2023 ATI PN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
Version 2
This ATI Test Contains:
➢ Passing Score Guarantee
➢ 70 pediatric nursing questions
➢ multiple-choice format (A, B, C, D) with
correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and
rationales consistent with entry-level practical nursing
standards.
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1. A nurse is reviewing the lab results of a school-age child who has
gastroenteritis. Which finding is most important to report to the provider?
A. Mildly decreased potassium
B. Decreased sodium level
C. Slightly elevated chloride
D. Elevated blood urea nitrogen (BUN)
Correct Answer: B. Decreased sodium level
Rationale:
Hyponatremia can be especially dangerous in pediatric clients. Electrolyte
imbalances such as low sodium may indicate significant fluid and
electrolyte shifts, requiring urgent provider notification for intervention.
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2. A nurse is assessing a toddler with constipation. Which finding requires
follow-up from the nurse?
A. Toddler appears lethargic
B. Bowel sounds are hyperactive
C. The abdomen is flat and soft
D. Nonpalpable fecal mass on examination
Correct Answer: A. Toddler appears lethargic
, Rationale:
Lethargy can indicate more severe dehydration or serious illness.
Although hypoactive bowel sounds, a distended abdomen, or a palpable
fecal mass are also concerns, lethargy is a critical sign that warrants
immediate follow-up.
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3. A parent of a school-age child with nephrotic syndrome asks the nurse
why they must check the child’s urine for protein. Which explanation by the
nurse is best?
A. “It helps ensure your child has enough hydration.”
B. “A decrease in urine protein shows the treatment is effective.”
C. “The provider requires continuous monitoring for routine purposes.”
D. “Protein levels help predict if your child might be developing diabetes.”
Correct Answer: B. “A decrease in urine protein shows the treatment is
effective.”
Rationale:
In nephrotic syndrome, the excessive protein loss is measured through
urine protein. Improvement is indicated by decreased proteinuria,
demonstrating effective therapy and improving kidney function.
4. A nurse is collecting data from a 6-month-old child who is experiencing a
sickle cell crisis. Which area should the nurse palpate to assess for splenic
sequestration?
, A. Right upper quadrant
B. Left upper quadrant
C. Right lower quadrant
D. Left lower quadrant
Correct Answer: B. Left upper quadrant
Rationale:
The spleen is located in the left upper quadrant of the abdomen. In sickle
cell disease, splenic sequestration occurs when sickled red blood cells pool
in the spleen, causing acute enlargement and potential circulatory collapse
if untreated.
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5. A nurse is teaching a group of parents about poison control. Which of the
following actions is most appropriate for the parent to take first if a child
ingests potentially toxic medication?
A. Identify the medication and dosage
B. Call the poison control center immediately
C. Check if the child is breathing
D. Remove any medication from the child’s mouth
Correct Answer: C. Check if the child is breathing
Rationale:
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
Version 2
This ATI Test Contains:
➢ Passing Score Guarantee
➢ 70 pediatric nursing questions
➢ multiple-choice format (A, B, C, D) with
correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and
rationales consistent with entry-level practical nursing
standards.
,───────────────────────────────────────────────
─────────────────────────
1. A nurse is reviewing the lab results of a school-age child who has
gastroenteritis. Which finding is most important to report to the provider?
A. Mildly decreased potassium
B. Decreased sodium level
C. Slightly elevated chloride
D. Elevated blood urea nitrogen (BUN)
Correct Answer: B. Decreased sodium level
Rationale:
Hyponatremia can be especially dangerous in pediatric clients. Electrolyte
imbalances such as low sodium may indicate significant fluid and
electrolyte shifts, requiring urgent provider notification for intervention.
───────────────────────────────────────────────
─────────────────────────
2. A nurse is assessing a toddler with constipation. Which finding requires
follow-up from the nurse?
A. Toddler appears lethargic
B. Bowel sounds are hyperactive
C. The abdomen is flat and soft
D. Nonpalpable fecal mass on examination
Correct Answer: A. Toddler appears lethargic
, Rationale:
Lethargy can indicate more severe dehydration or serious illness.
Although hypoactive bowel sounds, a distended abdomen, or a palpable
fecal mass are also concerns, lethargy is a critical sign that warrants
immediate follow-up.
───────────────────────────────────────────────
─────────────────────────
3. A parent of a school-age child with nephrotic syndrome asks the nurse
why they must check the child’s urine for protein. Which explanation by the
nurse is best?
A. “It helps ensure your child has enough hydration.”
B. “A decrease in urine protein shows the treatment is effective.”
C. “The provider requires continuous monitoring for routine purposes.”
D. “Protein levels help predict if your child might be developing diabetes.”
Correct Answer: B. “A decrease in urine protein shows the treatment is
effective.”
Rationale:
In nephrotic syndrome, the excessive protein loss is measured through
urine protein. Improvement is indicated by decreased proteinuria,
demonstrating effective therapy and improving kidney function.
4. A nurse is collecting data from a 6-month-old child who is experiencing a
sickle cell crisis. Which area should the nurse palpate to assess for splenic
sequestration?
, A. Right upper quadrant
B. Left upper quadrant
C. Right lower quadrant
D. Left lower quadrant
Correct Answer: B. Left upper quadrant
Rationale:
The spleen is located in the left upper quadrant of the abdomen. In sickle
cell disease, splenic sequestration occurs when sickled red blood cells pool
in the spleen, causing acute enlargement and potential circulatory collapse
if untreated.
───────────────────────────────────────────────
─────────────────────────
5. A nurse is teaching a group of parents about poison control. Which of the
following actions is most appropriate for the parent to take first if a child
ingests potentially toxic medication?
A. Identify the medication and dosage
B. Call the poison control center immediately
C. Check if the child is breathing
D. Remove any medication from the child’s mouth
Correct Answer: C. Check if the child is breathing
Rationale:
