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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. “I will give my child IV dextrose immediately if they feel shaky.” B. “I should offer my child diet soda as a quick source of sugar.” C. “I should give 4 oz of orange juice, then provide cheese and crackers.” D. “I will encourage my child to drink water and rest.”
Answer: C Expert Explanation: A fast-acting carbohydrate (4 oz of orange juice) followed by a protein-containing snack (cheese and crackers) is appropriate for mild hypoglycemia.
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A. Dizziness upon standing B. Mild discomfort at the catheter insertion site C. Bleeding noted on the dressing D. Nausea postprocedure
Answer: C Expert Explanation: Bleeding at the insertion site is a high-priority concern, as it can indicate hemorrhage or problems with vessel integrity.
A. Radial B. Apical C. Carotid D. Brachial
Answer: B Expert Explanation: In infants and young children, measuring the apical pulse for 1 full minute is the most reliable method to assess heart rate. ─────────────────────────────────────────────────────── ─
A. “We will store all toys in a chest with a heavy lid.” B. “We will leave our toddler unsupervised for short kitchen tasks.” C. “We will start teaching our toddler about the hazards of stair gates.” D. “We will purchase a toy storage box with a lightweight lid.”
Answer: D Expert Explanation: A lightweight lid prevents potential head or hand injuries if the lid falls onto the child.
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An adolescent client who is a practicing Jehovah’s Witness is scheduled for surgery for a ruptured appendix. The adolescent states, “Based on my religion, I cannot receive a blood transfusion.” Which of the following responses by the nurse is most appropriate?
A. “You must receive blood if it is prescribed by the doctor.” B. “I’ll let the provider know you refuse all treatments.” C. “Let’s discuss the possible need for a transfusion with your parents.” D. “We will administer blood if it becomes necessary in an emergency.”
Answer: C Expert Explanation: Encouraging the client to include family input and discuss beliefs with the full interprofessional team respects both the client’s autonomy and legal/ethical considerations.
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A. Elevated platelet count B. Decreased factor VIII C. Increased hemoglobin level D. Elevated white blood cell count
Answer: B Expert Explanation: Hemophilia A involves a deficiency of factor VIII, a key clotting component.
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A. Over the dorsal surface of the hand B. Over the forehead C. Over the sternum D. Over the abdomen
Answer: D Expert Explanation: In young children, checking abdominal skin turgor is a preferred, accurate site for assessing hydration status.
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A. Sodium 145 mEq/L B. Sodium 130 mEq/L C. Hemoglobin 18 g/dL D. Platelet count 90,000/mm³
Answer: A Expert Explanation: A serum sodium level of 145 mEq/L is within the expected reference range (roughly 134–150 mEq/L), suggests effective fluid balance.
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A. A child who has ADHD B. A child who has eczema C. A child who is an only child D. A child who exhibits mild stuttering
Answer: A Expert Explanation: Children with developmental or behavioral disorders (e.g., ADHD) are at increased risk for maltreatment due to their challenging behaviors.
A. “A decrease in urine protein means your child is responding to treatment.” B. “An increase in urine protein is due to normal fluctuations.” C. “Protein checks will help you plan fluid intake at home.” D. “Protein checks are unnecessary once the edema resolves.”
Answer: A Expert Explanation: In nephrotic syndrome, significant proteinuria indicates active disease; a decrease suggests clinical improvement.
A. Keep the infant flat for all feedings. B. Encourage constant feeding to maintain hydration. C. Suction nasal passages with a bulb syringe. D. Administer aspirin to reduce fever.
Answer: C Expert Explanation: Clearing the nasal passages helps the infant breathe more easily, especially when tachypneic.
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A. Mild flushing B. Excessive sweating C. Urticaria (hives) D. Increased thirst
Answer: C Expert Explanation: Urticaria is a common sign of an allergic reaction and must be reported promptly.
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A. Scrambled eggs B. Banana C. Chicken breast D. Milkshake
Answer: B Expert Explanation: Fruits, such as bananas, are low in phenylalanine compared to high-protein foods like meats, eggs, or dairy.
