ATI RN PEDIATRIC PROCTORED
EXAM (3 Different Version Exams)
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Each Exam has 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.
, ATI RN PEDIATRIC PROCTORED EXAM
SAMPLE V1 Qs & Ans
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1. NGN-Style Case Scenario
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A nurse is caring for a preschool-age child who awakens during the night
crying and appearing frightened. The parent reports that the child sometimes
returns to sleep immediately and has no memory of the episode, whereas other
nights the child cries, remembers vivid imagery, and is afraid to go back to
sleep.
Which of the following findings would most strongly indicate that the child is
experiencing NIGHTMARES rather than night terrors?
A. The child quickly returns to sleep and shows no recall of the incident in the
morning.
B. The child is agitated and thrashes during the event, with profuse sweating.
C. The child does not respond to the parent's comfort during the event.
D. The child awakens fully and can recall the frightening content of the dream.
Answer: D
Expert Explanation: Children who experience nightmares typically awaken
fully, remember the frightening dream, and can often be comforted by a
caregiver. In contrast, a child who has night terrors is difficult to console, may
scream or appear panicked, quickly returns to sleep afterward, and usually has
no memory of the event.
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2. NGN-Style Case Scenario
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A nurse is caring for a toddler who has acute otitis media and a fever of 40.0°C
(104.0°F). After administering acetaminophen, the nurse plans interventions to
reduce the toddler’s temperature.
Which of the following is the most appropriate next action?
A. Dress the toddler in minimal clothing.
B. Provide a hyperthermia blanket.
C. Place the toddler in a basin of cold water.
D. Offer a high-protein snack.
Answer: A
Expert Explanation: Dressing the toddler in minimal clothing helps promote
heat loss through evaporation and convection. Hyperthermia blankets, cold-
water baths, or other extreme measures can cause shivering, which increases
metabolic output and can raise body temperature further.
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3. NGN-Style Case Scenario
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A school-age child with asthma is admitted for increased respiratory distress.
The nurse reviews the child’s data:
• Current O2 therapy: 2 L/min by nasal cannula
• Oxygen saturation: 89%
• Arterial blood gases (ABGs): pH 7.50, PaCO2 28 mm Hg, HCO3– 23 mEq/L
• WBC Count: 18,000/mm³
• Respiratory Assessment: Tachypnea, subcostal retractions, increased
wheezing
, Which of the following findings is the HIGHEST priority to report to the
provider?
A. Elevated white blood cell count
B. pH of 7.50 indicating possible respiratory alkalosis
C. Oxygen saturation of 89% despite supplemental oxygen
D. Presence of increased wheezing on auscultation
Answer: C
Expert Explanation: An oxygen saturation of 89% despite supplemental
oxygen is a critical finding because it indicates the child is not adequately
oxygenating and might be progressing into more severe respiratory
compromise. While the other findings also warrant reporting, low oxygen
saturation takes priority.
ATI RN PEDIATRIC PROCTORED EXAM
SAMPLE V2 Qs & Ans
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QUESTION 1 (NGN-Style: Single Best Answer)
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CASE SCENARIO:
A nurse is teaching the parent of a preschooler who has a history of acute asthma
attacks. The child has mild intermittent asthma symptoms, and today’s vital signs
are within normal limits for age.
1. Which of the following statements by the parent indicates an understanding of
how to prevent acute asthma attacks?
EXAM (3 Different Version Exams)
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Each Exam has 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.
, ATI RN PEDIATRIC PROCTORED EXAM
SAMPLE V1 Qs & Ans
────────────────────────────────────────────────────
1. NGN-Style Case Scenario
────────────────────────────────────────────────────
A nurse is caring for a preschool-age child who awakens during the night
crying and appearing frightened. The parent reports that the child sometimes
returns to sleep immediately and has no memory of the episode, whereas other
nights the child cries, remembers vivid imagery, and is afraid to go back to
sleep.
Which of the following findings would most strongly indicate that the child is
experiencing NIGHTMARES rather than night terrors?
A. The child quickly returns to sleep and shows no recall of the incident in the
morning.
B. The child is agitated and thrashes during the event, with profuse sweating.
C. The child does not respond to the parent's comfort during the event.
D. The child awakens fully and can recall the frightening content of the dream.
Answer: D
Expert Explanation: Children who experience nightmares typically awaken
fully, remember the frightening dream, and can often be comforted by a
caregiver. In contrast, a child who has night terrors is difficult to console, may
scream or appear panicked, quickly returns to sleep afterward, and usually has
no memory of the event.
────────────────────────────────────────────────────
2. NGN-Style Case Scenario
,────────────────────────────────────────────────────
A nurse is caring for a toddler who has acute otitis media and a fever of 40.0°C
(104.0°F). After administering acetaminophen, the nurse plans interventions to
reduce the toddler’s temperature.
Which of the following is the most appropriate next action?
A. Dress the toddler in minimal clothing.
B. Provide a hyperthermia blanket.
C. Place the toddler in a basin of cold water.
D. Offer a high-protein snack.
Answer: A
Expert Explanation: Dressing the toddler in minimal clothing helps promote
heat loss through evaporation and convection. Hyperthermia blankets, cold-
water baths, or other extreme measures can cause shivering, which increases
metabolic output and can raise body temperature further.
────────────────────────────────────────────────────
3. NGN-Style Case Scenario
────────────────────────────────────────────────────
A school-age child with asthma is admitted for increased respiratory distress.
The nurse reviews the child’s data:
• Current O2 therapy: 2 L/min by nasal cannula
• Oxygen saturation: 89%
• Arterial blood gases (ABGs): pH 7.50, PaCO2 28 mm Hg, HCO3– 23 mEq/L
• WBC Count: 18,000/mm³
• Respiratory Assessment: Tachypnea, subcostal retractions, increased
wheezing
, Which of the following findings is the HIGHEST priority to report to the
provider?
A. Elevated white blood cell count
B. pH of 7.50 indicating possible respiratory alkalosis
C. Oxygen saturation of 89% despite supplemental oxygen
D. Presence of increased wheezing on auscultation
Answer: C
Expert Explanation: An oxygen saturation of 89% despite supplemental
oxygen is a critical finding because it indicates the child is not adequately
oxygenating and might be progressing into more severe respiratory
compromise. While the other findings also warrant reporting, low oxygen
saturation takes priority.
ATI RN PEDIATRIC PROCTORED EXAM
SAMPLE V2 Qs & Ans
────────────────────────────────────────────────────────
QUESTION 1 (NGN-Style: Single Best Answer)
────────────────────────────────────────────────────────
CASE SCENARIO:
A nurse is teaching the parent of a preschooler who has a history of acute asthma
attacks. The child has mild intermittent asthma symptoms, and today’s vital signs
are within normal limits for age.
1. Which of the following statements by the parent indicates an understanding of
how to prevent acute asthma attacks?
