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

Miami Dade College (MDC)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:
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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Partial preview of the text

Download PN ATI Pediatrics Proctored Exam 2023 - 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:

 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. Sickle Cell Anemia Vaso-Occlusive Crisis ─────────────────────────────────────────────────────── A school-age child with sickle cell anemia is experiencing a vaso-occlusive crisis. Which of the following interventions is the priority for the nurse to recommend including in the plan of care?

A. Administer antibiotics to prevent infection B. Promote oxygen utilization C. Encourage fluid intake D. Apply a warm compress to painful joints

Answer: B. Promote oxygen utilization

Explanation (NGN Rationale):

  • Using the ABC (Airway, Breathing, Circulation) approach to client care, ensuring adequate oxygenation is critical to prevent further sickling and organ/tissue hypoxia.
  • Oxygen helps reduce sickling of red blood cells and improves tissue perfusion.
  • Other supportive measures (antibiotics, fluids, and warm compresses) are also important, but oxygenation takes priority.

─────────────────────────────────────────────────────── ─────────────────

  1. Skeletal Traction for Femur Fracture ─────────────────────────────────────────────────────── ───────────────── A school-age child has skeletal traction applied to the right lower leg to repair a femur fracture. Which of the following findings is the priority for the nurse to report to the provider?
  • The priority action is to apply continuous pressure just above the site (approximately 2.5 cm or 1 inch above) and notify the provider immediately.

─────────────────────────────────────────────────────── ─────────────────

  1. Acute Bacterial Conjunctivitis Teaching ─────────────────────────────────────────────────────── ───────────────── A school-age child has acute bacterial conjunctivitis and a new prescription for sulfacetamide eye drops. Which of the following instructions should the nurse include in teaching the guardian?

A. Remove dried drainage with a cold washcloth B. Instill medication immediately after cleansing the eye C. Apply an occlusive gauze dressing over the child’s eye D. Cleanse by wiping from the outer eye inward

Answer: B. Instill medication immediately after cleansing the eye

Expert Explanation:

  • The prescribed drops should be instilled immediately after gently cleansing any drainage to maximize absorption and prevent recontamination.

─────────────────────────────────────────────────────── ─────────────────

  1. Twelve-Month-Old Vital Signs ─────────────────────────────────────────────────────── ───────────────── A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?

A. Heart rate 130/min B. Respiratory rate 30/min C. BP 115/70 mm Hg D. Temperature 37.5° C (99.5° F)

Answer: C. BP 115/70 mm Hg

Expert Explanation:

  • For a 12-month-old, this blood pressure is above the expected reference range.
  • Hypertension or an abnormally high BP in infants can be a concern requiring further evaluation.

─────────────────────────────────────────────────────── ─────────────────

  1. Ferrous Sulfate Therapy Adherence ─────────────────────────────────────────────────────── ───────────────── A nurse is collecting data from a child who has iron deficiency anemia. Which of the following findings signifies adherence to ferrous sulfate therapy?

A. Occasional vomiting and nausea B. Green, tarry stools C. Tolerates milk D. Weight gain

Answer: B. Green, tarry stools

Expert Explanation:

A. Corrective biconcave lenses B. Laser surgery C. Eye patch D. Artificial tears

Answer: C. Eye patch

Expert Explanation:

  • Patching the stronger (unaffected) eye helps strengthen the muscles in the affected (weaker) eye and correct the strabismus over time.

─────────────────────────────────────────────────────── ─────────────────

  1. Restraint for a Toddler’s Facial Suturing ─────────────────────────────────────────────────────── ───────────────── A toddler needs suturing of a minor facial laceration. Which restraint method should the nurse use to keep the toddler still during the procedure?

A. Jacket restraint B. Swaddle restraint C. Elbow restraints D. Wrist restraints

Answer: B. Swaddle restraint

Expert Explanation:

  • A swaddle restraint is appropriate for short procedures that involve the head and neck. Always choose the least restrictive option to ensure safety.
  1. Communicating With a Child With Hearing Loss ─────────────────────────────────────────────────────── ───────────────── A school-age child has hearing loss. Which of the following communication techniques should the nurse recommend to the guardians?

