1|Page
ATI RN Pediatric Nursing Proctored Exam 2026
Latest Version | 300 Real NGN Questions with
Step-by-Step Rationales & Critical Thinking
Strategies for a 99%+ Score
Stop memorizing random flashcards. This is the only guide you need for
the ATI RN Pediatric Proctored Exam 2026 with NGN. I have compiled
300 clinically accurate multiple-choice questions that mirror the
actual proctored testing environment. Each question includes the
correct answer plus a detailed rationale that breaks down the
pathophysiology and nursing interventions—so you understand why
an answer is right, not just which letter to click. Topics include
developmental stages (infancy to adolescence), pediatric medication
calculations, immunization schedules, and critical care scenarios
(asthma, seizures, dehydration). Designed for the new Next
Generation NCLEX style. Download instantly and walk into your exam
with confidence. Verified, up-to-date, and ready to use.
, 2|Page
1. A nurse is caring for a 4-year-old child who is postoperative following a
tonsillectomy. Which of the following findings should the nurse report to the
provider?
A. Clear liquid intake of 60 mL in 4 hours
B. Complaints of a sore throat
C. Frequent swallowing and clearing of the throat
D. Axillary temperature of 37.2°C (99.0°F)
Answer: C. Frequent swallowing and clearing of the throat
Rationale: Frequent swallowing and throat clearing can indicate bleeding after a
tonsillectomy. The nurse should inspect the throat for active bleeding and notify the
provider immediately. The other options are expected findings (clear liquids are
encouraged, sore throat is normal, and low-grade fever is common).
2. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the
following developmental milestones should the nurse expect to observe?
A. Sitting without support
B. Transferring objects from one hand to the other
C. Crawling on hands and knees
D. Pulling to a standing position
Answer: B. Transferring objects from one hand to the other
Rationale: At 6 months, infants typically can transfer objects from one hand to the
other. Sitting without support usually occurs around 8 months, crawling around 9
months, and pulling to stand around 10–12 months.
3. A nurse is providing education to the parents of a child with a new diagnosis of type
1 diabetes mellitus. Which of the following statements by the parents indicates an
understanding of hypoglycemia management?
, 3|Page
A. "We should give insulin if our child is shaky and sweaty."
B. "We will give orange juice if our child is confused and diaphoretic."
C. "We should wait 30 minutes after giving juice to recheck blood glucose."
D. "We will give a glucagon injection for mild hypoglycemia."
Answer: B. "We will give orange juice if our child is confused and diaphoretic."
Rationale: Signs of hypoglycemia include confusion, diaphoresis, and shakiness. The
treatment is fast-acting carbohydrate (e.g., orange juice). Insulin would worsen
hypoglycemia. Recheck should occur in 15 minutes, not 30. Glucagon is for severe
hypoglycemia with unconsciousness.
4. A nurse is administering digoxin to a 2-year-old child with heart failure. Which of the
following findings indicates a potential adverse effect requiring withholding the
medication?
A. Heart rate of 110/min
B. Respiratory rate of 24/min
C. Vomiting and abdominal pain
D. Blood pressure of 100/60 mmHg
Answer: C. Vomiting and abdominal pain
Rationale: Vomiting, abdominal pain, and anorexia are early signs of digoxin toxicity,
especially in children. The nurse should withhold the dose and assess serum digoxin
levels. The heart rate is normal for a 2-year-old, and the other vitals are within
expected ranges.
5. A nurse is planning care for a child with acute glomerulonephritis. Which of the
following interventions should be included?
A. Encourage high-sodium foods
B. Monitor daily weights and strict I&O
, 4|Page
C. Restrict oral fluids to 500 mL/day
D. Administer diuretics routinely
Answer: B. Monitor daily weights and strict I&O
Rationale: Daily weights and strict intake/output monitoring are essential to assess
fluid status in glomerulonephritis. Sodium should be restricted, not encouraged. Fluid
restriction depends on the severity of edema and is not a blanket 500 mL/day. Diuretics
are used only if severe fluid overload exists.
6. A nurse is preparing to administer immunizations to a 2-month-old infant. Which of
the following vaccines should the nurse plan to administer?
A. MMR and varicella
B. DTaP, IPV, Hib, PCV, and RV
C. Tdap and meningococcal
D. HepA and HPV
Answer: B. DTaP, IPV, Hib, PCV, and RV
Rationale: At 2 months, the recommended vaccines are DTaP, IPV, Hib, PCV, and RV.
MMR and varicella are given at 12–15 months. Tdap is for older children/adolescents,
and HepA/HPV are not routine at 2 months.
7. A nurse is assessing a toddler with suspected iron-deficiency anemia. Which of the
following findings should the nurse expect?
