2023 ATI PN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
High yield Qs & Ans to Pass the Exam
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.
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1. Hemophilia A
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A nurse is assisting in the care of a school-age child who has hemophilia A.
Which of the following findings should the nurse recognize as a typical
manifestation of this disorder?
A. Concave fingernails
B. Joint pain and stiffness
C. Prominent frontal bossing
D. Increased risk of infection
Correct Answer: B
Rationale:: Hemophilia A is a bleeding disorder characterized by a
deficiency of factor VIII. Children commonly experience bleeding into joints
(hemarthrosis), leading to joint pain and stiffness. Concave fingernails (A)
suggest iron-deficiency anemia, prominent frontal bossing (C) is more often
associated with conditions like thalassemia, and increased infection risk (D)
is not the hallmark of hemophilia.
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2. Toddler Dietary Teaching
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,A nurse is reinforcing dietary teaching with the parent of a 2-year-old
toddler. Which of the following should the nurse include?
A. “It is recommended that the toddler consume no more than 12 ounces of
fruit juice each day.”
B. “An appropriate serving size is 1 tablespoon of food per year of age.”
C. “Introduce healthy finger foods like raw carrot and celery sticks.”
D. “Encourage 5 cups of low-fat milk each day.”
Correct Answer: B
Rationale:: Toddlers should receive approximately 1 tablespoon of each
food per year of age at mealtime to prevent overfeeding. Option A (12
ounces of juice) is actually higher than most recommended guidelines
(often ≤ 4–6 oz/day). Raw carrots and celery (C) pose a choking hazard in
this age group unless cut very finely or cooked. Five cups of milk daily (D)
often exceeds recommended dairy servings (2–3 cups/day at this age).
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3. Immunizations for an Adolescent
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A nurse in a clinic is collecting data from an adolescent who has received
all recommended immunizations through 6 years of age. Which of the
following vaccines should the nurse anticipate administering next?
A. Haemophilus influenzae type b (Hib)
, B. Rotavirus (RV)
C. Polio (IPV)
D. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
Correct Answer: D
Rationale:: Tdap is routinely given around 11–12 years of age as a booster.
Hib (A), RV (B), and final IPV (C) doses are typically completed by early
childhood.
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4. Oral Iron Supplements
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A nurse is reinforcing teaching about liquid oral iron supplements with the
guardian of a school-age child who has iron deficiency anemia. Which
guardian statement indicates understanding of the teaching?
A. “I will give my child a double dose if a dose is missed.”
B. “I will give this medication with skim milk.”
C. “This medication will turn my child’s stools white.”
D. “I will give this medication to my child using a straw.”
Correct Answer: D
Rationale:: Iron can stain tooth enamel. Administering it with a straw (or
dropper) minimizes contact with teeth. Giving double doses (A) can lead to
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
High yield Qs & Ans to Pass the Exam
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.
,────────
1. Hemophilia A
───────────────────────────────────────────────
────────
A nurse is assisting in the care of a school-age child who has hemophilia A.
Which of the following findings should the nurse recognize as a typical
manifestation of this disorder?
A. Concave fingernails
B. Joint pain and stiffness
C. Prominent frontal bossing
D. Increased risk of infection
Correct Answer: B
Rationale:: Hemophilia A is a bleeding disorder characterized by a
deficiency of factor VIII. Children commonly experience bleeding into joints
(hemarthrosis), leading to joint pain and stiffness. Concave fingernails (A)
suggest iron-deficiency anemia, prominent frontal bossing (C) is more often
associated with conditions like thalassemia, and increased infection risk (D)
is not the hallmark of hemophilia.
───────────────────────────────────────────────
─────────
2. Toddler Dietary Teaching
───────────────────────────────────────────────
─────────
,A nurse is reinforcing dietary teaching with the parent of a 2-year-old
toddler. Which of the following should the nurse include?
A. “It is recommended that the toddler consume no more than 12 ounces of
fruit juice each day.”
B. “An appropriate serving size is 1 tablespoon of food per year of age.”
C. “Introduce healthy finger foods like raw carrot and celery sticks.”
D. “Encourage 5 cups of low-fat milk each day.”
Correct Answer: B
Rationale:: Toddlers should receive approximately 1 tablespoon of each
food per year of age at mealtime to prevent overfeeding. Option A (12
ounces of juice) is actually higher than most recommended guidelines
(often ≤ 4–6 oz/day). Raw carrots and celery (C) pose a choking hazard in
this age group unless cut very finely or cooked. Five cups of milk daily (D)
often exceeds recommended dairy servings (2–3 cups/day at this age).
───────────────────────────────────────────────
─────────
3. Immunizations for an Adolescent
───────────────────────────────────────────────
─────────
A nurse in a clinic is collecting data from an adolescent who has received
all recommended immunizations through 6 years of age. Which of the
following vaccines should the nurse anticipate administering next?
A. Haemophilus influenzae type b (Hib)
, B. Rotavirus (RV)
C. Polio (IPV)
D. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
Correct Answer: D
Rationale:: Tdap is routinely given around 11–12 years of age as a booster.
Hib (A), RV (B), and final IPV (C) doses are typically completed by early
childhood.
───────────────────────────────────────────────
─────────
4. Oral Iron Supplements
───────────────────────────────────────────────
─────────
A nurse is reinforcing teaching about liquid oral iron supplements with the
guardian of a school-age child who has iron deficiency anemia. Which
guardian statement indicates understanding of the teaching?
A. “I will give my child a double dose if a dose is missed.”
B. “I will give this medication with skim milk.”
C. “This medication will turn my child’s stools white.”
D. “I will give this medication to my child using a straw.”
Correct Answer: D
Rationale:: Iron can stain tooth enamel. Administering it with a straw (or
dropper) minimizes contact with teeth. Giving double doses (A) can lead to
