ATI RN Pediatric Nursing 2026 Proctored Exam with
NGN //Questions 1–200 with answers & detailed
rationales | Next Generation NCLEX Style | 100%
Pass Guaranteed | Graded A+
1. A nurse is assessing a 4-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the
provider?
A. Heart rate 130/min
B. Respiratory rate 30/min
C. Positive Moro reflex
D. Weight gain of 1 kg since birth
ANS: C
Explanation: The Moro reflex typically disappears by 3-4 months of age.
A positive Moro reflex at 4 months indicates a neurological delay and
should be reported. Heart rate 130/min (A) is normal for an infant.
Respiratory rate 30/min (B) is normal. Weight gain of 1 kg (D) is expected.
2. A nurse is caring for a 2-year-old child who is postoperative following
a tonsillectomy. Which of the following findings indicates a
complication?
A. Mouth breathing
B. Frequent swallowing
C. Refusal to eat
D. Mild throat pain
ANS: B
Explanation: Frequent swallowing in a post-tonsillectomy patient may
indicate bleeding and should be reported immediately. Mouth breathing
1
,(A) is common due to swelling. Refusal to eat (C) and mild throat pain (D)
are expected postoperatively.
3. A nurse is providing teaching to the parent of a child who has
chickenpox. Which of the following statements indicates
understanding?
A. "I should give my child aspirin for fever."
B. "I should keep my child home until all lesions have crusted over."
C. "I should apply alcohol to the lesions."
D. "I should let my child scratch the lesions to prevent scarring."
ANS: B
Explanation: Children with chickenpox are contagious until all lesions
have crusted over. Aspirin (A) is contraindicated due to the risk of Reye
syndrome. Alcohol (C) is drying and irritating. Scratching (D) increases the
risk of secondary infection and scarring.
4. A nurse is assessing a 6-month-old infant. Which of the following
developmental milestones should the nurse expect?
A. Sitting without support
B. Rolling from back to abdomen
C. Walking independently
D. Speaking two-word phrases
ANS: B
Explanation: Rolling from back to abdomen is expected at 6 months.
Sitting without support (A) is expected at 8 months. Walking (C) is
expected at 12 months. Two-word phrases (D) are expected at 18-24
months.
2
, 5. A nurse is caring for a child who has been diagnosed with
intussusception. Which of the following findings should the nurse
expect?
A. Currant jelly stools
B. Projectile vomiting
C. Board-like abdomen
D. Clay-colored stools
ANS: A
Explanation: Currant jelly stools (blood and mucus) are a classic finding
in intussusception. Projectile vomiting (B) is associated with pyloric
stenosis. Board-like abdomen (C) indicates peritonitis. Clay-colored stools
(D) indicate biliary obstruction.
6. A nurse is calculating the maintenance fluid requirement for a 20 kg
child. Using the Holliday-Segar method, what is the daily fluid
requirement?
A. 1,200 mL
B. 1,500 mL
C. 1,800 mL
D. 2,000 mL
ANS: B
Explanation: Holliday-Segar method: 100 mL/kg for first 10 kg + 50
mL/kg for next 10 kg + 20 mL/kg for remaining kg. For 20 kg: (10 × 100) +
(10 × 50) = 1,000 + 500 = 1,500 mL/day.
7. A nurse is assessing a child with suspected epiglottitis. Which of the
following actions should the nurse take?
A. Inspect the throat with a tongue blade
B. Place the child in a supine position
C. Keep the child calm and avoid throat examination
D. Administer oral antibiotics
3
, ANS: C
Explanation: Epiglottitis is a medical emergency. Examination of the
throat with a tongue blade (A) can precipitate complete airway
obstruction. The child should be kept calm, in a position of comfort (usually
sitting upright), and the throat should not be examined. Oral antibiotics
(D) are not appropriate initially.
8. A nurse is providing teaching to the parent of a child who has
asthma. Which of the following statements indicates understanding
of the use of a peak flow meter?
A. "I will have my child use the peak flow meter only when experiencing
symptoms."
B. "I will record the highest of three readings."
C. "I will use the peak flow meter after taking the rescue inhaler."
D. "I will measure peak flow once a week."
ANS: B
Explanation: The highest of three readings is recorded for the most
accurate peak expiratory flow rate. The peak flow meter should be used
daily, not only when symptomatic (A). It should be used before taking the
rescue inhaler (C). Daily measurement is recommended, not weekly (D).
9. A nurse is caring for a newborn who has jaundice and is receiving
phototherapy. Which of the following actions should the nurse take?
A. Apply lotion to the newborn's skin
B. Cover the newborn's eyes with an opaque mask
C. Remove the newborn from phototherapy every 4 hours
D. Feed the newborn formula only
ANS: B
Explanation: The newborn's eyes should be covered with an opaque mask
to prevent retinal damage during phototherapy. Lotion (A) should not be
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NGN //Questions 1–200 with answers & detailed
rationales | Next Generation NCLEX Style | 100%
Pass Guaranteed | Graded A+
1. A nurse is assessing a 4-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the
provider?
