ATI PN PEDIATRICS PROCTORED EXAM
RETAKE 2025 NEXT GEN ATI QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
GRADED A+ LATEST
1. A nurse is caring for a toddler with acute otitis media who refuses to take
oral amoxicillin. Which of the following is the priority nursing action?
A. Offer the medication mixed with juice
B. Use a firm, comforting hold and administer the medication
C. Notify the provider for an IM alternative
D. Ask the parent to give the medication instead
Correct Answer: B
Rationale: Toddlers often resist oral medication; a firm but gentle therapeutic
hold is appropriate to safely administer essential treatment. Mixing with juice may
alter dosing. IM alternative is not first line. Parent assistance can help but safety
and accuracy are priority.
2. A nurse is assessing a 4-year-old child with suspected epiglottitis. Which
finding requires immediate action?
A. Barking cough
B. Drooling
C. Fever 38.8°C (102°F)
D. Stridor when crying
Correct Answer: B
Rationale: Drooling + suspected epiglottitis = airway obstruction risk. This is an
emergent airway condition. Barking cough suggests croup. Fever and stridor with
crying are concerning but not the priority.
,3. Which play activity should the nurse recommend for a school-age child
recovering from appendectomy?
A. Board games
B. Jump rope
C. Soccer practice
D. Hide and seek running
Correct Answer: A
Rationale: Post-operative restrictions require light, non-strenuous activities;
board games maintain cognitive stimulation without physical strain.
4. A child with sickle cell disease reports severe joint pain. Which nursing
action should the nurse take first?
A. Apply cold packs
B. Administer IV opioids
C. Give high-flow oxygen
D. Encourage oral fluids
Correct Answer: B
Rationale: During a vaso-occlusive crisis, pain control with opioids is the
priority. Cold worsens vasoconstriction. Hydration and oxygen help but do not
supersede acute pain management.
5. A nurse teaches parents of an infant with RSV bronchiolitis. Which
statement indicates understanding?
A. “We will give over-the-counter cough syrup.”
B. “We will suction the nose before feedings.”
C. “We will offer large-volume feedings to maintain hydration.”
D. “We will place the infant in a prone position to ease breathing.”
Correct Answer: B
,Rationale: Suctioning improves airway patency and reduces respiratory effort
during feeding. Cough syrup is unsafe for infants; prone sleeping increases SIDS
risk; smaller, frequent feeds are safer.
6. Which finding indicates improvement in a child with dehydration receiving
IV fluids?
A. Capillary refill of 4 seconds
B. Urine output of 2 mL/kg/hr
C. Weight loss of 0.5 kg
D. Sunken fontanel
Correct Answer: B
Rationale: Adequate urine output (1–2 mL/kg/hr for children) indicates renal
perfusion and fluid recovery.
7. A nurse prepares to give 0.5 mg/kg of acetaminophen to a child weighing 32
lb. Available: 160 mg/5 mL. How many mL should the nurse administer?
A. 1.8 mL
B. 2.3 mL
C. 2.5 mL
D. 3.0 mL
Correct Answer: C
Rationale:
32 lb = 14.5 kg
Dose = 0.5 mg/kg × 14.5 = 7.25 mg
(7.25 mg ÷ 160 mg) × 5 mL ≈ 2.3–2.5 mL; rounding rules select 2.5 mL.
, 8. A nurse provides teaching to parents of a child newly diagnosed with type 1
diabetes. Which statement requires further teaching?
A. “We will rotate injection sites.”
B. “Our child can double insulin if they eat more.”
C. “We will check glucose before meals.”
D. “We’ll always keep a source of fast sugar nearby.”
Correct Answer: B
Rationale: Insulin doses are not doubled based solely on food intake—risk of
hypoglycemia. Adjustments require provider guidance.
9. A toddler is hospitalized for gastroenteritis with mild dehydration. Which
drink should the nurse offer first?
A. Apple juice
B. Oral rehydration solution
C. Sports drink
D. Plain water
Correct Answer: B
Rationale: ORS (e.g., Pedialyte) provides correct electrolyte and glucose balance
for rehydration.
10. A child with cystic fibrosis is taking pancreatic enzymes. Which statement
by a parent indicates correct understanding?
A. “We will give the enzymes after meals.”
B. “We can sprinkle the enzymes on soft food.”
C. “We will crush the capsules.”
D. “We give extra enzymes at bedtime.”
Correct Answer: B
Rationale: Enzymes may be opened and sprinkled on acidic soft food, but not
crushed and must be taken with meals.
