NGN ATI Pediatrics (PEDS) Questions and Answers 2026 | Next Generation NCLEX ATI Peds Q&A, Clinical Judgment Case Studies, SATA, Bow-Tie, Matrix, Prioritization & Exam-Style Rationales

NGN ATI PedIATrIcs (Peds) QuesTIoNs ANd ANswers
2026 | NexT GeNerATIoN NcLex ATI Peds Q&A,
cLINIcAL JudGmeNT cAse sTudIes, sATA, Bow-TIe,
mATrIx, PrIorITIzATIoN & exAm-sTyLe rATIoNALes
Exam: NGN ATI Pediatric Nursing



Question 1:
What is the primary concern when caring for an infant with a congenital heart defect?

• A) Weight gain

• B) Adequate oxygenation

• C) Proper nutrition

• D) Maintaining a normal body temperature

Correct Option: B

Rationale: Adequate oxygenation is crucial in infants with congenital heart defects, as impaired
circulation may lead to hypoxia.



Question 2:
Which immunization should be given at 12 months of age?

• A) MMR

• B) DTaP

• C) IPV

• D) Varicella

Correct Option: D

Rationale: The varicella vaccine is typically administered at 12 months to protect against
chickenpox.



Question 3:
In children, what is the primary treatment for asthma exacerbations?
• A) Bronchodilators

,NGN ATI PedIATrIcs (Peds) QuesTIoNs ANd ANswers
2026 | NexT GeNerATIoN NcLex ATI Peds Q&A,
cLINIcAL JudGmeNT cAse sTudIes, sATA, Bow-TIe,
mATrIx, PrIorITIzATIoN & exAm-sTyLe rATIoNALes
• B) Short-acting beta agonists

• C) Antihistamines

• D) Corticosteroids
Correct Option: B

Rationale: Short-acting beta agonists, such as albuterol, provide quick relief by dilating the
airways during asthma exacerbations.


Question 4:

What is a common sign of dehydration in infants?

• A) Edema

• B) Decreased urine output

• C) Increased energy

• D) Weight gain
Correct Option: B

Rationale: Decreased urine output is a key indicator of dehydration in infants, alongside other
signs like dry mouth and lethargy.


Question 5:

Which developmental milestone is expected in a 2-year-old child?

• A) Sitting without support

• B) Using two-word phrases

• C) Riding a bicycle

• D) Playing cooperatively
Correct Option: B

,NGN ATI PedIATrIcs (Peds) QuesTIoNs ANd ANswers
2026 | NexT GeNerATIoN NcLex ATI Peds Q&A,
cLINIcAL JudGmeNT cAse sTudIes, sATA, Bow-TIe,
mATrIx, PrIorITIzATIoN & exAm-sTyLe rATIoNALes
Rationale: By age 2, children typically begin to use two-word phrases to communicate
effectively.



Question 6:

What is the most appropriate nursing action when a child is diagnosed with Kawasaki
disease?

• A) Administering antibiotics
• B) Administering IV immunoglobulin
• C) Encouraging fluid intake

• D) Monitoring heart rate

Correct Option: B

Rationale: IV immunoglobulin is essential in treating Kawasaki disease to prevent coronary
artery complications.



Question 7:

What should a nurse monitor for in a child receiving chemotherapy?

• A) Weight gain
• B) Increased energy levels
• C) Signs of infection

• D) Elevated blood pressure

Correct Option: C

Rationale: Chemotherapy can cause immunosuppression, making children more susceptible to
infections.



Question 8:
What is the primary focus of assessment in a toddler with respiratory distress?

, NGN ATI PedIATrIcs (Peds) QuesTIoNs ANd ANswers
2026 | NexT GeNerATIoN NcLex ATI Peds Q&A,
cLINIcAL JudGmeNT cAse sTudIes, sATA, Bow-TIe,
mATrIx, PrIorITIzATIoN & exAm-sTyLe rATIoNALes
• A) Continuous monitoring of respiratory status

• B) Evaluation of skin integrity

• C) Assessment of gastrointestinal symptoms
• D) Vital signs only

Correct Option: A

Rationale: Continuous monitoring of respiratory status is essential to identify changes that may
require urgent intervention.



Question 9:

Which age group is most at risk for acquiring chickenpox?

• A) Infants under 6 months

• B) Children aged 1-5 years

• C) Adolescents
• D) Adults

Correct Option: B

Rationale: Children aged 1-5 are more susceptible to chickenpox, especially those without
vaccination.



Question 10:

What is a significant adverse effect of long-term corticosteroid therapy in children?

• A) Increased energy

• B) Weight gain

• C) Improved immune response
• D) Decreased appetite
Correct Option: B