ATI PN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
High yield Qs & Ans to Pass the Exam
Version 3
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.”
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
High yield Qs & Ans to Pass the Exam
Version 3
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.”