A. Heart rate 130/min
B. Respiratory rate 30/min
C. Positive Moro reflex
D. Weight gain of 1 kg since birth
ANS: C
Explanation: The Moro reflex typically disappears by 3-4 months of age.
A positive Moro reflex at 4 months indicates a neurological delay and
should be reported. Heart rate 130/min (A) is normal for an infant.
Respiratory rate 30/min (B) is normal. Weight gain of 1 kg (D) is expected.
2. A nurse is caring for a 2-year-old child who is postoperative following
a tonsillectomy. Which of the following findings indicates a
complication?
A. Mouth breathing
B. Frequent swallowing
C. Refusal to eat
D. Mild throat pain
ANS: B
Explanation: Frequent swallowing in a post-tonsillectomy patient may
indicate bleeding and should be reported immediately. Mouth breathing
1
,(A) is common due to swelling. Refusal to eat (C) and mild throat pain (D)
are expected postoperatively.
3. A nurse is providing teaching to the parent of a child who has
chickenpox. Which of the following statements indicates
understanding?
A. "I should give my child aspirin for fever."
B. "I should keep my child home until all lesions have crusted over."
C. "I should apply alcohol to the lesions."
D. "I should let my child scratch the lesions to prevent scarring."
ANS: B
Explanation: Children with chickenpox are contagious until all lesions
have crusted over. Aspirin (A) is contraindicated due to the risk of Reye
syndrome. Alcohol (C) is drying and irritating. Scratching (D) increases the
risk of secondary infection and scarring.
4. A nurse is assessing a 6-month-old infant. Which of the following
developmental milestones should the nurse expect?
A. Sitting without support
B. Rolling from back to abdomen
C. Walking independently
D. Speaking two-word phrases
ANS: B
Explanation: Rolling from back to abdomen is expected at 6 months.
Sitting without support (A) is expected at 8 months. Walking (C) is
expected at 12 months. Two-word phrases (D) are expected at 18-24
months.
2
, 5. A nurse is caring for a child who has been diagnosed with
intussusception. Which of the following findings should the nurse
expect?
A. Currant jelly stools
B. Projectile vomiting
C. Board-like abdomen
D. Clay-colored stools
ANS: A
Explanation: Currant jelly stools (blood and mucus) are a classic finding
in intussusception. Projectile vomiting (B) is associated with pyloric
stenosis. Board-like abdomen (C) indicates peritonitis. Clay-colored stools
(D) indicate biliary obstruction.
6. A nurse is calculating the maintenance fluid requirement for a 20 kg
child. Using the Holliday-Segar method, what is the daily fluid
requirement?
A. 1,200 mL
B. 1,500 mL
C. 1,800 mL
D. 2,000 mL
ANS: B
Explanation: Holliday-Segar method: 100 mL/kg for first 10 kg + 50
mL/kg for next 10 kg + 20 mL/kg for remaining kg. For 20 kg: (10 × 100) +
(10 × 50) = 1,000 + 500 = 1,500 mL/day.
7. A nurse is assessing a child with suspected epiglottitis. Which of the
following actions should the nurse take?
A. Inspect the throat with a tongue blade
B. Place the child in a supine position
C. Keep the child calm and avoid throat examination
D. Administer oral antibiotics
3
, ANS: C
Explanation: Epiglottitis is a medical emergency. Examination of the
throat with a tongue blade (A) can precipitate complete airway
obstruction. The child should be kept calm, in a position of comfort (usually
sitting upright), and the throat should not be examined. Oral antibiotics
(D) are not appropriate initially.
8. A nurse is providing teaching to the parent of a child who has
asthma. Which of the following statements indicates understanding
of the use of a peak flow meter?
A. "I will have my child use the peak flow meter only when experiencing
symptoms."
B. "I will record the highest of three readings."
C. "I will use the peak flow meter after taking the rescue inhaler."
D. "I will measure peak flow once a week."
ANS: B
Explanation: The highest of three readings is recorded for the most
accurate peak expiratory flow rate. The peak flow meter should be used
daily, not only when symptomatic (A). It should be used before taking the
rescue inhaler (C). Daily measurement is recommended, not weekly (D).
9. A nurse is caring for a newborn who has jaundice and is receiving
phototherapy. Which of the following actions should the nurse take?
A. Apply lotion to the newborn's skin
B. Cover the newborn's eyes with an opaque mask
C. Remove the newborn from phototherapy every 4 hours
D. Feed the newborn formula only
ANS: B
Explanation: The newborn's eyes should be covered with an opaque mask
to prevent retinal damage during phototherapy. Lotion (A) should not be
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