A
TI RN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
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\consist
ent\with\entry-level\practical\nursing\standards.
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QUESTION\1
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─
A\9-year-
old\child\arrives\at\the\emergency\department\with\severe\facial\swelling\and\respiratory\di
stress\after\a\known\peanut\exposure.\The\child’s\vital\signs\are:\Temperature\36.8°C\(98.
2°F),\Pulse\142/min,\Respirations\32/min,\Blood\Pressure\80/48\mm\Hg,\and\Oxygen\satu
ration\88%\on\room\air.\The\nurse\notes\audible\wheezing\and\sees\hives\on\the\chest\and
\arms.
Which\of\the\following\is\the\nurse’s\priority\intervention?
A.\Administer\an\albuterol\nebulizer\treatment
B.\Administer\oxygen\at\6\L/min\via\nasal\cannula
C.\Prepare\a\corticosteroid\dose\for\IV\administration
D.\Administer\intramuscular\epinephrine
Answer:\D.\Administer\intramuscular\epinephrine
Expert\Explanation:
In\a\child\with\suspected\anaphylaxis,\the\immediate\priority\is\to\administer\intramuscular\
epinephrine\to\counteract\life-
threatening\airway\compromise\and\cardiovascular\collapse.\Though\supplemental\oxyge
n,\bronchodilators,\and\corticosteroids\may\be\needed,\none\take\precedence\over\epine
phrine\in\an\acute\anaphylactic\event.
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QUESTION\2\(NGN-Style\Clinical\Judgment)
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─
An\adolescent\presents\to\the\pediatric\emergency\department\reporting\sharp\chest\pain\
and\difficulty\breathing.\The\adolescent’s\oxygen\saturation\has\decreased\from\95%\to\8
8%\on\room\air.\A\chest\X-ray\suggests\a\likely\pneumothorax.
Which\of\the\following\interventions\is\the\most\appropriate?
A.\Administer\only\supplemental\oxygen
B.\Prepare\only\for\chest\tube\insertion
C.\Administer\supplemental\oxygen\and\prepare\for\chest\tube\insertion
D.\Obtain\a\sputum\culture\before\initiating\any\therapy
Answer:\C.\Administer\supplemental\oxygen\and\prepare\for\chest\tube\insertion
Expert\Explanation:
A\pneumothorax\impairs\lung\expansion\and\contributes\to\inadequate\oxygenation.\Supp
lemental\oxygen\helps\improve\oxygen\saturation,\while\placement\of\a\chest\tube\is\often
\required\to\remove\air,\re-
expand\the\lung,\and\prevent\worsening\respiratory\compromise.
───────────────────────────────────────────────────────
─
QUESTION\3
───────────────────────────────────────────────────────
─
A\7-year-
old\child\is\admitted\with\suspected\epiglottitis.\On\assessment,\the\child\has\high\fever,\dr
, ooling,\and\appears\anxious\with\inspiratory\stridor.\The\child’s\oxygen\saturation\is\92%\o
n\room\air.
Which\nursing\action\is\the\most\appropriate?
A.\Inspect\the\child’s\throat\using\a\tongue\depressor
B.\Obtain\a\throat\culture\immediately
C.\Monitor\the\child’s\oxygen\saturation\closely
D.\Encourage\the\child\to\lie\supine\until\evaluated
Answer:\C.\Monitor\the\child’s\oxygen\saturation\closely
Expert\Explanation:
Epiglottitis\is\an\acute,\life-
threatening\inflammation\of\the\epiglottis,\which\can\rapidly\compromise\the\airway.\Conti
nuous\monitoring\of\oxygen\saturation\is\a\priority\to\evaluate\respiratory\status\and\imme
diate\treatment\response.\Direct\visualization\of\the\throat\should\only\be\done\when\emer
gency\airway\equipment\is\available.
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QUESTION\4
───────────────────────────────────────────────────────
─
A\nurse\is\providing\anticipatory\guidance\to\the\parents\of\a\4-year-
old\child.\The\nurse\wants\to\recommend\play\activities\that\support\social\development.
Which\of\the\following\play\activities\is\most\appropriate\for\this\preschool-age\child?
A.\Solitary\rattle\play
B.\Playing\video\games\independently
C.\Interactive\board\games\with\complex\rules
D.\Playing\dress-up\with\peers
TI RN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
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\consist
ent\with\entry-level\practical\nursing\standards.
