ATI RN PEDIATRICS | NEXT GEN (NGN)
PROCTORED EXAM QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES GRADED A+ LATEST
Question 1
A 4-year-old child with asthma presents to the ED with wheezing,
accessory muscle use, and an SpO₂ of 91% on room air. The child is
anxious and unable to speak in full sentences.
Which intervention should the nurse implement first?
A. Administer a nebulized albuterol treatment
B. Provide oxygen via non-rebreather mask
C. Obtain a peak expiratory flow measurement
D. Encourage pursed-lip breathing
Answer: B. Provide oxygen via non-rebreather
mask Rationale:
The priority is to correct hypoxia and improve oxygenation. A
non-rebreather delivers high FiO₂ and is indicated for moderate
to severe respiratory distress. Nebulized albuterol is important
but oxygenation takes priority.
1|Page
,Question 2
A 6-month-old infant is admitted with bronchiolitis. The nurse notes nasal
flaring, retractions, and RR of 70. The infant is feeding poorly and has a weak
cry.
What is the nurse’s priority action?
A. Start IV fluids
B. Administer racemic epinephrine
C. Place the infant in a high Fowler’s position
D. Assess hydration and respiratory status
Answer: D. Assess hydration and respiratory status
Rationale:
Before interventions, the nurse must assess for severity of respiratory distress
and dehydration. This guides the next actions and prevents delayed recognition
of respiratory failure.
2. Medication / Pharmacology
Question 3
A 10-year-old child with diabetes mellitus type 1 has a blood glucose of 58
mg/dL and is lethargic. The child is unable to swallow.
Which action should the nurse take?
A. Give 4 oz of orange juice
B. Administer 1 mg glucagon IM
C. Administer 10 units regular insulin
D. Give a glucose gel orally
Answer: B. Administer 1 mg glucagon IM
Rationale:
For hypoglycemia with altered mental status and inability to swallow, glucagon
IM is the safest and most effective intervention.
2|Page
,3|Page
, 3. Growth & Development
Question 4
A 2-year-old toddler is hospitalized and becomes upset when the parent
leaves. The nurse should expect this behavior as:
A. Separation anxiety
B. Stranger anxiety
C. Regression
D. Developmental delay
Answer: A. Separation anxiety
Rationale:
Toddlers commonly experience separation anxiety when separated from
caregivers, especially during hospitalization.
4.
Question 5
Scenario:
A 7-year-old child is admitted with appendicitis and is scheduled for surgery in
2 hours. The child is complaining of severe abdominal pain and is lying still on
the bed. Vital signs: HR 120, BP 90/58, RR 24, Temp 38.2°C.
Which nursing intervention is most important at this time?
A. Administer PRN morphine
B. Encourage the child to ambulate
C. Provide clear liquids
D. Apply a heating pad to the abdomen
Answer: A. Administer PRN morphine
Rationale:
Pain control is essential and does not increase risk of rupture. The child is likely
experiencing worsening inflammation. Ambulation and oral intake are
contraindicated pre-op, and heat can increase risk of rupture.
4|Page
PROCTORED EXAM QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES GRADED A+ LATEST
Question 1
A 4-year-old child with asthma presents to the ED with wheezing,
accessory muscle use, and an SpO₂ of 91% on room air. The child is
anxious and unable to speak in full sentences.
Which intervention should the nurse implement first?
A. Administer a nebulized albuterol treatment
B. Provide oxygen via non-rebreather mask
C. Obtain a peak expiratory flow measurement
D. Encourage pursed-lip breathing
Answer: B. Provide oxygen via non-rebreather
mask Rationale:
The priority is to correct hypoxia and improve oxygenation. A
non-rebreather delivers high FiO₂ and is indicated for moderate
to severe respiratory distress. Nebulized albuterol is important
but oxygenation takes priority.
1|Page
,Question 2
A 6-month-old infant is admitted with bronchiolitis. The nurse notes nasal
flaring, retractions, and RR of 70. The infant is feeding poorly and has a weak
cry.
What is the nurse’s priority action?
A. Start IV fluids
B. Administer racemic epinephrine
C. Place the infant in a high Fowler’s position
D. Assess hydration and respiratory status
Answer: D. Assess hydration and respiratory status
Rationale:
Before interventions, the nurse must assess for severity of respiratory distress
and dehydration. This guides the next actions and prevents delayed recognition
of respiratory failure.
2. Medication / Pharmacology
Question 3
A 10-year-old child with diabetes mellitus type 1 has a blood glucose of 58
mg/dL and is lethargic. The child is unable to swallow.
Which action should the nurse take?
A. Give 4 oz of orange juice
B. Administer 1 mg glucagon IM
C. Administer 10 units regular insulin
D. Give a glucose gel orally
Answer: B. Administer 1 mg glucagon IM
Rationale:
For hypoglycemia with altered mental status and inability to swallow, glucagon
IM is the safest and most effective intervention.
2|Page
,3|Page
, 3. Growth & Development
Question 4
A 2-year-old toddler is hospitalized and becomes upset when the parent
leaves. The nurse should expect this behavior as:
A. Separation anxiety
B. Stranger anxiety
C. Regression
D. Developmental delay
Answer: A. Separation anxiety
Rationale:
Toddlers commonly experience separation anxiety when separated from
caregivers, especially during hospitalization.
4.
Question 5
Scenario:
A 7-year-old child is admitted with appendicitis and is scheduled for surgery in
2 hours. The child is complaining of severe abdominal pain and is lying still on
the bed. Vital signs: HR 120, BP 90/58, RR 24, Temp 38.2°C.
Which nursing intervention is most important at this time?
A. Administer PRN morphine
B. Encourage the child to ambulate
C. Provide clear liquids
D. Apply a heating pad to the abdomen
Answer: A. Administer PRN morphine
Rationale:
Pain control is essential and does not increase risk of rupture. The child is likely
experiencing worsening inflammation. Ambulation and oral intake are
contraindicated pre-op, and heat can increase risk of rupture.
4|Page
