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NGN ATI PEDS PROCTORED EXAM LATEST 2023/2024 / PEDS ATI PROCTORED ACTUAL EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
NGN ATI PEDS PROCTORED EXAM LATEST 2023/2024 / PEDS ATI PROCTORED ACTUAL EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
NGN ATI PEDS PROCTORED EXAM LATEST 2023/2024 / PEDS ATI
PROCTORED ACTUAL EXAM ALL 150 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Question 1:
A 4-year-old child is brought to the clinic with a fever, runny nose, and barking
cough. The nurse suspects croup. Which of the following interventions should the
nurse prioritize?
A. Administering antibiotics B. Providing humidified air C. Giving antitussives
D. Encouraging oral fluids
Rationale: Providing humidified air helps to soothe the inflamed airways and
reduce the severity of the barking cough associated with croup. Antibiotics are not
typically used unless there is a bacterial infection. Antitussives are generally not
recommended for young children, and while encouraging oral fluids is important, it
is not the priority intervention.
Question 2:
A 2-year-old child presents with symptoms of dehydration. Which of the following
signs would the nurse expect to find?
A. Dry mucous membranes B. Increased urine output C. Hyperactivity D. Moist
skin
Rationale: Dry mucous membranes are a common sign of dehydration. Increased
urine output and moist skin would not be present in a dehydrated child.
Hyperactivity is not typically associated with dehydration.
Question 3:
An infant diagnosed with Tetralogy of Fallot is scheduled for surgery. Which
preoperative nursing intervention is the most important?
A. Educating the parents about the surgical procedure B. Administering scheduled
immunizations C. Maintaining the infant’s oxygen saturation levels D. Ensuring
the infant is NPO (nothing by mouth) after midnight
,Rationale: Maintaining the infant’s oxygen saturation levels is crucial because
Tetralogy of Fallot is a cyanotic heart defect, and ensuring adequate oxygenation is
vital. Educating the parents is important but not the most critical preoperative
intervention. Administering immunizations and ensuring NPO status are also
necessary but secondary to oxygenation.
Question 4:
A 6-month-old infant presents with vomiting and diarrhea for three days. Which
laboratory finding would indicate dehydration?
A. Decreased hematocrit B. Decreased serum sodium C. Increased blood urea
nitrogen (BUN) D. Increased serum potassium
Rationale: Increased blood urea nitrogen (BUN) indicates dehydration due to
reduced kidney perfusion. Decreased hematocrit and serum sodium are not typical
findings in dehydration, and increased serum potassium can occur but is not a
primary indicator.
Question 5:
A school-aged child with asthma is experiencing an acute exacerbation. Which
medication should the nurse anticipate administering first?
A. Albuterol (a bronchodilator) B. Prednisone (a corticosteroid) C. Montelukast
(a leukotriene receptor antagonist) D. Salmeterol (a long-acting bronchodilator)
Rationale: Albuterol, a short-acting bronchodilator, is the first-line treatment for
acute asthma exacerbations as it works quickly to open the airways. Prednisone is
used for long-term control, not immediate relief. Montelukast and salmeterol are
also used for long-term management.
Question 6:
A 5-year-old child with cystic fibrosis is admitted with a respiratory infection.
Which of the following is the priority nursing intervention?
A. Encouraging high-calorie snacks B. Performing chest physiotherapy C.
Administering pancreatic enzymes D. Teaching the family about infection control
,Rationale: Performing chest physiotherapy is the priority intervention to help clear
mucus from the lungs and improve respiratory function. Encouraging high-calorie
snacks, administering pancreatic enzymes, and teaching the family about infection
control are important but secondary to maintaining respiratory function.
Question 7:
A toddler is diagnosed with Kawasaki disease. Which clinical finding should the
nurse expect during the acute phase?
A. Joint pain B. Desquamation of the skin C. Strawberry tongue D. Anemia
Rationale: Strawberry tongue is a characteristic finding in the acute phase of
Kawasaki disease. Joint pain and desquamation of the skin typically occur in the
later stages. Anemia can occur but is not a defining feature.
Question 8:
An adolescent with Type 1 diabetes mellitus presents with symptoms of
hypoglycemia. Which of the following symptoms should the nurse expect?
A. Tremors and sweating B. Polyuria and polydipsia C. Weight loss D. Fruity
breath odor
Rationale: Tremors and sweating are common symptoms of hypoglycemia due to
the body's response to low blood sugar levels. Polyuria, polydipsia, weight loss,
and fruity breath odor are symptoms of hyperglycemia.
Question 9:
A nurse is providing education to the parents of a child diagnosed with iron
deficiency anemia. Which food should the nurse recommend to increase the child’s
iron intake?
A. Apples B. Lean red meat C. Carrots D. Yogurt
Rationale: Lean red meat is high in iron and is recommended to increase iron
intake. Apples, carrots, and yogurt have lower iron content compared to lean red
meat.
Question 10:
, A child with sickle cell anemia is admitted to the hospital with a vaso-occlusive
crisis. Which nursing intervention is the highest priority?
A. Administering antibiotics B. Encouraging ambulation C. Managing pain D.
Providing a high-calorie diet
Rationale: Managing pain is the highest priority during a vaso-occlusive crisis as
it helps to relieve the intense pain caused by the occluded blood vessels.
Administering antibiotics, encouraging ambulation, and providing a high-calorie
diet are important but secondary to pain management.
Question 11:
A child with a history of seizures is admitted after experiencing a generalized
tonic-clonic seizure. Which of the following interventions should the nurse
implement first?
A. Placing an IV line B. Ensuring the child’s airway is open C. Administering
anti-seizure medication D. Monitoring vital signs
Rationale: Ensuring the child’s airway is open is the first priority to prevent
hypoxia during and after a seizure. Placing an IV line, administering medication,
and monitoring vital signs are important but come after ensuring the airway is
secure.
Question 12:
A 3-year-old child is diagnosed with nephrotic syndrome. Which of the following
findings should the nurse expect?
A. Hyperactivity B. Increased urine output C. Periorbital edema D. Hypotension
Rationale: Periorbital edema is a common finding in nephrotic syndrome due to
the accumulation of fluid in the tissues. Hyperactivity, increased urine output, and
hypotension are not typical findings.
Question 13:
A nurse is caring for an infant with gastroesophageal reflux disease (GERD).
Which of the following interventions should the nurse include in the infant’s plan
of care?
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