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
1. What is the normal heart rate range for an infant?
• A) 60-100 bpm
• B) 100-160 bpm
• C) 70-120 bpm
• D) 120-180 bpm
Correct Option: B) 100-160 bpm
Rationale: Infants typically have a higher heart rate than adults, with a normal range of 100 to
160 beats per minute. This is due to their smaller size and increased metabolic needs.
2. Which of the following is a common side effect of the MMR vaccine?
• A) Fever
• B) Rash
• C) Both A and B
• D) Anaphylaxis
Correct Option: C) Both A and B
Rationale: The MMR (measles, mumps, rubella) vaccine can lead to mild side effects such as
fever and rash in some children. These side effects usually occur about one to two weeks after
vaccination and are generally self-limiting.
3. A 3-year-old child is brought to the clinic with a high fever and a barking cough. What
condition should the nurse suspect?
, • A) Asthma
• B) Croup
• C) Bronchiolitis
• D) Pneumonia
Correct Option: B) Croup
Rationale: Croup is characterized by a barking cough, usually due to viral infection, and can be
accompanied by a high fever. It typically occurs in children between 6 months and 3 years of
age.
4. Which assessment finding is most concerning in a 6-month-old infant?
• A) Sitting unsupported
• B) Lethargy and poor feeding
• C) Smiling at familiar faces
• D) Rolling from back to stomach
Correct Option: B) Lethargy and poor feeding
Rationale: Lethargy and poor feeding can indicate serious underlying conditions such as
infection or metabolic disorders in an infant. Timely assessment and intervention are critical in
these cases.
5. When providing education on the management of pediatric asthma, what is the most
important point to emphasize?
• A) Use of rescue inhalers only when symptoms worsen
• B) Regular use of controller medications
• C) Avoiding all forms of exercise
• D) Ensuring an annual flu vaccine
Correct Option: B) Regular use of controller medications
Rationale: Children with asthma often require long-term controller medications to manage their
condition effectively. These medications help reduce inflammation and prevent asthma attacks,
unlike rescue inhalers, which are for immediate relief.
, 6. At what age should a child typically be able to say "mama" and "dada"?
• A) 6 months
• B) 12 months
• C) 18 months
• D) 24 months
Correct Option: B) 12 months
Rationale: Most children can say "mama" and "dada" with meaning by around 12 months of
age, which is a key milestone in language development.
7. Which of the following is a sign of dehydration in an infant?
• A) Moist mucous membranes
• B) Sunken fontanelle
• C) Normal skin turgor
• D) Weight gain
Correct Option: B) Sunken fontanelle
Rationale: A sunken fontanelle is a prominent sign of dehydration in infants, indicating that they
may be experiencing significant fluid loss.
8. What is the primary nursing intervention for an infant in respiratory distress?
• A) Administer oral fluids
• B) Maintain a patent airway
• C) Encourage deep breathing
• D) Perform a head-to-toe assessment
Correct Option: B) Maintain a patent airway
Rationale: Maintaining a patent airway is critical in any patient experiencing respiratory
distress, as it allows for adequate oxygenation.
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
1. What is the normal heart rate range for an infant?
• A) 60-100 bpm
• B) 100-160 bpm
• C) 70-120 bpm
• D) 120-180 bpm
Correct Option: B) 100-160 bpm
Rationale: Infants typically have a higher heart rate than adults, with a normal range of 100 to
160 beats per minute. This is due to their smaller size and increased metabolic needs.
2. Which of the following is a common side effect of the MMR vaccine?
• A) Fever
• B) Rash
• C) Both A and B
• D) Anaphylaxis
Correct Option: C) Both A and B
Rationale: The MMR (measles, mumps, rubella) vaccine can lead to mild side effects such as
fever and rash in some children. These side effects usually occur about one to two weeks after
vaccination and are generally self-limiting.
3. A 3-year-old child is brought to the clinic with a high fever and a barking cough. What
condition should the nurse suspect?
, • A) Asthma
• B) Croup
• C) Bronchiolitis
• D) Pneumonia
Correct Option: B) Croup
Rationale: Croup is characterized by a barking cough, usually due to viral infection, and can be
accompanied by a high fever. It typically occurs in children between 6 months and 3 years of
age.
4. Which assessment finding is most concerning in a 6-month-old infant?
• A) Sitting unsupported
• B) Lethargy and poor feeding
• C) Smiling at familiar faces
• D) Rolling from back to stomach
Correct Option: B) Lethargy and poor feeding
Rationale: Lethargy and poor feeding can indicate serious underlying conditions such as
infection or metabolic disorders in an infant. Timely assessment and intervention are critical in
these cases.
5. When providing education on the management of pediatric asthma, what is the most
important point to emphasize?
• A) Use of rescue inhalers only when symptoms worsen
• B) Regular use of controller medications
• C) Avoiding all forms of exercise
• D) Ensuring an annual flu vaccine
Correct Option: B) Regular use of controller medications
Rationale: Children with asthma often require long-term controller medications to manage their
condition effectively. These medications help reduce inflammation and prevent asthma attacks,
unlike rescue inhalers, which are for immediate relief.
, 6. At what age should a child typically be able to say "mama" and "dada"?
• A) 6 months
• B) 12 months
• C) 18 months
• D) 24 months
Correct Option: B) 12 months
Rationale: Most children can say "mama" and "dada" with meaning by around 12 months of
age, which is a key milestone in language development.
7. Which of the following is a sign of dehydration in an infant?
• A) Moist mucous membranes
• B) Sunken fontanelle
• C) Normal skin turgor
• D) Weight gain
Correct Option: B) Sunken fontanelle
Rationale: A sunken fontanelle is a prominent sign of dehydration in infants, indicating that they
may be experiencing significant fluid loss.
8. What is the primary nursing intervention for an infant in respiratory distress?
• A) Administer oral fluids
• B) Maintain a patent airway
• C) Encourage deep breathing
• D) Perform a head-to-toe assessment
Correct Option: B) Maintain a patent airway
Rationale: Maintaining a patent airway is critical in any patient experiencing respiratory
distress, as it allows for adequate oxygenation.