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A. “Children this age recognize death as permanent and will not ask questions.” B. “Your child’s cognitive level will keep them from noticing changes at home.” C. “At this age, children may believe their thoughts or actions caused the death.” D. “A preschooler avoids talking about death and has no emotional reaction.”
Answer: C Expert Explanation: Preschool-age children engage in magical thinking and may believe they caused someone’s death through thoughts or wishes.
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A. Ventrogluteal muscle
C. Well-controlled asthma D. Male sibling with ADHD
Answer: A Expert Explanation: Hypothyroidism can disrupt normal menstrual cycles, leading to primary amenorrhea. (Other risk factors could include certain medications, substance use, emotional stress, etc.)
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A. Pickles B. Apples C. Canned soup D. Hot dog
Answer: B Expert Explanation: Fresh fruits like apples are naturally low in sodium, making them an appropriate choice.
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A. Elevated hemoglobin
B. Elevated BUN C. Decreased sodium level D. Decreased hematocrit
Answer: C Expert Explanation: Electrolyte imbalances, such as hyponatremia, can be critical in children and should be promptly reported.
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A. Weight has doubled since birth B. Weight has tripled since birth C. Child stands holding onto furniture D. Child’s length increased by 50% since birth
Answer: A Expert Explanation: Expected weight by 12 months is typically about triple the birth weight, so simply doubling is below the expected standard.
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A. “I will keep plush toys in the crib so my baby feels secure.” B. “I will allow my baby to have a pacifier while sleeping.”
Answer: A Expert Explanation: Feeling cold and chills can indicate an acute transfusion reaction. Other signs include fever, flank pain, or hives.
A. Heart rate of 110/min in a preschooler B. Temperature of 37.2°C (99°F) C. Wound bed with purulent drainage D. Muscle strength equal in all extremities
Answer: C Expert Explanation: Purulent drainage indicates potential wound infection and requires immediate evaluation.
A. Scoliosis B. Osteomyelitis C. Rheumatoid arthritis D. Osteogenesis imperfecta
Answer: B Expert Explanation: Osteomyelitis is an infection of the bone or bone marrow, often presenting with fever, pain, and inflammation near a surgical or open wound site.
A. Administer an antipyretic medication first. B. Obtain the child’s ordered blood specimens first. C. Offer clear liquids to promote hydration. D. Encourage ambulation to prevent atelectasis.
Answer: B Expert Explanation: Obtaining ordered blood specimens promptly is critical for labs that may guide immediate care decisions. Medications follow once labs have been drawn.
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A. “Your child can wear metallic hairpins during the scan.” B. “We will allow your child to move freely as needed.” C. “Your child must remain still and lie flat during the scan.” D. “Your child should wear sunglasses to protect from the scanners’ lights.”
C. Temperature rises to 39°C (102.2°F) D. No edema or warmth over the incision site
Answer: D Expert Explanation: Reduced edema, warmth, and a controlled temperature are signs of improved infection status.
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A. Clay-colored stools B. Hard, dry stools C. Green-tarry stools D. Light yellow stools
Answer: C Expert Explanation: Iron supplements often cause dark green or black “tarry” stools, indicating consistent use.
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A. “Instill the medication immediately after cleaning the eye drainage.” B. “Place the drops once a day before bedtime.” C. “Discontinue the drops if discharge is still present after one day.”
D. “Rub the eye vigorously after each drop.”
Answer: A Expert Explanation: Cleaning the eye before administering medication reduces discharge and promotes absorption of the drops.
A. “You must remain strong for your child.” B. “I’m not sure I understand. Can you tell me more?” C. “I know exactly how you feel; my relative had cancer.” D. “You’ll regret these feelings in the future.”
Answer: B Expert Explanation: Open-ended communication allows the parent to clarify and express feelings without judgment.
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A. Stands on one foot for several seconds B. Rides a two-wheeled bicycle independently C. Skips with both feet D. Prints letters of the alphabet
