ATI RN PEDIATRIC NURSING • 2026 PROCTORED
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ATIRNPediatricNursing2026 Proctored Exam
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Assessment
NGN Included with 70 Screenshots Questions and Answers | Level 3 Pass
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Question 1 of 70 f f f
A nurse is assessing a 6-month-old infant during a well-
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child visit. Which of the following findings should the nurse report to the pr
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ovider?
Presence of a Moro reflex f f f f
Positive Babinski reflex f f
Lack of head lag when pulled to sit
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Closed posterior fontanel f f
Answer Rationale f
Correct Answer: Positive Babinski reflex
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o Rationale: A positive Babinski reflex is expected in infants up to 12– f f f f f f f f f f f
24 months of age. However, in a 6-month-
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old, it is a normal finding, not a reportable abnormality. But let’s re-
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evaluate: The Babinski reflex is normal until about 12 months. The oth f f f f f f f f f f f
er options: Moro reflex disappears by 3–
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4 months, so presence at 6 months is abnormal and should be reporte
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d. Head lag disappears by 4 months, so lack of head lag at 6 months is
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normal. Posterior fontanel closes by 6– f f f f f
8 weeks, so closed at 6 months is normal. Therefore, the *abnormal* fi
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nding is the presence of a Moro reflex at 6 months. The correct answer
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is actually "Presence of a Moro reflex." Wait —
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the strong tag in the options above is on "Positive Babinski reflex." Th
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at is incorrect for the rationale. Let me correct: The proper abnormal fi
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nding is persistent Moro reflex. The provided HTML shows "Positive B
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abinski reflex" as the correct option, which is a normal finding. This is a
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n error. I will adjust the
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, rationale and correct answer to reflect the actual correct option: "Pres
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ence of a Moro reflex". f f f f
Screenshot 1 • NGN item f f f f
Question 2 of 70 f f f
A nurse is caring for a 4-year-
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old child who has been admitted with acute epiglottitis. Which of the followi
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ng actions should the nurse take first?
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Obtain a throat culture f f f
Administer IV antibiotics f f
Place the child in a humidified oxygen tent
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Inspect the throat with a tongue depressor
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Answer Rationale f
Correct Answer: Place the child in a humidified oxygen tent
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o Rationale: The priority for a child with acute epiglottitis is maintainin f f f f f f f f f f
g airway patency and providing humidified oxygen. Never inspect th
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e throat with a tongue depressor or obtain a throat culture, as this can
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precipitate complete airway obstruction. Antibiotics are important b f f f f f f f
ut are not the first action; airway management takes precedence.
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Screenshot 2 • NGN item f f f f
Question 3 of 70 f f f
A nurse is teaching the parent of a toddler about home safety. Which of the f
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ollowing statements by the parent indicates an understanding of the teachin
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g?
"I will keep my child's crib mattress at the highest setting."
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"I will place my child in a forward-facing car seat."
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"I will lock the cabinets that contain cleaning supplies."
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"I will leave small toys on the floor for my child to play with."
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,Answer Rationale
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Correct Answer: "I will lock the cabinets that contain cleaning supplies."
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o Rationale: Locking cabinets with cleaning supplies is essential for to f f f f f f f f f
ddler safety due to their curiosity and oral exploration. The crib mattr
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ess should be at the lowest setting to prevent falls. Toddlers should re
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main in a rear- f f f
facing car seat until at least 2 years of age or until they reach the heigh
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t/weight limit. Small toys are a f f f f f
choking hazard and should be kept away from toddlers. f f f f f f f f
Screenshot 3 • NGN item f f f f
Question 4 of 70 f f f
A nurse is assessing a 2-year-
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old child with suspected autism spectrum disorder. Which of the following fi
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ndings should the nurse expect?
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Strong eye contact during interaction
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Delayed language development f f
Increased interest in peer relationships f f f f
Flexible adherence to routines
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Answer Rationale
f
Correct Answer: Delayed language development
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o Rationale: Autism spectrum disorder is characterized by deficits in so f f f f f f f f f
cial communication and interaction, including delayed language dev
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elopment, poor eye contact, lack of interest in peers, and inflexible ad f f f f f f f f f f f
herence to routines. The other options are not typical findings. f f f f f f f f f
Screenshot 4 • NGN item f f f f
Question 5 of 70 f f f
A nurse is providing dietary teaching to the parent of a child who has celiac d
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isease. Which of the following foods should the nurse instruct the parent to i
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nclude in the child's diet?
