ATI PEDIATRICS PROCTORED EXAM WITH NGN NEWEST VERSION 2026-2027
ACTUAL EXAM COMPLETE VERSION EACH 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+.
VERSION A
A nurse is caring for a toddler and is preparing to administer 0.9% sodium
chloride 100 mL IV to infuse over 4 hours. The drop factor of the manual IV
tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver
how many gtt/min? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 25 gtt/min
Rationale
To calculate the IV flow rate in gtt/min, use the formula: (Volume in mL ×
Drop factor) ÷ Time in minutes. The volume is 100 mL, the drop factor is 60
gtt/mL, and the time is 4 hours (240 minutes). Calculation: (100 mL × 60
gtt/mL) ÷ 240 minutes = 6,000 ÷ 240 = 25 gtt/min. The answer should be
rounded to the nearest whole number as 25 gtt/min.
DIF: Cognitive Level: Apply (Application)
TOP: Intravenous Therapy Calculations
MSC: Pharmacological and Parenteral Therapies
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which
of the following actions should the nurse take?
A) Perform the assessment in a head-to-toe sequence.
B) Minimize physical contact with the child initially.
C) Explain procedures using medical terminology.
D) Stop the assessment if the child becomes uncooperative.
,Correct Answer: B
Rationale
When assessing a toddler, the nurse should minimize physical contact
initially to allow the child to become comfortable and establish trust.
Toddlers often experience stranger anxiety and may resist invasive
procedures. Option A is incorrect because the assessment should be
performed in a non-threatening manner, often starting with less invasive
procedures. Option C is incorrect because medical terminology should be
avoided; simple, age-appropriate language should be used. Option D is
incorrect because the nurse should use distraction and play to complete the
assessment, not stop it entirely.
DIF: Cognitive Level: Apply (Application)
TOP: Pediatric Assessment Techniques
MSC: Health Promotion and Maintenance
A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is planning to attend college. The nurse should inform
the client that he should receive which of the following immunizations prior
to moving into a campus dormitory?
A) Pneumococcal polysaccharide
B) Meningococcal polysaccharide
C) Rotavirus
D) Herpes zoster
Correct Answer: B
Rationale
The meningococcal polysaccharide vaccine is recommended for adolescents
prior to college entry, particularly for those living in dormitories, due to the
increased risk of meningococcal disease in crowded living conditions. Option
A is incorrect because pneumococcal vaccine is recommended for older
,adults and those with certain medical conditions. Option C is incorrect
because rotavirus vaccine is administered in infancy. Option D is incorrect
because herpes zoster vaccine is recommended for adults aged 50 years and
older.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Adolescent Immunizations
MSC: Health Promotion and Maintenance
A nurse is teaching the parent of a toddler about home safety. Which of the
following statements by the parent indicates an understanding of the
teaching?
A) "I lock my medications in the medicine cabinet."
B) "I keep my child's crib mattress at the highest level."
C) "I turn pot handles to the side of my stove while cooking."
D) "I will give my child syrup of ipecac if she swallows something poisonous."
Correct Answer: A
Rationale
Locking medications in a medicine cabinet is an appropriate safety measure
to prevent accidental ingestion by a toddler. Option B is incorrect because
the crib mattress should be at the lowest level to prevent the child from
climbing out. Option C is incorrect because pot handles should be turned
toward the back of the stove, not to the side, to prevent the child from
reaching them. Option D is incorrect because syrup of ipecac is no longer
recommended for poison ingestion; the parent should call poison control
immediately.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Toddler Home Safety
MSC: Safe and Effective Care Environment/Safety and Infection Control
, A nurse is performing a physical assessment on a 6-month-old infant. Which
of the following reflexes should the nurse expect to find?
A) Stepping
B) Babinski
C) Extrusion
D) Moro
Correct Answer: B
Rationale
The Babinski reflex (toes fanning upward when the sole of the foot is
stroked) is present in infants up to 12 months of age and is a normal finding
in a 6-month-old infant. Option A is incorrect because the stepping reflex
disappears around 4 months of age. Option C is incorrect because the
extrusion reflex disappears around 4 months of age. Option D is incorrect
because the Moro reflex typically disappears around 4 to 6 months of age.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Infant Reflexes
MSC: Health Promotion and Maintenance
A nurse is teaching the parent of an infant about food allergens. Which of
the following foods should the nurse include as being the most common
food allergy in children?
