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ATI RN Pediatric Proctored Exam 2025 (2 Latest
Versions) – Updated Questions, Answers, and Study
Guide for Nursing Care of Children
Prepare for the ATI RN Pediatric Proctored Exam 2025 with the 2 latest versions,
featuring updated NGN-style questions, answers, and detailed rationales. Review essential
pediatric nursing concepts including growth and development, respiratory and cardiac
disorders, medication safety, and family-centered care. Perfect for ATI Nursing Care of
Children exam success.
• ATI RN Pediatric Proctored Exam 2025
• ATI RN Pediatric 2 latest versions
• ATI Nursing Care of Children proctored exam
• ATI RN Pediatric study guide and answers
• ATI Pediatric NGN questions 2025
A nurse is teaching about clinical manifestations of tracheomalacia to a parent of an infant who had
tracheoesophageal fistula repair as a newborn. Which of the following findings should the nurse include
in the teaching?
A. Absence of bowel sounds
B. Neck contortions
C. Barking cough
D. Projectile vomiting - ANSWER-C. Barking cough
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Rationale: Infants who have tracheomalacia have a weakened trachea, which leads to collapse. Clinical
manifestations of tracheomalacia include barking cough, stridor, wheezing cyanosis, and apnea.
A nurse is teaching an adolescent who has asthma about how to use a peak expiratory flow meter
(PEFM). Which of the following responses by the adolescent indicates an understanding of the teaching?
A. "I will breathe in through the mouthpiece, hold my breath for 5 seconds, and then exhale."
B. "If l get a reading in the green zone, I will tell my parents immediately so they can call the
doctor."
C. "I will slowly exhale through the mouthpiece over a 10 second interval."
D. "I will record the highest reading of three attempts." - ANSWER-D. "I will record the highest reading of
three attempts."
Rationale: Once the client establishes a personal best, she should routinely check the PEFM by
performing three attempts and recording the highest reading of the three.
A nurse in an emergency department is caring for a toddler who is in acute respiratory distress. Which of
the following findings should alert the nurse to the possibility of epiglottitis?
A. Lethargy
B. Spontaneous coughing
C. Drooling
D. Hoarseness - ANSWER-C. Drooling
Rationale: Epiglottitis is a disorder caused by an inflammation of the epiglottis. It results in rapid swelling
of the epiglottis, which can obstruct breathing. Drooling is common finding due to the toddler's inability
to swallow saliva.
A nurse is reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia.
Which of the following laboratory values should the nurse report to the provider?
A. Platelets 150,000/mm
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B. Hgb 6g/dL
C. WBC 6,000/mm3
D. Potassium 4.5 mEg/L - ANSWER-B. Hgb 6 g/dL
Rationale: This hemoglobin level is below the expected reference range and is indicative of anemia;
therefore, the nurse should report this finding to the provider.
A nurse is caring for an 8-year-old child who has acute glomerulonephritis.
Which of the following findings should the nurse expect?
A. Hypotension
B. Stomatitis
C. Bloody diarrhea
D. Periorbital edema - ANSWER-D. Periorbital edema
Rationale: Periorbital edema is an expected finding in a child who has glomerulonephritis.
A nurse is providing teaching to the parents of a school-age child who has type 1 diabetes mellitus about
management of hypoglycemia. Which of the following responses by the parents indicates an
understanding of the teaching?
A. "I will make sure my child drinks 240 mL (8 oz) of milk as soon as possible."
B. "I will give my child 2 units of regular insulin."
C. "I will insist that my child lies down to rest for 30 minutes."
D. "I will check my child's urine for glucose twice daily." - ANSWER-A. "I will make sure my child drinks
240 mL (8 oz) of milk as soon as possible."
Rationale: Giving the child 10 to 15 g of simple carbohydrates, such as 240 mL (8 oz) of milk, will elevate
the blood glucose level and alleviate the hypoglycemia.
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A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of the following
findings should the nurse report to the provider?
A. Weight gain of 1.8 kg (4 lb)
B. Heart rate 125/min
C. Soft, flat fontanel
D. Systemic murmur - ANSWER-A. Weight gain of 1.8 kg (4 lb)
Rationale: A 4 lb weight gain indicates increased fluid and worsening of the child's heart failure;
therefore, the nurse should report this finding to the provider.
A nurse is providing discharge teaching to the parent of a school-age child who has leukemia and is
receiving chemotherapy. Which of the following statements by the parent indicates an understanding of
the teaching?
A. "I will take my child's rectal temperature daily."
B. "I will make sure my child gets his MMR vaccine this week."
C. "I will inspect my child's mouth every day for sores."
D. "I will allow my child to ride his bicycle tomorrow." - ANSWER-C. "I will inspect my child's mouth every
day for sores."
Rationale: A child who has leukemia is at an increased risk for mucositis; therefore, the parent should
inspect the child's mouth daily for lesions or ulcerations.
A nurse is assessing pain in a 3-year-old child following a tonsillectomy.
Which of the following rating scales should the nurse use to determine the child's pain level?