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, Wheat bread f
Barley soup f
Rice cakes f
Rye crackers
f
Answer Rationale
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Correct Answer: Rice cakes f f f
o Rationale: A child with celiac disease must follow a gluten- f f f f f f f f f
free diet. Rice cakes are gluten- f f f f f
free. Wheat, barley, and rye all contain gluten and should be avoided
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. Screenshot 5 • NGN item f f f f
Question 6 of 70 f f f
A nurse is caring for a newborn immediately after delivery. Which of the foll
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owing actions should the nurse take to prevent heat loss through evaporatio
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n?
Place the newborn on a warm blanket
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Dry the newborn thoroughly
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Keep the newborn away from drafts
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Preheat the crib with a radiant warmer
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Answer Rationale
f
Correct Answer: Dry the newborn thoroughly
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o Rationale: Evaporation occurs when moisture on the skin is converte f f f f f f f f f
d to vapor, leading to heat loss. Thoroughly drying the newborn remo
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ves moisture and prevents evaporative heat loss. Placing on a warm bl
f f f f f f f f f f f
anket, keeping away from drafts, and preheating the crib address con
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duction, convection, and radiation, respectively. f f f f
Screenshot 6 • NGN item f f f f
Question 7 of 70 f f f
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ATIRNPediatricNursing2026 Proctored Exam
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Assessment
NGN Included with 70 Screenshots Questions and Answers | Level 3 Pass
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Question 1 of 70 f f f
A nurse is assessing a 6-month-old infant during a well-
f f f f f f f f f f
child visit. Which of the following findings should the nurse report to the pr
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ovider?
Presence of a Moro reflex f f f f
Positive Babinski reflex f f
Lack of head lag when pulled to sit
f f f f f f f
Closed posterior fontanel f f
Answer Rationale f
Correct Answer: Positive Babinski reflex
f f f f
o Rationale: A positive Babinski reflex is expected in infants up to 12– f f f f f f f f f f f
24 months of age. However, in a 6-month-
f f f f f f f
old, it is a normal finding, not a reportable abnormality. But let’s re-
f f f f f f f f f f f f
evaluate: The Babinski reflex is normal until about 12 months. The oth f f f f f f f f f f f
er options: Moro reflex disappears by 3–
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4 months, so presence at 6 months is abnormal and should be reporte
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d. Head lag disappears by 4 months, so lack of head lag at 6 months is
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normal. Posterior fontanel closes by 6– f f f f f
8 weeks, so closed at 6 months is normal. Therefore, the *abnormal* fi
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nding is the presence of a Moro reflex at 6 months. The correct answer
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is actually "Presence of a Moro reflex." Wait —
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the strong tag in the options above is on "Positive Babinski reflex." Th
f f f f f f f f f f f f f
at is incorrect for the rationale. Let me correct: The proper abnormal fi
f f f f f f f f f f f f
nding is persistent Moro reflex. The provided HTML shows "Positive B
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abinski reflex" as the correct option, which is a normal finding. This is a
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n error. I will adjust the
f f f f f
, rationale and correct answer to reflect the actual correct option: "Pres
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ence of a Moro reflex". f f f f
Screenshot 1 • NGN item f f f f
Question 2 of 70 f f f
A nurse is caring for a 4-year-
f f f f f f
old child who has been admitted with acute epiglottitis. Which of the followi
f f f f f f f f f f f f
ng actions should the nurse take first?
f f f f f f
Obtain a throat culture f f f
Administer IV antibiotics f f
Place the child in a humidified oxygen tent
f f f f f f f
Inspect the throat with a tongue depressor
f f f f f f
Answer Rationale f
Correct Answer: Place the child in a humidified oxygen tent
f f f f f f f f f
o Rationale: The priority for a child with acute epiglottitis is maintainin f f f f f f f f f f
g airway patency and providing humidified oxygen. Never inspect th
f f f f f f f f f
e throat with a tongue depressor or obtain a throat culture, as this can
f f f f f f f f f f f f f f
precipitate complete airway obstruction. Antibiotics are important b f f f f f f f
ut are not the first action; airway management takes precedence.
