Proctored Exam
NGN ATI PN Pediatric Proctored Exam 2 2026
| NGN Pediatric Nursing Questions &
Answers, 100% Verified Graded A+
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A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy.
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Proctored Exam
Which of the following methods should the nurse use to determine if the child is
experiencing pain?
a. Ask the parents.
b. Use the FACES scale.
c. Use the numeric rating scale.
d. Check the child's temperature.
- Correct Answer :B
Rationale: Pain is a subjective experience even for a 3-year-old child. The FACES scale can be
used to accurately determine the presence of pain in children as young as 3 years of age.
12. 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?
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
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
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Proctored Exam
b. Sense of trust
c. Object permanence
d. Egocentrism
- Correct Answer :C
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.
d. Ask visitors to wear an N-95 mask when entering the room. –
Correct Answer :C
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
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Proctored Exam
- Correct Answer :A
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
16. 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 infant's 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
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.
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
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
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