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2025 ATI RN Pediatric Nursing Proctored Exam
Questions with Answers & Rationales (200 NGN
Questions)
Question 1 – Priority (Airway, Breathing, Circulation)
A nurse is assessing a 2-year-old client who has croup. Which of the
following findings requires immediate intervention?
A. Barky cough
B. Inspiratory stridor at rest
C. Hoarseness
D. Mild retractions
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✅ Correct Answer: B. Inspiratory stridor at rest
🧠 Rationale: Stridor at rest indicates airway obstruction and potential
respiratory failure. This requires immediate attention and possibly racemic
epinephrine.
Question 2 – Growth & Development
Which developmental milestone should a 4-year-old child be expected to
achieve?
A. Ride a tricycle
B. Skip and hop on one foot
C. Use scissors
D. Draw a stick figure with six parts
✅ Correct Answer: C. Use scissors
🧠 Rationale: A 4-year-old can copy shapes, draw simple people, and use
scissors. Tricycles (3 years), skipping (5 years), and detailed drawing (5–6
years).
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Question 3 – Disease Process (Nephrotic Syndrome)
Which lab result is consistent with nephrotic syndrome?
A. Elevated WBC
B. Elevated serum albumin
C. Proteinuria
D. Hyperglycemia
✅ Correct Answer: C. Proteinuria
🧠 Rationale: Nephrotic syndrome causes massive proteinuria due to
glomerular damage, leading to hypoalbuminemia, edema, and
hyperlipidemia.
Question 4 – Safety
A nurse is caring for a 9-month-old infant. Which toy is most appropriate?
A. Small rubber ball
B. Toy with removable parts
C. Colorful stacking rings
D. Beaded bracelet
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✅ Correct Answer: C. Colorful stacking rings
🧠 Rationale: Safe, developmentally appropriate. Avoid choking hazards
(small/removable parts).
Question 5 – Medication
A nurse is teaching a parent how to administer liquid oral iron. Which
instruction is correct?
A. Give with milk
B. Use a spoon
C. Administer with orange juice
D. Brush teeth after 30 minutes
✅ Correct Answer: C. Administer with orange juice
🧠 Rationale: Vitamin C (like OJ) increases iron absorption. Iron stains
teeth—use a straw or syringe and brush afterward.
Question 6 – Respiratory
Which finding in a child with epiglottitis is most concerning?
2025 ATI RN Pediatric Nursing Proctored Exam
Questions with Answers & Rationales (200 NGN
Questions)
Question 1 – Priority (Airway, Breathing, Circulation)
A nurse is assessing a 2-year-old client who has croup. Which of the
following findings requires immediate intervention?
A. Barky cough
B. Inspiratory stridor at rest
C. Hoarseness
D. Mild retractions
,2
✅ Correct Answer: B. Inspiratory stridor at rest
🧠 Rationale: Stridor at rest indicates airway obstruction and potential
respiratory failure. This requires immediate attention and possibly racemic
epinephrine.
Question 2 – Growth & Development
Which developmental milestone should a 4-year-old child be expected to
achieve?
A. Ride a tricycle
B. Skip and hop on one foot
C. Use scissors
D. Draw a stick figure with six parts
✅ Correct Answer: C. Use scissors
🧠 Rationale: A 4-year-old can copy shapes, draw simple people, and use
scissors. Tricycles (3 years), skipping (5 years), and detailed drawing (5–6
years).
,3
Question 3 – Disease Process (Nephrotic Syndrome)
Which lab result is consistent with nephrotic syndrome?
A. Elevated WBC
B. Elevated serum albumin
C. Proteinuria
D. Hyperglycemia
✅ Correct Answer: C. Proteinuria
🧠 Rationale: Nephrotic syndrome causes massive proteinuria due to
glomerular damage, leading to hypoalbuminemia, edema, and
hyperlipidemia.
Question 4 – Safety
A nurse is caring for a 9-month-old infant. Which toy is most appropriate?
A. Small rubber ball
B. Toy with removable parts
C. Colorful stacking rings
D. Beaded bracelet
, 4
✅ Correct Answer: C. Colorful stacking rings
🧠 Rationale: Safe, developmentally appropriate. Avoid choking hazards
(small/removable parts).
Question 5 – Medication
A nurse is teaching a parent how to administer liquid oral iron. Which
instruction is correct?
A. Give with milk
B. Use a spoon
C. Administer with orange juice
D. Brush teeth after 30 minutes
✅ Correct Answer: C. Administer with orange juice
🧠 Rationale: Vitamin C (like OJ) increases iron absorption. Iron stains
teeth—use a straw or syringe and brush afterward.
Question 6 – Respiratory
Which finding in a child with epiglottitis is most concerning?
