ATI 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 consistent with entry-level practical nursing
standards.
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1. NGN-Style Case Scenario:
A 12-year-old Child arrives at the emergency department with a suspected bleach
ingestion. Examination reveals no visible oral burns, and the admitting provider
asks the nurse about possible injury severity.
Question:
Which of the following statements by the nurse best demonstrates an
understanding of corrosive ingestion?
A. “If there are no burns on the lips or mouth, it means the esophagus must also be
uninjured.”
B. “We will neutralize the bleach immediately by giving an acid beverage.”
C. “Injury caused by a corrosive liquid can cover a larger surface area than a
corrosive solid.”
D. “We should administer activated charcoal immediately.”
Answer: C. “Injury caused by a corrosive liquid can cover a larger surface area than
a corrosive solid.”
Rationale:
Corrosive liquids tend to spread broadly over mucosal surfaces, causing more
extensive tissue damage. Absence of oral burns does not rule out possible
esophageal or gastric injury, and immediate neutralization with an acid can
exacerbate injuries.
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2. NGN-Style Teaching Scenario:
A child with bacterial endocarditis is prescribed moderate-term IV antibiotic
therapy. The provider plans to insert a peripherally inserted central catheter (PICC).
Question:
,Which nursing statement is most appropriate when teaching the parent about the
PICC line?
A. “A PICC can remain in place for several weeks if we care for it properly.”
B. “The public health nurse will change the insertion site every 3 days.”
C. “Keep an arm board on at all times so the PICC does not move.”
D. “Your child must go to the operating room for PICC line placement.”
Answer: A. “A PICC can remain in place for several weeks if we care for it properly.”
Rationale:
A PICC line is ideal for short- to moderate-term IV antibiotic therapy. With proper
maintenance and aseptic technique, it can remain in place for weeks to months.
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3. Safety & Poison Control:
The parents of a toddler ask for anticipatory guidance about what to do first if their
child accidentally ingests a toxic substance.
Question:
Which response by the nurse is correct?
A. “Give your toddler some milk right away.”
B. “Go to the emergency department immediately.”
C. “Call the poison control center before taking any other action.”
D. “Induce vomiting using ipecac syrup.”
Answer: C. “Call the poison control center before taking any other action.”
Rationale:
, Poison control centers provide step-by-step guidance based on the specific
substance ingested. Immediate calls allow for the most appropriate and up-to-date
interventions.
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4. Play Activity for Hospitalized Child:
A 2-year-old with cystic fibrosis is ready for playtime in the unit’s playroom. The
nurse must select an appropriate play activity.
Question:
Which play activity is most appropriate?
A. Cutting shapes from colored paper
B. Drawing stick figures with crayons
C. Riding a tricycle down the hall
D. Building towers of blocks
Answer: D. Building towers of blocks
Rationale:
Block-building is developmentally suitable for a 2-year-old, fosters fine motor
coordination, and allows “destructive” play (knocking blocks down)—an outlet for
stress.
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5. Growth & Development:
A nurse assessing a 30-month-old toddler’s growth obtains the following data.
Which finding requires further evaluation?
Question:
A. “He has all of his primary (baby) teeth.”
B. “He can’t hop on one foot yet.”
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 consistent with entry-level practical nursing
standards.
,────────────────────────────────────────────────────────
1. NGN-Style Case Scenario:
A 12-year-old Child arrives at the emergency department with a suspected bleach
ingestion. Examination reveals no visible oral burns, and the admitting provider
asks the nurse about possible injury severity.
Question:
Which of the following statements by the nurse best demonstrates an
understanding of corrosive ingestion?
A. “If there are no burns on the lips or mouth, it means the esophagus must also be
uninjured.”
B. “We will neutralize the bleach immediately by giving an acid beverage.”
C. “Injury caused by a corrosive liquid can cover a larger surface area than a
corrosive solid.”
D. “We should administer activated charcoal immediately.”
Answer: C. “Injury caused by a corrosive liquid can cover a larger surface area than
a corrosive solid.”
Rationale:
Corrosive liquids tend to spread broadly over mucosal surfaces, causing more
extensive tissue damage. Absence of oral burns does not rule out possible
esophageal or gastric injury, and immediate neutralization with an acid can
exacerbate injuries.
────────────────────────────────────────────────────────
2. NGN-Style Teaching Scenario:
A child with bacterial endocarditis is prescribed moderate-term IV antibiotic
therapy. The provider plans to insert a peripherally inserted central catheter (PICC).
Question:
,Which nursing statement is most appropriate when teaching the parent about the
PICC line?
A. “A PICC can remain in place for several weeks if we care for it properly.”
B. “The public health nurse will change the insertion site every 3 days.”
C. “Keep an arm board on at all times so the PICC does not move.”
D. “Your child must go to the operating room for PICC line placement.”
Answer: A. “A PICC can remain in place for several weeks if we care for it properly.”
Rationale:
A PICC line is ideal for short- to moderate-term IV antibiotic therapy. With proper
maintenance and aseptic technique, it can remain in place for weeks to months.
────────────────────────────────────────────────────────
3. Safety & Poison Control:
The parents of a toddler ask for anticipatory guidance about what to do first if their
child accidentally ingests a toxic substance.
Question:
Which response by the nurse is correct?
A. “Give your toddler some milk right away.”
B. “Go to the emergency department immediately.”
C. “Call the poison control center before taking any other action.”
D. “Induce vomiting using ipecac syrup.”
Answer: C. “Call the poison control center before taking any other action.”
Rationale:
, Poison control centers provide step-by-step guidance based on the specific
substance ingested. Immediate calls allow for the most appropriate and up-to-date
interventions.
────────────────────────────────────────────────────────
4. Play Activity for Hospitalized Child:
A 2-year-old with cystic fibrosis is ready for playtime in the unit’s playroom. The
nurse must select an appropriate play activity.
Question:
Which play activity is most appropriate?
A. Cutting shapes from colored paper
B. Drawing stick figures with crayons
C. Riding a tricycle down the hall
D. Building towers of blocks
Answer: D. Building towers of blocks
Rationale:
Block-building is developmentally suitable for a 2-year-old, fosters fine motor
coordination, and allows “destructive” play (knocking blocks down)—an outlet for
stress.
────────────────────────────────────────────────────────
5. Growth & Development:
A nurse assessing a 30-month-old toddler’s growth obtains the following data.
Which finding requires further evaluation?
Question:
A. “He has all of his primary (baby) teeth.”
B. “He can’t hop on one foot yet.”