A. Word-Graphic Rating Scale
B. Color Tool
C. Poker Chip Tool
ATI RN Pediatric Proctored Exam 2025 (2 Latest
Versions) – Updated Questions, Answers, and Study
Guide for Nursing Care of Children
Prepare for the ATI RN Pediatric Proctored Exam 2025 with the 2 latest versions,
featuring updated NGN-style questions, answers, and detailed rationales. Review essential
pediatric nursing concepts including growth and development, respiratory and cardiac
disorders, medication safety, and family-centered care. Perfect for ATI Nursing Care of
Children exam success.
• ATI RN Pediatric Proctored Exam 2025
• ATI RN Pediatric 2 latest versions
• ATI Nursing Care of Children proctored exam
• ATI RN Pediatric study guide and answers
• ATI Pediatric NGN questions 2025
A nurse is teaching about clinical manifestations of tracheomalacia to a parent of an infant who had
tracheoesophageal fistula repair as a newborn. Which of the following findings should the nurse include
in the teaching?
A. Absence of bowel sounds
B. Neck contortions
C. Barking cough
D. Projectile vomiting - ANSWER-C. Barking cough
,2|Page
Rationale: Infants who have tracheomalacia have a weakened trachea, which leads to collapse. Clinical
manifestations of tracheomalacia include barking cough, stridor, wheezing cyanosis, and apnea.
A nurse is teaching an adolescent who has asthma about how to use a peak expiratory flow meter
(PEFM). Which of the following responses by the adolescent indicates an understanding of the teaching?
A. "I will breathe in through the mouthpiece, hold my breath for 5 seconds, and then exhale."
B. "If l get a reading in the green zone, I will tell my parents immediately so they can call the
doctor."
C. "I will slowly exhale through the mouthpiece over a 10 second interval."
D. "I will record the highest reading of three attempts." - ANSWER-D. "I will record the highest reading of
three attempts."
Rationale: Once the client establishes a personal best, she should routinely check the PEFM by
performing three attempts and recording the highest reading of the three.
A nurse in an emergency department is caring for a toddler who is in acute respiratory distress. Which of
the following findings should alert the nurse to the possibility of epiglottitis?
A. Lethargy
B. Spontaneous coughing
C. Drooling
D. Hoarseness - ANSWER-C. Drooling
Rationale: Epiglottitis is a disorder caused by an inflammation of the epiglottis. It results in rapid swelling
of the epiglottis, which can obstruct breathing. Drooling is common finding due to the toddler's inability
to swallow saliva.
A nurse is reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia.
Which of the following laboratory values should the nurse report to the provider?
A. Platelets 150,000/mm
,3|Page
B. Hgb 6g/dL
C. WBC 6,000/mm3
D. Potassium 4.5 mEg/L - ANSWER-B. Hgb 6 g/dL
Rationale: This hemoglobin level is below the expected reference range and is indicative of anemia;
therefore, the nurse should report this finding to the provider.
A nurse is caring for an 8-year-old child who has acute glomerulonephritis.
Which of the following findings should the nurse expect?
A. Hypotension
B. Stomatitis
C. Bloody diarrhea
D. Periorbital edema - ANSWER-D. Periorbital edema
Rationale: Periorbital edema is an expected finding in a child who has glomerulonephritis.
A nurse is providing teaching to the parents of a school-age child who has type 1 diabetes mellitus about
management of hypoglycemia. Which of the following responses by the parents indicates an
understanding of the teaching?
A. "I will make sure my child drinks 240 mL (8 oz) of milk as soon as possible."
B. "I will give my child 2 units of regular insulin."
C. "I will insist that my child lies down to rest for 30 minutes."
D. "I will check my child's urine for glucose twice daily." - ANSWER-A. "I will make sure my child drinks
240 mL (8 oz) of milk as soon as possible."
Rationale: Giving the child 10 to 15 g of simple carbohydrates, such as 240 mL (8 oz) of milk, will elevate
the blood glucose level and alleviate the hypoglycemia.
, 4|Page
A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of the following
findings should the nurse report to the provider?
A. Weight gain of 1.8 kg (4 lb)
B. Heart rate 125/min
C. Soft, flat fontanel
D. Systemic murmur - ANSWER-A. Weight gain of 1.8 kg (4 lb)
Rationale: A 4 lb weight gain indicates increased fluid and worsening of the child's heart failure;
therefore, the nurse should report this finding to the provider.
A nurse is providing discharge teaching to the parent of a school-age child who has leukemia and is
receiving chemotherapy. Which of the following statements by the parent indicates an understanding of
the teaching?
A. "I will take my child's rectal temperature daily."
B. "I will make sure my child gets his MMR vaccine this week."
C. "I will inspect my child's mouth every day for sores."
D. "I will allow my child to ride his bicycle tomorrow." - ANSWER-C. "I will inspect my child's mouth every
day for sores."
Rationale: A child who has leukemia is at an increased risk for mucositis; therefore, the parent should
inspect the child's mouth daily for lesions or ulcerations.
A nurse is assessing pain in a 3-year-old child following a tonsillectomy.
Which of the following rating scales should the nurse use to determine the child's pain level?
A. Word-Graphic Rating Scale
B. Color Tool
C. Poker Chip Tool
