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NGN ATI Pediatrics Proctored Exam
Questions & Answers with Rationales | 150+
Qs & As | Latest 2025/2026 | Graded A+
1. A nurse is caring for a toddler who has a high fever and is diagnosed with acute
otitis media. Which of the following actions should the nurse take first?
A. Administer prescribed acetaminophen
B. Encourage fluid intake
C. Teach the caregiver about antibiotic therapy
D. Apply a warm compress to the affected ear
Answer: A
Rationale: According to Maslow’s hierarchy and nursing priority principles,
managing pain and fever is essential. Administering acetaminophen helps reduce
fever and discomfort, which supports rest and fluid intake. Education and warm
compresses are supportive, but not priority interventions.
, 2
2. A nurse is providing dietary teaching to the parent of a toddler with celiac
disease. Which food should the nurse recommend?
A. Oatmeal
B. Whole wheat toast
C. Rice cereal
D. Barley soup
Answer: C
Rationale: Celiac disease requires a gluten-free diet. Rice cereal is safe, while
oats, wheat, and barley contain gluten or are often contaminated.
3. A 5-year-old child is scheduled for a tonsillectomy. Which of the following
findings should the nurse report to the provider?
A. Recent upper respiratory infection
B. Reports of moderate anxiety
C. Mild hoarseness
D. Loose tooth
Answer: A
Rationale: A recent respiratory infection increases the risk for post-op
complications like airway obstruction. Surgery should be postponed until the
infection resolves.
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4. A nurse is caring for an adolescent who has been diagnosed with bacterial
meningitis. What is the priority nursing action?
A. Monitor intake and output
B. Place the client in droplet isolation
C. Maintain NPO status
D. Administer an antipyretic
Answer: B
Rationale: Droplet precautions are critical for meningitis to prevent transmission.
Isolation should be initiated immediately. Other actions follow standard care but
are not the immediate priority.
A school-aged child is admitted with sickle cell crisis. Which of the following
interventions is the nurse’s priority?
A. Monitor oxygen saturation
B. Provide high-calorie meals
C. Apply warm compresses to joints
D. Encourage ambulation
Answer: A
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Rationale: Oxygen saturation monitoring is a priority because sickle cell crisis
can cause hypoxia. Hypoxia worsens sickling of RBCs. Pain management and
hydration are important, but airway and oxygenation always take precedence.
6. A 4-month-old infant is scheduled for routine immunizations. Which vaccine
should the nurse expect to administer?
A. MMR
B. Varicella
C. Hepatitis A
D. Rotavirus
Answer: D
Rationale: Rotavirus is part of the 2-, 4-, and 6-month vaccine schedule. MMR
and Varicella are given at 12 months. Hep A starts at 12 months.
7. A nurse is assessing a child with epiglottitis. Which finding requires immediate
intervention?
A. Drooling
B. High fever
C. Muffled voice
NGN ATI Pediatrics Proctored Exam
Questions & Answers with Rationales | 150+
Qs & As | Latest 2025/2026 | Graded A+
1. A nurse is caring for a toddler who has a high fever and is diagnosed with acute
otitis media. Which of the following actions should the nurse take first?
A. Administer prescribed acetaminophen
B. Encourage fluid intake
C. Teach the caregiver about antibiotic therapy
D. Apply a warm compress to the affected ear
Answer: A
Rationale: According to Maslow’s hierarchy and nursing priority principles,
managing pain and fever is essential. Administering acetaminophen helps reduce
fever and discomfort, which supports rest and fluid intake. Education and warm
compresses are supportive, but not priority interventions.
, 2
2. A nurse is providing dietary teaching to the parent of a toddler with celiac
disease. Which food should the nurse recommend?
A. Oatmeal
B. Whole wheat toast
C. Rice cereal
D. Barley soup
Answer: C
Rationale: Celiac disease requires a gluten-free diet. Rice cereal is safe, while
oats, wheat, and barley contain gluten or are often contaminated.
3. A 5-year-old child is scheduled for a tonsillectomy. Which of the following
findings should the nurse report to the provider?
A. Recent upper respiratory infection
B. Reports of moderate anxiety
C. Mild hoarseness
D. Loose tooth
Answer: A
Rationale: A recent respiratory infection increases the risk for post-op
complications like airway obstruction. Surgery should be postponed until the
infection resolves.
, 3
4. A nurse is caring for an adolescent who has been diagnosed with bacterial
meningitis. What is the priority nursing action?
A. Monitor intake and output
B. Place the client in droplet isolation
C. Maintain NPO status
D. Administer an antipyretic
Answer: B
Rationale: Droplet precautions are critical for meningitis to prevent transmission.
Isolation should be initiated immediately. Other actions follow standard care but
are not the immediate priority.
A school-aged child is admitted with sickle cell crisis. Which of the following
interventions is the nurse’s priority?
A. Monitor oxygen saturation
B. Provide high-calorie meals
C. Apply warm compresses to joints
D. Encourage ambulation
Answer: A
, 4
Rationale: Oxygen saturation monitoring is a priority because sickle cell crisis
can cause hypoxia. Hypoxia worsens sickling of RBCs. Pain management and
hydration are important, but airway and oxygenation always take precedence.
6. A 4-month-old infant is scheduled for routine immunizations. Which vaccine
should the nurse expect to administer?
A. MMR
B. Varicella
C. Hepatitis A
D. Rotavirus
Answer: D
Rationale: Rotavirus is part of the 2-, 4-, and 6-month vaccine schedule. MMR
and Varicella are given at 12 months. Hep A starts at 12 months.
7. A nurse is assessing a child with epiglottitis. Which finding requires immediate
intervention?
A. Drooling
B. High fever
C. Muffled voice