A) Cow's milk
B) Wheat bread
C) Corn syrup
D) Eggs
Correct Answer: A
ACTUAL EXAM COMPLETE VERSION EACH 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+.
VERSION A
A nurse is caring for a toddler and is preparing to administer 0.9% sodium
chloride 100 mL IV to infuse over 4 hours. The drop factor of the manual IV
tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver
how many gtt/min? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 25 gtt/min
Rationale
To calculate the IV flow rate in gtt/min, use the formula: (Volume in mL ×
Drop factor) ÷ Time in minutes. The volume is 100 mL, the drop factor is 60
gtt/mL, and the time is 4 hours (240 minutes). Calculation: (100 mL × 60
gtt/mL) ÷ 240 minutes = 6,000 ÷ 240 = 25 gtt/min. The answer should be
rounded to the nearest whole number as 25 gtt/min.
DIF: Cognitive Level: Apply (Application)
TOP: Intravenous Therapy Calculations
MSC: Pharmacological and Parenteral Therapies
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which
of the following actions should the nurse take?
A) Perform the assessment in a head-to-toe sequence.
B) Minimize physical contact with the child initially.
C) Explain procedures using medical terminology.
D) Stop the assessment if the child becomes uncooperative.
,Correct Answer: B
Rationale
When assessing a toddler, the nurse should minimize physical contact
initially to allow the child to become comfortable and establish trust.
Toddlers often experience stranger anxiety and may resist invasive
procedures. Option A is incorrect because the assessment should be
performed in a non-threatening manner, often starting with less invasive
procedures. Option C is incorrect because medical terminology should be
avoided; simple, age-appropriate language should be used. Option D is
incorrect because the nurse should use distraction and play to complete the
assessment, not stop it entirely.
DIF: Cognitive Level: Apply (Application)
TOP: Pediatric Assessment Techniques
MSC: Health Promotion and Maintenance
A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is planning to attend college. The nurse should inform
the client that he should receive which of the following immunizations prior
to moving into a campus dormitory?
A) Pneumococcal polysaccharide
B) Meningococcal polysaccharide
C) Rotavirus
D) Herpes zoster
Correct Answer: B
Rationale
The meningococcal polysaccharide vaccine is recommended for adolescents
prior to college entry, particularly for those living in dormitories, due to the
increased risk of meningococcal disease in crowded living conditions. Option
A is incorrect because pneumococcal vaccine is recommended for older
,adults and those with certain medical conditions. Option C is incorrect
because rotavirus vaccine is administered in infancy. Option D is incorrect
because herpes zoster vaccine is recommended for adults aged 50 years and
older.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Adolescent Immunizations
MSC: Health Promotion and Maintenance
A nurse is teaching the parent of a toddler about home safety. Which of the
following statements by the parent indicates an understanding of the
teaching?
A) "I lock my medications in the medicine cabinet."
B) "I keep my child's crib mattress at the highest level."
C) "I turn pot handles to the side of my stove while cooking."
D) "I will give my child syrup of ipecac if she swallows something poisonous."
Correct Answer: A
Rationale
Locking medications in a medicine cabinet is an appropriate safety measure
to prevent accidental ingestion by a toddler. Option B is incorrect because
the crib mattress should be at the lowest level to prevent the child from
climbing out. Option C is incorrect because pot handles should be turned
toward the back of the stove, not to the side, to prevent the child from
reaching them. Option D is incorrect because syrup of ipecac is no longer
recommended for poison ingestion; the parent should call poison control
immediately.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Toddler Home Safety
MSC: Safe and Effective Care Environment/Safety and Infection Control
, A nurse is performing a physical assessment on a 6-month-old infant. Which
of the following reflexes should the nurse expect to find?
A) Stepping
B) Babinski
C) Extrusion
D) Moro
Correct Answer: B
Rationale
The Babinski reflex (toes fanning upward when the sole of the foot is
stroked) is present in infants up to 12 months of age and is a normal finding
in a 6-month-old infant. Option A is incorrect because the stepping reflex
disappears around 4 months of age. Option C is incorrect because the
extrusion reflex disappears around 4 months of age. Option D is incorrect
because the Moro reflex typically disappears around 4 to 6 months of age.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Infant Reflexes
MSC: Health Promotion and Maintenance
A nurse is teaching the parent of an infant about food allergens. Which of
the following foods should the nurse include as being the most common
food allergy in children?
A) Cow's milk
B) Wheat bread
C) Corn syrup
D) Eggs
Correct Answer: A
