may indicate respiratory distress and
requires prompt evaluation.
11.A nurse is caring for a child with sickle cell disease experiencing a vaso-
occlusive crisis. Which intervention is most important?
A. Apply cold compresses
B. Administer prescribed opioid analgesics
C. Restrict fluids
D. Encourage ambulation
Rationale: Adequate pain control is essential during a vaso-occlusive crisis
to reduce stress and oxygen demand.
12.A nurse is teaching parents about administering liquid medication to a
toddler. Which instruction should be included?
A. Mix medication with the child’s favorite food
B. Administer medication in a bottle
C. Use an oral syringe for accurate dosing
D. Give medication immediately before bedtime
Rationale: Oral syringes provide the most accurate dosing for liquid
medications in young children.
13.A nurse is assessing a child with suspected increased intracranial pressure
(ICP). Which finding supports this diagnosis?
A. Bradycardia and hypotension
