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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.
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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
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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.
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
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B. High fever
C. Muffled voice
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."
Answer: C
Rationale: Pancreatic enzymes should be given with every meal and snack to aid
digestion and absorption. They are not effective if given at bedtime or only once
daily.
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
, 3
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.
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
, 4
B. High fever
C. Muffled voice
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."
Answer: C
Rationale: Pancreatic enzymes should be given with every meal and snack to aid
digestion and absorption. They are not effective if given at bedtime or only once
daily.
