ATI PN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
High yield Qs & Ans to Pass the Exam
Version 2
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. Sickle Cell Anemia Vaso-Occlusive Crisis
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A school-age child with sickle cell anemia is experiencing a vaso-occlusive
crisis. Which of the following interventions is the priority for the nurse to
recommend including in the plan of care?
A. Administer antibiotics to prevent infection
B. Promote oxygen utilization
C. Encourage fluid intake
D. Apply a warm compress to painful joints
Answer: B. Promote oxygen utilization
Rationale:
• Using the ABC (Airway, Breathing, Circulation) approach to client care,
ensuring adequate oxygenation is critical to prevent further sickling and
organ/tissue hypoxia.
• Oxygen helps reduce sickling of red blood cells and improves tissue
perfusion.
• Other supportive measures (antibiotics, fluids, and warm compresses) are
also important, but oxygenation takes priority.
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2. Skeletal Traction for Femur Fracture
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A school-age child has skeletal traction applied to the right lower leg to
repair a femur fracture. Which of the following findings is the priority for the
nurse to report to the provider?
A. Pain rating of 7 on a scale of 0 to 10
B. Report of tingling in the right foot
C. Decrease in food intake
D. Increase in crusting at pin sites
Answer: B. Report of tingling in the right foot
Rationale:
• Tingling (paresthesia) can be an early sign of neurovascular compromise
or compartment syndrome.
• Compartment syndrome is a surgical emergency; therefore, this finding is
the highest priority to report immediately.
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3. Post–Cardiac Catheterization
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An adolescent returns to the unit following a cardiac catheterization. Which
of the following is the priority finding for the nurse to report to the provider?
, A. Reports pain as 4 on a 0–10 scale
B. Heart rate of 104/min
C. Distal pulse of 1+
D. Bleeding noted on the dressing
Answer: D. Bleeding noted on the dressing
Expert Explanation:
• Bleeding at the catheterization site indicates the greatest risk for
hemorrhage.
• The priority action is to apply continuous pressure just above the site
(approximately 2.5 cm or 1 inch above) and notify the provider immediately.
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4. Acute Bacterial Conjunctivitis Teaching
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A school-age child has acute bacterial conjunctivitis and a new prescription
for sulfacetamide eye drops. Which of the following instructions should the
nurse include in teaching the guardian?
A. Remove dried drainage with a cold washcloth
B. Instill medication immediately after cleansing the eye
C. Apply an occlusive gauze dressing over the child’s eye
D. Cleanse by wiping from the outer eye inward
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
High yield Qs & Ans to Pass the Exam
Version 2
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. Sickle Cell Anemia Vaso-Occlusive Crisis
───────────────────────────────────────────────
────────
A school-age child with sickle cell anemia is experiencing a vaso-occlusive
crisis. Which of the following interventions is the priority for the nurse to
recommend including in the plan of care?
A. Administer antibiotics to prevent infection
B. Promote oxygen utilization
C. Encourage fluid intake
D. Apply a warm compress to painful joints
Answer: B. Promote oxygen utilization
Rationale:
• Using the ABC (Airway, Breathing, Circulation) approach to client care,
ensuring adequate oxygenation is critical to prevent further sickling and
organ/tissue hypoxia.
• Oxygen helps reduce sickling of red blood cells and improves tissue
perfusion.
• Other supportive measures (antibiotics, fluids, and warm compresses) are
also important, but oxygenation takes priority.
───────────────────────────────────────────────
─────────────────────────
2. Skeletal Traction for Femur Fracture
,───────────────────────────────────────────────
─────────────────────────
A school-age child has skeletal traction applied to the right lower leg to
repair a femur fracture. Which of the following findings is the priority for the
nurse to report to the provider?
A. Pain rating of 7 on a scale of 0 to 10
B. Report of tingling in the right foot
C. Decrease in food intake
D. Increase in crusting at pin sites
Answer: B. Report of tingling in the right foot
Rationale:
• Tingling (paresthesia) can be an early sign of neurovascular compromise
or compartment syndrome.
• Compartment syndrome is a surgical emergency; therefore, this finding is
the highest priority to report immediately.
───────────────────────────────────────────────
─────────────────────────
3. Post–Cardiac Catheterization
───────────────────────────────────────────────
─────────────────────────
An adolescent returns to the unit following a cardiac catheterization. Which
of the following is the priority finding for the nurse to report to the provider?
, A. Reports pain as 4 on a 0–10 scale
B. Heart rate of 104/min
C. Distal pulse of 1+
D. Bleeding noted on the dressing
Answer: D. Bleeding noted on the dressing
Expert Explanation:
• Bleeding at the catheterization site indicates the greatest risk for
hemorrhage.
• The priority action is to apply continuous pressure just above the site
(approximately 2.5 cm or 1 inch above) and notify the provider immediately.
───────────────────────────────────────────────
─────────────────────────
4. Acute Bacterial Conjunctivitis Teaching
───────────────────────────────────────────────
─────────────────────────
A school-age child has acute bacterial conjunctivitis and a new prescription
for sulfacetamide eye drops. Which of the following instructions should the
nurse include in teaching the guardian?
A. Remove dried drainage with a cold washcloth
B. Instill medication immediately after cleansing the eye
C. Apply an occlusive gauze dressing over the child’s eye
D. Cleanse by wiping from the outer eye inward