───────────────────────────────────────────────────────
─
QUESTION\1
───────────────────────────────────────────────────────
─
A\9-year-
old\child\arrives\at\the\emergency\department\with\severe\facial\swelling\and\respiratory\di
stress\after\a\known\peanut\exposure.\The\child’s\vital\signs\are:\Temperature\36.8°C\(98.
2°F),\Pulse\142/min,\Respirations\32/min,\Blood\Pressure\80/48\mm\Hg,\and\Oxygen\satu
ration\88%\on\room\air.\The\nurse\notes\audible\wheezing\and\sees\hives\on\the\chest\and
\arms.
Which\of\the\following\is\the\nurse’s\priority\intervention?
A.\Administer\an\albuterol\nebulizer\treatment
B.\Administer\oxygen\at\6\L/min\via\nasal\cannula
C.\Prepare\a\corticosteroid\dose\for\IV\administration
D.\Administer\intramuscular\epinephrine
Answer:\D.\Administer\intramuscular\epinephrine
Expert\Explanation:
In\a\child\with\suspected\anaphylaxis,\the\immediate\priority\is\to\administer\intramuscular\
epinephrine\to\counteract\life-
threatening\airway\compromise\and\cardiovascular\collapse.\Though\supplemental\oxyge
n,\bronchodilators,\and\corticosteroids\may\be\needed,\none\take\precedence\over\epine
phrine\in\an\acute\anaphylactic\event.
,───────────────────────────────────────────────────────
─
QUESTION\2\(NGN-Style\Clinical\Judgment)
───────────────────────────────────────────────────────
─
An\adolescent\presents\to\the\pediatric\emergency\department\reporting\sharp\chest\pain\
and\difficulty\breathing.\The\adolescent’s\oxygen\saturation\has\decreased\from\95%\to\8
8%\on\room\air.\A\chest\X-ray\suggests\a\likely\pneumothorax.
Which\of\the\following\interventions\is\the\most\appropriate?
A.\Administer\only\supplemental\oxygen
B.\Prepare\only\for\chest\tube\insertion
C.\Administer\supplemental\oxygen\and\prepare\for\chest\tube\insertion
D.\Obtain\a\sputum\culture\before\initiating\any\therapy
Answer:\C.\Administer\supplemental\oxygen\and\prepare\for\chest\tube\insertion
Expert\Explanation:
A\pneumothorax\impairs\lung\expansion\and\contributes\to\inadequate\oxygenation.\Supp
lemental\oxygen\helps\improve\oxygen\saturation,\while\placement\of\a\chest\tube\is\often
\required\to\remove\air,\re-
expand\the\lung,\and\prevent\worsening\respiratory\compromise.
───────────────────────────────────────────────────────
─
QUESTION\3
───────────────────────────────────────────────────────
─
A\7-year-
old\child\is\admitted\with\suspected\epiglottitis.\On\assessment,\the\child\has\high\fever,\dr
, ooling,\and\appears\anxious\with\inspiratory\stridor.\The\child’s\oxygen\saturation\is\92%\o
n\room\air.
Which\nursing\action\is\the\most\appropriate?
A.\Inspect\the\child’s\throat\using\a\tongue\depressor
B.\Obtain\a\throat\culture\immediately
C.\Monitor\the\child’s\oxygen\saturation\closely
D.\Encourage\the\child\to\lie\supine\until\evaluated
Answer:\C.\Monitor\the\child’s\oxygen\saturation\closely
Expert\Explanation:
Epiglottitis\is\an\acute,\life-
threatening\inflammation\of\the\epiglottis,\which\can\rapidly\compromise\the\airway.\Conti
nuous\monitoring\of\oxygen\saturation\is\a\priority\to\evaluate\respiratory\status\and\imme
diate\treatment\response.\Direct\visualization\of\the\throat\should\only\be\done\when\emer
gency\airway\equipment\is\available.
───────────────────────────────────────────────────────
─
QUESTION\4
───────────────────────────────────────────────────────
─
A\nurse\is\providing\anticipatory\guidance\to\the\parents\of\a\4-year-
old\child.\The\nurse\wants\to\recommend\play\activities\that\support\social\development.
Which\of\the\following\play\activities\is\most\appropriate\for\this\preschool-age\child?
A.\Solitary\rattle\play
B.\Playing\video\games\independently
C.\Interactive\board\games\with\complex\rules
D.\Playing\dress-up\with\peers
