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. 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
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.”
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)
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.
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. 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
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.”
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)
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.