A. Exaggerate the pronunciation of words B. Keep hands still while speaking C. Stand back when talking so the child can see your whole body D. Use facial expressions when speaking

Answer: D. Use facial expressions when speaking

Expert Explanation:

  • Facial expressions, gestures, and other nonverbal cues enhance understanding and support communication for a child with hearing impairment.

─────────────────────────────────────────────────────── ─────────────────

  1. Phenobarbital Dosage Calculation ─────────────────────────────────────────────────────── ───────────────── A toddler weighs 10 kg (22 lb) and has a prescription for phenobarbital sodium 2. mg/kg PO twice daily. Available is phenobarbital 20 mg/5 mL. How many milliliters should the nurse administer per dose? (Record your answer to the nearest hundredth. Use a leading zero if necessary.)

A. 5.00 mL

  1. Packed RBC Transfusion Reaction ─────────────────────────────────────────────────────── ───────────────── A child receiving a transfusion of packed RBCs makes the following statements. Which one suggests a possible transfusion reaction?

A. “My nose is runny. Can I have a tissue?” B. “I’m hungry. Is there a snack?” C. “I’m sleepy. I might take a nap.” D. “I’m cold. Can I have an extra blanket?”

Answer: D. “I’m cold. Can I have an extra blanket?”

Expert Explanation:

  • Feeling cold or having chills is a common early sign of an acute transfusion reaction. The infusion should be stopped and the provider notified immediately.

─────────────────────────────────────────────────────── ─────────────────

  1. Home Safety for Toddlers ─────────────────────────────────────────────────────── ───────────────── Which parent statement indicates correct understanding of home safety instructions for a toddler?

A. “We’ll keep our child out of the sun between 3 p.m. and 5 p.m.” B. “We’ll move our child to a toddler bed when he’s 24 inches tall.” C. “We’ll purchase a toy storage box with a lightweight lid.”

D. “We’ll give our child peanuts as a healthy snack.”

Answer: C. “We’ll purchase a toy storage box with a lightweight lid.”

Expert Explanation:

  • Heavy hinged lids can trap or injure a toddler. A lightweight lid, or no lid, prevents potential harm or suffocation.

─────────────────────────────────────────────────────── ─────────────────

  1. IM Injection Site for an 11-Month-Old ─────────────────────────────────────────────────────── ───────────────── When preparing to administer an IM injection to an 11-month-old infant, in which muscle should the nurse administer the medication?

A. Deltoid B. Vastus lateralis C. Dorsogluteal D. Ventrogluteal

Answer: B. Vastus lateralis

Expert Explanation:

  • The vastus lateralis muscle is recommended for infants under 18 months because it is well-developed, accessible, and reduces risk of nerve damage.

─────────────────────────────────────────────────────── ─────────────────

  1. Preventing Aspiration for an Infant With NGT

Explanation (NGN Rationale):

  • Involving the adolescent’s parents/family supports shared decision-making and respects cultural and religious beliefs, particularly for a minor.

─────────────────────────────────────────────────────── ─────────────────

  1. Reducing Risk of SUID ─────────────────────────────────────────────────────── ───────────────── The parent of a 1-month-old asks about Sudden Unexpected Infant Death (SUID) prevention. Which of the parent’s statements indicates understanding?

A. “I will share my bed with my baby so I can watch him.” B. “I will allow my baby to have a pacifier while sleeping.” C. “I will place my baby on a soft mattress so he’s comfortable.” D. “I will cover my baby with a quilt while sleeping.”

Answer: B. “I will allow my baby to have a pacifier while sleeping.”

Expert Explanation:

  • Pacifier use during sleep has been shown to reduce the risk of SUID by promoting safer sleep positioning and decreasing deep sleep states.

─────────────────────────────────────────────────────── ─────────────────

  1. Splenic Sequestration in Sickle Cell Crisis ─────────────────────────────────────────────────────── ─────────────────

A 6-month-old with sickle cell disease is under assessment. Which abdominal area should the nurse palpate for manifestations of splenic sequestration?

A. Right upper quadrant (liver) B. Left upper quadrant (spleen) C. Flank area (kidneys) D. Suprapubic area (bladder)

Answer: B. Left upper quadrant (spleen)

Expert Explanation:

  • Splenic sequestration involves pooling of sickled cells in the spleen, causing an acute enlargement that endangers circulation and can be life-threatening.

