NGN ATI Pediatrics Proctored Exam Questions & Answers with Rationales | 150+ Qs & As | Latest 2026 | Graded A+

NGN ATI Pediatrics Proctored Exam Questions & Answers with Rationales | 150+ Qs & As | Latest 2025/2026 | Graded A+. 1. A nurse is caring for a toddler who has a high fever and is diagnosed with acute otitis media. Which of the following actions should the nurse take first? A. Administer prescribed acetaminophen B. Encourage fluid intake C. Teach the caregiver about antibiotic therapy D. Apply a warm compress to the affected ear Answer: A Rationale: According to Maslow’s hierarchy and nursing priority principles, managing pain and fever is essential. Administering acetaminophen helps reduce fever and discomfort, which supports rest and fluid intake. Education and warm compresses are supportive, but not priority interventions. 2 2. A nurse is providing dietary teaching to the parent of a toddler with celiac disease. Which food should the nurse recommend? A. Oatmeal B. Whole wheat toast C. Rice cereal D. Barley soup Answer: C Rationale: Celiac disease requires a gluten-free diet. Rice cereal is safe, while oats, wheat, and barley contain gluten or are often contaminated. 3. A 5-year-old child is scheduled for a tonsillectomy. Which of the following findings should the nurse report to the provider? A. Recent upper respiratory infection B. Reports of moderate anxiety C. Mild hoarseness D. Loose tooth Answer: A Rationale: A recent respiratory infection increases the risk for post-op complications like airway obstruction. Surgery should be postponed until the infection resolves. 3 4. A nurse is caring for an adolescent who has been diagnosed with bacterial meningitis. What is the priority nursing action? A. Monitor intake and output B. Place the client in droplet isolation C. Maintain NPO status D. Administer an antipyretic Answer: B Rationale: Droplet precautions are critical for meningitis to prevent transmission. Isolation should be initiated immediately. Other actions follow standard care but are not the immediate priority. A school-aged child is admitted with sickle cell crisis. Which of the following interventions is the nurse’s priority? A. Monitor oxygen saturation B. Provide high-calorie meals C. Apply warm compresses to joints D. Encourage ambulation Answer: A 4 Rationale: Oxygen saturation monitoring is a priority because sickle cell crisis can cause hypoxia. Hypoxia worsens sickling of RBCs. Pain management and hydration are important, but airway and oxygenation always take precedence. 6. A 4-month-old infant is scheduled for routine immunizations. Which vaccine should the nurse expect to administer? A. MMR B. Varicella C. Hepatitis A D. Rotavirus Answer: D Rationale: Rotavirus is part of the 2-, 4-, and 6-month vaccine schedule. MMR and Varicella are given at 12 months. Hep A starts at 12 months. 7. A nurse is assessing a child with epiglottitis. Which finding requires immediate intervention? A. Drooling B. High fever C. Muffled voice 5 D. Sore throat Answer: A Rationale: Drooling indicates airway obstruction due to inflamed epiglottis. This is an emergency. Airway protection and emergency intubation may be needed. 8. A child with cystic fibrosis is being discharged home. Which statement by the parent indicates understanding of pancreatic enzyme administration? A. "I'll give the enzymes before bedtime." B. "I’ll mix the enzymes with hot applesauce." C. "I’ll give the enzymes with each meal and snack." D. "I'll give them once a day in the morning."