Proctored Exam
NGN ATI PN Pediatric Proctored Exam 2026 |
NGN Pediatric Nursing Questions & Answers,
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A nurse is assessing a 6-month old infant at a well-child visit. Which of the following findings indicates the need
for further assessment?
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, • ATI PN Pediatric 09/22/2026
Proctored Exam
a. Grabs feet and pulls them to her mouth
b. Posterior fontanel is closed
c. Legs remain crossed and extended when supine
d. Birth weight has doubled –
Correct Answer :c. Legs remain crossed and extended when supine
Rationale: Legs crossed and extended when supine is an unexpected finding and requires further
assessment. At 6 months of age, the legs flex at the knees when the infant is supine. Crossed and
extended legs when supine is a finding associated with cerebral palsy.
A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks if this
game has any developmental significance. The nurse should inform the mother that peek-a-boo helps develop
which of the following concepts in the child?
a. Hand-eye coordination
b. Sense of trust
c. Object permanence
d. Egocentrism –
Correct Answer :c. Object permanence
Rationale: Object permanence refers to the cognitive skill of knowing an object still exists even
when it is out of sight. In discovering a hidden object while playing peek-a-boo, the infant
experiences validation of this concept.
A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the following actions
should the nurse take?
a. Have the toddler wear a disposable gown when in the unit's playroom.
b. Wear sterile gloves when changing the toddler's diapers.
c. Wear a mask when assisting the toddler with meals.
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, • ATI PN Pediatric 09/22/2026
Proctored Exam
d. Ask visitors to wear an N-95 mask when entering the room. –
Correct Answer :c. Wear a mask when assisting the toddler with meals.
Rationale: The nurse should wear a mask when within 3 to 6 feet of the toddler to prevent the
transmission of infections that are spread via large droplet particles expelled in the air.
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider?
a. Head lags when pulled from a lying to a sitting position
b. Absence of startle and crawl reflexes
c. Inability to pick up a rattle after dropping it
d. Rolls from back to side
- Correct Answer :a. Head lags when pulled from a lying to a sitting position
Rationale: At the age of 5 months, the infant should have no head lag when pulled to a sitting
position; therefore, the nurse should report this finding to the provider.
A nurse is planning to collect a specimen from a male infant using a urine collection bag. Which of the following
actions should the nurse take?
a. Wash and dry the infant's genitalia and perineum thoroughly.
b. Apply a small coating of water-soluble lubricant to the skin of the infants perineal area.
c. Avoid placing the scrotum inside the collection bag.
d. Wait several hours after positioning the device before checking it.
- Correct Answer :a. Wash and dry the infant's genitalia and perineum thoroughly.
Rationale: This is the method used to obtain a routine urine specimen of any sort in a child who
is not toilet trained. The skin should be washed and dried to promote application of the adhesive
of the collection device.
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, • ATI PN Pediatric 09/22/2026
Proctored Exam
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL. When teaching
the toddler's parents about the correlation of nutrition with lead poisoning, which of the following information is
appropriate for the nurse to include in the teaching?
a. Decrease the child's vitamin C intake until the blood lead level decreases to zero.
b. Administer a folic acid supplement to the child each day.
c. Give pancreatic enzymes to the child with meals and snacks.
d. Ensure the child's dietary intake of calcium and iron is adequate. –
Correct Answer :d. Ensure the child's dietary intake of calcium and iron is adequate.
Rationale: A child who has an elevated blood lead level should have an adequate intake of
calcium and iron to reduce the absorption and effects of the lead. Dietary recommendations
should include milk as a good source of calcium.
A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the
following interventions should the nurse include in the plan of care? (SATA)
a. Observe the parent's actions when feeding the child.
b. Maintain a detailed record of food and fluid intake.
c. Follow the child's cues as to when food and fluids are provided.
d. Sit beside the child's high chair when feeding the child.
e. Play music videos during scheduled meal times. –
Correct Answer :a. Observe the parent's actions when feeding the child.
b. Maintain a detailed record of food and fluid intake.
Rationale: Observing the parents' actions when feeding the child is correct. Inappropriate
feeding techniques and meal patterns provided by parents can contribute to a child's growth
failure. Maintaining a detailed record of food and fluid intake is correct. A nutritional goal for the child who has
suspected FTT is to correct nutritional deficiencies, which can be identified by
recording all food and fluid intake. Following the child's cues as to when food and fluids are
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