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. Hemophilia A
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A nurse is assisting in the care of a school-age child who has hemophilia A. Which of the
following findings should the nurse recognize as a typical manifestation of this disorder?
A. Concave fingernails
B. Joint pain and stiffness
C. Prominent frontal bossing
D. Increased risk of infection
Answer: B
Rationale: Hemophilia A is a bleeding disorder characterized by a deficiency of factor VIII.
Children commonly experience bleeding into joints (hemarthrosis), leading to joint pain
and stiffness. Concave fingernails (A) suggest iron-deficiency anemia, prominent frontal
bossing (C) is more often associated with conditions like thalassemia, and increased
infection risk (D) is not the hallmark of hemophilia.
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2. Toddler Dietary Teaching
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A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler. Which of the
following should the nurse include?
A. “It is recommended that the toddler consume no more than 12 ounces of fruit juice each
day.”
B. “An appropriate serving size is 1 tablespoon of food per year of age.”
C. “Introduce healthy finger foods like raw carrot and celery sticks.”
D. “Encourage 5 cups of low-fat milk each day.”
Answer: B
,Rationale: Toddlers should receive approximately 1 tablespoon of each food per year of
age at mealtime to prevent overfeeding. Option A (12 ounces of juice) is actually higher
than most recommended guidelines (often ≤ 4–6 oz/day). Raw carrots and celery (C) pose a
choking hazard in this age group unless cut very finely or cooked. Five cups of milk daily
(D) often exceeds recommended dairy servings (2–3 cups/day at this age).
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3. Immunizations for an Adolescent
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A nurse in a clinic is collecting data from an adolescent who has received all recommended
immunizations through 6 years of age. Which of the following vaccines should the nurse
anticipate administering next?
A. Haemophilus influenzae type b (Hib)
B. Rotavirus (RV)
C. Polio (IPV)
D. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
Answer: D
Rationale: Tdap is routinely given around 11–12 years of age as a booster. Hib (A), RV (B),
and final IPV (C) doses are typically completed by early childhood.
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4. Oral Iron Supplements
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A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a
school-age child who has iron deficiency anemia. Which guardian statement indicates
understanding of the teaching?
A. “I will give my child a double dose if a dose is missed.”
B. “I will give this medication with skim milk.”
, C. “This medication will turn my child’s stools white.”
D. “I will give this medication to my child using a straw.”
Answer: D
Rationale: Iron can stain tooth enamel. Administering it with a straw (or dropper)
minimizes contact with teeth. Giving double doses (A) can lead to toxicity. Milk (B)
decreases iron absorption. Iron often turns stools dark or black, not white (C).
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5. Parent Refusal of Infant Vaccines
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A nurse at a provider’s office is preparing to administer scheduled vaccines to an infant
when the parent refuses. Which action should the nurse take FIRST?
A. Ask the parent why they do not want the vaccines.
B. Provide the parent with a Vaccine Information Statement (VIS).
C. Ask if the parent’s other children received immunizations.
D. Inform the parent that the vaccines must be given at the next visit.
Answer: B
Rationale: By law, parents must receive the VIS before each vaccine. This provides
accurate, evidence-based information for informed decision-making. Exploring reasons (A)
is important, but the first step is to provide the VIS.
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6. Administering Ophthalmic Drops
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A nurse is preparing to administer ophthalmic drops to a child. Which action should the
nurse take?
A. Position the child with their head flexed downward.
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. Hemophilia A
───────────────────────────────────────────────────────
A nurse is assisting in the care of a school-age child who has hemophilia A. Which of the
following findings should the nurse recognize as a typical manifestation of this disorder?
A. Concave fingernails
B. Joint pain and stiffness
C. Prominent frontal bossing
D. Increased risk of infection
Answer: B
Rationale: Hemophilia A is a bleeding disorder characterized by a deficiency of factor VIII.
Children commonly experience bleeding into joints (hemarthrosis), leading to joint pain
and stiffness. Concave fingernails (A) suggest iron-deficiency anemia, prominent frontal
bossing (C) is more often associated with conditions like thalassemia, and increased
infection risk (D) is not the hallmark of hemophilia.
────────────────────────────────────────────────────────
2. Toddler Dietary Teaching
────────────────────────────────────────────────────────
A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler. Which of the
following should the nurse include?
A. “It is recommended that the toddler consume no more than 12 ounces of fruit juice each
day.”
B. “An appropriate serving size is 1 tablespoon of food per year of age.”
C. “Introduce healthy finger foods like raw carrot and celery sticks.”
D. “Encourage 5 cups of low-fat milk each day.”
Answer: B
,Rationale: Toddlers should receive approximately 1 tablespoon of each food per year of
age at mealtime to prevent overfeeding. Option A (12 ounces of juice) is actually higher
than most recommended guidelines (often ≤ 4–6 oz/day). Raw carrots and celery (C) pose a
choking hazard in this age group unless cut very finely or cooked. Five cups of milk daily
(D) often exceeds recommended dairy servings (2–3 cups/day at this age).
────────────────────────────────────────────────────────
3. Immunizations for an Adolescent
────────────────────────────────────────────────────────
A nurse in a clinic is collecting data from an adolescent who has received all recommended
immunizations through 6 years of age. Which of the following vaccines should the nurse
anticipate administering next?
A. Haemophilus influenzae type b (Hib)
B. Rotavirus (RV)
C. Polio (IPV)
D. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
Answer: D
Rationale: Tdap is routinely given around 11–12 years of age as a booster. Hib (A), RV (B),
and final IPV (C) doses are typically completed by early childhood.
────────────────────────────────────────────────────────
4. Oral Iron Supplements
────────────────────────────────────────────────────────
A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a
school-age child who has iron deficiency anemia. Which guardian statement indicates
understanding of the teaching?
A. “I will give my child a double dose if a dose is missed.”
B. “I will give this medication with skim milk.”
, C. “This medication will turn my child’s stools white.”
D. “I will give this medication to my child using a straw.”
Answer: D
Rationale: Iron can stain tooth enamel. Administering it with a straw (or dropper)
minimizes contact with teeth. Giving double doses (A) can lead to toxicity. Milk (B)
decreases iron absorption. Iron often turns stools dark or black, not white (C).
────────────────────────────────────────────────────────
5. Parent Refusal of Infant Vaccines
────────────────────────────────────────────────────────
A nurse at a provider’s office is preparing to administer scheduled vaccines to an infant
when the parent refuses. Which action should the nurse take FIRST?
A. Ask the parent why they do not want the vaccines.
B. Provide the parent with a Vaccine Information Statement (VIS).
C. Ask if the parent’s other children received immunizations.
D. Inform the parent that the vaccines must be given at the next visit.
Answer: B
Rationale: By law, parents must receive the VIS before each vaccine. This provides
accurate, evidence-based information for informed decision-making. Exploring reasons (A)
is important, but the first step is to provide the VIS.
────────────────────────────────────────────────────────
6. Administering Ophthalmic Drops
────────────────────────────────────────────────────────
A nurse is preparing to administer ophthalmic drops to a child. Which action should the
nurse take?
A. Position the child with their head flexed downward.
