ATI PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
70 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 consistent with entry-level practical nursing
standards.
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────────────
1. NGN Scenario:
A nurse is educating the parent of a school-age child diagnosed with acute
glomerulonephritis about recommended dietary modifications. The child’s most
recent labs show mild fluid retention, and the provider has recommended dietary
changes to manage symptoms.
Question:
Which of the following dietary instructions should the nurse include in the teaching?
A. Increase the child’s calcium intake.
B. Decrease the child’s sodium intake.
C. Increase the child’s intake of carbohydrates.
D. Decrease the child’s fat intake.
Answer: B. Decrease the child’s sodium intake
Explanation:
• Children with glomerulonephritis often exhibit fluid retention and edema; limiting
sodium intake helps reduce fluid retention.
• Increasing carbs or calcium is not specifically indicated for glomerulonephritis,
and fat restriction is not the primary intervention.
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────────────
2. NGN Scenario:
A nurse is providing discharge teaching to parents of a school-age child newly
diagnosed with a seizure disorder. The child’s typical seizure pattern includes
occasional generalized tonic-clonic activity. Parents are unsure about what to do
during a seizure if it occurs at home.
,Question:
Which of the following instructions should the nurse include regarding actions to
take during a seizure?
A. Minimize movement of the limbs.
B. Insert a tongue blade between the teeth.
C. Clear the area of hard objects.
D. Place the child in a prone position.
Answer: C. Clear the area of hard objects
Explanation:
• The top priority is to protect the child from injury by removing any nearby objects
that could cause harm.
• Do not insert anything into the child’s mouth during a seizure.
• Prone positioning is not recommended; side-lying after a seizure is often
preferred to maintain airway patency.
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────────────
3. NGN Scenario:
A nurse is assessing an adolescent who has type 1 diabetes mellitus. The child
presents with recent lab results showing elevated glycemic indices.
Question:
Which of the following findings is the highest priority for the nurse to address
immediately?
A. HbA1c of 11.5%
B. Cholesterol of 189 mg/dL
C. Preprandial blood glucose of 124 mg/dL
, D. Glycosuria
Answer: A. HbA1c of 11.5%
Explanation:
• An HbA1c of 11.5% is significantly above target (generally <7.5% for many
pediatric patients), indicating poor long-term glycemic control and an increased risk
of complications.
• While glycosuria and cholesterol levels warrant attention, the critical finding
requiring immediate intervention is the very high HbA1c.
────────────────────────────────────────────────────────────
────────────
4. NGN Scenario:
The nurse is providing anticipatory guidance to the parent of a 1-month-old infant
regarding routine immunizations. The provider has asked the nurse to discuss the
recommended immunization schedule.
Question:
According to the recommended U.S. childhood immunization schedule, which of the
following immunizations is typically started in the first 2 months of life?
A. Varicella (VAR)
B. Measles, Mumps, Rubella (MMR)
C. Inactivated Poliovirus (IPV)
D. Hepatitis A (HepA)
Answer: C. Inactivated Poliovirus (IPV)
Explanation:
• IPV is one of the primary series vaccinations started at 2 months of age.
• MMR and Varicella are typically given later (at 12–15 months).
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
70 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 consistent with entry-level practical nursing
standards.
,────────────────────────────────────────────────────────────
────────────
1. NGN Scenario:
A nurse is educating the parent of a school-age child diagnosed with acute
glomerulonephritis about recommended dietary modifications. The child’s most
recent labs show mild fluid retention, and the provider has recommended dietary
changes to manage symptoms.
Question:
Which of the following dietary instructions should the nurse include in the teaching?
A. Increase the child’s calcium intake.
B. Decrease the child’s sodium intake.
C. Increase the child’s intake of carbohydrates.
D. Decrease the child’s fat intake.
Answer: B. Decrease the child’s sodium intake
Explanation:
• Children with glomerulonephritis often exhibit fluid retention and edema; limiting
sodium intake helps reduce fluid retention.
• Increasing carbs or calcium is not specifically indicated for glomerulonephritis,
and fat restriction is not the primary intervention.
────────────────────────────────────────────────────────────
────────────
2. NGN Scenario:
A nurse is providing discharge teaching to parents of a school-age child newly
diagnosed with a seizure disorder. The child’s typical seizure pattern includes
occasional generalized tonic-clonic activity. Parents are unsure about what to do
during a seizure if it occurs at home.
,Question:
Which of the following instructions should the nurse include regarding actions to
take during a seizure?
A. Minimize movement of the limbs.
B. Insert a tongue blade between the teeth.
C. Clear the area of hard objects.
D. Place the child in a prone position.
Answer: C. Clear the area of hard objects
Explanation:
• The top priority is to protect the child from injury by removing any nearby objects
that could cause harm.
• Do not insert anything into the child’s mouth during a seizure.
• Prone positioning is not recommended; side-lying after a seizure is often
preferred to maintain airway patency.
────────────────────────────────────────────────────────────
────────────
3. NGN Scenario:
A nurse is assessing an adolescent who has type 1 diabetes mellitus. The child
presents with recent lab results showing elevated glycemic indices.
Question:
Which of the following findings is the highest priority for the nurse to address
immediately?
A. HbA1c of 11.5%
B. Cholesterol of 189 mg/dL
C. Preprandial blood glucose of 124 mg/dL
, D. Glycosuria
Answer: A. HbA1c of 11.5%
Explanation:
• An HbA1c of 11.5% is significantly above target (generally <7.5% for many
pediatric patients), indicating poor long-term glycemic control and an increased risk
of complications.
• While glycosuria and cholesterol levels warrant attention, the critical finding
requiring immediate intervention is the very high HbA1c.
────────────────────────────────────────────────────────────
────────────
4. NGN Scenario:
The nurse is providing anticipatory guidance to the parent of a 1-month-old infant
regarding routine immunizations. The provider has asked the nurse to discuss the
recommended immunization schedule.
Question:
According to the recommended U.S. childhood immunization schedule, which of the
following immunizations is typically started in the first 2 months of life?
A. Varicella (VAR)
B. Measles, Mumps, Rubella (MMR)
C. Inactivated Poliovirus (IPV)
D. Hepatitis A (HepA)
Answer: C. Inactivated Poliovirus (IPV)
Explanation:
• IPV is one of the primary series vaccinations started at 2 months of age.
• MMR and Varicella are typically given later (at 12–15 months).
