ATI PEDIATRICS NGN EXAM 2024-
2025 /PEDIATRICS ATI PROCTORED
NEXT GENERATION PRACTICE EXAM
A ynurse yin ya ypediatric yclinic yis yassessing ya ytoddler yat ya ywell-child yvisit. yWhich
yof ythe
following yactions yshould ythe ynurse ytake?
a. yPerform ythe yassessment yin ya yhead yto ytoe ysequence.
b. yMinimize yphysical ycontact ywith ythe ychild yinitially.
c. yExplain yprocedures yusing ymedical yterminology.
d. yStop ythe yassessment yif ythe ychild ybecomes yuncooperative. y- ycorrect yanswers y-
B
Rationale: yThe ynurse yshould yinitially yminimize yphysical ycontact ywith ythe ytoddler,
yand ythen
progress yfrom ythe yleast ytraumatic yto ythe ymost ytraumatic yprocedures.
,A ynurse yis ycaring yfor yan y18-year-old yadolescent ywho yis yup-to-date yon
yimmunizations yand yis
planning yto yattend ycollege. yThe ynurse yshould yinform ythe yclient ythat yhe yshould
yreceive ywhich yof ythe
following yimmunizations yprior yto ymoving yinto ya ycampus ydormitory?
a. yPneumococcal ypolysaccharide
b. yMeningococcal ypolysaccharide
c. yRotavirus
d. yHerpes yzoster y- ycorrect yanswers y-B
Rationale: yThe ymeningococcal ypolysaccharide yimmunization yis yused yto yprevent
yinfection yby
certain ygroups yof ymeningococcal ybacteria. yMeningococcal yinfection ycan ycause ylife-
threatening
illnesses, ysuch yas ymeningococcal ymeningitis, ywhich yaffects ythe ybrain, yand
ymeningococcemia,
which yaffects ythe yblood. yBoth yof ythese yconditions ycan ybe yfatal. yCollege
yfreshmen, yparticularly
those ywho ylive yin ydormitories, yare yat yan yincreased yrisk yfor ymeningococcal
ydisease yrelative yto yother
persons ytheir yage. yTherefore, ythe yCenters yfor yDisease yControl yand yPrevention
yhas yissued ya
recommendation ythat yall yincoming ycollege ystudents yreceive ythe ymeningococcal
yimmunization.
A ynurse yis yteaching ythe yparent yof yan yinfant yabout yfood yallergens. yWhich yof ythe
yfollowing
foods yshould ythe ynurse yinclude yas ybeing ythe ymost ycommon yfood yallergy yin
ychildren?
a. yCow's ymilk
b. yWheat ybread
c. yCorn ysyrup
d. yEgg y- ycorrect yanswers y-A
Rationale: yAccording yto yevidence-based ypractice, ythe ynurse yshould yinstruct ythe
yparent ythat ycow's
milk yis ythe ymost ycommon yfood yallergy yin ychildren. ySome ychildren yare ysensitive
yto ythe yprotein,
called ycasein, yfound yin ycow's ymilk. yThey yhave ydifficulty ymetabolizing ythe ycasein
yand yare,
therefore, yallergic yto ycow's ymilk.
A ynurse yis yteaching ythe yparent yof ya ytoddler yabout yhome ysafety. yWhich yof ythe
yfollowing
statements yby ythe yparent yindicates yan yunderstanding yof ythe yteaching?
a. y"I ylock ymy ymedications yin ythe ymedicine ycabinet."
b. y"I ykeep ymy ychild's ycrib ymattress yat ythe yhighest ylevel."
c. y"I yturn ypot yhandles yto ythe yside yof ymy ystove ywhile ycooking."
,d. y"I ywill ygive ymy ychild ysyrup yof yipecac yif yshe yswallows ysomething ypoisonous." y-
ycorrect yanswers y-A
Rationale: yLocking yup ymedications yand yother ypotential ypoisons yprevents yaccess.
yToddlers yhave
improved ygross yand yfine ymotor yskills ythat yallow yfor yfurther yexploration yof ythe
yenvironment yand
possible yaccess yto yhazardous ysubstances.
A ynurse yis yperforming ya yphysical yassessment yon ya y6-month-old yinfant. yWhich yof
ythe
following yreflexes yshould ythe ynurse yexpect yto yfind?
a. yStepping
yb. yBabinski
c. yExtrusion
d. yMoro y- ycorrect yanswers y-B
Rationale: yThe yBabinski yreflex, ywhich yis yelicited yby ystroking ythe ybottom yof ythe
yfoot yand ycausing
the ytoes yto yfan yand ythe ybig ytoe yto ydorsiflex, yshould ybe ypresent yuntil ythe yage yof
y1 yyear. yPersistence
of yneonatal yreflexes ymight yindicate yneurological ydeficits.
