ATI PN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
Version 3
This ATI test contains:
➢ Passing Score Guarantee
➢ 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.
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1. A nurse is reinforcing teaching with the parent of a 7-year-old child who
has type 1 diabetes mellitus about interventions for mild hypoglycemia.
Which of the following statements by the parent indicates effective
understanding?
A. “I will give my child IV dextrose immediately if they feel shaky.”
B. “I should offer my child diet soda as a quick source of sugar.”
C. “I should give 4 oz of orange juice, then provide cheese and crackers.”
D. “I will encourage my child to drink water and rest.”
Correct Answer: C
Rationale:A fast-acting carbohydrate (4 oz of orange juice) followed by a
protein-containing snack (cheese and crackers) is appropriate for mild
hypoglycemia.
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2. A nurse is assisting with the care of an adolescent following a cardiac
catheterization. Which of the following findings is the PRIORITY to report to
the provider?
A. Dizziness upon standing
B. Mild discomfort at the catheter insertion site
C. Bleeding noted on the dressing
D. Nausea postprocedure
,Correct Answer: C
Rationale:Bleeding at the insertion site is a high-priority concern, as it can
indicate hemorrhage or problems with vessel integrity.
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3. A nurse is reinforcing techniques to facilitate communication with a 10-
year-old child who has hearing loss. Which of the following strategies
should the nurse recommend?
A. Speak in a loud voice directly into the child’s ear.
B. Face the child and use facial expressions when speaking.
C. Turn the lights low to reduce distractions.
D. Discuss instructions only when the child’s hearing aids are removed.
Correct Answer: B
Rationale:Children with hearing impairment benefit from visual cues, such
as facial expressions and clear visibility of the speaker’s mouth.
4. NGN-Style Scenario:
A nurse is preparing to administer an enteral feeding to a 6-year-old child
with cerebral palsy who has a nasogastric (NG) tube. Which of the following
actions should the nurse take FIRST?
A. Warm the feeding solution in a microwave before administration.
B. Check the pH of stomach contents to verify placement.
, C. Flush the NG tube with 50 mL of water before feeding.
D. Place the child flat in bed to promote comfort.
Correct Answer: B
Rationale:Verifying NG tube placement by aspirating and checking the pH
(≤5) helps ensure that the tube is in the stomach, reducing the risk of
aspiration.
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5. A nurse is collecting data on a 2-month-old infant. Which of the following
sites is the most appropriate for obtaining the infant’s heart rate?
A. Radial
B. Apical
C. Carotid
D. Brachial
Correct Answer: B
Rationale:In infants and young children, measuring the apical pulse for 1 full
minute is the most reliable method to assess heart rate.
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─────────
6. A nurse is reinforcing home safety instructions with the parents of a
toddler. Which parent statement indicates an understanding of injury
prevention?
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Actual Qs & Ans to Pass the Exam
Version 3
This ATI test contains:
➢ Passing Score Guarantee
➢ 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.
,───────────────────────────────────────────────
─────────
1. A nurse is reinforcing teaching with the parent of a 7-year-old child who
has type 1 diabetes mellitus about interventions for mild hypoglycemia.
Which of the following statements by the parent indicates effective
understanding?
A. “I will give my child IV dextrose immediately if they feel shaky.”
B. “I should offer my child diet soda as a quick source of sugar.”
C. “I should give 4 oz of orange juice, then provide cheese and crackers.”
D. “I will encourage my child to drink water and rest.”
Correct Answer: C
Rationale:A fast-acting carbohydrate (4 oz of orange juice) followed by a
protein-containing snack (cheese and crackers) is appropriate for mild
hypoglycemia.
───────────────────────────────────────────────
─────────
2. A nurse is assisting with the care of an adolescent following a cardiac
catheterization. Which of the following findings is the PRIORITY to report to
the provider?
A. Dizziness upon standing
B. Mild discomfort at the catheter insertion site
C. Bleeding noted on the dressing
D. Nausea postprocedure
,Correct Answer: C
Rationale:Bleeding at the insertion site is a high-priority concern, as it can
indicate hemorrhage or problems with vessel integrity.
───────────────────────────────────────────────
─────────
3. A nurse is reinforcing techniques to facilitate communication with a 10-
year-old child who has hearing loss. Which of the following strategies
should the nurse recommend?
A. Speak in a loud voice directly into the child’s ear.
B. Face the child and use facial expressions when speaking.
C. Turn the lights low to reduce distractions.
D. Discuss instructions only when the child’s hearing aids are removed.
Correct Answer: B
Rationale:Children with hearing impairment benefit from visual cues, such
as facial expressions and clear visibility of the speaker’s mouth.
4. NGN-Style Scenario:
A nurse is preparing to administer an enteral feeding to a 6-year-old child
with cerebral palsy who has a nasogastric (NG) tube. Which of the following
actions should the nurse take FIRST?
A. Warm the feeding solution in a microwave before administration.
B. Check the pH of stomach contents to verify placement.
, C. Flush the NG tube with 50 mL of water before feeding.
D. Place the child flat in bed to promote comfort.
Correct Answer: B
Rationale:Verifying NG tube placement by aspirating and checking the pH
(≤5) helps ensure that the tube is in the stomach, reducing the risk of
aspiration.
───────────────────────────────────────────────
─────────
5. A nurse is collecting data on a 2-month-old infant. Which of the following
sites is the most appropriate for obtaining the infant’s heart rate?
A. Radial
B. Apical
C. Carotid
D. Brachial
Correct Answer: B
Rationale:In infants and young children, measuring the apical pulse for 1 full
minute is the most reliable method to assess heart rate.
───────────────────────────────────────────────
─────────
6. A nurse is reinforcing home safety instructions with the parents of a
toddler. Which parent statement indicates an understanding of injury
prevention?
