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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
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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.
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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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.
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.
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.
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.
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.
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.
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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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).
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.
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.
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.
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.
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.
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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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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on certain IV medications, and they frequently finish a course of oral antibiotics after IV treatment.
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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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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.
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.
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.
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.
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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A. Vitamin A B. Vitamin B C. Vitamin D D. Iron
Answer: C. Vitamin D.
