ATI PN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
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. Sickle Cell Anemia Vaso-Occlusive Crisis
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A school-age child with sickle cell anemia is experiencing a vaso-occlusive crisis. Which of
the following interventions is the priority for the nurse to recommend including in the plan
of care?
A. Administer antibiotics to prevent infection
B. Promote oxygen utilization
C. Encourage fluid intake
D. Apply a warm compress to painful joints
Answer: B. Promote oxygen utilization
Explanation (NGN Rationale):
• Using the ABC (Airway, Breathing, Circulation) approach to client care, ensuring adequate
oxygenation is critical to prevent further sickling and organ/tissue hypoxia.
• Oxygen helps reduce sickling of red blood cells and improves tissue perfusion.
• Other supportive measures (antibiotics, fluids, and warm compresses) are also important,
but oxygenation takes priority.
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2. Skeletal Traction for Femur Fracture
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A school-age child has skeletal traction applied to the right lower leg to repair a femur
fracture. Which of the following findings is the priority for the nurse to report to the
provider?
,A. Pain rating of 7 on a scale of 0 to 10
B. Report of tingling in the right foot
C. Decrease in food intake
D. Increase in crusting at pin sites
Answer: B. Report of tingling in the right foot
Explanation (NGN Rationale):
• Tingling (paresthesia) can be an early sign of neurovascular compromise or compartment
syndrome.
• Compartment syndrome is a surgical emergency; therefore, this finding is the highest
priority to report immediately.
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3. Post–Cardiac Catheterization
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An adolescent returns to the unit following a cardiac catheterization. Which of the following
is the priority finding for the nurse to report to the provider?
A. Reports pain as 4 on a 0–10 scale
B. Heart rate of 104/min
C. Distal pulse of 1+
D. Bleeding noted on the dressing
Answer: D. Bleeding noted on the dressing
Expert Explanation:
• Bleeding at the catheterization site indicates the greatest risk for hemorrhage.
, • The priority action is to apply continuous pressure just above the site (approximately 2.5
cm or 1 inch above) and notify the provider immediately.
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4. Acute Bacterial Conjunctivitis Teaching
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A school-age child has acute bacterial conjunctivitis and a new prescription for
sulfacetamide eye drops. Which of the following instructions should the nurse include in
teaching the guardian?
A. Remove dried drainage with a cold washcloth
B. Instill medication immediately after cleansing the eye
C. Apply an occlusive gauze dressing over the child’s eye
D. Cleanse by wiping from the outer eye inward
Answer: B. Instill medication immediately after cleansing the eye
Expert Explanation:
• The prescribed drops should be instilled immediately after gently cleansing any drainage
to maximize absorption and prevent recontamination.
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5. Twelve-Month-Old Vital Signs
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A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider?
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
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. Sickle Cell Anemia Vaso-Occlusive Crisis
───────────────────────────────────────────────────────
A school-age child with sickle cell anemia is experiencing a vaso-occlusive crisis. Which of
the following interventions is the priority for the nurse to recommend including in the plan
of care?
A. Administer antibiotics to prevent infection
B. Promote oxygen utilization
C. Encourage fluid intake
D. Apply a warm compress to painful joints
Answer: B. Promote oxygen utilization
Explanation (NGN Rationale):
• Using the ABC (Airway, Breathing, Circulation) approach to client care, ensuring adequate
oxygenation is critical to prevent further sickling and organ/tissue hypoxia.
• Oxygen helps reduce sickling of red blood cells and improves tissue perfusion.
• Other supportive measures (antibiotics, fluids, and warm compresses) are also important,
but oxygenation takes priority.
───────────────────────────────────────────────────────────
─────────────
2. Skeletal Traction for Femur Fracture
───────────────────────────────────────────────────────────
─────────────
A school-age child has skeletal traction applied to the right lower leg to repair a femur
fracture. Which of the following findings is the priority for the nurse to report to the
provider?
,A. Pain rating of 7 on a scale of 0 to 10
B. Report of tingling in the right foot
C. Decrease in food intake
D. Increase in crusting at pin sites
Answer: B. Report of tingling in the right foot
Explanation (NGN Rationale):
• Tingling (paresthesia) can be an early sign of neurovascular compromise or compartment
syndrome.
• Compartment syndrome is a surgical emergency; therefore, this finding is the highest
priority to report immediately.
───────────────────────────────────────────────────────────
─────────────
3. Post–Cardiac Catheterization
───────────────────────────────────────────────────────────
─────────────
An adolescent returns to the unit following a cardiac catheterization. Which of the following
is the priority finding for the nurse to report to the provider?
A. Reports pain as 4 on a 0–10 scale
B. Heart rate of 104/min
C. Distal pulse of 1+
D. Bleeding noted on the dressing
Answer: D. Bleeding noted on the dressing
Expert Explanation:
• Bleeding at the catheterization site indicates the greatest risk for hemorrhage.
, • The priority action is to apply continuous pressure just above the site (approximately 2.5
cm or 1 inch above) and notify the provider immediately.
───────────────────────────────────────────────────────────
─────────────
4. Acute Bacterial Conjunctivitis Teaching
───────────────────────────────────────────────────────────
─────────────
A school-age child has acute bacterial conjunctivitis and a new prescription for
sulfacetamide eye drops. Which of the following instructions should the nurse include in
teaching the guardian?
A. Remove dried drainage with a cold washcloth
B. Instill medication immediately after cleansing the eye
C. Apply an occlusive gauze dressing over the child’s eye
D. Cleanse by wiping from the outer eye inward
Answer: B. Instill medication immediately after cleansing the eye
Expert Explanation:
• The prescribed drops should be instilled immediately after gently cleansing any drainage
to maximize absorption and prevent recontamination.
───────────────────────────────────────────────────────────
─────────────
5. Twelve-Month-Old Vital Signs
───────────────────────────────────────────────────────────
─────────────
A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider?
