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NGN ATI PEDS Proctored Exam 2025 –
Form A & B with 100 Verified Questions
and Rationales | 100% Correct Answers,
Graded A+
NGN ATI PEDS Proctored Exam 2025 – Form A
Question 1
A nurse is caring for a 4-year-old child who has just undergone a tonsillectomy. Which of the following
findings should the nurse report to the provider immediately?
A. Frequent swallowing
B. Requesting cold fluids
C. Hoarse voice
D. Mild throat pain
Correct Answer: B
Rationale: Frequent swallowing may indicate postoperative bleeding, a serious complication after a
tonsillectomy, as the child may be swallowing blood. This requires immediate reporting. A hoarse voice and
mild throat pain are expected, and requesting cold fluids is appropriate for comfort.
Question 2
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following developmental
milestones should the nurse expect?
A. Sits without support
B. Walks with assistance
C. Uses a pincer grasp
D. Says two-word phrases
Correct Answer: B
Rationale: By 6 months, infants typically can sit without support. Walking with assistance occurs around 9–
12 months, a pincer grasp develops around 9 months, and two-word phrases are expected around 2 years.
Question 3
A nurse is teaching the parents of a toddler with a new diagnosis of asthma about medication administration.
Which of the following instructions should the nurse include?
A. Administer albuterol via nebulizer only during sleep.
B. Shake the metered-dose inhaler before each use.
C. Use a spacer only for oral steroids.
D. Give corticosteroids as a rescue medication.
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Correct Answer: B
Rationale: Shaking the metered-dose inhaler ensures proper mixing of the medication for effective delivery.
Albuterol can be given when awake, spacers are used with inhalers, and corticosteroids are for maintenance,
not rescue.
Question 4
A nurse is caring for a school-age child with suspected appendicitis. Which of the following findings should
the nurse prioritize?
A. Rebound tenderness in the right lower quadrant
B. Mild fever of 37.8°C (100°F)
C. Nausea without vomiting
D. Decreased appetite
Correct Answer: B
Rationale: Rebound tenderness in the right lower quadrant is a critical sign of appendicitis, indicating
peritoneal irritation. Other findings like fever, nausea, and decreased appetite are common but less specific.
Question 5
A nurse is preparing to administer an intramuscular injection to a 2-year-old child. Which of the following
sites is most appropriate?
A. Deltoid muscle
B. Vastus lateralis muscle
C. Gluteus maximus muscle
D. Rectus femoris muscle
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for IM injections in young children due to its large
muscle mass and lack of major nerves or blood vessels. The deltoid is used in older children, and the gluteus
maximus is avoided due to sciatic nerve risk.
Question 6
A nurse is assessing a newborn for signs of respiratory distress. Which of the following findings requires
immediate intervention?
A. Periodic breathing
B. Nasal flaring
C. Heart rate of 140/min
D. Acrocyanosis
Correct Answer: B
Rationale: Nasal flaring is a sign of respiratory distress in newborns, indicating increased work of
breathing. Periodic breathing and acrocyanosis are normal, and a heart rate of 140/min is within the
expected range.
Question 7
A nurse is providing discharge teaching to the parents of a child with type 1 diabetes mellitus. Which of the
following instructions should the nurse include?
A. Administer insulin only when blood glucose is above 300 mg/dL.
B. Check blood glucose levels four times daily.
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C. Offer high-sugar snacks during exercise.
D. Avoid carbohydrate counting.
Correct Answer: B
Rationale: Regular blood glucose monitoring (at least four times daily) is essential for managing type 1
diabetes. Insulin is given based on a sliding scale or regimen, not only at high levels. High-sugar snacks are
for hypoglycemia, and carbohydrate counting is necessary.
Question 8
A nurse is caring for an infant with gastroesophageal reflux disease (GERD). Which of the following
interventions should the nurse recommend?
A. Place the infant in a supine position after feeding.
B. Thicken formula with rice cereal.
C. Feed the infant every 4 hours.
D. Offer large-volume feedings.
Correct Answer: B
Rationale: Thickening formula with rice cereal can reduce reflux episodes. Infants with GERD should be
positioned upright after feeding, fed smaller, more frequent meals, and not placed supine immediately after
feeding.
Question 9
A nurse is assessing a child with suspected dehydration. Which of the following findings indicates moderate
dehydration?
A. Capillary refill of 1 second
B. Sunken fontanel in an infant
C. Moist mucous membranes
D. Heart rate of 100/min
Correct Answer: B
Rationale: A sunken fontanel is a sign of moderate dehydration in infants. Capillary refill of 1 second and
moist mucous membranes are normal, and a heart rate of 100/min is not specific to dehydration.
Question 10
A nurse is caring for a preschooler with a urinary tract infection. Which of the following instructions should
the nurse provide to the parents?
A. Encourage the child to hold urine to strengthen the bladder.
B. Offer citrus juices to acidify the urine.
C. Teach the child to wipe from front to back.
D. Limit fluid intake to reduce urinary frequency.
Correct Answer: B
Rationale: Wiping from front to back prevents the spread of bacteria from the anal area to the urethra.
Holding urine increases infection risk, citrus juices may irritate the bladder, and fluids should be
encouraged.
Question 11
A nurse is caring for a child with sickle cell anemia in a vaso-occlusive crisis. Which of the following
interventions is the priority?
