# ATI PN PEDIATRICS PROCTORED EXAM
RETAKE 2025
## NEXT GEN (NEW UPDATED VERSION) –
ACTUAL EXAM Q&A
**
---
## PART 1: PRIORITY & EMERGENCY NURSING (NGN-STYLE)
### Question 1
**A nurse in an urgent care clinic is prioritizing care for four children. Which of the following children
should the nurse assess first?**
A. A toddler who has nephrotic syndrome and facial edema
B. **A preschool-age child who has a muffled voice and no spontaneous cough**
C. A preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL
D. An adolescent who has Crohn's disease and recent weight loss of 5 kg
**Answer: B**
**Rationale:** A muffled voice and no spontaneous cough are classic indicators of **Epiglottitis**, a
life-threatening airway emergency. This child must be assessed immediately for signs of impending
airway obstruction. The other options represent non-urgent or chronic conditions .
,---
### Question 2
**A nurse is assessing a child who has been stung by a bee and is allergic to insect stings. Which of the
following findings should the nurse expect if the child develops anaphylaxis? (Select All That Apply)**
A. Bradycardia
B. **Nausea**
C. Hypertension
D. **Urticaria**
E. **Stridor**
**Answer: B, D, E**
**Rationale:** Nausea results from gastrointestinal vasoconstriction. Urticaria (hives) is caused by
histamine release. Stridor indicates laryngeal edema and airway compromise. Anaphylaxis typically
presents with **tachycardia** (not bradycardia) and **hypotension** (not hypertension) due to
distributive shock .
---
### Question 3
**A nurse in an emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea,
and is drooling. Which of the following actions should the nurse take first?**
A. Obtain a blood culture from the toddler
B. Administer an antibiotic to the toddler
C. Insert an IV catheter for the toddler
D. **Prepare the toddler for nasotracheal intubation**
**Answer: D**
, **Rationale:** Hyperpyrexia, severe dyspnea, and drooling are hallmarks of **Epiglottitis**. This
presentation indicates an impending complete airway obstruction. The priority is preparing for
intubation to secure the airway. Throat examinations or cultures should be avoided as they may trigger
laryngospasm .
---
## PART 2: INFECTIOUS DISEASE & ISOLATION PRECAUTIONS
### Question 4
**A guardian calls the clinic nurse after his child has developed symptoms of varicella and asks when his
child will no longer be contagious. Which of the following responses should the nurse make?**
A. "When your child no longer has a fever."
B. "Three days after the rash started."
C. **"Six days after lesions appear if they are crusted."**
D. "When your child's lesions disappear."
**Answer: C**
**Rationale:** Varicella (chickenpox) is contagious until **all lesions are crusted over**, which typically
occurs about 6 days after rash onset. Fever resolution is not the criteria, and complete disappearance of
lesions is not necessary to end isolation .
---
### Question 5
**A nurse is providing teaching for the parents of a child with impetigo. Which of the following
instructions should the nurse include in the teaching?**
A. Soak hairbrushes in boiling water for 10 min
B. **Apply bactericidal ointment to lesions**
C. Seal soft toys in a plastic bag for 14 days
RETAKE 2025
## NEXT GEN (NEW UPDATED VERSION) –
ACTUAL EXAM Q&A
**
---
## PART 1: PRIORITY & EMERGENCY NURSING (NGN-STYLE)
### Question 1
**A nurse in an urgent care clinic is prioritizing care for four children. Which of the following children
should the nurse assess first?**
A. A toddler who has nephrotic syndrome and facial edema
B. **A preschool-age child who has a muffled voice and no spontaneous cough**
C. A preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL
D. An adolescent who has Crohn's disease and recent weight loss of 5 kg
**Answer: B**
**Rationale:** A muffled voice and no spontaneous cough are classic indicators of **Epiglottitis**, a
life-threatening airway emergency. This child must be assessed immediately for signs of impending
airway obstruction. The other options represent non-urgent or chronic conditions .
,---
### Question 2
**A nurse is assessing a child who has been stung by a bee and is allergic to insect stings. Which of the
following findings should the nurse expect if the child develops anaphylaxis? (Select All That Apply)**
A. Bradycardia
B. **Nausea**
C. Hypertension
D. **Urticaria**
E. **Stridor**
**Answer: B, D, E**
**Rationale:** Nausea results from gastrointestinal vasoconstriction. Urticaria (hives) is caused by
histamine release. Stridor indicates laryngeal edema and airway compromise. Anaphylaxis typically
presents with **tachycardia** (not bradycardia) and **hypotension** (not hypertension) due to
distributive shock .
---
### Question 3
**A nurse in an emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea,
and is drooling. Which of the following actions should the nurse take first?**
A. Obtain a blood culture from the toddler
B. Administer an antibiotic to the toddler
C. Insert an IV catheter for the toddler
D. **Prepare the toddler for nasotracheal intubation**
**Answer: D**
, **Rationale:** Hyperpyrexia, severe dyspnea, and drooling are hallmarks of **Epiglottitis**. This
presentation indicates an impending complete airway obstruction. The priority is preparing for
intubation to secure the airway. Throat examinations or cultures should be avoided as they may trigger
laryngospasm .
---
## PART 2: INFECTIOUS DISEASE & ISOLATION PRECAUTIONS
### Question 4
**A guardian calls the clinic nurse after his child has developed symptoms of varicella and asks when his
child will no longer be contagious. Which of the following responses should the nurse make?**
A. "When your child no longer has a fever."
B. "Three days after the rash started."
C. **"Six days after lesions appear if they are crusted."**
D. "When your child's lesions disappear."
**Answer: C**
**Rationale:** Varicella (chickenpox) is contagious until **all lesions are crusted over**, which typically
occurs about 6 days after rash onset. Fever resolution is not the criteria, and complete disappearance of
lesions is not necessary to end isolation .
---
### Question 5
**A nurse is providing teaching for the parents of a child with impetigo. Which of the following
instructions should the nurse include in the teaching?**
A. Soak hairbrushes in boiling water for 10 min
B. **Apply bactericidal ointment to lesions**
C. Seal soft toys in a plastic bag for 14 days
