NGN ATI PedIATrIcs ProcTored exAm 2025/2026
LATesT UPdATed sTUdy GUIde | AcTUAL ATI Peds
ProcTored exAm QUesTIoNs wITh VerIfIed correcT
ANswers & IN-dePTh rATIoNALes | NexT
GeNerATIoN NcLex (NGN) PedIATrIcs NUrsING
reVIew | comPreheNsIVe ATI PedIATrIcs TesT BANk
for GUArANTeed A+ sUccess
NGN ATI Pediatrics Proctored Exam
Question 1:
What is the most appropriate initial intervention for a pediatric patient presenting with
respiratory distress?
A) Administer a bronchodilator
B) Position the child in an upright position
C) Insert an intravenous (IV) line
D) Obtain a complete blood count (CBC)
Correct Option: B) Position the child in an upright position
Rationale:
Positioning the child in an upright position helps improve ventilation and facilitates better lung
expansion, which is crucial in managing respiratory distress. While administering a
bronchodilator may also be necessary depending on the underlying cause, positioning should be
the first immediate step to enhance comfort and airflow.
Question 2:
Which of the following is the most common cause of dehydration in children?
A) Gastroenteritis
B) Diabetic ketoacidosis
C) Cystic fibrosis
D) Renal failure
Correct Option: A) Gastroenteritis
Rationale:
Gastroenteritis, often caused by viral infections such as rotavirus or norovirus, leads to
significant fluid loss through diarrhea and vomiting, making it the most common cause of
dehydration in children. It's critical for nurses to assess hydration status and implement
rehydration protocols quickly to prevent complications.
,Question 3:
At what age is it recommended for children to receive their first dose of the measles,
mumps, and rubella (MMR) vaccine?
A) 6 months
B) 12 months
C) 18 months
D) 24 months
Correct Option: B) 12 months
Rationale:
The MMR vaccine is typically administered as the first dose at 12 months of age. This timing is
essential as it provides the child with immunity against these serious viral illnesses. Delaying the
vaccine can increase the risk of outbreaks and complications associated with these diseases.
Question 4:
What is the primary nursing consideration when caring for a child with a newly inserted
ventriculoperitoneal (VP) shunt?
A) Preventing infection
B) Monitoring for signs of increased intracranial pressure (ICP)
C) Ensuring adequate nutrition
D) Maintaining a position of comfort
Correct Option: B) Monitoring for signs of increased intracranial pressure (ICP)
Rationale:
Children with a VP shunt are at risk for developing increased intracranial pressure due to
malfunction or blockage of the shunt. Early recognition of ICP symptoms (e.g., headache,
vomiting, decreased consciousness) is crucial, as it may necessitate urgent medical intervention
to prevent serious complications.
Question 5:
A 4-year-old is brought to the clinic with a fever and a rash. What should the nurse assess
next?
A) Family history of skin disorders
B) The child's immunization status
, C) Recent travel history
D) Allergies to medications
Correct Option: B) The child's immunization status
Rationale: Evaluating immunization status is critical in children presenting with fever and rash
to identify possible vaccine-preventable diseases, such as measles or varicella.
Question 6:
Which of the following assessment findings indicates dehydration in a child?
A) Moist mucous membranes
B) Normal skin turgor
C) Increased heart rate
D) Decreased urine output
Correct Option: C) Increased heart rate
Rationale: Increased heart rate is a compensatory mechanism in dehydration, indicating that the
body is working harder to maintain adequate perfusion.
Question 7:
What is the recommended dietary recommendation for a child diagnosed with celiac
disease?
A) Increased protein intake
B) Gluten-free diet
C) High-fat diet
D) Lactose-containing foods
Correct Option: B) Gluten-free diet
Rationale: Children with celiac disease must adhere to a strict gluten-free diet to prevent
inflammation and intestinal damage associated with gluten exposure.
Question 8:
What is the priority nursing intervention for a toddler with suspected appendicitis?
