(NGN)ATI PEDIATRIC PROCTORED EXAM ATI
PEDIATRIC PROCTORED EXAM |LATEST 2025-2026
|70 QUESTIONS WITH VERIFIED ANSWERS WITH
RATIONALES |A+ GRADE
1. A guardian calls the clinic nurse after his child has developed symptoms of varicella and
asks when his child will no longer be contagious. Which of the following responses
should the nurse make?
a) “When your child no longer has a fever.”
b) “Three days after the rash started.”
c) “Six days after lesions appear if they are crusted.” (The nurse should inform the
guardian that a child will stop being contagious around 6 days after the lesions
appeared, as long as they are crusted over.)
d) “When your child’s lesions disappear.”
2. A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
parent of a 1-month-old infant. Which of the following statements by the parent
indicates an understanding of the teaching?
a) “I will let my baby sleep with me in bed at night.”
b) “I will allow my baby to have a pacifier while sleeping.” (The nurse should reinforce
with the parent that allowing the infant to fall asleep with a pacifier in his mouth
decreases the risk for SIDS.)
c) “I will place my baby on a soft mattress to sleep.”
d) “I will cover my baby with a quilt while he sleeping.”
3. A nurse is collecting date from a school-age child. The nurse should identify that which
of the following findings is a manifestation of physical abuse?
a) Multiple dental caries
b) Malnutrition
c) Recurrent urinary tract infections
d) Bruises at various stages of healing (The nurse should recognize that bruises at
various stages of healing are a clinical manifestation of physical abuse.)
4. A nurse is reinforcing teaching with an adolescent who has an inflamed nonperforated
appendix and is scheduled for a laparoscopic assisted appendectomy. Which of the
following instructions should the nurse include in the teaching?
a) “You can begin drinking fluids again 2 days after your surgery.”
b) “You will need to ask for pain medication for the first 24 hours after surgery.”
c) “You will have your vital signs monitored every 8 hours after surgery.”
, d) “You will sit in your chair at least twice a day after surgery.” (The nurse should
instruct the client that she will sit in a bedside chair at least twice a day and will be
encouraged to ambulate as soon as possible following surgery. This activity will
enhance lung function and help prevent postoperative complications.)
5. A nurse is assisting with the care of a child who is postoperative and received a
transfusion during a surgical procedure. Which of the following findings indicates the
child is havig a hemolytic reaction?
a) Chills and flank pain (Chills and flank pain are findings that indicate an
incompatibility of the transfused blood product with the client's blood. The nurse
should identify this finding as an indication that the child is having a hemolytic
reaction.)
b) Pruritus and flushing
c) Rales and cyanosis
d) Bradycardia and diarrhea
6. A nurse is collecting date from a child during a well-child visit. The nurse should
recognize that which of the following findings places the child at a higher risk for abuse?
a) The child is 6 years old.
b) The child is male.
c) The child was born at 30 weeks of gestation. (The nurse should identify that children
who are born prematurely are at greater risk for abuse because of the potential for
impaired bonding during early infancy.)
d) The child was born via cesarean birth.
7. A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of
rheumatic fever. Which of the following statements by the guardian indicates an
understanding of the teaching?
a) “I should not give my child aspirin for pain or fever.”
b) “My child will take antibiotic for 6 months.”
c) “My child might have a period of irregular movement of the extremities.” (The nurse
should instruct the guardian that the child might experience chorea weeks or months
after the initial diagnosis. Chorea is a temporary lack of coordination and the
presence of sudden, irregular movements or periods of clumsiness.)
d) “I should expect there to be blood in my child’s urine.”
8. A nurse is collecting data from an infant during a well-child visit. Which of the following
sites should the nurse use when obtaining the infant’s heart rate?
a) Apical (The nurse should use the apical pulse to obtain the infant's heart rate and
count it for a full minute, because it gives a reliable rate and rhythm and provides
accurate baseline assessment data. In an infant, the apical heart rate is auscultated at
the fourth intercostal space lateral to the midclavicular line.)
b) Radial
c) Carotid
d) Femoral
9. A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse
should place the toddler in which of the following restraints?
a) Mummy restraint (The nurse should use a mummy wrap when a short-term restraint
is needed for treatment of the toddler that involves the head and neck. The nurse
should always use the least amount of restraint necessary.)
