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 primary nursing intervention for a child with asthma experiencing an acute
exacerbation?
• A) Administer oral corticosteroids.
• B) Schedule follow-up appointments.
• C) Provide a humidified oxygen supply.
• D) Administer a bronchodilator.
Correct Option: D) Administer a bronchodilator.
Rationale:
During an acute exacerbation of asthma, bronchodilators such as albuterol are essential for
quickly opening the airways and improving airflow. While corticosteroids may reduce
inflammation, they take longer to be effective. Humidified oxygen can provide comfort but will
not directly relieve bronchospasm. Follow-up appointments are important but not an immediate
intervention.
Question 2
Which of the following assessment findings in an infant would be most indicative of
dehydration?
• A) Decreased urine output.
• B) Increased hunger.
• C) Weight gain.
• D) Moist mucous membranes.
Correct Option: A) Decreased urine output.
,Rationale:
Decreased urine output is a key sign of dehydration in infants, as their small fluid reserves make
them particularly vulnerable. Increased hunger and weight gain are not indicative of dehydration;
in fact, dehydration often leads to decreased appetite. Moist mucous membranes suggest
adequate hydration.
Question 3
What developmental milestone should a 12-month-old child typically achieve?
• A) Walking independently.
• B) Forming two-word phrases.
• C) Stacking three blocks.
• D) Scribbling with a crayon.
Correct Option: A) Walking independently.
Rationale:
By 12 months, many children begin walking independently as a significant milestone of physical
development. Forming two-word phrases typically occurs around 18 months, while stacking
three blocks is expected around 15 months. Scribbling can begin around 15 months but is not
exclusive to one year.
Question 4
In a child diagnosed with chickenpox, which nursing intervention is essential to prevent
complications?
• A) Administering acyclovir.
• B) Isolating the child from others until scabs form.
• C) Giving aspirin for fever.
• D) Providing a high-protein diet.
Correct Option: B) Isolating the child from others until scabs form.
Rationale:
Isolation is critical to prevent the spread of varicella zoster virus until all lesions have crusted
over. Acyclovir may be used in severe cases but is not universally indicated. Aspirin is
, contraindicated in children due to the risk of Reye's syndrome. While nutrition is important, it is
not a primary intervention for preventing complications in chickenpox.
Question 5
A 3-year-old child is brought to the clinic for a routine check-up. What is an age-
appropriate nutritional guideline that the nurse should discuss with the parents?
• A) Introduce low-fat milk as the primary beverage.
• B) Encourage a diet low in carbohydrates.
• C) Limit fruit intake to promote weight loss.
• D) Serve three meals and two snacks per day.
Correct Option: D) Serve three meals and two snacks per day.
Rationale:
Offering three meals and two snacks daily aligns with the nutritional needs of a toddler who
requires regular intake due to high energy demands. Introducing low-fat milk and limiting
carbohydrates may not meet the needs of a growing child. Restricting fruits can lead to
inadequate vitamin intake.
Question 6
Which of the following signs is most indicative of meningitis in a child?
• A) Fever and rash.
• B) Vomiting and diarrhea.
• C) Stiff neck and photophobia.
• D) Cough and runny nose.
Correct Option: C) Stiff neck and photophobia.
Rationale:
Stiff neck (nuchal rigidity) and photophobia (sensitivity to light) are classic signs of meningitis.
Fever and rash can indicate other conditions, while vomiting and diarrhea may occur with
various infections. Cough and runny nose are not specific to meningitis.
Question 7
What is the most appropriate initial nursing action for a child experiencing a seizure?
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 primary nursing intervention for a child with asthma experiencing an acute
exacerbation?
• A) Administer oral corticosteroids.
• B) Schedule follow-up appointments.
• C) Provide a humidified oxygen supply.
• D) Administer a bronchodilator.
Correct Option: D) Administer a bronchodilator.
Rationale:
During an acute exacerbation of asthma, bronchodilators such as albuterol are essential for
quickly opening the airways and improving airflow. While corticosteroids may reduce
inflammation, they take longer to be effective. Humidified oxygen can provide comfort but will
not directly relieve bronchospasm. Follow-up appointments are important but not an immediate
intervention.
Question 2
Which of the following assessment findings in an infant would be most indicative of
dehydration?
• A) Decreased urine output.
• B) Increased hunger.
• C) Weight gain.
• D) Moist mucous membranes.
Correct Option: A) Decreased urine output.
,Rationale:
Decreased urine output is a key sign of dehydration in infants, as their small fluid reserves make
them particularly vulnerable. Increased hunger and weight gain are not indicative of dehydration;
in fact, dehydration often leads to decreased appetite. Moist mucous membranes suggest
adequate hydration.
Question 3
What developmental milestone should a 12-month-old child typically achieve?
• A) Walking independently.
• B) Forming two-word phrases.
• C) Stacking three blocks.
• D) Scribbling with a crayon.
Correct Option: A) Walking independently.
Rationale:
By 12 months, many children begin walking independently as a significant milestone of physical
development. Forming two-word phrases typically occurs around 18 months, while stacking
three blocks is expected around 15 months. Scribbling can begin around 15 months but is not
exclusive to one year.
Question 4
In a child diagnosed with chickenpox, which nursing intervention is essential to prevent
complications?
• A) Administering acyclovir.
• B) Isolating the child from others until scabs form.
• C) Giving aspirin for fever.
• D) Providing a high-protein diet.
Correct Option: B) Isolating the child from others until scabs form.
Rationale:
Isolation is critical to prevent the spread of varicella zoster virus until all lesions have crusted
over. Acyclovir may be used in severe cases but is not universally indicated. Aspirin is
, contraindicated in children due to the risk of Reye's syndrome. While nutrition is important, it is
not a primary intervention for preventing complications in chickenpox.
Question 5
A 3-year-old child is brought to the clinic for a routine check-up. What is an age-
appropriate nutritional guideline that the nurse should discuss with the parents?
• A) Introduce low-fat milk as the primary beverage.
• B) Encourage a diet low in carbohydrates.
• C) Limit fruit intake to promote weight loss.
• D) Serve three meals and two snacks per day.
Correct Option: D) Serve three meals and two snacks per day.
Rationale:
Offering three meals and two snacks daily aligns with the nutritional needs of a toddler who
requires regular intake due to high energy demands. Introducing low-fat milk and limiting
carbohydrates may not meet the needs of a growing child. Restricting fruits can lead to
inadequate vitamin intake.
Question 6
Which of the following signs is most indicative of meningitis in a child?
• A) Fever and rash.
• B) Vomiting and diarrhea.
• C) Stiff neck and photophobia.
• D) Cough and runny nose.
Correct Option: C) Stiff neck and photophobia.
Rationale:
Stiff neck (nuchal rigidity) and photophobia (sensitivity to light) are classic signs of meningitis.
Fever and rash can indicate other conditions, while vomiting and diarrhea may occur with
various infections. Cough and runny nose are not specific to meningitis.
Question 7
What is the most appropriate initial nursing action for a child experiencing a seizure?
