ATI PN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual 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. A nurse is reinforcing teaching with the parent of a school-age child who has lactose
intolerance. Which supplement should the nurse instruct the parent to include to
prevent decreased bone density?
A. Zinc
B. Vitamin D
C. Thiamine
D. Folic acid
Correct Answer: B. Vitamin D
Rationale: Children with lactose intolerance must avoid most dairy products, which can
lead to inadequate calcium and vitamin D intake. Vitamin D promotes calcium
absorption from other dietary sources, helping support bone density.
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2. A nurse is reviewing the laboratory values of a school-age child who has iron
deficiency anemia. Which laboratory value should the nurse expect?
,A. Hemoglobin (Hgb) 9.0 g/dL
B. Hematocrit (Hct) 37%
C. Serum iron 100 mcg/dL
D. Total iron binding capacity (TIBC) 325 mcg/dL
Correct Answer: A. Hemoglobin (Hgb) 9.0 g/dL
Rationale: A child with iron deficiency anemia typically has a hemoglobin level below
the normal reference range (approximately 9.5 to 15.5 g/dL for a school-age child). A
value of 9.0 g/dL is indicative of iron deficiency anemia.
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3. A nurse is collecting data from a 12-month-old infant during a well-child visit. At
birth, the infant weighed 3.6 kg (8 lb) and measured 50.8 cm (20 in). Which finding
should the nurse expect at 12 months?
A. Weight of 6.4 kg (14 lb)
B. Length of 101.6 cm (40 in)
C. Length of 76.2 cm (30 in)
D. Weight of 14.5 kg (32 lb)
, Correct Answer: C. Length of 76.2 cm (30 in)
Rationale: By 12 months of age, an infant’s length increases by about 50% from birth.
Starting from 50.8 cm (20 in), a 50% increase is approximately 76.2 cm (30 in).
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4. 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 indicates
understanding of proper administration?
A. “I will give my child a double dose if she misses one.”
B. “I will mix this medication in skim milk.”
C. “This medication will turn my child’s stools white.”
D. “I will give this medication to my child with a straw.”
Correct Answer: D. “I will give this medication to my child with a straw.”
Rationale: Liquid iron preparations can stain the teeth. Using a straw (or a medicine
dropper) helps minimize direct contact with teeth and prevents staining.
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PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual 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. A nurse is reinforcing teaching with the parent of a school-age child who has lactose
intolerance. Which supplement should the nurse instruct the parent to include to
prevent decreased bone density?
A. Zinc
B. Vitamin D
C. Thiamine
D. Folic acid
Correct Answer: B. Vitamin D
Rationale: Children with lactose intolerance must avoid most dairy products, which can
lead to inadequate calcium and vitamin D intake. Vitamin D promotes calcium
absorption from other dietary sources, helping support bone density.
───────────────────────────────────────────────────────
─
2. A nurse is reviewing the laboratory values of a school-age child who has iron
deficiency anemia. Which laboratory value should the nurse expect?
,A. Hemoglobin (Hgb) 9.0 g/dL
B. Hematocrit (Hct) 37%
C. Serum iron 100 mcg/dL
D. Total iron binding capacity (TIBC) 325 mcg/dL
Correct Answer: A. Hemoglobin (Hgb) 9.0 g/dL
Rationale: A child with iron deficiency anemia typically has a hemoglobin level below
the normal reference range (approximately 9.5 to 15.5 g/dL for a school-age child). A
value of 9.0 g/dL is indicative of iron deficiency anemia.
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─
3. A nurse is collecting data from a 12-month-old infant during a well-child visit. At
birth, the infant weighed 3.6 kg (8 lb) and measured 50.8 cm (20 in). Which finding
should the nurse expect at 12 months?
A. Weight of 6.4 kg (14 lb)
B. Length of 101.6 cm (40 in)
C. Length of 76.2 cm (30 in)
D. Weight of 14.5 kg (32 lb)
, Correct Answer: C. Length of 76.2 cm (30 in)
Rationale: By 12 months of age, an infant’s length increases by about 50% from birth.
Starting from 50.8 cm (20 in), a 50% increase is approximately 76.2 cm (30 in).
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─
4. 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 indicates
understanding of proper administration?
A. “I will give my child a double dose if she misses one.”
B. “I will mix this medication in skim milk.”
C. “This medication will turn my child’s stools white.”
D. “I will give this medication to my child with a straw.”
Correct Answer: D. “I will give this medication to my child with a straw.”
Rationale: Liquid iron preparations can stain the teeth. Using a straw (or a medicine
dropper) helps minimize direct contact with teeth and prevents staining.
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