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.
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
Explanation (NGN 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
Explanation (NGN 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.
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. 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
Explanation (NGN 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
Explanation (NGN 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.
