ATI PN Pediatric Proctored Exam
(2026) NGN-Style Questions, Case Scenario &
Answers, 100% Verified Graded A+ QUESTIONS
WITH CORRECT DETAILED ANSWERS &
RATIONALESQuestions and Revised Correct
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A nurse is assessing a 7-year old child's psychological development. Which of the following findings
should the nurse recognize as requiring further evaluation?
a. The child prefers playmates of the same sex.
b. The child is competitive when playing board games.
c. The child complains daily about going to school.
d. The child enjoys spending time alone. –
Correct Answer :c. The child complains daily about going to school.
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Rationale: Complaining every day about going to school is an unexpected finding for a 7-year-old child.
The child is in Erikson's psychological developmental stage of industry vs. inferiority. Children in this
stage want to learn and master new concepts. If the child complains daily about going to school, it
warrants further evaluation.
A nurse is providing education to the parent of a toddler who is about to receive her first dose of the
MMR (measles, mumps, rubella) immunization. Which of the following statements by the parent
indicates an understanding of the teaching?
a. I am not going to let my child play with other children for 2 days.
b. I will need to return in 2 weeks for my child to receive the varicella immunization.
c. I can give my child acetaminophen for discomfort associated with the immunization.
d. My child might have discharge from the injection site. –
Correct Answer :c. I can give my child acetaminophen for discomfort associated with the
immunization.
Rationale: Parents can give acetaminophen for minor discomforts such as low-grade fever and local
tenderness resulting from the administration of the immunization.
A nurse is providing teaching to the parents of a 4-year-old child about fine motor development. Which
of the following tasks should the nurse include in the teaching as an expected finding for this age
group?
a. Copies a circle
b. Cuts old using a table knife
c. Begins writing in cursive
d. Prints first and last name clearly –
Correct Answer :a. Copies a circle
Rationale: The nurse should explain that copying a circle is a skill achieved by the age of 4 years.
A nurse is providing teaching to the parent of a 4-year old child about fine motor development. Which
of the following tasks should the nurse include in the teaching as an expected finding for this age
group?
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a. Brightly colored mobile
b. Plastic stethoscope
c. Small piece jigsaw puzzle
d. A book of short stories –
Correct Answer :b. Plastic stethoscope
Rationale: Preschool play centers on imitative activities. Providing a stethoscope allows the child an
opportunity for therapeutic play. Imitating health care personnel helps to ease the fear of unfamiliar
equipment.
A nurse in an emergency department is caring for an 8-year-old who is up-to-date with current
immunization recommendations and has a deep puncture injury. Which of the following should the
nurse anticipate administering?
a. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine
b. A single injection of tetanus immune globulin (TIG) mixed with the pediatric tetanus booster (DT)
c. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine
d. Adult tetanus booster (Td) –
Correct Answer :d. Adult tetanus booster (Td)
Rationale: Td is recommended for wound prophylaxis in children ages 7 yrs and older. Td is also
recommended q 10 yrs after 18 yrs of age.
A nurse is providing teaching about promoting sleep with the parent of a 3-year-old toddler. Which of
the following information should the nurse include?
a. Follow a nightly routine and established bedtime.
b. Encourage active play prior to bedtime.
c. Let the child remain awake until tired enough to go to sleep.
d. Reward the child with a food treat just prior to sleep if the child goes to bed on time. –
Correct Answer :a. Follow a nightly routine and established bedtime.
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Rationale: Preschool-age children test limits. Consistency in approach to bedtime is very important.
Bedtime is more likely to be pleasant for everyone if a routine is established and followed every night.
A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure.
Which of the following actions should the nurse take?
a. Ask the child to hold his breath and then blow it out slowly.
b. Ask the child to describe a pleasurable event.
c. Bounce the child gently while holding him upright.
d. Rock the child in long rhythmic movements. –
Correct Answer :d. Rock the child in long rhythmic movements.
Rationale: The nurse can implement relaxation strategies by sitting with the child in a well-supported
position such as against the chest, and then rocking or swaying back and forth in long, wide
movements.
A nurse is assessing a 6-year-old child at a well-child visit. Which of the following findings requires
further assessment by the nurse?
a. Presence of sparse, fine pubic hair
b. Decreased head circumference compared to full height
c. Increased leg length related to height
d. Presence of a loose, central incisor
- Correct Answer :a. Presence of sparse, fine pubic hair
Rationale: The development of sexual characteristics prior to the age of 9 years in boys, and 8 years in
girls, is an indication of precocious puberty and requires further evaluation.
A nurse is caring for a preschool-age children who is dying. Which of the following findings is an age
appropriate reaction to death by the child? (SATA)
a. The child views death as smilier to sleep.
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