(NGN) ATI PEDIATRIC PROCTORED EXAM 2025
COMPREHENSIVE EXAMINATION WITH VERIFIED
ANSWER✔✨-S AND RATIONALES
QUESTION 1
A nurse is caring for a 2-year-old child who has been diagnosed with acute otitis media. Which of the
following findings should the nurse expect?
A) Bulging tympanic membrane
B) Clear otorrhea drainage
C) Decreased pain when lying flat
D) Hyperactive bowel sounds
ANSWER✔✨-: A
Rationale: Bulging tympanic membrane is a classic finding in acute otitis media due to fluid accumulation
and inflammation in the middle ear. The tympanic membrane may appear erythematous, opaque, and
bulging with decreased mobility. Otorrhea with acute otitis media is typically purulent, not clear. Pain
typically increases when lying flat due to increased pressure in the middle ear. Bowel sounds are not
affected by otitis media.
QUESTION 2
,A nurse is reinforcing teaching with the parent of a child who has iron deficiency anemia. Which of the
following foods should the nurse recommend?
A) Milk
B) Eggs
C) Rice cereal
D) Apple juice
ANSWER✔✨-: B
Rationale: Eggs are a good source of iron and should be recommended for a child with iron deficiency
anemia. Milk is low in iron and can contribute to iron deficiency if consumed in excess. Rice cereal is
often iron-fortified but eggs provide heme iron which is better absorbed. Apple juice contains minimal
iron content.
QUESTION 3
A nurse is collecting data from a 6-month-old infant during a well-child visit. Which of the following
developmental milestones should the nurse expect the infant to demonstrate?
A) Sitting without support
B) Transferring objects from hand to hand
C) Crawling
D) Standing while holding onto furniture
,ANSWER✔✨-: B
Rationale: At 6 months, infants typically begin transferring objects from one hand to the other. Sitting
without support usually occurs around 8 months of age. Crawling typically begins between 7 and 10
months. Standing while holding onto furniture (cruising) typically occurs around 9-10 months.
QUESTION 4
A nurse is reinforcing teaching about preventing urinary tract infections with the parent of a 3-year-old
female child. Which of the following instructions should the nurse include?
A) Have the child drink cranberry juice daily
B) Encourage the child to void frequently
C) Teach the child to wipe from back to front
D) Limit the child's fluid intake
ANSWER✔✨-: B
Rationale: Frequent voiding helps prevent urinary tract infections by flushing bacteria from the urinary
tract. Cranberry juice may help prevent UTIs but should be used cautiously in children. Wiping should be
from front to back to prevent introducing bacteria from the perianal area to the urethra. Fluid intake
should be encouraged, not limited, to promote urinary flushing.
QUESTION 5
A nurse is caring for a school-age child who has sickle cell anemia and is experiencing a vaso-occlusive
crisis. Which of the following interventions should the nurse anticipate?
, A) Administering aspirin
B) Maintaining strict bed rest
C) Applying cold compresses
D) Administering oral fluids
ANSWER✔✨-: D
Rationale: Administration of oral fluids helps maintain hydration, which is essential in managing sickle
cell crisis to decrease blood viscosity and promote circulation. Aspirin should be avoided due to risk of
Reye syndrome. Strict bed rest is not recommended; gentle activity is encouraged to promote
circulation. Cold compresses can cause vasoconstriction and should be avoided; warm compresses are
preferred.
QUESTION 6
A nurse is reinforcing teaching with the guardian of a child who has a new prescription for
methylphenidate for attention deficit hyperactivity disorder. Which of the following statements by the
guardian indicates an understanding of the teaching?
A) "I should give this medication at bedtime"
B) "I should monitor my child's weight weekly"
C) "My child may experience increased appetite"
D) "I should expect improvement in symptoms immediately"
COMPREHENSIVE EXAMINATION WITH VERIFIED
ANSWER✔✨-S AND RATIONALES
QUESTION 1
A nurse is caring for a 2-year-old child who has been diagnosed with acute otitis media. Which of the
following findings should the nurse expect?
A) Bulging tympanic membrane
B) Clear otorrhea drainage
C) Decreased pain when lying flat
D) Hyperactive bowel sounds
ANSWER✔✨-: A
Rationale: Bulging tympanic membrane is a classic finding in acute otitis media due to fluid accumulation
and inflammation in the middle ear. The tympanic membrane may appear erythematous, opaque, and
bulging with decreased mobility. Otorrhea with acute otitis media is typically purulent, not clear. Pain
typically increases when lying flat due to increased pressure in the middle ear. Bowel sounds are not
affected by otitis media.
QUESTION 2
,A nurse is reinforcing teaching with the parent of a child who has iron deficiency anemia. Which of the
following foods should the nurse recommend?
A) Milk
B) Eggs
C) Rice cereal
D) Apple juice
ANSWER✔✨-: B
Rationale: Eggs are a good source of iron and should be recommended for a child with iron deficiency
anemia. Milk is low in iron and can contribute to iron deficiency if consumed in excess. Rice cereal is
often iron-fortified but eggs provide heme iron which is better absorbed. Apple juice contains minimal
iron content.
QUESTION 3
A nurse is collecting data from a 6-month-old infant during a well-child visit. Which of the following
developmental milestones should the nurse expect the infant to demonstrate?
A) Sitting without support
B) Transferring objects from hand to hand
C) Crawling
D) Standing while holding onto furniture
,ANSWER✔✨-: B
Rationale: At 6 months, infants typically begin transferring objects from one hand to the other. Sitting
without support usually occurs around 8 months of age. Crawling typically begins between 7 and 10
months. Standing while holding onto furniture (cruising) typically occurs around 9-10 months.
QUESTION 4
A nurse is reinforcing teaching about preventing urinary tract infections with the parent of a 3-year-old
female child. Which of the following instructions should the nurse include?
A) Have the child drink cranberry juice daily
B) Encourage the child to void frequently
C) Teach the child to wipe from back to front
D) Limit the child's fluid intake
ANSWER✔✨-: B
Rationale: Frequent voiding helps prevent urinary tract infections by flushing bacteria from the urinary
tract. Cranberry juice may help prevent UTIs but should be used cautiously in children. Wiping should be
from front to back to prevent introducing bacteria from the perianal area to the urethra. Fluid intake
should be encouraged, not limited, to promote urinary flushing.
QUESTION 5
A nurse is caring for a school-age child who has sickle cell anemia and is experiencing a vaso-occlusive
crisis. Which of the following interventions should the nurse anticipate?
, A) Administering aspirin
B) Maintaining strict bed rest
C) Applying cold compresses
D) Administering oral fluids
ANSWER✔✨-: D
Rationale: Administration of oral fluids helps maintain hydration, which is essential in managing sickle
cell crisis to decrease blood viscosity and promote circulation. Aspirin should be avoided due to risk of
Reye syndrome. Strict bed rest is not recommended; gentle activity is encouraged to promote
circulation. Cold compresses can cause vasoconstriction and should be avoided; warm compresses are
preferred.
QUESTION 6
A nurse is reinforcing teaching with the guardian of a child who has a new prescription for
methylphenidate for attention deficit hyperactivity disorder. Which of the following statements by the
guardian indicates an understanding of the teaching?
A) "I should give this medication at bedtime"
B) "I should monitor my child's weight weekly"
C) "My child may experience increased appetite"
D) "I should expect improvement in symptoms immediately"