NGN ATI PEDS Proctored Exam 2025 –
Form A & B with 100 Verified Questions
and Rationales | 100% Correct Answers,
Graded A+
NGN ATI PEDS Proctored Exam 2025 – Form A
Question 1
A nurse is caring for a 4-year-old child who has just undergone a tonsillectomy. Which of the following
findings should the nurse report to the provider immediately?
A. Frequent swallowing
B. Requesting cold fluids
C. Hoarse voice
D. Mild throat pain
Correct Answer: B
Rationale: Frequent swallowing may indicate postoperative bleeding, a serious complication after a
tonsillectomy, as the child may be swallowing blood. This requires immediate reporting. A hoarse voice and
mild throat pain are expected, and requesting cold fluids is appropriate for comfort.
Question 2
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following developmental
milestones should the nurse expect?
A. Sits without support
B. Walks with assistance
C. Uses a pincer grasp
D. Says two-word phrases
Correct Answer: B
Rationale: By 6 months, infants typically can sit without support. Walking with assistance occurs around 9–
12 months, a pincer grasp develops around 9 months, and two-word phrases are expected around 2 years.
Question 3
A nurse is teaching the parents of a toddler with a new diagnosis of asthma about medication administration.
Which of the following instructions should the nurse include?
A. Administer albuterol via nebulizer only during sleep.
B. Shake the metered-dose inhaler before each use.
C. Use a spacer only for oral steroids.
D. Give corticosteroids as a rescue medication.
, 2
Correct Answer: B
Rationale: Shaking the metered-dose inhaler ensures proper mixing of the medication for effective delivery.
Albuterol can be given when awake, spacers are used with inhalers, and corticosteroids are for maintenance,
not rescue.
Question 4
A nurse is caring for a school-age child with suspected appendicitis. Which of the following findings should
the nurse prioritize?
A. Rebound tenderness in the right lower quadrant
B. Mild fever of 37.8°C (100°F)
C. Nausea without vomiting
D. Decreased appetite
Correct Answer: B
Rationale: Rebound tenderness in the right lower quadrant is a critical sign of appendicitis, indicating
peritoneal irritation. Other findings like fever, nausea, and decreased appetite are common but less specific.
Question 5
A nurse is preparing to administer an intramuscular injection to a 2-year-old child. Which of the following
sites is most appropriate?
A. Deltoid muscle
B. Vastus lateralis muscle
C. Gluteus maximus muscle
D. Rectus femoris muscle
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for IM injections in young children due to its large
muscle mass and lack of major nerves or blood vessels. The deltoid is used in older children, and the gluteus
maximus is avoided due to sciatic nerve risk.
Question 6
A nurse is assessing a newborn for signs of respiratory distress. Which of the following findings requires
immediate intervention?
A. Periodic breathing
B. Nasal flaring
C. Heart rate of 140/min
D. Acrocyanosis
Correct Answer: B
Rationale: Nasal flaring is a sign of respiratory distress in newborns, indicating increased work of
breathing. Periodic breathing and acrocyanosis are normal, and a heart rate of 140/min is within the
expected range.
Question 7
A nurse is providing discharge teaching to the parents of a child with type 1 diabetes mellitus. Which of the
following instructions should the nurse include?
A. Administer insulin only when blood glucose is above 300 mg/dL.
B. Check blood glucose levels four times daily.
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C. Offer high-sugar snacks during exercise.
D. Avoid carbohydrate counting.
Correct Answer: B
Rationale: Regular blood glucose monitoring (at least four times daily) is essential for managing type 1
diabetes. Insulin is given based on a sliding scale or regimen, not only at high levels. High-sugar snacks are
for hypoglycemia, and carbohydrate counting is necessary.
Question 8
A nurse is caring for an infant with gastroesophageal reflux disease (GERD). Which of the following
interventions should the nurse recommend?
A. Place the infant in a supine position after feeding.
B. Thicken formula with rice cereal.
C. Feed the infant every 4 hours.
D. Offer large-volume feedings.
Correct Answer: B
Rationale: Thickening formula with rice cereal can reduce reflux episodes. Infants with GERD should be
positioned upright after feeding, fed smaller, more frequent meals, and not placed supine immediately after
feeding.
Question 9
A nurse is assessing a child with suspected dehydration. Which of the following findings indicates moderate
dehydration?
A. Capillary refill of 1 second
B. Sunken fontanel in an infant
C. Moist mucous membranes
D. Heart rate of 100/min
Correct Answer: B
Rationale: A sunken fontanel is a sign of moderate dehydration in infants. Capillary refill of 1 second and
moist mucous membranes are normal, and a heart rate of 100/min is not specific to dehydration.
Question 10
A nurse is caring for a preschooler with a urinary tract infection. Which of the following instructions should
the nurse provide to the parents?
A. Encourage the child to hold urine to strengthen the bladder.
B. Offer citrus juices to acidify the urine.
C. Teach the child to wipe from front to back.
D. Limit fluid intake to reduce urinary frequency.
Correct Answer: B
Rationale: Wiping from front to back prevents the spread of bacteria from the anal area to the urethra.
Holding urine increases infection risk, citrus juices may irritate the bladder, and fluids should be
encouraged.
Question 11
A nurse is caring for a child with sickle cell anemia in a vaso-occlusive crisis. Which of the following
interventions is the priority?
