NGN ATI RN PEDIATRICS LATEST EXAMS/NEXT GEN ATI
PEDIATRICS PROCTORED EXAM 2025/2026 70 QUESTIONS AND
CORRECT DETAILED ANSWERS
After reviewing the information in the child's medical record, which of the
following findings should the nurse report to the provider?
Select the 4 findings that the nurse should report to the provider.
A. Arterial blood gases
B. Cardiovascular assessment
C. WBC count
D. Hemoglobin
E. Oxygen saturation level
F. Respiratory assessment
Arterial blood gases
WBC count
Oxygen saturation level
Respiratory assessment
A nurse is caring for a school-age child who is receiving cefazolin via intermittent
IV bolus. The child suddenly develops diffuse flushing of the skin and
angioedema. After discontinuing the medication infusion, which of the following
medications should the nurse administer first?
A. Prednisone.
B. Epinephrine
C. Diphenhydramine
D. Albuterol
B. Epinephrine
A nurse is assessing an infant who has pneumonia. Which of the following
findings is the priority for the nurse to report to the provider?
A. Nasal flaring
B. WBC count 18,000/mm3 (6,200 to 17,000/mm3)
C. Diarrhea
D. Abdominal distension
A. Nasal flaring
,A nurse is caring for a school-age child who is receiving a blood transfusion.
Which of the following manifestations should alert the nurse to a possible
hemolytic transfusion reaction?
A. Laryngeal edema
B. Flank pain
C. Distended neck veins
D. Muscular weakness
B. Flank pain
A nurse in an emergency department is caring for a school-age child who has
appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the
following actions should the nurse take?
A. Instill a 500 mL tap water enema.
B. Give morphine 0.05 mg/kg IV.
C. Administer polyethylene glycol 1g/kg PO.
D. Apply a heating pad to the child's abdomen.
B. Give morphine 0.05 mg/kg IV.
A nurse is caring for a preschooler who has congestive heart failure. The nurse
observes wide QRS complexes and peaked T waves on the cardiac monitor. Which
of the following prescriptions should the nurse clarify with the provider?
A. Furosemide
B. Captopril
C. Regular insulin
D. Potassium chloride
D. Potassium chloride
A nurse is providing discharge teaching to the guardians of a toddler who had a
lower leg cast applied 24 hr. ago. The nurse should instruct the guardians to report
which of the following findings to the provider?
A. Capillary refill time less than 2 seconds
B. Restricted ability to move the toes
C. Swelling of the casted foot when the leg is dependent
D. Pedal pulse +3 bilateral
B. Restricted ability to move the toes
, A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse assess first?
A. An adolescent who was placed into halo traction 1 hr. ago and reports pain as 6
on a scale of 0 to 10
B. An adolescent who has infective endocarditis and reports having a headache
C. A toddler who has a concussion and is experiencing an episode of forceful
vomiting
D. A school-age child who has acute glomerulonephritis and brown-colored urine
A toddler who has a concussion and is experiencing an episode of forceful
vomiting
For each assessment finding, click to specify if the finding is consistent with
nightmares, sleep terrors, or insomnia. Each finding may support more than 1
disease process.
A. Timing of child's crying
B. Daytime alertness
C. child's concentration
D. Impulsivity
E. Child's description of the dream
F. Child's return to sleeping
G. Child's responsiveness to guardian
A nurse is providing discharge teaching to the parent of a school-age child who has
moderate persistent asthma. Which of the following instructions should the nurse
include?
A. "You should give your child their salmeterol inhaler every 4 hours when they
are having an acute episode of wheezing."
B. "You should monitor your child's weight weekly while they are receiving
inhaled corticosteroid therapy."
C. "Pulmonary function tests will be performed every 12 to 24 months to evaluate
how your child is responding to therapy."
D. "When using the peak expiratory flow meter, record your child's average of
three readings."
C. "Pulmonary function tests will be performed every 12 to 24 months to evaluate
how your child is responding to therapy."
