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2023 ATI PN Peds Proctored Exam - 100% Guarantee Pass., Exams of Pediatrics

This **2023 ATI PN Peds Proctored Actual Exam** covers all fundamental pediatric nursing topics, ranging from developmental milestones and common childhood illnesses to medication administration and emergency pediatric care. This exam resource incorporates a comprehensive range of questions that test not only memorization but also critical thinking, application, and clinical decision-making skills essential for pediatric nursing practice. Each question is formulated to mimic the structure and content of the official ATI exam, providing a genuine testing experience. 2023 ATI PN Peds Proctored Actual Exam, ATI Practical Nursing pediatric exam 2023, ATI PN Pediatrics practice test 2023, PN ATI pediatrics proctored exam 2023, Practical Nursing ATI pediatric questions 2023, ATI PN peds exam prep 2023, Pediatric nursing ATI PN practice exam, ATI PN pediatric nursing test 2023, ATI PN pediatrics study guide 2023, ATI PN pediatric proctored test, ATI pediatric nursing exam 2023

Typology: Exams

2024/2025

Available from 05/16/2025

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ATI PN PEDIATRIC
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
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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Download 2023 ATI PN Peds Proctored Exam - 100% Guarantee Pass. and more Exams Pediatrics in PDF only on Docsity!

ATI PN PEDIATRIC

PROCTORED EXAM

(NGN-STYLE QUESTIONS & CASE “SCENARIO”)

Actual Qs & Ans to Pass the Exam

This ATI test contains:

 Passing Score Guarantee  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. Expert Explanation: 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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  1. 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.”

Answer: C. Respiratory rate of 20/min. Expert Explanation: A normal or near-normal respiratory rate (around 12- 20/min for adolescents) indicates improved ventilation and less respiratory distress following a bronchodilator treatment.

  1. 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. Expert Explanation: A blood pressure of 120/80 mm Hg is elevated for an 18-month-old. This finding requires further evaluation.

  1. A nurse is collecting data from a school-age child. Which of the following findings is a manifestation that might indicate physical abuse?

A. Burns on the palms that the child states happened at camp B. Singular large bruise on the shin from playing soccer C. Bruises at various stages of healing D. A single cut on the lip from accidental fall

Answer: C. Bruises at various stages of healing. Expert Explanation: Injuries in differing phases of healing can indicate possible abuse because it suggests repeated trauma over time.

  1. A nurse is preparing to administer ophthalmic drops to a child. Which of the following actions should the nurse take?

A. Instruct the child to look upward and release drops on the sclera B. Place the drops at the inner canthus and wipe immediately C. Pull the pinna downward and back to straighten the canal D. Apply pressure to the lacrimal punctum for 1 min following administration

Answer: D. Apply pressure to the lacrimal punctum for 1 min following administration. Expert Explanation: Applying gentle pressure on the nasolacrimal duct helps prevent systemic absorption and keeps the medication in the eye.

  1. A nurse is preparing to administer furosemide to a toddler who has a congenital heart defect. Which of the following actions should the nurse take to ensure correct patient identification?

A. Compare the medication label to the toddler’s wristband B. Verify the toddler’s name with another nurse

milk, 6 oz of gelatin, and 7 oz of water at lunch. Convert this intake to milliliters (mL).

A. 600 mL B. 690 mL C. 720 mL D. 800 mL

Answer: B. 690 mL. Expert Explanation: Total ounces = 4 + 6 + 6 + 7 = 23 oz. Multiply 23 oz × 30 mL/oz = 690 mL.

  1. A nurse in a provider’s office is assisting in the care of a preschooler who has croup. Which of the following statements by the parent requires immediate intervention by the nurse?

A. “My child has refused to drink any fluids for the past 8 hours.” B. “My child sometimes coughs at night.” C. “I encouraged my child to breathe warm moist air in the bathroom.” D. “I have been keeping my child calm when the cough starts.”

Answer: A. “My child has refused to drink any fluids for the past 8 hours.” Expert Explanation: Refusal of fluids leading to potential dehydration is concerning and an immediate priority, especially in croup where airway compromise may worsen with dehydration.

  1. A nurse in a clinic is collecting data from an adolescent who has received all recommended immunizations through age 6. Which of the following immunizations should the nurse plan to administer next?