─────────────────────────────────────────────────────── ─────────────────

  1. Risk for Impaired Elimination ─────────────────────────────────────────────────────── ───────────────── A nurse is caring for several children in an acute care unit. Which child is at risk for impaired elimination?

A. A child who has hyperglycemia B. A child who has enuresis C. A child who has hypothyroidism D. A child who has juvenile idiopathic arthritis

Answer: A. A child who has hyperglycemia

Expert Explanation:

A. “Mix the medicine with ¼ cup of juice.” B. “Mix the medicine with 1 teaspoon of honey.” C. “Mix the medicine with ¼ cup of formula.” D. “Mix the medicine with 1 teaspoon of applesauce.”

Answer: D. “Mix the medicine with 1 teaspoon of applesauce.”

Expert Explanation:

  • Mixing medication with a small, sweet, nonessential food aids acceptance. Honey should not be given under 1 year of age due to risk of botulism.

─────────────────────────────────────────────────────── ─────────────────

  1. Toddler Development ─────────────────────────────────────────────────────── ───────────────── Which behavior should be recognized as an expected developmental milestone for a toddler?

A. Walking backward with heel-to-toe B. Standing on one foot for several seconds C. Using scissors to cut shapes D. Printing letters with a pencil

Answer: B. Standing on one foot for several seconds

Expert Explanation:

  • By around age 2 to 3 years (toddler stage), children can briefly balance on one foot, demonstrating normal gross motor skill progression.
  1. Celiac Disease Diet ─────────────────────────────────────────────────────── ───────────────── A school-age child with newly diagnosed celiac disease requires dietary teaching. Which of the following foods is appropriate to include?

A. Whole wheat bread B. White rice C. Graham crackers D. French fries

Answer: B. White rice

Expert Explanation:

  • Children with celiac disease must avoid gluten (wheat, rye, barley, oats). Rice, corn, potatoes, fresh fruits, vegetables, and meats are generally indicated.

─────────────────────────────────────────────────────── ─────────────────

  1. Possible Cause of Frequent UTIs ─────────────────────────────────────────────────────── ───────────────── A school-age female has frequent, severe UTIs. Which parental statement might indicate a possible cause of her recurrent infections?

A. “My daughter has bowel movements every 4 or 5 days.” B. “I taught her to wipe front to back.” C. “She urinates every 2 or 3 hours.”

After obtaining data from a child’s EHR, which of the following findings should the nurse report to the provider? Select all that apply.

A. Pain level of 7 out of 10 B. Temperature above the expected range C. Normal surgical incision site with minimal redness D. Limited range of motion and tenderness in one leg E. Heart rate above the expected range

Answer: A, B, D, E

Expert Explanation:

  • High pain level (7/10), elevated temperature, musculoskeletal tenderness with limited ROM, and tachycardia are abnormal. All warrant provider notification.
  • A normal surgical incision with no concerning signs would not require urgent reporting.

─────────────────────────────────────────────────────── ─────────────────

  1. (NGN) Analyzing Cues: Condition and Finding ─────────────────────────────────────────────────────── ───────────────── A child presents with localized warmth, swelling, pain at a recent surgical incision near the tibia, and fever. Drag and drop to complete the sentence:

"The nurse should identify that the child is displaying manifestations of (Condition) as evidenced by their (Finding)."

A. Osteomyelitis … surgical incision findings B. Juvenile arthritis … lab results C. Cellulitis … runny nose D. Chronic anemia … pale conjunctiva

Correct Completion: Osteomyelitis … surgical incision findings

Expert Explanation:

  • Osteomyelitis often presents with localized inflammation, warmth, or drainage, plus fever. A bone infection can occur after open fractures or surgical procedures.

─────────────────────────────────────────────────────── ─────────────────

  1. (NGN) Priority Intervention ─────────────────────────────────────────────────────── ───────────────── Provider prescriptions on Day 1 at 1100 show:
  • Obtain blood cultures immediately
  • Administer antipyretic for fever
  • Start IV antibiotics once cultures are drawn

Using the urgent vs. non-urgent approach, which action should the nurse prioritize first and then second?

A. Obtain child’s blood specimens first, then administer antipyretic B. Administer antipyretic first, then obtain child’s blood specimens

Correct Sequence:

  1. Obtain the child’s ordered blood specimens
  2. Administer antipyretic medication