A ynurse yis ypreparing yto yadminister yrecommended yimmunizations yto ya y2-month-old
yinfant.
Which yof ythe yfollowing yimmunizations yshould ythe ynurse yplan yto yadminister?
a. yHuman ypapillomavirus y(HPV) yand yhepatitis yA
b. yMeasles, ymumps, yrubella y(MMR) yand ytetanus, ydiphtheria, yand yacellular
ypertussis
(TDaP)
c. yHaemophilus yinfluenzae ytype yB y(Hib) yand yinactivated ypolio yvirus y(IPV)
d. yVaricella y(VAR) yand ylive yattenuated yinfluenza yvaccine y(LAIV) y- ycorrect
yanswers y-C
Rationale: yThe yrecommended yimmunizations yfor ya y2-month-old yinfant yinclude yHib
yand yIPV. yThe
Hib yimmunization yseries yconsists yof y3 yto y4 ydoses, ydepending yon ythe
yimmunization yused, yand yat ya
minimum yis yadministered yat ythe yages yof y2 ymonths, y4 ymonths, yand y12 yto y15
ymonths. yThe yIPV
immunization yseries yconsists yof y4 ydoses yand yis yadministered yat ythe yages yof y2
ymonths, y4 ymonths, y6
to y18 ymonths, yand y4 yto y6 yyears.
A ynurse yis ydeveloping ya yplan yof ycare yfor ya yschool-age ychild ywho yunderwent ya
ysurgical
procedure ythat yresulted yin ytemporary yloss yof yvision. yWhich yof ythe yfollowing
yinterventions
should ythe ynurse yinclude yin ythe yplan yof ycare?
, a. yAssign yan yassistive ypersonnel yto yfeed ythe ychild.
b. yExplain ysounds ythe ychild yis yhearing.
c. yHave ythe ychild yuse ya ycane ywhen yambulating.
d. yRotate ynurses ycaring yfor ythe ychild. y- ycorrect yanswers y-B
Rationale: yThe ynoises yin ya yfacility ycan ybe yfrightening yto ya ychild ywho yis
yexperiencing ya ysensory
loss. yIt yis yimportant yto yexplain ythese ynoises yto yallay ythe ychild's yfears.
A ynurse yis yassessing ya y3-year-old ychild ywho yis y1 yday ypostoperative yfollowing ya
ytonsillectomy.
Which yof ythe yfollowing ymethods yshould ythe ynurse yuse yto ydetermine yif ythe ychild
yis
experiencing ypain?
a. yAsk ythe yparents.
b. yUse ythe yFACES yscale.
c. yUse ythe ynumeric yrating yscale.
d. yCheck ythe ychild's ytemperature. y- ycorrect yanswers y-B
Rationale: yPain yis ya ysubjective yexperience yeven yfor ya y3-year-old ychild. yThe
yFACES yscale ycan ybe
used yto yaccurately ydetermine ythe ypresence yof ypain yin ychildren yas yyoung yas y3
yyears yof yage.
12. yA ynurse yis yassessing ya y6-month-old yinfant yat ya ywell-child yvisit. yWhich yof ythe
yfollowing
findings yindicates ythe yneed yfor yfurther yassessment?
a. yGrabs yfeet yand ypulls ythem yto yher ymouth
b. yPosterior yfontanel yis yclosed
c. yLegs yremain ycrossed yand yextended ywhen ysupine
d. yBirth yweight yhas ydoubled y- ycorrect yanswers y-C
Rationale: yLegs ycrossed yand yextended ywhen ysupine yis yan yunexpected yfinding
yand yrequires yfurther
assessment. yAt y6 ymonths yof yage, ythe ylegs yflex yat ythe yknees ywhen ythe yinfant yis
ysupine. yCrossed yand
extended ylegs ywhen ysupine yis ya yfinding yassociated ywith ycerebral ypalsy.
