ATI RN PEDIATRIC
PROCTORED TEST BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
500+ Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
500+ 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. NGN-Style Case Scenario
────────────────────────────────────────────────────
A nurse is caring for a preschool-age child who awakens during the night crying and
appearing frightened. The parent reports that the child sometimes returns to sleep
immediately and has no memory of the episode, whereas other nights the child cries,
remembers vivid imagery, and is afraid to go back to sleep.
Which of the following findings would most strongly indicate that the child is
experiencing NIGHTMARES rather than night terrors?
A. The child quickly returns to sleep and shows no recall of the incident in the morning.
B. The child is agitated and thrashes during the event, with profuse sweating.
C. The child does not respond to the parent's comfort during the event.
D. The child awakens fully and can recall the frightening content of the dream.
Answer: D
Expert Explanation: Children who experience nightmares typically awaken fully,
remember the frightening dream, and can often be comforted by a caregiver. In
contrast, a child who has night terrors is difficult to console, may scream or appear
panicked, quickly returns to sleep afterward, and usually has no memory of the event.
────────────────────────────────────────────────────
2. NGN-Style Case Scenario
────────────────────────────────────────────────────
A nurse is caring for a toddler who has acute otitis media and a fever of 40.0°C
(104.0°F). After administering acetaminophen, the nurse plans interventions to reduce
the toddler’s temperature.
,‘
Which of the following is the most appropriate next action?
,. ,. ,. ,. ,. ,. ,. ,. ,.
A. Dress the toddler in minimal clothing.
,. ,. ,. ,. ,. ,. ,.,.
B. Provide a hyperthermia blanket.
,. ,. ,. ,. ,.,.
C. Place the toddler in a basin of cold water.
,. ,. ,. ,. ,. ,. ,. ,. ,. ,.,.
D. Offer a high-protein snack.
,. ,. ,. ,. ,.,.
Answer: A ,. ,.,.
Expert Explanation: Dressing the toddler in minimal clothing helps promote heat loss thro
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
ugh evaporation and convection. Hyperthermia blankets, cold-
,. ,. ,. ,. ,. ,.
water baths, or other extreme measures can cause shivering, which increases metabolic o
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
utput and can raise body temperature further.
,. ,. ,. ,. ,. ,.
────────────────────────────────────────────────────
3. NGN-Style Case Scenario
,. ,. ,.
────────────────────────────────────────────────────
A school-
,.
age child with asthma is admitted for increased respiratory distress. The nurse reviews the
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
child’s data: ,.
• Current O2 therapy: 2 L/min by nasal cannula
,. ,. ,. ,. ,. ,. ,. ,. ,.,.
• Oxygen saturation: 89%
,. ,. ,. ,.,.
• Arterial blood gases (ABGs): pH 7.50, PaCO2 28 mm Hg, HCO3– 23 mEq/L
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.,.
• WBC Count: 18,000/mm³
,. ,. ,. ,.,.
• Respiratory Assessment: Tachypnea, subcostal retractions, increased wheezing
,. ,. ,. ,. ,. ,. ,. ,.,.
Which of the following findings is the HIGHEST priority to report to the provider?
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
A. Elevated white blood cell count
,. ,. ,. ,. ,. ,.,.
, B. pH of 7.50 indicating possible respiratory alkalosis
,. ,. ,. ,. ,. ,. ,. ,.,.
C. Oxygen saturation of 89% despite supplemental oxygen
,. ,. ,. ,. ,. ,. ,. ,.,.
D. Presence of increased wheezing on auscultation
,. ,. ,. ,. ,. ,. ,.,.
Answer: C ,. ,.,.
Expert Explanation: An oxygen saturation of 89% despite supplemental oxygen is a critic
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
al finding because it indicates the child is not adequately oxygenating and might be progre
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
ssing into more severe respiratory compromise. While the other findings also warrant repo
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
rting, low oxygen saturation takes priority.
,. ,. ,. ,. ,.
────────────────────────────────────────────────────
4. A nurse is caring for a preschooler with congestive heart failure who is displaying wide Q
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
RS complexes and peaked T waves on the cardiac monitor. The provider prescribes additi
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
onal medications. ,.
Which of the following prescriptions should the nurse clarify before administering?
,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
A. Furosemide IV bolus
,. ,. ,. ,.,.
B. Enalapril PO
,. ,. ,.,.
C. Potassium chloride PO
,. ,. ,. ,.,.
D. Digoxin PO
,. ,. ,.,.
Answer: C ,. ,.,.
Expert Explanation: Wide QRS complexes and peaked T waves can be indicative of hyp
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
erkalemia. Administering additional potassium (such as potassium chloride) could worsen
,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
hyperkalemia and place the child at risk for life-threatening cardiac arrhythmias. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
────────────────────────────────────────────────────
5. NGN-Style Case Scenario
,. ,. ,.
