2023 ATI RN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
High yield Qs & Ans to Pass the Exam
Version 2
This ATI Test Contains:
➢ 70 pediatric nursing questions
➢ multiple-choice format (A, B, C, D) with
correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and
rationales consistent with entry-level practical nursing
standards.
,QUESTION 1 (NGN-Style: Single Best Answer)
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CASE SCENARIO:
A nurse is teaching the parent of a preschooler who has a history of acute
asthma attacks. The child has mild intermittent asthma symptoms, and
today’s vital signs are within normal limits for age.
1. Which of the following statements by the parent indicates an
understanding of how to prevent acute asthma attacks?
A. “I will use a humidifier in my child’s room at night.”
B. “I will give my child a cough suppressant every 6 hours if he has a
cough.”
C. “I should avoid using a wet mop on my floors when I am cleaning.”
D. “I should keep my child indoors when I mow the yard.”
CORRECT ANSWER: D
RATIONALE: Yard work such as mowing often stirs up grass, weed, and
other environmental allergens that can trigger an acute asthma attack.
Keeping the child indoors during lawn maintenance or high pollen counts
can significantly reduce exposure to triggers. The other options do not
accurately reflect recommended preventative measures for asthma.
QUESTION 2 (NGN-Style: Single Best Answer)
CASE SCENARIO:
,A nurse is assessing a 6-year-old child immediately following surgery for a
perforated appendix. The child’s current vital signs are: Temp 99.3°F
(37.4°C), HR 110/min, RR 24/min, BP 105/68 mm Hg, O2 sat 98% on room
air.
2. Which of the following findings should the nurse expect immediately after
surgery for a perforated appendix?
A. Purulent drainage from the NG tube
B. Hypoactive bowel sounds
C. Passage of dark-red stool with mucus
D. Urine output of 20 mL/hr
CORRECT ANSWER: B
RATIONALE: Hypoactive bowel sounds are an expected finding in the
immediate postoperative period following abdominal surgery (such as for a
perforated appendix or peritonitis). Decreased gastrointestinal motility is
common, and normal bowel sounds typically return once peristalsis
resumes.
QUESTION 3 (NGN-Style: Point-and-Click / Hot Spot)
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CASE SCENARIO:
A nurse is assessing a school-age child who sustained an acute spinal cord
injury 1 week ago. The nurse is evaluating deep tendon reflexes to monitor
neurologic function.
, 3. Which of the following anatomical areas (as labeled A, B, C) should the
nurse tap to elicit the biceps reflex?
A. Antecubital fossa (over the biceps tendon)
B. Olecranon area (over the triceps tendon)
C. Lateral forearm near the styloid process of the radius (brachioradialis
tendon)
CORRECT ANSWER: A
RATIONALE: The nurse elicits the biceps reflex by placing a thumb on the
biceps tendon in the antecubital fossa area (labeled as “A” in the diagram)
and tapping the thumb with the reflex hammer. The triceps and
brachioradialis reflexes are tested at locations B and C, respectively.
QUESTION 4 (NGN-Style: Drag-and-Drop / Anticipated vs.
Contraindicated)
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CASE SCENARIO:
A nurse is caring for a toddler who has hemophilia. The provider is
considering several new prescriptions after the toddler’s recent fall
indicated possible joint involvement (hemarthrosis).
4. Classify each of the following potential provider prescriptions as
“Anticipated” or “Contraindicated” in an acute hemarthrosis episode.
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
High yield Qs & Ans to Pass the Exam
Version 2
This ATI Test Contains:
➢ 70 pediatric nursing questions
➢ multiple-choice format (A, B, C, D) with
correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and
rationales consistent with entry-level practical nursing
standards.
,QUESTION 1 (NGN-Style: Single Best Answer)
───────────────────────────────────────────────
─────────
CASE SCENARIO:
A nurse is teaching the parent of a preschooler who has a history of acute
asthma attacks. The child has mild intermittent asthma symptoms, and
today’s vital signs are within normal limits for age.
1. Which of the following statements by the parent indicates an
understanding of how to prevent acute asthma attacks?
A. “I will use a humidifier in my child’s room at night.”
B. “I will give my child a cough suppressant every 6 hours if he has a
cough.”
C. “I should avoid using a wet mop on my floors when I am cleaning.”
D. “I should keep my child indoors when I mow the yard.”
CORRECT ANSWER: D
RATIONALE: Yard work such as mowing often stirs up grass, weed, and
other environmental allergens that can trigger an acute asthma attack.
Keeping the child indoors during lawn maintenance or high pollen counts
can significantly reduce exposure to triggers. The other options do not
accurately reflect recommended preventative measures for asthma.
QUESTION 2 (NGN-Style: Single Best Answer)
CASE SCENARIO:
,A nurse is assessing a 6-year-old child immediately following surgery for a
perforated appendix. The child’s current vital signs are: Temp 99.3°F
(37.4°C), HR 110/min, RR 24/min, BP 105/68 mm Hg, O2 sat 98% on room
air.
2. Which of the following findings should the nurse expect immediately after
surgery for a perforated appendix?
A. Purulent drainage from the NG tube
B. Hypoactive bowel sounds
C. Passage of dark-red stool with mucus
D. Urine output of 20 mL/hr
CORRECT ANSWER: B
RATIONALE: Hypoactive bowel sounds are an expected finding in the
immediate postoperative period following abdominal surgery (such as for a
perforated appendix or peritonitis). Decreased gastrointestinal motility is
common, and normal bowel sounds typically return once peristalsis
resumes.
QUESTION 3 (NGN-Style: Point-and-Click / Hot Spot)
───────────────────────────────────────────────
─────────
CASE SCENARIO:
A nurse is assessing a school-age child who sustained an acute spinal cord
injury 1 week ago. The nurse is evaluating deep tendon reflexes to monitor
neurologic function.
, 3. Which of the following anatomical areas (as labeled A, B, C) should the
nurse tap to elicit the biceps reflex?
A. Antecubital fossa (over the biceps tendon)
B. Olecranon area (over the triceps tendon)
C. Lateral forearm near the styloid process of the radius (brachioradialis
tendon)
CORRECT ANSWER: A
RATIONALE: The nurse elicits the biceps reflex by placing a thumb on the
biceps tendon in the antecubital fossa area (labeled as “A” in the diagram)
and tapping the thumb with the reflex hammer. The triceps and
brachioradialis reflexes are tested at locations B and C, respectively.
QUESTION 4 (NGN-Style: Drag-and-Drop / Anticipated vs.
Contraindicated)
───────────────────────────────────────────────
─────────
CASE SCENARIO:
A nurse is caring for a toddler who has hemophilia. The provider is
considering several new prescriptions after the toddler’s recent fall
indicated possible joint involvement (hemarthrosis).
4. Classify each of the following potential provider prescriptions as
“Anticipated” or “Contraindicated” in an acute hemarthrosis episode.