RETAKE 2025 NEXT GEN ATI QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
GRADED A+ LATEST
1. A nurse is caring for a toddler with acute otitis media who refuses to take
oral amoxicillin. Which of the following is the priority nursing action?
A. Offer the medication mixed with juice
B. Use a firm, comforting hold and administer the medication
C. Notify the provider for an IM alternative
D. Ask the parent to give the medication instead
Correct Answer: B
Rationale: Toddlers often resist oral medication; a firm but gentle therapeutic
hold is appropriate to safely administer essential treatment. Mixing with juice may
alter dosing. IM alternative is not first line. Parent assistance can help but safety
and accuracy are priority.
2. A nurse is assessing a 4-year-old child with suspected epiglottitis. Which
finding requires immediate action?
A. Barking cough
B. Drooling
C. Fever 38.8°C (102°F)
D. Stridor when crying
Correct Answer: B
Rationale: Drooling + suspected epiglottitis = airway obstruction risk. This is an
emergent airway condition. Barking cough suggests croup. Fever and stridor with
crying are concerning but not the priority.
,3. Which play activity should the nurse recommend for a school-age child
recovering from appendectomy?
A. Board games
B. Jump rope
C. Soccer practice
D. Hide and seek running
Correct Answer: A
Rationale: Post-operative restrictions require light, non-strenuous activities;
board games maintain cognitive stimulation without physical strain.
4. A child with sickle cell disease reports severe joint pain. Which nursing
action should the nurse take first?
A. Apply cold packs
B. Administer IV opioids
C. Give high-flow oxygen
D. Encourage oral fluids
Correct Answer: B
Rationale: During a vaso-occlusive crisis, pain control with opioids is the
priority. Cold worsens vasoconstriction. Hydration and oxygen help but do not
supersede acute pain management.
5. A nurse teaches parents of an infant with RSV bronchiolitis. Which
statement indicates understanding?
A. “We will give over-the-counter cough syrup.”
B. “We will suction the nose before feedings.”
C. “We will offer large-volume feedings to maintain hydration.”
D. “We will place the infant in a prone position to ease breathing.”
Correct Answer: B
,Rationale: Suctioning improves airway patency and reduces respiratory effort
during feeding. Cough syrup is unsafe for infants; prone sleeping increases SIDS
risk; smaller, frequent feeds are safer.
6. Which finding indicates improvement in a child with dehydration receiving
IV fluids?
A. Capillary refill of 4 seconds
B. Urine output of 2 mL/kg/hr
C. Weight loss of 0.5 kg
D. Sunken fontanel
Correct Answer: B
Rationale: Adequate urine output (1–2 mL/kg/hr for children) indicates renal
perfusion and fluid recovery.
7. A nurse prepares to give 0.5 mg/kg of acetaminophen to a child weighing 32
lb. Available: 160 mg/5 mL. How many mL should the nurse administer?
A. 1.8 mL
B. 2.3 mL
C. 2.5 mL
D. 3.0 mL
Correct Answer: C
Rationale:
32 lb = 14.5 kg
Dose = 0.5 mg/kg × 14.5 = 7.25 mg
(7.25 mg ÷ 160 mg) × 5 mL ≈ 2.3–2.5 mL; rounding rules select 2.5 mL.
, 8. A nurse provides teaching to parents of a child newly diagnosed with type 1
diabetes. Which statement requires further teaching?
A. “We will rotate injection sites.”
B. “Our child can double insulin if they eat more.”
C. “We will check glucose before meals.”
D. “We’ll always keep a source of fast sugar nearby.”
Correct Answer: B
Rationale: Insulin doses are not doubled based solely on food intake—risk of
hypoglycemia. Adjustments require provider guidance.
9. A toddler is hospitalized for gastroenteritis with mild dehydration. Which
drink should the nurse offer first?
A. Apple juice
B. Oral rehydration solution
C. Sports drink
D. Plain water
Correct Answer: B
Rationale: ORS (e.g., Pedialyte) provides correct electrolyte and glucose balance
for rehydration.
10. A child with cystic fibrosis is taking pancreatic enzymes. Which statement
by a parent indicates correct understanding?
A. “We will give the enzymes after meals.”
B. “We can sprinkle the enzymes on soft food.”
C. “We will crush the capsules.”
D. “We give extra enzymes at bedtime.”
Correct Answer: B
Rationale: Enzymes may be opened and sprinkled on acidic soft food, but not
crushed and must be taken with meals.