────────────────────────────────────────────────────
PROCTORED TEST BANK
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
500+ Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
500+ 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. NGN-Style Case Scenario
────────────────────────────────────────────────────
A nurse is caring for a preschool-age child who awakens during the night crying and
appearing frightened. The parent reports that the child sometimes returns to sleep
immediately and has no memory of the episode, whereas other nights the child cries,
remembers vivid imagery, and is afraid to go back to sleep.
Which of the following findings would most strongly indicate that the child is
experiencing NIGHTMARES rather than night terrors?
A. The child quickly returns to sleep and shows no recall of the incident in the morning.
B. The child is agitated and thrashes during the event, with profuse sweating.
C. The child does not respond to the parent's comfort during the event.
D. The child awakens fully and can recall the frightening content of the dream.
Answer: D
Expert Explanation: Children who experience nightmares typically awaken fully,
remember the frightening dream, and can often be comforted by a caregiver. In
contrast, a child who has night terrors is difficult to console, may scream or appear
panicked, quickly returns to sleep afterward, and usually has no memory of the event.
────────────────────────────────────────────────────
2. NGN-Style Case Scenario
────────────────────────────────────────────────────
A nurse is caring for a toddler who has acute otitis media and a fever of 40.0°C
(104.0°F). After administering acetaminophen, the nurse plans interventions to reduce
the toddler’s temperature.
,‘
Which of the following is the most appropriate next action?
,. ,. ,. ,. ,. ,. ,. ,. ,.
A. Dress the toddler in minimal clothing.
,. ,. ,. ,. ,. ,. ,.,.
B. Provide a hyperthermia blanket.
,. ,. ,. ,. ,.,.
C. Place the toddler in a basin of cold water.
,. ,. ,. ,. ,. ,. ,. ,. ,. ,.,.
D. Offer a high-protein snack.
,. ,. ,. ,. ,.,.
Answer: A ,. ,.,.
Expert Explanation: Dressing the toddler in minimal clothing helps promote heat loss thro
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
ugh evaporation and convection. Hyperthermia blankets, cold-
,. ,. ,. ,. ,. ,.
water baths, or other extreme measures can cause shivering, which increases metabolic o
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
utput and can raise body temperature further.
,. ,. ,. ,. ,. ,.
────────────────────────────────────────────────────
3. NGN-Style Case Scenario
,. ,. ,.
────────────────────────────────────────────────────
A school-
,.
age child with asthma is admitted for increased respiratory distress. The nurse reviews the
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
child’s data: ,.
• Current O2 therapy: 2 L/min by nasal cannula
,. ,. ,. ,. ,. ,. ,. ,. ,.,.
• Oxygen saturation: 89%
,. ,. ,. ,.,.
• Arterial blood gases (ABGs): pH 7.50, PaCO2 28 mm Hg, HCO3– 23 mEq/L
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.,.
• WBC Count: 18,000/mm³
,. ,. ,. ,.,.
• Respiratory Assessment: Tachypnea, subcostal retractions, increased wheezing
,. ,. ,. ,. ,. ,. ,. ,.,.
Which of the following findings is the HIGHEST priority to report to the provider?
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
A. Elevated white blood cell count
,. ,. ,. ,. ,. ,.,.
, B. pH of 7.50 indicating possible respiratory alkalosis
,. ,. ,. ,. ,. ,. ,. ,.,.
C. Oxygen saturation of 89% despite supplemental oxygen
,. ,. ,. ,. ,. ,. ,. ,.,.
D. Presence of increased wheezing on auscultation
,. ,. ,. ,. ,. ,. ,.,.
Answer: C ,. ,.,.
Expert Explanation: An oxygen saturation of 89% despite supplemental oxygen is a critic
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
al finding because it indicates the child is not adequately oxygenating and might be progre
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
ssing into more severe respiratory compromise. While the other findings also warrant repo
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
rting, low oxygen saturation takes priority.
,. ,. ,. ,. ,.
────────────────────────────────────────────────────
4. A nurse is caring for a preschooler with congestive heart failure who is displaying wide Q
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
RS complexes and peaked T waves on the cardiac monitor. The provider prescribes additi
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
onal medications. ,.
Which of the following prescriptions should the nurse clarify before administering?
,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
A. Furosemide IV bolus
,. ,. ,. ,.,.
B. Enalapril PO
,. ,. ,.,.
C. Potassium chloride PO
,. ,. ,. ,.,.
D. Digoxin PO
,. ,. ,.,.
Answer: C ,. ,.,.
Expert Explanation: Wide QRS complexes and peaked T waves can be indicative of hyp
,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
erkalemia. Administering additional potassium (such as potassium chloride) could worsen
,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
hyperkalemia and place the child at risk for life-threatening cardiac arrhythmias. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,.
────────────────────────────────────────────────────
5. NGN-Style Case Scenario
,. ,. ,.
────────────────────────────────────────────────────
