[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
ATI PN Pediatrics Proctored Exam
Version 3 2026/2027 NGN Exam
Questions and Verified Answers
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
60 Questions 14 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 60 verified questions with correct answers and detailed rationales covering pediatric
nursing concepts. It is suitable for NCLEX preparation, course review, and certification study, providing a
comprehensive resource for mastering pediatric nursing knowledge.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Focuses on identifying and managing respiratory
Respiratory Distress Syndrome complications in neonates. 5 Qs 8.3%
Covers the assessment techniques and scoring systems used
Neonatal Assessment in newborn evaluations. 5 Qs 8.3%
Examines the procedures and indications for oropharyngeal
Oropharyngeal Suctioning suctioning in neonates. 5 Qs 8.3%
Discusses the types and management of jaundice in
Jaundice in Newborns neonates. 5 Qs 8.3%
Evaluates the expected developmental achievements in
Infant Developmental Milestones infants and toddlers. 4 Qs 6.7%
Covers treatment options for common skin conditions in
Diaper Dermatitis Management infants. 4 Qs 6.7%
Focuses on introducing solid foods and nutritional needs of
Nutrition and Feeding in Infants infants. 4 Qs 6.7%
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,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Covers the schedule and contraindications for immunizations
Immunizations in children. 4 Qs 6.7%
Toddler Behavior and
Development Examines behavioral milestones and development in toddlers. 4 Qs 6.7%
Focuses on common health concerns and their management
School-Age Child Health Issues in school-age children. 4 Qs 6.7%
Covers health issues and behavioral assessments in
Adolescent Health Concerns adolescents. 4 Qs 6.7%
Focuses on prioritizing care in urgent medical situations for
Emergency Nursing in Pediatrics children. 4 Qs 6.7%
Discusses the management of chronic health conditions in the
Chronic Conditions in Children pediatric population. 4 Qs 6.7%
Explores techniques for effective communication with children
Therapeutic Communication and families. 4 Qs 6.7%
Total Exam Coverage 14 Integrated Topic Modules 60 Qs 100.0%
TOPIC 1: RESPIRATORY DISTRESS SYNDROME
5 Questions • 8.3% of Exam • Focuses on identifying and managing respiratory complications in neonates.
QUESTION 1
A nurse is assessing a newborn who was born at 38 weeks gestation. Which finding
indicates a potential respiratory distress that should be reported to the provider
immediately?
A. Nasal flaring
B. Respiratory rate of 40/min
C. Acrocyanosis
D. Grunting on expiration
Answer: D. Grunting on expiration.
Rationale: Grunting on expiration is a sign of respiratory distress in newborns, indicating an attempt to maintain alveolar
expansion. Nasal flaring is also concerning but is listed separately; a respiratory rate of 40/min is within normal limits
(30-60/min); acrocyanosis is a common benign finding in newborns.
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, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 2
A nurse is caring for a preterm neonate. Which complication is most associated with
prematurity?
A. Respiratory distress syndrome
B. Hyperbilirubinemia
C. Hypoglycemia
D. Intraventricular hemorrhage
Answer: A. Respiratory distress syndrome.
Rationale: Respiratory distress syndrome is common in preterm neonates due to surfactant deficiency. The others can
occur but RDS is primary respiratory issue; IVH is neurological.
QUESTION 3
A nurse is caring for an infant with respiratory syncytial virus (RSV). Which symptom
should the nurse report as priority?
A. Cough
B. Tachypnea
C. Mild fever
D. Runny nose
Answer: B. Tachypnea.
Rationale: Tachypnea indicates respiratory distress in RSV. Cough, fever, and runny nose are common but tachypnea
prioritizes due to oxygenation risk.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 29
ATI PN Pediatrics Proctored Exam
Version 3 2026/2027 NGN Exam
Questions and Verified Answers
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
60 Questions 14 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 60 verified questions with correct answers and detailed rationales covering pediatric
nursing concepts. It is suitable for NCLEX preparation, course review, and certification study, providing a
comprehensive resource for mastering pediatric nursing knowledge.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Focuses on identifying and managing respiratory
Respiratory Distress Syndrome complications in neonates. 5 Qs 8.3%
Covers the assessment techniques and scoring systems used
Neonatal Assessment in newborn evaluations. 5 Qs 8.3%
Examines the procedures and indications for oropharyngeal
Oropharyngeal Suctioning suctioning in neonates. 5 Qs 8.3%
Discusses the types and management of jaundice in
Jaundice in Newborns neonates. 5 Qs 8.3%
Evaluates the expected developmental achievements in
Infant Developmental Milestones infants and toddlers. 4 Qs 6.7%
Covers treatment options for common skin conditions in
Diaper Dermatitis Management infants. 4 Qs 6.7%
Focuses on introducing solid foods and nutritional needs of
Nutrition and Feeding in Infants infants. 4 Qs 6.7%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 29
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Covers the schedule and contraindications for immunizations
Immunizations in children. 4 Qs 6.7%
Toddler Behavior and
Development Examines behavioral milestones and development in toddlers. 4 Qs 6.7%
Focuses on common health concerns and their management
School-Age Child Health Issues in school-age children. 4 Qs 6.7%
Covers health issues and behavioral assessments in
Adolescent Health Concerns adolescents. 4 Qs 6.7%
Focuses on prioritizing care in urgent medical situations for
Emergency Nursing in Pediatrics children. 4 Qs 6.7%
Discusses the management of chronic health conditions in the
Chronic Conditions in Children pediatric population. 4 Qs 6.7%
Explores techniques for effective communication with children
Therapeutic Communication and families. 4 Qs 6.7%
Total Exam Coverage 14 Integrated Topic Modules 60 Qs 100.0%
TOPIC 1: RESPIRATORY DISTRESS SYNDROME
5 Questions • 8.3% of Exam • Focuses on identifying and managing respiratory complications in neonates.
QUESTION 1
A nurse is assessing a newborn who was born at 38 weeks gestation. Which finding
indicates a potential respiratory distress that should be reported to the provider
immediately?
A. Nasal flaring
B. Respiratory rate of 40/min
C. Acrocyanosis
D. Grunting on expiration
Answer: D. Grunting on expiration.
Rationale: Grunting on expiration is a sign of respiratory distress in newborns, indicating an attempt to maintain alveolar
expansion. Nasal flaring is also concerning but is listed separately; a respiratory rate of 40/min is within normal limits
(30-60/min); acrocyanosis is a common benign finding in newborns.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 29
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 2
A nurse is caring for a preterm neonate. Which complication is most associated with
prematurity?
A. Respiratory distress syndrome
B. Hyperbilirubinemia
C. Hypoglycemia
D. Intraventricular hemorrhage
Answer: A. Respiratory distress syndrome.
Rationale: Respiratory distress syndrome is common in preterm neonates due to surfactant deficiency. The others can
occur but RDS is primary respiratory issue; IVH is neurological.
QUESTION 3
A nurse is caring for an infant with respiratory syncytial virus (RSV). Which symptom
should the nurse report as priority?
A. Cough
B. Tachypnea
C. Mild fever
D. Runny nose
Answer: B. Tachypnea.
Rationale: Tachypnea indicates respiratory distress in RSV. Cough, fever, and runny nose are common but tachypnea
prioritizes due to oxygenation risk.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 29