A. Hyperactivity and tachycardia
B. Pale conjunctiva and fatigue
C. Jaundice and dark urine
D. Petechiae and bruising
ATI RN Pediatric Nursing Proctored Exam 2026
Latest Version | 300 Real NGN Questions with
Step-by-Step Rationales & Critical Thinking
Strategies for a 99%+ Score
Stop memorizing random flashcards. This is the only guide you need for
the ATI RN Pediatric Proctored Exam 2026 with NGN. I have compiled
300 clinically accurate multiple-choice questions that mirror the
actual proctored testing environment. Each question includes the
correct answer plus a detailed rationale that breaks down the
pathophysiology and nursing interventions—so you understand why
an answer is right, not just which letter to click. Topics include
developmental stages (infancy to adolescence), pediatric medication
calculations, immunization schedules, and critical care scenarios
(asthma, seizures, dehydration). Designed for the new Next
Generation NCLEX style. Download instantly and walk into your exam
with confidence. Verified, up-to-date, and ready to use.
, 2|Page
1. A nurse is caring for a 4-year-old child who is postoperative following a
tonsillectomy. Which of the following findings should the nurse report to the
provider?
A. Clear liquid intake of 60 mL in 4 hours
B. Complaints of a sore throat
C. Frequent swallowing and clearing of the throat
D. Axillary temperature of 37.2°C (99.0°F)
Answer: C. Frequent swallowing and clearing of the throat
Rationale: Frequent swallowing and throat clearing can indicate bleeding after a
tonsillectomy. The nurse should inspect the throat for active bleeding and notify the
provider immediately. The other options are expected findings (clear liquids are
encouraged, sore throat is normal, and low-grade fever is common).
2. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the
following developmental milestones should the nurse expect to observe?
A. Sitting without support
B. Transferring objects from one hand to the other
C. Crawling on hands and knees
D. Pulling to a standing position
Answer: B. Transferring objects from one hand to the other
Rationale: At 6 months, infants typically can transfer objects from one hand to the
other. Sitting without support usually occurs around 8 months, crawling around 9
months, and pulling to stand around 10–12 months.
3. A nurse is providing education to the parents of a child with a new diagnosis of type
1 diabetes mellitus. Which of the following statements by the parents indicates an
understanding of hypoglycemia management?
, 3|Page
A. "We should give insulin if our child is shaky and sweaty."
B. "We will give orange juice if our child is confused and diaphoretic."
C. "We should wait 30 minutes after giving juice to recheck blood glucose."
D. "We will give a glucagon injection for mild hypoglycemia."
Answer: B. "We will give orange juice if our child is confused and diaphoretic."
Rationale: Signs of hypoglycemia include confusion, diaphoresis, and shakiness. The
treatment is fast-acting carbohydrate (e.g., orange juice). Insulin would worsen
hypoglycemia. Recheck should occur in 15 minutes, not 30. Glucagon is for severe
hypoglycemia with unconsciousness.
4. A nurse is administering digoxin to a 2-year-old child with heart failure. Which of the
following findings indicates a potential adverse effect requiring withholding the
medication?
A. Heart rate of 110/min
B. Respiratory rate of 24/min
C. Vomiting and abdominal pain
D. Blood pressure of 100/60 mmHg
Answer: C. Vomiting and abdominal pain
Rationale: Vomiting, abdominal pain, and anorexia are early signs of digoxin toxicity,
especially in children. The nurse should withhold the dose and assess serum digoxin
levels. The heart rate is normal for a 2-year-old, and the other vitals are within
expected ranges.
5. A nurse is planning care for a child with acute glomerulonephritis. Which of the
following interventions should be included?
A. Encourage high-sodium foods
B. Monitor daily weights and strict I&O
, 4|Page
C. Restrict oral fluids to 500 mL/day
D. Administer diuretics routinely
Answer: B. Monitor daily weights and strict I&O
Rationale: Daily weights and strict intake/output monitoring are essential to assess
fluid status in glomerulonephritis. Sodium should be restricted, not encouraged. Fluid
restriction depends on the severity of edema and is not a blanket 500 mL/day. Diuretics
are used only if severe fluid overload exists.
6. A nurse is preparing to administer immunizations to a 2-month-old infant. Which of
the following vaccines should the nurse plan to administer?
A. MMR and varicella
B. DTaP, IPV, Hib, PCV, and RV
C. Tdap and meningococcal
D. HepA and HPV
Answer: B. DTaP, IPV, Hib, PCV, and RV
Rationale: At 2 months, the recommended vaccines are DTaP, IPV, Hib, PCV, and RV.
MMR and varicella are given at 12–15 months. Tdap is for older children/adolescents,
and HepA/HPV are not routine at 2 months.
7. A nurse is assessing a toddler with suspected iron-deficiency anemia. Which of the
following findings should the nurse expect?
A. Hyperactivity and tachycardia
B. Pale conjunctiva and fatigue
C. Jaundice and dark urine
D. Petechiae and bruising
