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ATI PN Pediatric Exam 2023 - Actual Questions and Revised Answers - 100% Pass Assured, Exams of Pediatrics

Cerritos CollegePediatrics

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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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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Partial preview of the text

Download ATI PN Pediatric Exam 2023 - Actual Questions and Revised Answers - 100% Pass Assured 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 reviewing the lab results of a school-age child who has gastroenteritis. Which finding is most important to report to the provider? A. Mildly decreased potassium B. Decreased sodium level C. Slightly elevated chloride D. Elevated blood urea nitrogen (BUN)

Correct Answer: B. Decreased sodium level

Expert Explanation: Hyponatremia can be especially dangerous in pediatric clients. Electrolyte imbalances such as low sodium may indicate significant fluid and electrolyte shifts, requiring urgent provider notification for intervention.

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  1. A nurse is assessing a toddler with constipation. Which finding requires follow-up from the nurse? A. Toddler appears lethargic B. Bowel sounds are hyperactive C. The abdomen is flat and soft D. Nonpalpable fecal mass on examination

Correct Answer: A. Toddler appears lethargic

Expert Explanation: Lethargy can indicate more severe dehydration or serious illness. Although hypoactive bowel sounds, a distended abdomen, or a palpable fecal mass are also concerns, lethargy is a critical sign that warrants immediate follow-up.

  1. A nurse is teaching a group of parents about poison control. Which of the following actions is most appropriate for the parent to take first if a child ingests potentially toxic medication? A. Identify the medication and dosage B. Call the poison control center immediately C. Check if the child is breathing D. Remove any medication from the child’s mouth

Correct Answer: C. Check if the child is breathing

Expert Explanation: The priority is always to ensure airway, breathing, and circulation (ABCs). After assessing and ensuring the child is breathing, the parent should remove any residual medication from the mouth, identify the medication, and then call the poison control center.

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  1. A nurse is caring for a child who has tonic-clonic seizures. Which of the following actions should the nurse take? A. Place the child in prone position during the seizure B. Restrain the child’s arms and legs C. Insert a padded tongue blade D. Keep suction equipment readily available

Correct Answer: D. Keep suction equipment readily available

Expert Explanation: During tonic-clonic seizures, airway management is crucial. Having suction equipment helps immediately clear the airway of secretions if needed. Restraints, inserting anything into the mouth, or turning the child prone are not appropriate or safe interventions.

  1. A nurse is reinforcing dietary teaching with the parent of a child who has phenylketonuria (PKU). Which of the following foods is the best recommendation for a low-phenylalanine diet? A. Whole milk B. Fried chicken C. Bananas D. Peanut butter

Correct Answer: C. Bananas

Expert Explanation: Children with PKU must avoid high-protein foods and other items with high phenylalanine content. Bananas are acceptable as they are relatively low in phenylalanine compared to protein-rich foods like meat or dairy.

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  1. A nurse is reinforcing discharge instructions with the guardian of a 6-month-old infant after a hypospadias repair. Which of the following should the nurse include? A. “You can give the infant tub baths immediately.” B. “Avoid contact with water for 2 weeks.” C. “Wait at least 1 week before giving a tub bath.” D. “Return if you notice slight swelling or redness.”

Correct Answer: C. “Wait at least 1 week before giving a tub bath.”

Expert Explanation: After hypospadias repair, tub baths are typically avoided for about a week (or as directed) to protect the surgical site and ensure healing.

  1. A nurse is reinforcing teaching with the guardian of a school-age child who has acute bacterial conjunctivitis and a new prescription for sulfacetamide eye drops. Which statement should the nurse include? A. “Instill the eye drops first thing in the morning only.” B. “You should wait until bedtime to use the drops each day.” C. “Cleanse the affected eye before instilling the medication each time.” D. “Rinse the eye with water after applying the drops.”

Correct Answer: C. “Cleanse the affected eye before instilling the medication each time.”

Expert Explanation: Proper eye care for bacterial conjunctivitis includes removing drainage and crusting before applying drops to enhance absorption and effectiveness.

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  1. A 4-year-old child arrives with diarrhea and has been vomiting for 24 hours. Where is the best site to check skin turgor? A. The child’s cheeks B. The child’s forearm C. The child’s abdomen D. The child’s thigh

Correct Answer: C. The child’s abdomen

Expert Explanation: In pediatric clients—especially younger children—skin turgor is often best assessed on the abdomen for a more reliable indication of dehydration.

