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ATI PN Pediatric 2026 Proctored Exam

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 75 pages. Originally published on StudyMerit.

Pages
75
Academic year
2025/2026
Language
English

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ATI RN PEDIATRIC NURSING PROCTORED EXAM PRACTICE QUESTIONS | ACTUAL STUDY GUIDE | TESTBANK | LATEST UPDATE 2026/2027 | NGN-STYLE PRACTICE QUESTIONS WITH 100% CORRECT ANSWERS | INSTANT PDF DOWNLOAD TABLE OF CONTENTS i. Growth, Development, and Pediatric Assessment ii. Pediatric Respiratory and Cardiovascular Disorders iii. Neurologic and Seizure Management iv. Fluid, Electrolyte, and Gastrointestinal Disorders v. Infectious Diseases and Immunization vi. Pediatric Endocrine, Renal, and Hematologic Disorders vii. Pediatric Medication Safety and Dosage Considerations viii. Pediatric Emergency, Safety, and Family-Centered Care INTRODUCTION This comprehensive pediatric nursing practice examination is designed for nursing students preparing for advanced pediatric assessments, proctored examinations, and NCLEX-style clinical judgment testing. It emphasizes complex pediatric assessment, developmental considerations, prioritization, pharmacologic safety, respiratory and cardiovascular emergencies, neurologic disorders, fluid balance, infectious disease, endocrine conditions, and family-centered care. The questions require application, analysis, clinical reasoning, and recognition of subtle changes in pediatric status. It contains 100+ questions and answers with rationales when completed as a full study set. It is especially useful for RN students seeking rigorous preparation. Purchase and instantly get a downloadable and editable PDF for convenient review and practice. QUESTIONS 1–30 Question 1 A 6-month-old infant with bronchiolitis is receiving oxygen by nasal cannula. During reassessment, the nurse notes a respiratory rate of 68/min, nasal flaring, intercostal retractions, and oxygen saturation of 89% despite supplemental oxygen. Which action should the nurse take first ? A. Obtain a nasopharyngeal specimen for viral testing. B. Increase oral fluid intake to prevent dehydration.

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C. Activate the rapid response system and prepare for advanced respiratory support. D. Administer an antipyretic and reassess respiratory status in 30 minutes. Correct Answer: C Rationale: Persistent hypoxemia with marked work of breathing despite supplemental oxygen indicates impending respiratory failure. Escalation of care and preparation for advanced airway or ventilatory support take priority over diagnostic testing or routine supportive measures. Question 2 A 4-year-old child with a history of Tetralogy of Fallot suddenly becomes intensely cyanotic and dyspneic while crying. The child's oxygen saturation is 72%. Which intervention is most appropriate? A. Place the child in a knee-chest position. B. Encourage the child to ambulate to improve circulation. C. Place the child supine with the legs extended. D. Administer a rapid intravenous fluid bolus without reassessment. Correct Answer: A Rationale: A hypercyanotic or "tet" spell decreases pulmonary blood flow. The knee-chest position increases systemic vascular resistance, reducing right-to-left shunting and improving pulmonary blood flow. Question 3 A 7-year-old child with asthma has received repeated short-acting bronchodilator treatments. Initially, wheezing was prominent. Thirty minutes later, the child has markedly diminished breath sounds, increasing fatigue, and difficulty speaking. Which finding is most concerning? A. Mild tachycardia B. Diminished breath sounds C. Mild anxiety D. Productive cough Correct Answer: B Rationale: A "silent chest" or markedly diminished air movement in a child with severe asthma indicates critically reduced airflow and possible impending respiratory failure. Improvement should not be inferred simply because wheezing decreases.

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Question 4 A nurse is assessing a 2-month-old infant suspected of having increased intracranial pressure. Which finding requires the most immediate intervention? A. High-pitched cry B. Bulging fontanel C. Decreased appetite D. Increased head circumference over several weeks Correct Answer: B Rationale: A tense or bulging fontanelle, particularly when the infant is calm and upright, can indicate increased intracranial pressure. Acute neurologic deterioration requires immediate assessment and intervention. Question 5 A child with bacterial meningitis is receiving intravenous antibiotics. Which nursing action is most important to reduce transmission during the initial management period? A. Place the child on airborne precautions. B. Use droplet precautions according to the suspected organism and institutional protocol. C. Place the child in a positive-pressure room. D. Restrict all visitors for the duration of hospitalization. Correct Answer: B Rationale: Suspected bacterial meningitis caused by organisms such as meningococcus requires droplet precautions initially, in addition to standard precautions. Airborne isolation is not routinely required for bacterial meningitis. Question 6 A 9-year-old child with type 1 diabetes mellitus presents with polyuria, vomiting, abdominal pain, deep respirations, and a blood glucose level of 486 mg/dL. Which prescription should the nurse anticipate implementing first? A. Intravenous isotonic fluid replacement B. Intravenous bicarbonate administration C. Subcutaneous intermediate-acting insulin D. Oral glucose administration

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