ATI NURSING CARE OF CHILDREN PROCTORED EXAM
2026/2027 FINAL REVIEW QUESTIONS AND ANSWERS
100% PASS
Pediatric Nursing Comprehensive Review | Key Domains: Growth & Development
Milestones, Health Promotion & Immunizations, Common Pediatric Illnesses & Disorders,
Pediatric Medication Administration & Dosage Calculation, Family-Centered Care &
Communication, Pediatric Emergencies & Prioritization, and Chronic Condition
Management | Expert-Aligned Structure | Final Review Format
Introduction
This structured ATI Nursing Care of Children Final Review for 2026/2027 provides a
comprehensive set of high-yield review questions with correct answers and rationales. It is
designed to consolidate knowledge and ensure readiness for the proctored exam,
emphasizing critical thinking, developmental considerations, and safe, effective nursing
care for children and their families.
Review Structure:
• Final Review Question Bank: (100 QUESTIONS)
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the developmental milestone (e.g., when a child should achieve a specific task
per Piaget), the correct immunization schedule (CDC guidelines), the safe dose calculation
based on weight and body surface area, the priority action in a pediatric emergency (e.g.,
croup, drowning), and why alternative options are developmentally inaccurate, unsafe, or
not the highest priority in pediatric care.
1.
A nurse is assessing a 9-month-old infant. Which finding indicates a developmental delay?
, A) Says “mama” and “dada” specifically
B) Cannot sit without support
C) Transfers objects from hand to hand
D) Responds to own name
B) Cannot sit without support
By 9 months, infants should sit steadily without support. Inability suggests motor delay.
Saying “mama/dada” with meaning (A), transferring objects (C), and responding to name (D)
are expected at this age.
2.
According to CDC guidelines, which vaccine is recommended at the 12-month well-child
visit?
A) DTaP
B) Hepatitis B
C) MMR
D) Rotavirus
C) MMR
At 12 months, children receive MMR, Varicella, Hepatitis A, and PCV13. DTaP (A) is given at 2,
4, 6, and 15–18 months; Hep B (B) at birth, 1–2, and 6–18 months; Rotavirus (D) is completed
by 8 months.
3.
,A child weighs 22 kg and is prescribed amoxicillin 45 mg/kg/day divided into two doses.
The available suspension is 250 mg/5 mL. How many mL should the nurse administer per
dose? (Round to the nearest whole number.)
A) 5 mL
B) 10 mL
C) 15 mL
D) 20 mL
B) 10 mL
Total daily dose = 45 mg/kg × 22 kg = 990 mg. Per dose = 990 ÷ 2 = 495 mg. Concentration =
250 mg/5 mL = 50 mg/mL. Volume = 495 ÷ 50 = 9.9 ≈ 10 mL.
4.
A toddler is hospitalized. According to Erikson, what is the primary psychosocial task?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
B) Autonomy vs. Shame and Doubt
Toddlers (1–3 years) strive for independence (“no!” stage). Supporting autonomy builds
confidence; excessive control leads to shame. Trust (A) is infancy; initiative (C) is preschool;
industry (D) is school-age.
5.
, A child with asthma uses a metered-dose inhaler (MDI). Which instruction ensures proper
technique?
A) “Rinse your mouth after using albuterol.”
B) “Use a spacer with every puff.”
C) “Take two puffs as quickly as possible.”
D) “Hold your breath for 5 seconds after inhaling.”
B) “Use a spacer with every puff.”
Spacers improve drug delivery to lungs, especially in children. Rinsing (A) is for
corticosteroids, not albuterol. Puffs should be spaced 1 minute apart (C); hold breath 10
seconds (D), not 5.
6.
A child presents with drooling, stridor, and sitting upright leaning forward. What is the
priority action?
A) Administer nebulized epinephrine
B) Prepare for intubation in operating room
C) Obtain throat culture immediately
D) Encourage oral fluids
B) Prepare for intubation in operating room
These signs suggest epiglottitis—a medical emergency. Do not examine the throat (C) or give
anything by mouth (D). Secure airway in controlled setting (OR). Nebulized epinephrine (A) is
for croup, not epiglottitis.
