,
,
, Genuine ATI RN Pediatric Nursing 2026
Proctored Exam | Level 3 | 70 NGN Questions
and Answers to Dominate 2026 RN Pediatric
Exam
1. A nurse is caring for a 4-year-old child following a tonsillectomy. Which assessment
finding is most concerning?
A) Complaints of a sore throat
B) Refusing to drink clear liquids
C) Frequent swallowing and clearing of the throat
D) Vomiting once after surgery
Answer: C) Frequent swallowing and clearing of the throat
Rationale: Frequent swallowing and throat clearing are classic signs of post-tonsillectomy
bleeding, indicating a potential hemorrhage that requires immediate notification of the provider.
A sore throat and initial refusal to drink are expected findings. Vomiting once, especially if it is
old blood, is common post-anesthesia.
2. A nurse in an urgent care clinic is prioritizing care for children. Which child should the
nurse assess first?
A) A toddler who has nephrotic syndrome and facial edema
B) A preschool-age child who has a muffled voice and no spontaneous cough
C) A preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL
D) A school-age child who has a temperature of 38.3°C (101°F) and a headache
Answer: B) A preschool-age child who has a muffled voice and no spontaneous cough
Rationale: A muffled voice and no spontaneous cough are indicators of epiglottitis, a life-
threatening medical emergency that can cause rapid airway obstruction. This child requires
immediate assessment and intervention.
3. A nurse is caring for a child who is 1 hour post-operative following a cardiac
catheterization via the femoral artery. Which finding requires immediate intervention?
A) The child reports mild discomfort at the site
B) The dressing has a small amount of dried blood
C) The foot on the affected side is cool and pale
D) The heart rate is 110 bpm
Answer: C) The foot on the affected side is cool and pale
Rationale: A cool and pale extremity on the affected side is a sign of arterial thrombus or
occlusion, a serious complication of cardiac catheterization. This requires immediate notification
,
, Genuine ATI RN Pediatric Nursing 2026
Proctored Exam | Level 3 | 70 NGN Questions
and Answers to Dominate 2026 RN Pediatric
Exam
1. A nurse is caring for a 4-year-old child following a tonsillectomy. Which assessment
finding is most concerning?
A) Complaints of a sore throat
B) Refusing to drink clear liquids
C) Frequent swallowing and clearing of the throat
D) Vomiting once after surgery
Answer: C) Frequent swallowing and clearing of the throat
Rationale: Frequent swallowing and throat clearing are classic signs of post-tonsillectomy
bleeding, indicating a potential hemorrhage that requires immediate notification of the provider.
A sore throat and initial refusal to drink are expected findings. Vomiting once, especially if it is
old blood, is common post-anesthesia.
2. A nurse in an urgent care clinic is prioritizing care for children. Which child should the
nurse assess first?
A) A toddler who has nephrotic syndrome and facial edema
B) A preschool-age child who has a muffled voice and no spontaneous cough
C) A preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL
D) A school-age child who has a temperature of 38.3°C (101°F) and a headache
Answer: B) A preschool-age child who has a muffled voice and no spontaneous cough
Rationale: A muffled voice and no spontaneous cough are indicators of epiglottitis, a life-
threatening medical emergency that can cause rapid airway obstruction. This child requires
immediate assessment and intervention.
3. A nurse is caring for a child who is 1 hour post-operative following a cardiac
catheterization via the femoral artery. Which finding requires immediate intervention?
A) The child reports mild discomfort at the site
B) The dressing has a small amount of dried blood
C) The foot on the affected side is cool and pale
D) The heart rate is 110 bpm
Answer: C) The foot on the affected side is cool and pale
Rationale: A cool and pale extremity on the affected side is a sign of arterial thrombus or
occlusion, a serious complication of cardiac catheterization. This requires immediate notification