  1. A nurse is caring for an infant receiving IV fluid replacement. Which lab finding best indicates that the infant’s IV therapy is effective? A. Sodium level 125 mEq/L B. Sodium level 154 mEq/L C. Sodium level 145 mEq/L D. Sodium level 130 mEq/L

Correct Answer: C. Sodium level 145 mEq/L

Expert Explanation: A normal serum sodium level in infants is roughly 134–150 mEq/L. A reading of 145 mEq/L falls within the normal range, confirming effectiveness of fluid therapy.

  1. A nurse is monitoring a preschooler after an abdominal CT scan with contrast dye. Which finding suggests an allergic reaction to the contrast? A. Mild thirst B. Bradycardia C. Urticaria (hives) D. Flushed cheeks

Correct Answer: C. Urticaria (hives)

Expert Explanation: Hives are a common dermatologic sign of an allergic reaction to contrast media. Other signs might include itching, respiratory distress, or hypotension.

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A. Carotid pulse B. Radial pulse C. Apical pulse D. Temporal pulse

Correct Answer: C. Apical pulse

Expert Explanation: In infants, the apical pulse is the most accurate and commonly recommended location for measuring heart rate due to their smaller, rapidly beating hearts.

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  1. An adolescent who is a Jehovah’s Witness is scheduled for surgery for a ruptured appendix. They state they cannot receive blood transfusions. Which is the best response by the nurse? A. “I understand your concern, and we will discuss alternatives with you and your parents.” B. “You won’t lose too much blood, so it won’t be an issue.” C. “How about I let the physician make the decision?” D. “Let’s not worry about that now. There are other treatments.”

Correct Answer: A. “I understand your concern, and we will discuss alternatives with you and your parents.”

Expert Explanation: A collaborative and respectful approach is crucial. The nurse should acknowledge the adolescent’s beliefs, explore acceptable alternatives, and involve the healthcare team and guardians in decision-making.

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

  1. A nurse is contributing to the plan of care for a child with sickle cell anemia who is experiencing a vaso-occlusive crisis. Which intervention is the priority? A. Restrict fluids B. Administer IV pain medication C. Promote oxygen utilization D. Apply cold compresses to painful joints

Correct Answer: C. Promote oxygen utilization

Expert Explanation: While managing pain and hydration are essential, preventing further sickling (by ensuring adequate oxygenation) is the highest priority. Adequate oxygen helps decrease the sickling process.

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  1. A nurse is collecting data on a 10-month-old infant. Which finding should the nurse report to the provider? A. Pulls to a standing position B. Sits unsupported C. Sits only with support by leaning on hands D. Crawls on hands and knees

Correct Answer: C. Sits only with support by leaning on hands

Expert Explanation: By 10 months, most infants can sit unsupported. An inability to do so may indicate developmental delay.

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  1. A nurse is reinforcing teaching with the parents of a toddler who has strabismus. Which of the following treatments may be prescribed to help correct this condition? A. Regular administration of antibiotic eye drops B. Wearing sunglasses only in bright light C. Patching the strong eye D. Use of polarized glasses throughout the day

Correct Answer: C. Patching the strong eye

Expert Explanation: “Eye patching” (occlusion therapy) of the unaffected/stronger eye is a common intervention that forces the weaker eye to strengthen and align properly.

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  1. A nurse is screening a group of school-age children for risk of physical maltreatment. Which child might be at higher risk? A. A child who has obesity B. A child who has ADHD C. A child who excels in sports D. A child who is the oldest sibling

Correct Answer: B. A child who has ADHD

Expert Explanation: Children with ADHD or other behavioral or developmental conditions may face a higher risk of physical maltreatment due to caregiver frustration.

  1. A nurse is caring for an 8-month-old infant with a urinary tract infection (UTI) who is refusing oral antibiotics. The parent reports the infant spits the medication out. Which response by the nurse is most appropriate? A. “Stop the medication and contact the provider.” B. “Mix the medication with a small amount of applesauce.” C. “Use a larger quantity of food so the child cannot taste it.” D. “Add the medication to a full bottle of milk.”

Correct Answer: B. “Mix the medication with a small amount of applesauce.”

