ATI RN PEDIATRICS NGN PRACTICE EXAM QUESTIONS AND
ANSWERS 2025-2026
A nurse is providing discharge teaching to the parents of a 3-month old infant
following a cheiloplasty. Which of the following instructions should the nurse include?
a. "Clean your baby's sutures daily with a mixture of chlorhexidine and water."
b. "Expect your baby to swallow more than usual over the next few days."
c. "Inspect your baby's tongue for white patches using a tongue depressor every 8
hours."
d. "Apply a thin layer of antibiotic ointment on your baby's suture line daily
for the next 3 days."
D
A nurse is discussion organ donation with the parents of a school-age child who has
sustained brain death due to a bicycle crash. Which of the following actions should the
nurse take first?
a. Inform the parents that written consent is required prior to organ donation.
b. Provide written information to the parents about organ donation.
c. Ask the provider to explain misconceptions of organ donation to the parents.
d. Explore the parents' feelings and wishes regarding organ donation.
D
A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick.
Which of the following actions should the nurse take to minimize the infants pain?
a. Use a manual lancet to obtain the heel blood sample.
b. Apply an ice pack to the infant's heel prior to obtaining the sample.
c. Allow the mother to breastfeed while the sample is being obtained.
,d. Apply a topical lidocaine cream prior to obtaining the sample.
C
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema.
Which of the following findings indicates effectiveness of the medication?
a. Reports an absence of nausea and vomiting
b. Reports experiencing an onset of loose stools within 15 min of administration
c. Serum potassium level 4.1 mEq/L
d. Blood pressure 86/52 mm Hg
C
A charge nurse is preparing to make a room assignment for a newly admitted school- age
child. Which of the following considerations is the nurses priority?
a. Length of stay
b. Treatment schedule
c. Disease process
d. Self-care ability
C
A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain
assessment scales should the nurse use?
a. FACES
b. Numeric
c. CRIES
d. Visual analog
A
,A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider?
a. Presence of a central incisor tooth
b. Presence of strabismus
c. Presence of an open anterior fontanel
d. Presence of external cerumen
B
A school nurse is caring for a child following tonic-clonic seizure. Which of the following
actions should the nurse take first?
a. Check the child for a head injury.
b. Observe for oral bleeding.
c. Check the child's respiratory rate.
d. Observe for extremity weakness.
C
A nurse is planning developmental activities for a newly admitted 10-year-old child who
has neutropenia. Which of the following actions should the nurse plan to take?
a. Provide the child with a book about adventure.
b. Arrange frequent visits from family members and peers.
c. Give the child a large-piece puzzle.
d. Use puppets to entertain the child.
A
, A nurse in a health department is caring for an emancipated adolescent who has an STI
and is unaccompanied by a guardian. Which of the following actions should the nurse
take?
a. Have the adolescent sign a consent form for treatment.
b. Instruct the adolescent to return with a guardian.
c. Obtain consent from the adolescent's guardian over the phone.
d. Treat the adolescent without a consent form.
A
A nurse is assessing an 8-year-old child who has early indications of shock. After
establishing an airway and stabilizing the childs respirations, which of the following
actions should the nurse take next?
a. Insert an indwelling urinary catheter.
b. Measure weight and height.
c. Initiate IV access.
d. Maintain ECG monitoring.
C
A nurse is performing hearing screenings for children at a community health fair. Which
of the following children should the nurse refer to a provider for a more extensive
hearing evaluation?
a. An 18-month-old toddler who has unintelligible speech
b. A 3-month-old infant who has an exaggerated startle response
c. A 4-year-old preschooler who prefers playing with others rather than alone
ANSWERS 2025-2026
A nurse is providing discharge teaching to the parents of a 3-month old infant
following a cheiloplasty. Which of the following instructions should the nurse include?
a. "Clean your baby's sutures daily with a mixture of chlorhexidine and water."
b. "Expect your baby to swallow more than usual over the next few days."
c. "Inspect your baby's tongue for white patches using a tongue depressor every 8
hours."
d. "Apply a thin layer of antibiotic ointment on your baby's suture line daily
for the next 3 days."
D
A nurse is discussion organ donation with the parents of a school-age child who has
sustained brain death due to a bicycle crash. Which of the following actions should the
nurse take first?
a. Inform the parents that written consent is required prior to organ donation.
b. Provide written information to the parents about organ donation.
c. Ask the provider to explain misconceptions of organ donation to the parents.
d. Explore the parents' feelings and wishes regarding organ donation.
D
A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick.
Which of the following actions should the nurse take to minimize the infants pain?
a. Use a manual lancet to obtain the heel blood sample.
b. Apply an ice pack to the infant's heel prior to obtaining the sample.
c. Allow the mother to breastfeed while the sample is being obtained.
,d. Apply a topical lidocaine cream prior to obtaining the sample.
C
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema.
Which of the following findings indicates effectiveness of the medication?
a. Reports an absence of nausea and vomiting
b. Reports experiencing an onset of loose stools within 15 min of administration
c. Serum potassium level 4.1 mEq/L
d. Blood pressure 86/52 mm Hg
C
A charge nurse is preparing to make a room assignment for a newly admitted school- age
child. Which of the following considerations is the nurses priority?
a. Length of stay
b. Treatment schedule
c. Disease process
d. Self-care ability
C
A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain
assessment scales should the nurse use?
a. FACES
b. Numeric
c. CRIES
d. Visual analog
A
,A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider?
a. Presence of a central incisor tooth
b. Presence of strabismus
c. Presence of an open anterior fontanel
d. Presence of external cerumen
B
A school nurse is caring for a child following tonic-clonic seizure. Which of the following
actions should the nurse take first?
a. Check the child for a head injury.
b. Observe for oral bleeding.
c. Check the child's respiratory rate.
d. Observe for extremity weakness.
C
A nurse is planning developmental activities for a newly admitted 10-year-old child who
has neutropenia. Which of the following actions should the nurse plan to take?
a. Provide the child with a book about adventure.
b. Arrange frequent visits from family members and peers.
c. Give the child a large-piece puzzle.
d. Use puppets to entertain the child.
A
, A nurse in a health department is caring for an emancipated adolescent who has an STI
and is unaccompanied by a guardian. Which of the following actions should the nurse
take?
a. Have the adolescent sign a consent form for treatment.
b. Instruct the adolescent to return with a guardian.
c. Obtain consent from the adolescent's guardian over the phone.
d. Treat the adolescent without a consent form.
A
A nurse is assessing an 8-year-old child who has early indications of shock. After
establishing an airway and stabilizing the childs respirations, which of the following
actions should the nurse take next?
a. Insert an indwelling urinary catheter.
b. Measure weight and height.
c. Initiate IV access.
d. Maintain ECG monitoring.
C
A nurse is performing hearing screenings for children at a community health fair. Which
of the following children should the nurse refer to a provider for a more extensive
hearing evaluation?
a. An 18-month-old toddler who has unintelligible speech
b. A 3-month-old infant who has an exaggerated startle response
c. A 4-year-old preschooler who prefers playing with others rather than alone
