NGN ATI RN PEDIATRICS 2023 RETAKE / NEXT
GEN ATI PEDIATRICS PROCTORED EXAM: 70
QUESTIONS WITH CORRECT DETAILED ANSWERS
– INCLUDING BOW-TIE STYLE, CASE STUDIES,
AND SCENARIOS WITH RATIONALES
SECTION 1: PRIORITIZATION & EMERGENCY
MANAGEMENT
Question 1
A nurse in the emergency department is caring for a 2-year-old child
who was found holding a container of toilet bowl cleaner. The child's
lips are edematous and inflamed, and he is drooling. What is the
priority action?
A) Remove the child's contaminated clothing.
B) Check the child's respiratory status.
C) Administer an antidote.
D) Establish IV access.
Correct ,,,,answer,,,: B
Rationale: The priority is always Airway. Edematous lips and drooling
indicate potential airway compromise from a caustic ingestion. Checking
respiratory status comes before removing clothing, administering
,antidotes, or establishing IV access. Airway is always first in the ABC
framework.
Question 2
A nurse in an emergency department is assessing a toddler who has a
burn to the right arm. Which of the following findings is the highest
priority for the nurse to report?
A) The child is crying and pulling away from the nurse.
B) The burn area is estimated to be 15% of total body surface area
(TBSA).
C) The burn is located on the palm of the hand.
D) The burn appears dry, brown, and leathery.
Correct ,,,,answer,,,: D
Rationale: A dry, brown, leathery appearance indicates a full-thickness
(third-degree) burn. This is the highest priority because full-thickness
burns destroy all skin layers, require escharotomy potential, and are at
high risk for infection and complications. Crying and pulling away are
expected pain responses.
Question 3
, A nurse is caring for a child with suspected bacterial meningitis. Which
finding is most concerning?
A) Positive Brudzinski sign
B) Bulging anterior fontanel
C) Petechial rash on trunk and extremities
D) Fever of 102°F (38.9°C)
Correct ,,,,answer,,,: C
Rationale: A petechial or purpuric rash suggests Neisseria
meningitidis (meningococcemia). This indicates rapid deterioration,
septic shock, and DIC (disseminated intravascular coagulation),
requiring emergent intervention. While the other findings are expected
with meningitis, the rash signals a higher urgency for treatment.
Question 4 (SATA)
A nurse is assessing a child who has multiple closed fractures of the
lower extremities due to a motor vehicle crash. The nurse should
monitor the child for which of the following complications during
the first 24 hours after the injury? (Select All That Apply)
A) Compartment syndrome
B) Osteomyelitis
C) Fat embolism syndrome
D) Volkmann ischemic contracture
GEN ATI PEDIATRICS PROCTORED EXAM: 70
QUESTIONS WITH CORRECT DETAILED ANSWERS
– INCLUDING BOW-TIE STYLE, CASE STUDIES,
AND SCENARIOS WITH RATIONALES
SECTION 1: PRIORITIZATION & EMERGENCY
MANAGEMENT
Question 1
A nurse in the emergency department is caring for a 2-year-old child
who was found holding a container of toilet bowl cleaner. The child's
lips are edematous and inflamed, and he is drooling. What is the
priority action?
A) Remove the child's contaminated clothing.
B) Check the child's respiratory status.
C) Administer an antidote.
D) Establish IV access.
Correct ,,,,answer,,,: B
Rationale: The priority is always Airway. Edematous lips and drooling
indicate potential airway compromise from a caustic ingestion. Checking
respiratory status comes before removing clothing, administering
,antidotes, or establishing IV access. Airway is always first in the ABC
framework.
Question 2
A nurse in an emergency department is assessing a toddler who has a
burn to the right arm. Which of the following findings is the highest
priority for the nurse to report?
A) The child is crying and pulling away from the nurse.
B) The burn area is estimated to be 15% of total body surface area
(TBSA).
C) The burn is located on the palm of the hand.
D) The burn appears dry, brown, and leathery.
Correct ,,,,answer,,,: D
Rationale: A dry, brown, leathery appearance indicates a full-thickness
(third-degree) burn. This is the highest priority because full-thickness
burns destroy all skin layers, require escharotomy potential, and are at
high risk for infection and complications. Crying and pulling away are
expected pain responses.
Question 3
, A nurse is caring for a child with suspected bacterial meningitis. Which
finding is most concerning?
A) Positive Brudzinski sign
B) Bulging anterior fontanel
C) Petechial rash on trunk and extremities
D) Fever of 102°F (38.9°C)
Correct ,,,,answer,,,: C
Rationale: A petechial or purpuric rash suggests Neisseria
meningitidis (meningococcemia). This indicates rapid deterioration,
septic shock, and DIC (disseminated intravascular coagulation),
requiring emergent intervention. While the other findings are expected
with meningitis, the rash signals a higher urgency for treatment.
Question 4 (SATA)
A nurse is assessing a child who has multiple closed fractures of the
lower extremities due to a motor vehicle crash. The nurse should
monitor the child for which of the following complications during
the first 24 hours after the injury? (Select All That Apply)
A) Compartment syndrome
B) Osteomyelitis
C) Fat embolism syndrome
D) Volkmann ischemic contracture