Expert Explanation: Using a small amount of a palatable food (like applesauce) can improve acceptance. Mixing medication in a large volume risks the child not receiving the full dose.

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  1. A nurse is caring for a child on the pediatric surgical unit. Which of the following findings should the nurse report to the provider first? A. Mild pain level of 2 on a 0–10 scale B. Heart rate significantly above normal range C. Slight bruising near the surgical site D. Sore muscles after ambulation

Correct Answer: B. Heart rate significantly above normal range

Expert Explanation: A significantly elevated heart rate can indicate pain, fever, bleeding, or shock and requires immediate attention. Other findings might be important, but tachycardia often signals an urgent issue.

  1. A child is scheduled for a CT scan with sedation. Which instruction by the nurse to the parents is most appropriate? A. “Remove all metal items, including hairpins, before the scan.” B. “Your child can move freely during the exam.” C. “Restrict fluids for four hours post-scan.” D. “Your child must keep the head elevated at 90° during the scan.”

Correct Answer: A. “Remove all metal items, including hairpins, before the scan.”

Expert Explanation: During CT imaging, metallic items can interfere with imaging quality. The child must remain still or sedated to get accurate imaging.

  1. A nurse is planning care for a child with osteomyelitis. Which action is most appropriate to include? A. Encourage intake of high-protein foods B. Limit any foods containing calcium C. Advise the family that prolonged antibiotic therapy is not needed D. Encourage the child to ignore any pain in the affected extremity

Correct Answer: A. Encourage intake of high-protein foods

Expert Explanation: Adequate protein supports healing. Additionally, children often benefit from calcium, monitoring the IV site for infection, possible home antibiotic therapy, and gradual weight-bearing as tolerated.

  1. After antibiotic treatment, which finding best indicates improvement for a child with osteomyelitis in the left leg? A. Worsening leg pain B. Temperature of 39.2°C (102.6°F) C. Pain reported as 2 out of 10, down from 7 D. Redness and swelling around the wound

Correct Answer: C. Pain reported as 2 out of 10, down from 7

Expert Explanation: Decreased pain level and a normalizing temperature are reliable indicators of improvement in osteomyelitis.

  1. Which child is most at risk for impaired elimination? A. A child who has a mild concussion B. A child who has hyperglycemia C. A child who has an ear infection D. A child who has iron deficiency anemia

Correct Answer: B. A child who has hyperglycemia

Expert Explanation: Hyperglycemia can lead to polyuria and potential dehydration; fluid imbalances may place the child at higher risk for elimination problems.

  1. A nurse is caring for a toddler who is post–cardiac catheterization. Which finding is the priority to report? A. Moderate pain at the insertion site B. Few drops of dried blood on the dressing C. Bleeding noted on the dressing D. Crying and irritability when awakened

Correct Answer: C. Bleeding noted on the dressing

Expert Explanation: Active bleeding at a cardiac catheterization insertion site is a priority concern indicating possible hemorrhage or vessel compromise.

  1. A nurse is collecting data from a child who has iron deficiency anemia. Which finding suggests adherence to ferrous sulfate therapy? A. Pale yellow stools B. Black or green, tarry stools C. Watery diarrhea D. Red-tinted urine

Correct Answer: B. Black or green, tarry stools

Expert Explanation: Iron supplementation often causes stools to become dark green or blackish, indicating that the child is indeed receiving and absorbing oral iron.

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  1. A nurse is preparing a toddler for suturing of a minor facial laceration. Which restraint method is most appropriate to prevent movement? A. Elbow restraint B. Jacket restraint C. Swaddle (mummy) restraint D. Limb-immobilizing device

Correct Answer: C. Swaddle (mummy) restraint

Expert Explanation: The “mummy” or swaddle restraint helps keep the child’s arms and body still, which is useful during short procedures like suturing.

  1. A preschooler has a new diagnosis of hemophilia. Which lab finding does the nurse expect? A. Decreased factor VIII level B. Elevated platelet count C. Elevated hemoglobin and hematocrit D. Decreased WBC count

Correct Answer: A. Decreased factor VIII level

Expert Explanation: Hemophilia A is caused by a deficiency in factor VIII, essential for clotting. This deficiency leads to prolonged bleeding times or bleeding episodes.

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  1. A nurse is caring for a school-age child in skeletal traction for a femur fracture. Which finding is the priority to report to the provider?