A ynurse yis yobserving ya ymother ywho yis yplaying ypeek-a-boo ywith yher y8-month-old
ychild. yThe
mother yasks yif ythis ygame yhas yany ydevelopmental ysignificance. yThe ynurse yshould
yinform ythe
mother ythat ypeek-a-boo yhelps ydevelop ywhich yof ythe yfollowing yconcepts yin ythe
ychild?
a. yHand-eye ycoordination
b. ySense yof ytrust
c. yObject ypermanence
d. yEgocentrism y- ycorrect yanswers y-C
2025 /PEDIATRICS ATI PROCTORED
NEXT GENERATION PRACTICE EXAM
A ynurse yin ya ypediatric yclinic yis yassessing ya ytoddler yat ya ywell-child yvisit. yWhich
yof ythe
following yactions yshould ythe ynurse ytake?
a. yPerform ythe yassessment yin ya yhead yto ytoe ysequence.
b. yMinimize yphysical ycontact ywith ythe ychild yinitially.
c. yExplain yprocedures yusing ymedical yterminology.
d. yStop ythe yassessment yif ythe ychild ybecomes yuncooperative. y- ycorrect yanswers y-
B
Rationale: yThe ynurse yshould yinitially yminimize yphysical ycontact ywith ythe ytoddler,
yand ythen
progress yfrom ythe yleast ytraumatic yto ythe ymost ytraumatic yprocedures.
,A ynurse yis ycaring yfor yan y18-year-old yadolescent ywho yis yup-to-date yon
yimmunizations yand yis
planning yto yattend ycollege. yThe ynurse yshould yinform ythe yclient ythat yhe yshould
yreceive ywhich yof ythe
following yimmunizations yprior yto ymoving yinto ya ycampus ydormitory?
a. yPneumococcal ypolysaccharide
b. yMeningococcal ypolysaccharide
c. yRotavirus
d. yHerpes yzoster y- ycorrect yanswers y-B
Rationale: yThe ymeningococcal ypolysaccharide yimmunization yis yused yto yprevent
yinfection yby
certain ygroups yof ymeningococcal ybacteria. yMeningococcal yinfection ycan ycause ylife-
threatening
illnesses, ysuch yas ymeningococcal ymeningitis, ywhich yaffects ythe ybrain, yand
ymeningococcemia,
which yaffects ythe yblood. yBoth yof ythese yconditions ycan ybe yfatal. yCollege
yfreshmen, yparticularly
those ywho ylive yin ydormitories, yare yat yan yincreased yrisk yfor ymeningococcal
ydisease yrelative yto yother
persons ytheir yage. yTherefore, ythe yCenters yfor yDisease yControl yand yPrevention
yhas yissued ya
recommendation ythat yall yincoming ycollege ystudents yreceive ythe ymeningococcal
yimmunization.
A ynurse yis yteaching ythe yparent yof yan yinfant yabout yfood yallergens. yWhich yof ythe
yfollowing
foods yshould ythe ynurse yinclude yas ybeing ythe ymost ycommon yfood yallergy yin
ychildren?
a. yCow's ymilk
b. yWheat ybread
c. yCorn ysyrup
d. yEgg y- ycorrect yanswers y-A
Rationale: yAccording yto yevidence-based ypractice, ythe ynurse yshould yinstruct ythe
yparent ythat ycow's
milk yis ythe ymost ycommon yfood yallergy yin ychildren. ySome ychildren yare ysensitive
yto ythe yprotein,
called ycasein, yfound yin ycow's ymilk. yThey yhave ydifficulty ymetabolizing ythe ycasein
yand yare,
therefore, yallergic yto ycow's ymilk.
A ynurse yis yteaching ythe yparent yof ya ytoddler yabout yhome ysafety. yWhich yof ythe
yfollowing
statements yby ythe yparent yindicates yan yunderstanding yof ythe yteaching?
a. y"I ylock ymy ymedications yin ythe ymedicine ycabinet."
b. y"I ykeep ymy ychild's ycrib ymattress yat ythe yhighest ylevel."
c. y"I yturn ypot yhandles yto ythe yside yof ymy ystove ywhile ycooking."
,d. y"I ywill ygive ymy ychild ysyrup yof yipecac yif yshe yswallows ysomething ypoisonous." y-
ycorrect yanswers y-A
Rationale: yLocking yup ymedications yand yother ypotential ypoisons yprevents yaccess.
yToddlers yhave
improved ygross yand yfine ymotor yskills ythat yallow yfor yfurther yexploration yof ythe
yenvironment yand
possible yaccess yto yhazardous ysubstances.
A ynurse yis yperforming ya yphysical yassessment yon ya y6-month-old yinfant. yWhich yof
ythe
following yreflexes yshould ythe ynurse yexpect yto yfind?
a. yStepping
yb. yBabinski
c. yExtrusion
d. yMoro y- ycorrect yanswers y-B
Rationale: yThe yBabinski yreflex, ywhich yis yelicited yby ystroking ythe ybottom yof ythe
yfoot yand ycausing
the ytoes yto yfan yand ythe ybig ytoe yto ydorsiflex, yshould ybe ypresent yuntil ythe yage yof
y1 yyear. yPersistence
of yneonatal yreflexes ymight yindicate yneurological ydeficits.