A) Administer pain medication
B) Keep the child NPO
C) Encourage fluid intake
D) Apply a warm compress to the abdomen
LATesT UPdATed sTUdy GUIde | AcTUAL ATI Peds
ProcTored exAm QUesTIoNs wITh VerIfIed correcT
ANswers & IN-dePTh rATIoNALes | NexT
GeNerATIoN NcLex (NGN) PedIATrIcs NUrsING
reVIew | comPreheNsIVe ATI PedIATrIcs TesT BANk
for GUArANTeed A+ sUccess
NGN ATI Pediatrics Proctored Exam
Question 1:
What is the most appropriate initial intervention for a pediatric patient presenting with
respiratory distress?
A) Administer a bronchodilator
B) Position the child in an upright position
C) Insert an intravenous (IV) line
D) Obtain a complete blood count (CBC)
Correct Option: B) Position the child in an upright position
Rationale:
Positioning the child in an upright position helps improve ventilation and facilitates better lung
expansion, which is crucial in managing respiratory distress. While administering a
bronchodilator may also be necessary depending on the underlying cause, positioning should be
the first immediate step to enhance comfort and airflow.
Question 2:
Which of the following is the most common cause of dehydration in children?
A) Gastroenteritis
B) Diabetic ketoacidosis
C) Cystic fibrosis
D) Renal failure
Correct Option: A) Gastroenteritis
Rationale:
Gastroenteritis, often caused by viral infections such as rotavirus or norovirus, leads to
significant fluid loss through diarrhea and vomiting, making it the most common cause of
dehydration in children. It's critical for nurses to assess hydration status and implement
rehydration protocols quickly to prevent complications.
,Question 3:
At what age is it recommended for children to receive their first dose of the measles,
mumps, and rubella (MMR) vaccine?
A) 6 months
B) 12 months
C) 18 months
D) 24 months
Correct Option: B) 12 months
Rationale:
The MMR vaccine is typically administered as the first dose at 12 months of age. This timing is
essential as it provides the child with immunity against these serious viral illnesses. Delaying the
vaccine can increase the risk of outbreaks and complications associated with these diseases.
Question 4:
What is the primary nursing consideration when caring for a child with a newly inserted
ventriculoperitoneal (VP) shunt?
A) Preventing infection
B) Monitoring for signs of increased intracranial pressure (ICP)
C) Ensuring adequate nutrition
D) Maintaining a position of comfort
Correct Option: B) Monitoring for signs of increased intracranial pressure (ICP)
Rationale:
Children with a VP shunt are at risk for developing increased intracranial pressure due to
malfunction or blockage of the shunt. Early recognition of ICP symptoms (e.g., headache,
vomiting, decreased consciousness) is crucial, as it may necessitate urgent medical intervention
to prevent serious complications.
Question 5:
A 4-year-old is brought to the clinic with a fever and a rash. What should the nurse assess
next?
A) Family history of skin disorders
B) The child's immunization status
, C) Recent travel history
D) Allergies to medications
Correct Option: B) The child's immunization status
Rationale: Evaluating immunization status is critical in children presenting with fever and rash
to identify possible vaccine-preventable diseases, such as measles or varicella.
Question 6:
Which of the following assessment findings indicates dehydration in a child?
A) Moist mucous membranes
B) Normal skin turgor
C) Increased heart rate
D) Decreased urine output
Correct Option: C) Increased heart rate
Rationale: Increased heart rate is a compensatory mechanism in dehydration, indicating that the
body is working harder to maintain adequate perfusion.
Question 7:
What is the recommended dietary recommendation for a child diagnosed with celiac
disease?
A) Increased protein intake
B) Gluten-free diet
C) High-fat diet
D) Lactose-containing foods
Correct Option: B) Gluten-free diet
Rationale: Children with celiac disease must adhere to a strict gluten-free diet to prevent
inflammation and intestinal damage associated with gluten exposure.
Question 8:
What is the priority nursing intervention for a toddler with suspected appendicitis?
A) Administer pain medication
B) Keep the child NPO
C) Encourage fluid intake
D) Apply a warm compress to the abdomen