A. Rotavirus (RV) B. Pneumococcal conjugate (PCV13) C. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap) D. Haemophilus influenzae type b (Hib)

Answer: C. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap). Expert Explanation: Tdap is recommended around ages 11-12, after the basic DTaP series given in early childhood.

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  1. A nurse is assisting in the care of a preschooler who is suspected of having a Wilms tumor. Which of the following findings should the nurse expect?

A. Discoloration of the urine B. A decreased hemoglobin (Hgb) level C. Swelling in the neck region D. Prolonged coughing spells

Answer: B. A decreased hemoglobin (Hgb) level.

Answer: B. “My baby will receive their third DTaP vaccine today.” Expert Explanation: At 6 months, infants typically receive the third DTaP (along with other routine immunizations like Hib, PCV, and possibly RV).

  1. A nurse is assisting in the care of a child who has type 1 diabetes mellitus and has been receiving insulin via a subcutaneous infusion pump. Which laboratory test verifies average blood glucose level over the past 2 to 3 months?

A. Fasting blood glucose B. Serum insulin concentration C. Glycosylated hemoglobin (HbA1c) D. Postprandial blood glucose

Answer: C. Glycosylated hemoglobin (HbA1c). Expert Explanation: The HbA1c test reflects the average blood glucose control over approximately 2 to 3 months.

  1. A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of enterobiasis (pinworms). Which of the following instructions should the nurse provide to help prevent reinfection?

A. Seal dirty clothes in plastic bags for 24 hours B. Use alcohol-based sanitizer after toileting

C. Soak all bed linens in bleach daily D. Trim the child’s fingernails short

Answer: D. Trim the child’s fingernails short. Expert Explanation: Short fingernails reduce the likelihood of harboring eggs under the nails and help prevent reinoculation.

  1. A nurse is collecting data from an adolescent who has manifestations of physical abuse. Which of the following actions should the nurse take first?

A. Report the suspected abuse to the authorities B. Document the adolescent’s statements in the chart C. Escort the adolescent to the waiting room D. Ask the adolescent’s parent for more details

Answer: A. Report the suspected abuse to the authorities. Expert Explanation: The nurse is legally required to report any suspicion of child abuse to protective services immediately.

  1. A nurse is reinforcing teaching about glucose monitoring with the parent of a child who has type 1 diabetes mellitus. Which of the following instructions should the nurse include?

A. “Use the finger’s lateral edges for blood sampling.” B. “Put your child’s finger under warm water prior to collecting blood.”

Scenario: A nurse in an emergency department is assisting in the care of a 2-year-old toddler presenting with possible acute epiglottitis. The parent reports “My child’s voice sounds muffled,” and the child’s chin is thrust forward with tongue protruding, accompanied by drooling. Vital signs: T 39.3°C (102.8°F), HR 142/min, RR 34/min, O2 sat 91% on room air. Mild suprasternal retractions and inspiratory stridor are noted.

  1. Which finding in the toddler’s presentation is the highest priority for the nurse to address?

A. Heart rate of 142/min B. Mild suprasternal retractions C. Drooling and muffled speech D. Respiratory rate of 34/min

Answer: C. Drooling and muffled speech. Expert Explanation: Drooling with a muffled voice and forward-thrust chin strongly suggests airway compromise as seen in acute epiglottitis, requiring immediate intervention.

  1. Based on the presentation, the nurse suspects acute epiglottitis. Which statement by the parent further supports this diagnosis?

A. “My child started coughing early this morning and made a barking sound.” B. “My child had a runny nose last week and started waking at night with a hoarse cough.” C. “My child has a bit of a stuffy nose but seems otherwise healthy.”

D. “My child’s voice changed suddenly, and they seem to have severe throat pain.”

Answer: D. “My child’s voice changed suddenly, and they seem to have severe throat pain.” Expert Explanation: Epiglottitis often presents with a sudden onset of throat pain, muffled voice, and high fever, unlike the barking cough of croup.

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  1. The nurse reviews the provider’s prescriptions: “Administer humidified oxygen, have intubation equipment ready at bedside, maintain NPO status, administer IV antibiotics.” Which action should the nurse perform first?

