ATI PN PEDIATRIC PROCTORED ACTUAL EXAM (2026/2027) |
REAL 70 QUESTIONS & VERIFIED ANSWERS | NGN CASE
SCENARIOS & DETAILED RATIONALES | PASS GUARANTEE
PDF QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
,Core Domains
Growth and Development Milestones
Pediatric Assessment and Vital Signs
Common Childhood Illnesses and Infectious Diseases
Respiratory, Cardiac, and Neurologic Disorders
Gastrointestinal, Renal, and Endocrine Conditions
Pediatric Pharmacology and Dosage Calculations
Immunizations and Vaccine Schedules
Safety, Injury Prevention, and Family-Centered Care
Fluid and Electrolyte Balance in Children
Pain Management and Palliative Care
Introduction
The ATI PN Pediatric Proctored Examination assesses the
competency of practical nursing students in providing safe,
developmentally appropriate care to pediatric patients. This
comprehensive assessment evaluates knowledge across critical
domains including growth and development, common childhood
illnesses, medication administration, and clinical judgment. The
examination employs multiple-choice and Next Generation NCLEX
(NGN) style questions that require candidates to demonstrate
applied clinical judgment and decision-making skills essential for
safe pediatric nursing practice. Emphasis is placed on prioritization,
family-centered care, and evidence-based interventions. Successful
completion validates the candidate's readiness to provide safe,
effective pediatric nursing care.
SECTION ONE: QUESTIONS 1–70
,1. A nurse is receiving change-of-shift report for four children.
Which of the following children should the nurse assess first?
A. A toddler who has a concussion and an episode of forceful
vomiting
B. An adolescent who has infective endocarditis and reports having
a headache
C. An adolescent who was placed into halo traction 1 hour ago and
reports pain as 6 on a scale of 0 to 10
D. A school-age child who has acute glomerulonephritis and brown-
colored urine
A. A toddler who has a concussion and an episode of forceful
vomiting
RATIONALE: Forceful vomiting in a toddler with a concussion is
a classic sign of increased intracranial pressure (ICP), a life-
threatening complication requiring immediate intervention. Using
the ABCs and the concept of acute versus chronic/stable conditions,
this child is the highest priority.
2. A 9-year-old child arrives at the emergency department with
severe facial swelling and respiratory distress after a known
peanut exposure. The nurse notes audible wheezing and sees
hives on the chest and arms. Which of the following is the
nurse's priority intervention?
A. Administer an albuterol nebulizer treatment
B. Administer oxygen at 6 L/min via nasal cannula
C. Prepare a corticosteroid dose for IV administration
D. Administer intramuscular epinephrine
, D. Administer intramuscular epinephrine
RATIONALE: The child is showing signs of anaphylaxis, a life-
threatening allergic reaction causing airway compromise and
cardiovascular collapse. Epinephrine is the only first-line treatment
for anaphylaxis. It reverses vasodilation, bronchoconstriction, and
edema.
3. A nurse is providing dietary teaching to the guardian of a
school-age child who has cystic fibrosis. Which of the
following statements should the nurse make?
A. "You should offer your child high-protein meals and snacks
throughout the day."
B. "You should decrease your child's dietary fat intake to less than
10% of their caloric intake."
C. "You should restrict your child's calorie intake to 1,200 per day."
D. "You should give your child a multivitamin once weekly."
A. "You should offer your child high-protein meals and snacks
throughout the day."
RATIONALE: Children with cystic fibrosis have malabsorption
due to a lack of pancreatic enzymes. They require a high-calorie,
high-protein diet to promote growth and maintain nutritional
status. Dietary fat should not be restricted.
4. A nurse is assessing a 4-month-old infant during a well-
child visit. Which of the following developmental milestones
should the nurse expect the infant to have achieved?
REAL 70 QUESTIONS & VERIFIED ANSWERS | NGN CASE
SCENARIOS & DETAILED RATIONALES | PASS GUARANTEE
PDF QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
,Core Domains
Growth and Development Milestones
Pediatric Assessment and Vital Signs
Common Childhood Illnesses and Infectious Diseases
Respiratory, Cardiac, and Neurologic Disorders
Gastrointestinal, Renal, and Endocrine Conditions
Pediatric Pharmacology and Dosage Calculations
Immunizations and Vaccine Schedules
Safety, Injury Prevention, and Family-Centered Care
Fluid and Electrolyte Balance in Children
Pain Management and Palliative Care
Introduction
The ATI PN Pediatric Proctored Examination assesses the
competency of practical nursing students in providing safe,
developmentally appropriate care to pediatric patients. This
comprehensive assessment evaluates knowledge across critical
domains including growth and development, common childhood
illnesses, medication administration, and clinical judgment. The
examination employs multiple-choice and Next Generation NCLEX
(NGN) style questions that require candidates to demonstrate
applied clinical judgment and decision-making skills essential for
safe pediatric nursing practice. Emphasis is placed on prioritization,
family-centered care, and evidence-based interventions. Successful
completion validates the candidate's readiness to provide safe,
effective pediatric nursing care.
SECTION ONE: QUESTIONS 1–70
,1. A nurse is receiving change-of-shift report for four children.
Which of the following children should the nurse assess first?
A. A toddler who has a concussion and an episode of forceful
vomiting
B. An adolescent who has infective endocarditis and reports having
a headache
C. An adolescent who was placed into halo traction 1 hour ago and
reports pain as 6 on a scale of 0 to 10
D. A school-age child who has acute glomerulonephritis and brown-
colored urine
A. A toddler who has a concussion and an episode of forceful
vomiting
RATIONALE: Forceful vomiting in a toddler with a concussion is
a classic sign of increased intracranial pressure (ICP), a life-
threatening complication requiring immediate intervention. Using
the ABCs and the concept of acute versus chronic/stable conditions,
this child is the highest priority.
2. A 9-year-old child arrives at the emergency department with
severe facial swelling and respiratory distress after a known
peanut exposure. The nurse notes audible wheezing and sees
hives on the chest and arms. Which of the following is the
nurse's priority intervention?
A. Administer an albuterol nebulizer treatment
B. Administer oxygen at 6 L/min via nasal cannula
C. Prepare a corticosteroid dose for IV administration
D. Administer intramuscular epinephrine
, D. Administer intramuscular epinephrine
RATIONALE: The child is showing signs of anaphylaxis, a life-
threatening allergic reaction causing airway compromise and
cardiovascular collapse. Epinephrine is the only first-line treatment
for anaphylaxis. It reverses vasodilation, bronchoconstriction, and
edema.
3. A nurse is providing dietary teaching to the guardian of a
school-age child who has cystic fibrosis. Which of the
following statements should the nurse make?
A. "You should offer your child high-protein meals and snacks
throughout the day."
B. "You should decrease your child's dietary fat intake to less than
10% of their caloric intake."
C. "You should restrict your child's calorie intake to 1,200 per day."
D. "You should give your child a multivitamin once weekly."
A. "You should offer your child high-protein meals and snacks
throughout the day."
RATIONALE: Children with cystic fibrosis have malabsorption
due to a lack of pancreatic enzymes. They require a high-calorie,
high-protein diet to promote growth and maintain nutritional
status. Dietary fat should not be restricted.
4. A nurse is assessing a 4-month-old infant during a well-
child visit. Which of the following developmental milestones
should the nurse expect the infant to have achieved?