A nurse is planning developmental activities for a newly admitted 10-year-old
child who has neutropenia. Which of the following actions should the nurse plan to
PEDIATRICS PROCTORED EXAM 2025/2026 70 QUESTIONS AND
CORRECT DETAILED ANSWERS
After reviewing the information in the child's medical record, which of the
following findings should the nurse report to the provider?
Select the 4 findings that the nurse should report to the provider.
A. Arterial blood gases
B. Cardiovascular assessment
C. WBC count
D. Hemoglobin
E. Oxygen saturation level
F. Respiratory assessment
Arterial blood gases
WBC count
Oxygen saturation level
Respiratory assessment
A nurse is caring for a school-age child who is receiving cefazolin via intermittent
IV bolus. The child suddenly develops diffuse flushing of the skin and
angioedema. After discontinuing the medication infusion, which of the following
medications should the nurse administer first?
A. Prednisone.
B. Epinephrine
C. Diphenhydramine
D. Albuterol
B. Epinephrine
A nurse is assessing an infant who has pneumonia. Which of the following
findings is the priority for the nurse to report to the provider?
A. Nasal flaring
B. WBC count 18,000/mm3 (6,200 to 17,000/mm3)
C. Diarrhea
D. Abdominal distension
A. Nasal flaring
,A nurse is caring for a school-age child who is receiving a blood transfusion.
Which of the following manifestations should alert the nurse to a possible
hemolytic transfusion reaction?
A. Laryngeal edema
B. Flank pain
C. Distended neck veins
D. Muscular weakness
B. Flank pain
A nurse in an emergency department is caring for a school-age child who has
appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the
following actions should the nurse take?
A. Instill a 500 mL tap water enema.
B. Give morphine 0.05 mg/kg IV.
C. Administer polyethylene glycol 1g/kg PO.
D. Apply a heating pad to the child's abdomen.
B. Give morphine 0.05 mg/kg IV.
A nurse is caring for a preschooler who has congestive heart failure. The nurse
observes wide QRS complexes and peaked T waves on the cardiac monitor. Which
of the following prescriptions should the nurse clarify with the provider?
A. Furosemide
B. Captopril
C. Regular insulin
D. Potassium chloride
D. Potassium chloride
A nurse is providing discharge teaching to the guardians of a toddler who had a
lower leg cast applied 24 hr. ago. The nurse should instruct the guardians to report
which of the following findings to the provider?
A. Capillary refill time less than 2 seconds
B. Restricted ability to move the toes
C. Swelling of the casted foot when the leg is dependent
D. Pedal pulse +3 bilateral
B. Restricted ability to move the toes
, A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse assess first?
A. An adolescent who was placed into halo traction 1 hr. ago and reports pain as 6
on a scale of 0 to 10
B. An adolescent who has infective endocarditis and reports having a headache
C. A toddler who has a concussion and is experiencing an episode of forceful
vomiting
D. A school-age child who has acute glomerulonephritis and brown-colored urine
A toddler who has a concussion and is experiencing an episode of forceful
vomiting
For each assessment finding, click to specify if the finding is consistent with
nightmares, sleep terrors, or insomnia. Each finding may support more than 1
disease process.
A. Timing of child's crying
B. Daytime alertness
C. child's concentration
D. Impulsivity
E. Child's description of the dream
F. Child's return to sleeping
G. Child's responsiveness to guardian
A nurse is providing discharge teaching to the parent of a school-age child who has
moderate persistent asthma. Which of the following instructions should the nurse
include?
A. "You should give your child their salmeterol inhaler every 4 hours when they
are having an acute episode of wheezing."
B. "You should monitor your child's weight weekly while they are receiving
inhaled corticosteroid therapy."
C. "Pulmonary function tests will be performed every 12 to 24 months to evaluate
how your child is responding to therapy."
D. "When using the peak expiratory flow meter, record your child's average of
three readings."
C. "Pulmonary function tests will be performed every 12 to 24 months to evaluate
how your child is responding to therapy."
A nurse is planning developmental activities for a newly admitted 10-year-old
child who has neutropenia. Which of the following actions should the nurse plan to