A. Start IV antibiotics immediately B. Administer humidified oxygen C. Ensure resuscitation (intubation) equipment is readily available D. Obtain baseline vital signs

Answer: C. Ensure resuscitation (intubation) equipment is readily available. Expert Explanation: In acute epiglottitis, airway compromise can occur rapidly; preparation for advanced airway management is the priority.

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  1. The nurse helps plan care with the interprofessional team. Which two interventions are appropriate to include? Select the SINGLE best option below that correctly pairs two interventions (A, B, C, or D).

on certain IV medications, and they frequently finish a course of oral antibiotics after IV treatment.

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  1. Which of the following changes would most strongly indicate that the toddler’s condition is worsening and should be reported immediately?

A. Respiratory rate decreases from 34/min to 28/min B. Oxygen saturation of 90% on humidified oxygen with shallow breathing C. Temperature decreasing to 37.7°C (99.9°F) D. Child asks to drink juice

Answer: B. Oxygen saturation of 90% on humidified oxygen with shallow breathing. Expert Explanation: A declining oxygen saturation and shallow respirations suggest respiratory distress is worsening, indicating possible airway compromise.

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  1. A nurse is assisting in the care of an adolescent who has sickle cell anemia. Which of the following laboratory findings should the nurse expect?

A. Decreased hemoglobin level B. Elevated platelet count C. Elevated hemoglobin A1c D. Normal RBC morphology

Answer: A. Decreased hemoglobin level. Expert Explanation: Sickle cell anemia is characterized by chronic hemolytic anemia, resulting in decreased hemoglobin levels.

  1. A nurse is collecting data about the dietary habits of an adolescent female. Which behavior places the client at highest risk for nutritional deficits?

A. Eating five small meals per day B. Restricting caffeine intake C. Fasting twice a week to manage dietary intake D. Drinking low-fat milk instead of whole milk

Answer: C. Fasting twice a week to manage dietary intake. Expert Explanation: Regularly skipping meals or fasting can lead to inadequate nutrient intake and puts the adolescent at risk for malnutrition and disordered eating.

  1. A nurse is reinforcing discharge teaching with the guardian of a school- age child who has acute lymphocytic leukemia and an absolute neutrophil count (ANC) of 450/mm³ (normal 2,500-8,000/mm³). Which of the following instructions should the nurse include?

A. “Take your child to the trampoline park regularly for exercise.” B. “Allow your child to play in a sandbox with friends.”

A. “Severe headache is an expected side effect; no need to report it.” B. “You will need two negative pregnancy tests prior to starting this medication.” C. “You may stop the medication when your acne begins improving.” D. “You won’t need to use any birth control while on this medication.”

Answer: B. “You will need two negative pregnancy tests prior to starting this medication.” Expert Explanation: Isotretinoin has significant teratogenic effects, so female clients must have negative pregnancy tests and use reliable contraception.

  1. A nurse is assisting with the administration of a nasogastric (NG) enteral feeding for an infant. Which action should the nurse take?

A. Place the infant in semi-Fowler’s position for 1 hour after the feeding B. Administer the feeding quickly to reduce crying episodes C. Lay the infant flat immediately after the feeding D. Alternate feeding through the NG tube and by mouth each time

Answer: A. Place the infant in semi-Fowler’s position for 1 hour after the feeding. Expert Explanation: Keeping the infant in a semi-Fowler’s position helps reduce the risk of aspiration.

  1. A nurse is assisting with care of a 4-year-old child who is prescribed an IV medication preoperatively. Which of the following techniques helps the child cope with this procedure? (Select one best combination.)

A. Discuss the long-term benefits of the procedure, and let them watch an educational film B. Give the child needleless IV supplies to play with, and allow the child to “perform” the procedure on a doll C. Explain to the child that they must cooperate or they will not get better D. Let the child watch other children in the unit get an IV placed

Answer: B. Give the child needleless IV supplies to play with, and allow the child to “perform” the procedure on a doll. Expert Explanation: Therapeutic play and familiarization with equipment can help reduce a preschooler’s anxiety and promote cooperation.

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  1. A nurse is reinforcing teaching with the parent of a school-age child who has lactose intolerance. Which of the following supplements should the nurse recommend including in the child’s diet?

A. Vitamin A B. Vitamin B C. Vitamin D D. Iron

Answer: C. Vitamin D.