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ATI Pediatric Nursing Exam 2026/2027 – Comprehensive Pediatric Nursing Assessment – High-Yield Practice Questions with Verified Answers

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This document provides a comprehensive ATI Pediatric Nursing exam review for the 2026–2027 testing cycle, featuring the latest actual exam-style questions with correct answers and clear, in-depth rationales. It covers high-yield pediatric nursing topics including growth and development, safety and injury prevention, respiratory and cardiac disorders, gastrointestinal and neurological conditions, endocrine and hematologic disorders, medications, prioritization, and NGN-style clinical judgment, making it ideal for ATI proctored exam preparation.

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January 20, 2026
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Written in
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ATI Pediatric Nursing Exam 2026/2027 |
Comprehensive Pediatric Nursing Assessment –
Latest Actual Exam Questions & Correct Answers
(High-Yield Q&A Review)

This document provides a comprehensive ATI Pediatric Nursing examination with
questions, correct answers, and clear rationales to support understanding and exam
readiness. It covers pediatric growth and development from infancy through
adolescence, health promotion and disease prevention, common pediatric illnesses,
pediatric pharmacology and medication administration, family-centered care, pediatric
emergencies, chronic condition management, and pediatric-focused assessment
techniques. The content is structured in a specialty nursing assessment format aligned
with ATI standards and NCLEX-RN® expectations for the 2026/2027 testing cycle.




GROWTH & DEVELOPMENT

1. Which toy is most appropriate for a 6-month-old infant?

A. Puzzle with small pieces
B. Push-pull toy
C. Soft rattle
D. Coloring book

Answer: C

Rationale:
A 6-month-old is developing grasping and hand-eye coordination. Soft

,rattles are safe and developmentally appropriate. Small pieces are a
choking risk.



2. A toddler is hospitalized. Which behavior is expected?

A. Fear of strangers
B. Separation anxiety
C. Concern about body image
D. Regression in school skills

Answer: B

Rationale:
Toddlers (1–3 years) commonly experience separation anxiety when
away from parents.



3. Which developmental task is expected of a preschooler?

A. Trust vs. mistrust
B. Autonomy vs. shame
C. Initiative vs. guilt
D. Industry vs. inferiority

Answer: C

Rationale:
Preschoolers (3–6 years) focus on initiative vs. guilt, wanting to explore
and take on tasks.



4. A school-age child best understands illness when explained:

, A. Using abstract concepts
B. As punishment
C. With concrete explanations
D. Using metaphors

Answer: C

Rationale:
School-age children think concretely and benefit from simple, factual
explanations.



SAFETY & INJURY PREVENTION

5. The leading cause of death in children ages 1–4 is:

A. Cancer
B. Congenital disorders
C. Accidental injury
D. Infection

Answer: C

Rationale:
Unintentional injury (falls, drowning, MVCs) is the leading cause of death
in young children.



6. Which safety instruction is MOST important for parents of a toddler?

A. Lock medications and chemicals
B. Teach stranger danger
C. Use seat belts
D. Encourage helmet use
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