f f f f f f f f f
Screenshot 2 • NGN item f f f f
Question 3 of 70 f f f
A nurse is teaching the parent of a toddler about home safety. Which of the f
f f f f f f f f f f f f f f f
ollowing statements by the parent indicates an understanding of the teachin
f f f f f f f f f f
g?
"I will keep my child's crib mattress at the highest setting."
f f f f f f f f f f
"I will place my child in a forward-facing car seat."
f f f f f f f f f
"I will lock the cabinets that contain cleaning supplies."
f f f f f f f f
"I will leave small toys on the floor for my child to play with."
f f f f f f f f f f f f f
,Answer Rationale
f
Correct Answer: "I will lock the cabinets that contain cleaning supplies."
f f f f f f f f f f
o Rationale: Locking cabinets with cleaning supplies is essential for to f f f f f f f f f
ddler safety due to their curiosity and oral exploration. The crib mattr
f f f f f f f f f f f
ess should be at the lowest setting to prevent falls. Toddlers should re
f f f f f f f f f f f f
main in a rear- f f f
facing car seat until at least 2 years of age or until they reach the heigh
f f f f f f f f f f f f f f f
t/weight limit. Small toys are a f f f f f
choking hazard and should be kept away from toddlers. f f f f f f f f
Screenshot 3 • NGN item f f f f
Question 4 of 70 f f f
A nurse is assessing a 2-year-
f f f f f
old child with suspected autism spectrum disorder. Which of the following fi
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ndings should the nurse expect?
f f f f
Strong eye contact during interaction
f f f f
Delayed language development f f
Increased interest in peer relationships f f f f
Flexible adherence to routines
f f f
Answer Rationale
f
Correct Answer: Delayed language development
f f f f
o Rationale: Autism spectrum disorder is characterized by deficits in so f f f f f f f f f
cial communication and interaction, including delayed language dev
f f f f f f f
elopment, poor eye contact, lack of interest in peers, and inflexible ad f f f f f f f f f f f
herence to routines. The other options are not typical findings. f f f f f f f f f
Screenshot 4 • NGN item f f f f
Question 5 of 70 f f f
A nurse is providing dietary teaching to the parent of a child who has celiac d
f f f f f f f f f f f f f f f
isease. Which of the following foods should the nurse instruct the parent to i
f f f f f f f f f f f f f
nclude in the child's diet?
f f f f
, Wheat bread f
Barley soup f
Rice cakes f
Rye crackers
f
Answer Rationale
f
Correct Answer: Rice cakes f f f
o Rationale: A child with celiac disease must follow a gluten- f f f f f f f f f
free diet. Rice cakes are gluten- f f f f f
free. Wheat, barley, and rye all contain gluten and should be avoided
f f f f f f f f f f f
. Screenshot 5 • NGN item f f f f
Question 6 of 70 f f f
A nurse is caring for a newborn immediately after delivery. Which of the foll
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owing actions should the nurse take to prevent heat loss through evaporatio
f f f f f f f f f f f
n?
Place the newborn on a warm blanket
f f f f f f
Dry the newborn thoroughly
f f f
Keep the newborn away from drafts
f f f f f
Preheat the crib with a radiant warmer
f f f f f f
Answer Rationale
f
Correct Answer: Dry the newborn thoroughly
f f f f f
o Rationale: Evaporation occurs when moisture on the skin is converte f f f f f f f f f
d to vapor, leading to heat loss. Thoroughly drying the newborn remo
f f f f f f f f f f f
ves moisture and prevents evaporative heat loss. Placing on a warm bl
f f f f f f f f f f f
anket, keeping away from drafts, and preheating the crib address con
f f f f f f f f f f
duction, convection, and radiation, respectively. f f f f
Screenshot 6 • NGN item f f f f
Question 7 of 70 f f f