b) Jacket restraint
c) Elbow restraint
PEDIATRIC PROCTORED EXAM |LATEST 2025-2026
|70 QUESTIONS WITH VERIFIED ANSWERS WITH
RATIONALES |A+ GRADE
1. A guardian calls the clinic nurse after his child has developed symptoms of varicella and
asks when his child will no longer be contagious. Which of the following responses
should the nurse make?
a) “When your child no longer has a fever.”
b) “Three days after the rash started.”
c) “Six days after lesions appear if they are crusted.” (The nurse should inform the
guardian that a child will stop being contagious around 6 days after the lesions
appeared, as long as they are crusted over.)
d) “When your child’s lesions disappear.”
2. A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
parent of a 1-month-old infant. Which of the following statements by the parent
indicates an understanding of the teaching?
a) “I will let my baby sleep with me in bed at night.”
b) “I will allow my baby to have a pacifier while sleeping.” (The nurse should reinforce
with the parent that allowing the infant to fall asleep with a pacifier in his mouth
decreases the risk for SIDS.)
c) “I will place my baby on a soft mattress to sleep.”
d) “I will cover my baby with a quilt while he sleeping.”
3. A nurse is collecting date from a school-age child. The nurse should identify that which
of the following findings is a manifestation of physical abuse?
a) Multiple dental caries
b) Malnutrition
c) Recurrent urinary tract infections
d) Bruises at various stages of healing (The nurse should recognize that bruises at
various stages of healing are a clinical manifestation of physical abuse.)
4. A nurse is reinforcing teaching with an adolescent who has an inflamed nonperforated
appendix and is scheduled for a laparoscopic assisted appendectomy. Which of the
following instructions should the nurse include in the teaching?
a) “You can begin drinking fluids again 2 days after your surgery.”
b) “You will need to ask for pain medication for the first 24 hours after surgery.”
c) “You will have your vital signs monitored every 8 hours after surgery.”
, d) “You will sit in your chair at least twice a day after surgery.” (The nurse should
instruct the client that she will sit in a bedside chair at least twice a day and will be
encouraged to ambulate as soon as possible following surgery. This activity will
enhance lung function and help prevent postoperative complications.)
5. A nurse is assisting with the care of a child who is postoperative and received a
transfusion during a surgical procedure. Which of the following findings indicates the
child is havig a hemolytic reaction?
a) Chills and flank pain (Chills and flank pain are findings that indicate an
incompatibility of the transfused blood product with the client's blood. The nurse
should identify this finding as an indication that the child is having a hemolytic
reaction.)
b) Pruritus and flushing
c) Rales and cyanosis
d) Bradycardia and diarrhea
6. A nurse is collecting date from a child during a well-child visit. The nurse should
recognize that which of the following findings places the child at a higher risk for abuse?
a) The child is 6 years old.
b) The child is male.
c) The child was born at 30 weeks of gestation. (The nurse should identify that children
who are born prematurely are at greater risk for abuse because of the potential for
impaired bonding during early infancy.)
d) The child was born via cesarean birth.
7. A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of
rheumatic fever. Which of the following statements by the guardian indicates an
understanding of the teaching?
a) “I should not give my child aspirin for pain or fever.”
b) “My child will take antibiotic for 6 months.”
c) “My child might have a period of irregular movement of the extremities.” (The nurse
should instruct the guardian that the child might experience chorea weeks or months
after the initial diagnosis. Chorea is a temporary lack of coordination and the
presence of sudden, irregular movements or periods of clumsiness.)
d) “I should expect there to be blood in my child’s urine.”
8. A nurse is collecting data from an infant during a well-child visit. Which of the following
sites should the nurse use when obtaining the infant’s heart rate?
a) Apical (The nurse should use the apical pulse to obtain the infant's heart rate and
count it for a full minute, because it gives a reliable rate and rhythm and provides
accurate baseline assessment data. In an infant, the apical heart rate is auscultated at
the fourth intercostal space lateral to the midclavicular line.)
b) Radial
c) Carotid
d) Femoral
9. A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse
should place the toddler in which of the following restraints?
a) Mummy restraint (The nurse should use a mummy wrap when a short-term restraint
is needed for treatment of the toddler that involves the head and neck. The nurse
should always use the least amount of restraint necessary.)
b) Jacket restraint
c) Elbow restraint