A ynurse yis ypreparing yto yadminister yrecommended yimmunizations yto ya y2-month-old
yinfant.
Which yof ythe yfollowing yimmunizations yshould ythe ynurse yplan yto yadminister?
a. yHuman ypapillomavirus y(HPV) yand yhepatitis yA
b. yMeasles, ymumps, yrubella y(MMR) yand ytetanus, ydiphtheria, yand yacellular
ypertussis
(TDaP)
c. yHaemophilus yinfluenzae ytype yB y(Hib) yand yinactivated ypolio yvirus y(IPV)
d. yVaricella y(VAR) yand ylive yattenuated yinfluenza yvaccine y(LAIV) y- ycorrect
yanswers y-C
Rationale: yThe yrecommended yimmunizations yfor ya y2-month-old yinfant yinclude yHib
yand yIPV. yThe
Hib yimmunization yseries yconsists yof y3 yto y4 ydoses, ydepending yon ythe
yimmunization yused, yand yat ya
minimum yis yadministered yat ythe yages yof y2 ymonths, y4 ymonths, yand y12 yto y15
ymonths. yThe yIPV
immunization yseries yconsists yof y4 ydoses yand yis yadministered yat ythe yages yof y2
ymonths, y4 ymonths, y6
to y18 ymonths, yand y4 yto y6 yyears.
A ynurse yis ydeveloping ya yplan yof ycare yfor ya yschool-age ychild ywho yunderwent ya
ysurgical
procedure ythat yresulted yin ytemporary yloss yof yvision. yWhich yof ythe yfollowing
yinterventions
should ythe ynurse yinclude yin ythe yplan yof ycare?
, a. yAssign yan yassistive ypersonnel yto yfeed ythe ychild.
b. yExplain ysounds ythe ychild yis yhearing.
c. yHave ythe ychild yuse ya ycane ywhen yambulating.
d. yRotate ynurses ycaring yfor ythe ychild. y- ycorrect yanswers y-B
Rationale: yThe ynoises yin ya yfacility ycan ybe yfrightening yto ya ychild ywho yis
yexperiencing ya ysensory
loss. yIt yis yimportant yto yexplain ythese ynoises yto yallay ythe ychild's yfears.
A ynurse yis yassessing ya y3-year-old ychild ywho yis y1 yday ypostoperative yfollowing ya
ytonsillectomy.
Which yof ythe yfollowing ymethods yshould ythe ynurse yuse yto ydetermine yif ythe ychild
yis
experiencing ypain?
a. yAsk ythe yparents.
b. yUse ythe yFACES yscale.
c. yUse ythe ynumeric yrating yscale.
d. yCheck ythe ychild's ytemperature. y- ycorrect yanswers y-B
Rationale: yPain yis ya ysubjective yexperience yeven yfor ya y3-year-old ychild. yThe
yFACES yscale ycan ybe
used yto yaccurately ydetermine ythe ypresence yof ypain yin ychildren yas yyoung yas y3
yyears yof yage.
12. yA ynurse yis yassessing ya y6-month-old yinfant yat ya ywell-child yvisit. yWhich yof ythe
yfollowing
findings yindicates ythe yneed yfor yfurther yassessment?
a. yGrabs yfeet yand ypulls ythem yto yher ymouth
b. yPosterior yfontanel yis yclosed
c. yLegs yremain ycrossed yand yextended ywhen ysupine
d. yBirth yweight yhas ydoubled y- ycorrect yanswers y-C
Rationale: yLegs ycrossed yand yextended ywhen ysupine yis yan yunexpected yfinding
yand yrequires yfurther
assessment. yAt y6 ymonths yof yage, ythe ylegs yflex yat ythe yknees ywhen ythe yinfant yis
ysupine. yCrossed yand
extended ylegs ywhen ysupine yis ya yfinding yassociated ywith ycerebral ypalsy.
A ynurse yis yobserving ya ymother ywho yis yplaying ypeek-a-boo ywith yher y8-month-old
ychild. yThe
mother yasks yif ythis ygame yhas yany ydevelopmental ysignificance. yThe ynurse yshould
yinform ythe
mother ythat ypeek-a-boo yhelps ydevelop ywhich yof ythe yfollowing yconcepts yin ythe
ychild?
a. yHand-eye ycoordination
b. ySense yof ytrust
c. yObject ypermanence
d. yEgocentrism y- ycorrect yanswers y-C
