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:
A 4-year-old child is brought to the clinic with a high fever and a rash. Which nursing
intervention is the priority?
A) Administer antipyretics as ordered.
B) Ensure the child is hydrated.
C) Obtain a culture of the rash.
D) Assess the child’s airway.
Correct Option: D
Rationale:
In pediatric emergencies, assessing the airway is the top priority. A high fever combined with a
rash in a child may indicate a serious infection, such as meningitis or an allergic reaction that
could compromise the airway. While hydration and antipyretics are important, they do not take
precedence over assessing for possible airway obstruction.
Question 2:
Which developmental milestone should a nurse expect a 12-month-old infant to achieve?
A) Stands alone for a few seconds.
B) Says "mama" and "dada".
C) Walks independently.
D) Uses utensils to feed self.
Correct Option: B
Rationale:
By 12 months, most infants will be able to say a few simple words, such as "mama" and "dada."
,While they may pull to stand and might stand for a brief moment, independent walking typically
develops by 12-15 months. Using utensils to feed is a skill that usually develops later.
Question 3:
A nurse is caring for a 6-year-old child diagnosed with asthma. Which instruction is most
important to include in the teaching plan?
A) Encourage the use of a peak flow meter daily.
B) Limit activity to prevent shortness of breath.
C) Use the rescue inhaler only during an asthma attack.
D) Avoid allergens only during allergy season.
Correct Option: A
Rationale:
Teaching the child to use a peak flow meter daily helps monitor their asthma and recognizes
early signs of exacerbation. It empowers the child to take an active role in managing their
condition. Limiting activity can lead to being overly sedentary, and the rescue inhaler should be
available for use before an attack if needed, while allergen avoidance should be year-round.
Question 4:
A nurse is assessing a 2-year-old child. Which behavior would be most concerning?
A) Engages in parallel play.
B) Uses two-word phrases.
C) Does not respond to name.
D) Follows simple instructions.
Correct Option: C
Rationale:
A child who does not respond to their name may exhibit signs of hearing impairment or social
communication issues, such as autism spectrum disorder. Engaging in parallel play, using two-
word phrases, and following simple instructions are typical developmental milestones for a 2-
year-old.
Question 5:
During a routine check-up, the nurse notices a school-age child exhibits signs of anxiety before
vaccinations. What should the nurse do first?
, A) Hold the child’s hand during the procedure.
B) Explain the procedure in detail.
C) Distract the child with a toy.
D) Administer the vaccine quickly to minimize anxiety.
Correct Option: C
Rationale:
Distraction is an effective first intervention for reducing anxiety in children during medical
procedures. Holding the child's hand and explaining the procedure can also help, but engaging
the child with a toy distracts them from the impending procedure while helping to alleviate their
anxiety.
Question 6:
The nurse is teaching a group of parents about the introduction of solid foods. At what age
should parents start introducing solids?
A) 6 months.
B) 12 months.
C) 4 months.
D) 9 months.
Correct Option: A
Rationale:
Introducing solid foods is recommended around 6 months of age when the infant demonstrates
readiness, including good head control and interest in food. Introducing solids too early can
increase the risk for allergies and digestion challenges.
Question 7:
An 8-year-old child with diabetes is learning to manage their condition. Which statement by the
child indicates a need for further teaching?
A) "I will check my blood sugar before meals."
B) "I can eat candy as long as I take insulin."
C) "I don't need to exercise as long as I take my medication."
D) "I need to balance my diet with carbohydrates."
Correct Option: C
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:
A 4-year-old child is brought to the clinic with a high fever and a rash. Which nursing
intervention is the priority?
A) Administer antipyretics as ordered.
B) Ensure the child is hydrated.
C) Obtain a culture of the rash.
D) Assess the child’s airway.
Correct Option: D
Rationale:
In pediatric emergencies, assessing the airway is the top priority. A high fever combined with a
rash in a child may indicate a serious infection, such as meningitis or an allergic reaction that
could compromise the airway. While hydration and antipyretics are important, they do not take
precedence over assessing for possible airway obstruction.
Question 2:
Which developmental milestone should a nurse expect a 12-month-old infant to achieve?
A) Stands alone for a few seconds.
B) Says "mama" and "dada".
C) Walks independently.
D) Uses utensils to feed self.
Correct Option: B
Rationale:
By 12 months, most infants will be able to say a few simple words, such as "mama" and "dada."
,While they may pull to stand and might stand for a brief moment, independent walking typically
develops by 12-15 months. Using utensils to feed is a skill that usually develops later.
Question 3:
A nurse is caring for a 6-year-old child diagnosed with asthma. Which instruction is most
important to include in the teaching plan?
A) Encourage the use of a peak flow meter daily.
B) Limit activity to prevent shortness of breath.
C) Use the rescue inhaler only during an asthma attack.
D) Avoid allergens only during allergy season.
Correct Option: A
Rationale:
Teaching the child to use a peak flow meter daily helps monitor their asthma and recognizes
early signs of exacerbation. It empowers the child to take an active role in managing their
condition. Limiting activity can lead to being overly sedentary, and the rescue inhaler should be
available for use before an attack if needed, while allergen avoidance should be year-round.
Question 4:
A nurse is assessing a 2-year-old child. Which behavior would be most concerning?
A) Engages in parallel play.
B) Uses two-word phrases.
C) Does not respond to name.
D) Follows simple instructions.
Correct Option: C
Rationale:
A child who does not respond to their name may exhibit signs of hearing impairment or social
communication issues, such as autism spectrum disorder. Engaging in parallel play, using two-
word phrases, and following simple instructions are typical developmental milestones for a 2-
year-old.
Question 5:
During a routine check-up, the nurse notices a school-age child exhibits signs of anxiety before
vaccinations. What should the nurse do first?
, A) Hold the child’s hand during the procedure.
B) Explain the procedure in detail.
C) Distract the child with a toy.
D) Administer the vaccine quickly to minimize anxiety.
Correct Option: C
Rationale:
Distraction is an effective first intervention for reducing anxiety in children during medical
procedures. Holding the child's hand and explaining the procedure can also help, but engaging
the child with a toy distracts them from the impending procedure while helping to alleviate their
anxiety.
Question 6:
The nurse is teaching a group of parents about the introduction of solid foods. At what age
should parents start introducing solids?
A) 6 months.
B) 12 months.
C) 4 months.
D) 9 months.
Correct Option: A
Rationale:
Introducing solid foods is recommended around 6 months of age when the infant demonstrates
readiness, including good head control and interest in food. Introducing solids too early can
increase the risk for allergies and digestion challenges.
Question 7:
An 8-year-old child with diabetes is learning to manage their condition. Which statement by the
child indicates a need for further teaching?
A) "I will check my blood sugar before meals."
B) "I can eat candy as long as I take insulin."
C) "I don't need to exercise as long as I take my medication."
D) "I need to balance my diet with carbohydrates."
Correct Option: C
