ATI PN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
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. A nurse is reinforcing teaching with the parent of a school-age child who has lactose
intolerance. Which supplement should the nurse instruct the parent to include to prevent
decreased bone density?
A. Zinc
B. Vitamin D
C. Thiamine
D. Folic acid
Correct Answer: B. Vitamin D
Rationale: Children with lactose intolerance must avoid most dairy products, which can
lead to inadequate calcium and vitamin D intake. Vitamin D promotes calcium absorption
from other dietary sources, helping support bone density.
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2. A nurse is reviewing the laboratory values of a school-age child who has iron deficiency
anemia. Which laboratory value should the nurse expect?
A. Hemoglobin (Hgb) 9.0 g/dL
B. Hematocrit (Hct) 37%
C. Serum iron 100 mcg/dL
D. Total iron binding capacity (TIBC) 325 mcg/dL
Correct Answer: A. Hemoglobin (Hgb) 9.0 g/dL
Rationale: A child with iron deficiency anemia typically has a hemoglobin level below the
normal reference range (approximately 9.5 to 15.5 g/dL for a school-age child). A value of
9.0 g/dL is indicative of iron deficiency anemia.
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,3. A nurse is collecting data from a 12-month-old infant during a well-child visit. At birth,
the infant weighed 3.6 kg (8 lb) and measured 50.8 cm (20 in). Which finding should the
nurse expect at 12 months?
A. Weight of 6.4 kg (14 lb)
B. Length of 101.6 cm (40 in)
C. Length of 76.2 cm (30 in)
D. Weight of 14.5 kg (32 lb)
Correct Answer: C. Length of 76.2 cm (30 in)
Rationale: By 12 months of age, an infant’s length increases by about 50% from birth.
Starting from 50.8 cm (20 in), a 50% increase is approximately 76.2 cm (30 in).
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4. A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a
school-age child who has iron deficiency anemia. Which statement indicates understanding
of proper administration?
A. “I will give my child a double dose if she misses one.”
B. “I will mix this medication in skim milk.”
C. “This medication will turn my child’s stools white.”
D. “I will give this medication to my child with a straw.”
Correct Answer: D. “I will give this medication to my child with a straw.”
Rationale: Liquid iron preparations can stain the teeth. Using a straw (or a medicine
dropper) helps minimize direct contact with teeth and prevents staining.
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5. A toddler receiving hospice care for terminal cancer has a parent who says, “I’m a bad
parent, and I can’t deal with this.” Which response by the nurse is most appropriate?
, A. “Tell me more about what you are feeling.”
B. “I understand how you feel.”
C. “Let’s discuss home care options for your child.”
D. “I’m sure you’re just tired right now.”
Correct Answer: A. “Tell me more about what you are feeling.”
Rationale: This open-ended statement encourages the parent to express emotions and
shows the nurse is actively listening, which is important during the grieving process.
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6. A parent of a toddler with terminal cancer states, “I’m a bad parent, and I can’t deal with
this.” Which of the following is the best therapeutic response by the nurse?
A. “I’m not sure I follow you. Can you explain?”
B. “I understand. Other parents say the same thing.”
C. “Let’s talk about your child’s home care arrangements.”
D. “I disagree; you’re a great parent.”
Correct Answer: A. “I’m not sure I follow you. Can you explain?”
Rationale: Asking for clarification in an open-ended manner encourages further
expression of feelings. This approach supports therapeutic communication.
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7. A nurse administers an injection of epinephrine to a child experiencing anaphylaxis.
Which adverse effect should the nurse monitor for after administration?
A. Pinpoint pupils
B. Decreased heart rate
C. Increased systolic blood pressure
D. Dry skin
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
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. A nurse is reinforcing teaching with the parent of a school-age child who has lactose
intolerance. Which supplement should the nurse instruct the parent to include to prevent
decreased bone density?
A. Zinc
B. Vitamin D
C. Thiamine
D. Folic acid
Correct Answer: B. Vitamin D
Rationale: Children with lactose intolerance must avoid most dairy products, which can
lead to inadequate calcium and vitamin D intake. Vitamin D promotes calcium absorption
from other dietary sources, helping support bone density.
────────────────────────────────────────────────────────
2. A nurse is reviewing the laboratory values of a school-age child who has iron deficiency
anemia. Which laboratory value should the nurse expect?
A. Hemoglobin (Hgb) 9.0 g/dL
B. Hematocrit (Hct) 37%
C. Serum iron 100 mcg/dL
D. Total iron binding capacity (TIBC) 325 mcg/dL
Correct Answer: A. Hemoglobin (Hgb) 9.0 g/dL
Rationale: A child with iron deficiency anemia typically has a hemoglobin level below the
normal reference range (approximately 9.5 to 15.5 g/dL for a school-age child). A value of
9.0 g/dL is indicative of iron deficiency anemia.
────────────────────────────────────────────────────────
,3. A nurse is collecting data from a 12-month-old infant during a well-child visit. At birth,
the infant weighed 3.6 kg (8 lb) and measured 50.8 cm (20 in). Which finding should the
nurse expect at 12 months?
A. Weight of 6.4 kg (14 lb)
B. Length of 101.6 cm (40 in)
C. Length of 76.2 cm (30 in)
D. Weight of 14.5 kg (32 lb)
Correct Answer: C. Length of 76.2 cm (30 in)
Rationale: By 12 months of age, an infant’s length increases by about 50% from birth.
Starting from 50.8 cm (20 in), a 50% increase is approximately 76.2 cm (30 in).
────────────────────────────────────────────────────────
4. A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a
school-age child who has iron deficiency anemia. Which statement indicates understanding
of proper administration?
A. “I will give my child a double dose if she misses one.”
B. “I will mix this medication in skim milk.”
C. “This medication will turn my child’s stools white.”
D. “I will give this medication to my child with a straw.”
Correct Answer: D. “I will give this medication to my child with a straw.”
Rationale: Liquid iron preparations can stain the teeth. Using a straw (or a medicine
dropper) helps minimize direct contact with teeth and prevents staining.
────────────────────────────────────────────────────────
5. A toddler receiving hospice care for terminal cancer has a parent who says, “I’m a bad
parent, and I can’t deal with this.” Which response by the nurse is most appropriate?
, A. “Tell me more about what you are feeling.”
B. “I understand how you feel.”
C. “Let’s discuss home care options for your child.”
D. “I’m sure you’re just tired right now.”
Correct Answer: A. “Tell me more about what you are feeling.”
Rationale: This open-ended statement encourages the parent to express emotions and
shows the nurse is actively listening, which is important during the grieving process.
────────────────────────────────────────────────────────
6. A parent of a toddler with terminal cancer states, “I’m a bad parent, and I can’t deal with
this.” Which of the following is the best therapeutic response by the nurse?
A. “I’m not sure I follow you. Can you explain?”
B. “I understand. Other parents say the same thing.”
C. “Let’s talk about your child’s home care arrangements.”
D. “I disagree; you’re a great parent.”
Correct Answer: A. “I’m not sure I follow you. Can you explain?”
Rationale: Asking for clarification in an open-ended manner encourages further
expression of feelings. This approach supports therapeutic communication.
────────────────────────────────────────────────────────
7. A nurse administers an injection of epinephrine to a child experiencing anaphylaxis.
Which adverse effect should the nurse monitor for after administration?
A. Pinpoint pupils
B. Decreased heart rate
C. Increased systolic blood pressure
D. Dry skin
