2023 ATI PN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
High yield Qs & Ans to Pass the Exam
Version 1
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. A nurse is reinforcing teaching with the parents of a 7-year-old child
about behavioral expectations. Which of the following behaviors is typical
for this age?
A. Consistently engaging in parallel play
B. Wanting to spend a lot of time alone
C. Preferring to engage only in solitary computer games
D. Being unable to separate from parents at any time
Answer: B. Wanting to spend a lot of time alone.
Rationale: School-age children often start to value privacy and may enjoy
solitary activities, yet still engage with peers at other times.
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2. A nurse is reinforcing teaching about liquid oral iron supplements with
the guardian of a school-age child who has iron deficiency anemia. Which
statement by the guardian indicates an understanding of the teaching?
A. “I will mix the medication with milk to hide the taste.”
B. “I will give this medication at bedtime with warm tea.”
C. “I will give this medication to my child with a straw.”
D. “I will let my child take the iron right after brushing teeth.”
Answer: C. “I will give this medication to my child with a straw.”
,Rationale: Using a straw helps prevent the liquid iron from staining the
teeth. It is also recommended to administer with vitamin C or juice (not
milk) to enhance absorption.
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3. A nurse in a pediatric clinic cares for an infant with heart failure who has
a prescription for digoxin. Which of the following statements by the parent
indicates that the medication is having the desired therapeutic effect?
A. “My baby’s heart rate is much faster than before.”
B. “My baby is breathing easier than they used to.”
C. “My baby now has more frequent wet diapers.”
D. “My baby is spitting up more often these days.”
Answer: B. “My baby is breathing easier than they used to.”
Rationale: An improvement in respiratory effort and reduced work of
breathing suggests digoxin is improving cardiac function and reducing
pulmonary congestion.
4. A nurse is collecting data for an adolescent who has asthma and recently
received an albuterol nebulizer treatment. Which of the following findings
indicates an improvement in the adolescent’s condition?
A. Heart rate of 130/min
B. O2 saturation of 88% on room air
C. Respiratory rate of 20/min
, D. Prolonged expiratory wheezes
Answer: C. Respiratory rate of 20/min.
Rationale: A normal or near-normal respiratory rate (around 12- 20/min for
adolescents) indicates improved ventilation and less respiratory distress
following a bronchodilator treatment.
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5. A nurse is collecting data from an 18-month-old toddler who came to the
urgent care clinic. Which of the following findings should the nurse
investigate further?
A. Heart rate of 106/min
B. Blood pressure 120/80 mm Hg
C. Temper tantrums when upset
D. Respiratory rate of 28/min
Answer: B. Blood pressure 120/80 mm Hg.
Rationale: A blood pressure of 120/80 mm Hg is elevated for an 18-
month-old. This finding requires further evaluation.
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6. A nurse is collecting data from a school-age child. Which of the following
findings is a manifestation that might indicate physical abuse?
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
High yield Qs & Ans to Pass the Exam
Version 1
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. A nurse is reinforcing teaching with the parents of a 7-year-old child
about behavioral expectations. Which of the following behaviors is typical
for this age?
A. Consistently engaging in parallel play
B. Wanting to spend a lot of time alone
C. Preferring to engage only in solitary computer games
D. Being unable to separate from parents at any time
Answer: B. Wanting to spend a lot of time alone.
Rationale: School-age children often start to value privacy and may enjoy
solitary activities, yet still engage with peers at other times.
───────────────────────────────────────────────
─────────
2. A nurse is reinforcing teaching about liquid oral iron supplements with
the guardian of a school-age child who has iron deficiency anemia. Which
statement by the guardian indicates an understanding of the teaching?
A. “I will mix the medication with milk to hide the taste.”
B. “I will give this medication at bedtime with warm tea.”
C. “I will give this medication to my child with a straw.”
D. “I will let my child take the iron right after brushing teeth.”
Answer: C. “I will give this medication to my child with a straw.”
,Rationale: Using a straw helps prevent the liquid iron from staining the
teeth. It is also recommended to administer with vitamin C or juice (not
milk) to enhance absorption.
───────────────────────────────────────────────
─────────
3. A nurse in a pediatric clinic cares for an infant with heart failure who has
a prescription for digoxin. Which of the following statements by the parent
indicates that the medication is having the desired therapeutic effect?
A. “My baby’s heart rate is much faster than before.”
B. “My baby is breathing easier than they used to.”
C. “My baby now has more frequent wet diapers.”
D. “My baby is spitting up more often these days.”
Answer: B. “My baby is breathing easier than they used to.”
Rationale: An improvement in respiratory effort and reduced work of
breathing suggests digoxin is improving cardiac function and reducing
pulmonary congestion.
4. A nurse is collecting data for an adolescent who has asthma and recently
received an albuterol nebulizer treatment. Which of the following findings
indicates an improvement in the adolescent’s condition?
A. Heart rate of 130/min
B. O2 saturation of 88% on room air
C. Respiratory rate of 20/min
, D. Prolonged expiratory wheezes
Answer: C. Respiratory rate of 20/min.
Rationale: A normal or near-normal respiratory rate (around 12- 20/min for
adolescents) indicates improved ventilation and less respiratory distress
following a bronchodilator treatment.
───────────────────────────────────────────────
─────────
5. A nurse is collecting data from an 18-month-old toddler who came to the
urgent care clinic. Which of the following findings should the nurse
investigate further?
A. Heart rate of 106/min
B. Blood pressure 120/80 mm Hg
C. Temper tantrums when upset
D. Respiratory rate of 28/min
Answer: B. Blood pressure 120/80 mm Hg.
Rationale: A blood pressure of 120/80 mm Hg is elevated for an 18-
month-old. This finding requires further evaluation.
───────────────────────────────────────────────
─────────
6. A nurse is collecting data from a school-age child. Which of the following
findings is a manifestation that might indicate physical abuse?