2026/2027 FINAL REVIEW QUESTIONS AND ANSWERS
100% PASS
Pediatric Nursing Comprehensive Review | Key Domains: Growth & Development
Milestones, Health Promotion & Immunizations, Common Pediatric Illnesses & Disorders,
Pediatric Medication Administration & Dosage Calculation, Family-Centered Care &
Communication, Pediatric Emergencies & Prioritization, and Chronic Condition
Management | Expert-Aligned Structure | Final Review Format
Introduction
This structured ATI Nursing Care of Children Final Review for 2026/2027 provides a
comprehensive set of high-yield review questions with correct answers and rationales. It is
designed to consolidate knowledge and ensure readiness for the proctored exam,
emphasizing critical thinking, developmental considerations, and safe, effective nursing
care for children and their families.
Review Structure:
• Final Review Question Bank: (100 QUESTIONS)
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the developmental milestone (e.g., when a child should achieve a specific task
per Piaget), the correct immunization schedule (CDC guidelines), the safe dose calculation
based on weight and body surface area, the priority action in a pediatric emergency (e.g.,
croup, drowning), and why alternative options are developmentally inaccurate, unsafe, or
not the highest priority in pediatric care.
1.
A nurse is assessing a 9-month-old infant. Which finding indicates a developmental delay?
, A) Says “mama” and “dada” specifically
B) Cannot sit without support
C) Transfers objects from hand to hand
D) Responds to own name
B) Cannot sit without support
By 9 months, infants should sit steadily without support. Inability suggests motor delay.
Saying “mama/dada” with meaning (A), transferring objects (C), and responding to name (D)
are expected at this age.
2.
According to CDC guidelines, which vaccine is recommended at the 12-month well-child
visit?
A) DTaP
B) Hepatitis B
C) MMR
D) Rotavirus
C) MMR
At 12 months, children receive MMR, Varicella, Hepatitis A, and PCV13. DTaP (A) is given at 2,
4, 6, and 15–18 months; Hep B (B) at birth, 1–2, and 6–18 months; Rotavirus (D) is completed
by 8 months.
3.
,A child weighs 22 kg and is prescribed amoxicillin 45 mg/kg/day divided into two doses.
The available suspension is 250 mg/5 mL. How many mL should the nurse administer per
dose? (Round to the nearest whole number.)
A) 5 mL
B) 10 mL
C) 15 mL
D) 20 mL
B) 10 mL
Total daily dose = 45 mg/kg × 22 kg = 990 mg. Per dose = 990 ÷ 2 = 495 mg. Concentration =
250 mg/5 mL = 50 mg/mL. Volume = 495 ÷ 50 = 9.9 ≈ 10 mL.
4.
A toddler is hospitalized. According to Erikson, what is the primary psychosocial task?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
B) Autonomy vs. Shame and Doubt
Toddlers (1–3 years) strive for independence (“no!” stage). Supporting autonomy builds
confidence; excessive control leads to shame. Trust (A) is infancy; initiative (C) is preschool;
industry (D) is school-age.
5.
, A child with asthma uses a metered-dose inhaler (MDI). Which instruction ensures proper
technique?
A) “Rinse your mouth after using albuterol.”
B) “Use a spacer with every puff.”
C) “Take two puffs as quickly as possible.”
D) “Hold your breath for 5 seconds after inhaling.”
B) “Use a spacer with every puff.”
Spacers improve drug delivery to lungs, especially in children. Rinsing (A) is for
corticosteroids, not albuterol. Puffs should be spaced 1 minute apart (C); hold breath 10
seconds (D), not 5.
6.
A child presents with drooling, stridor, and sitting upright leaning forward. What is the
priority action?
A) Administer nebulized epinephrine
B) Prepare for intubation in operating room
C) Obtain throat culture immediately
D) Encourage oral fluids
B) Prepare for intubation in operating room
These signs suggest epiglottitis—a medical emergency. Do not examine the throat (C) or give
anything by mouth (D). Secure airway in controlled setting (OR). Nebulized epinephrine (A) is
for croup, not epiglottitis.
