ATI Pediatrics Proctored Exam 2026/2027 RN Pediatric Nursing
– Complete Exam-Style Questions with Detailed Rationales |
100% Verified – Pass Guaranteed – A+ Graded
Time Allotment: 3 hours
Total Questions: 80
Question Formats: Multiple-Choice Questions (MCQ) and Select-All-That-Apply (SATA)
Passing Standard: Clinical Judgment and Pediatric Competency Proficiency
SECTION I: GROWTH, DEVELOPMENT, HEALTH PROMOTION &
NUTRITION
1. A nurse is reviewing the growth chart of a 15-month-old during a well-child visit. At 9
months, the child's weight was at the 50th percentile. At 12 months, it was at the 25th
percentile. At 15 months, it is at the 10th percentile. The child eats a varied diet and
appears active. Which action should the nurse take?
A. Reassure the parent that percentile shifts are normal during toddlerhood
B. Plot the weight-for-length ratio and obtain a detailed dietary and psychosocial history
C. Recommend a high-calorie, high-fat diet and recheck in 6 months
D. Refer immediately to endocrinology for growth hormone deficiency testing
,Correct Answer: B
Rationale: Crossing two major percentile lines downward (50th → 25th → 10th)
warrants further evaluation. The nurse should assess weight-for-length to determine
proportionality and investigate potential causes (inadequate caloric intake,
malabsorption, psychosocial factors) before specialty referral. Immediate endocrine
referral (D) is premature without initial assessment.
2. An infant is seen for a 6-month well-child visit. The parent states the infant received
HepB at birth, DTaP/Hib/IPV at 2 and 4 months, PCV13 at 2 and 4 months, and a 2-dose
rotavirus series at 2 and 4 months. Which immunizations are due at this visit?
A. DTaP, Hib, IPV, PCV13, HepB, and rotavirus
B. DTaP, Hib, IPV, PCV13, and HepB
C. DTaP, Hib, IPV, PCV13, HepB, and influenza
D. DTaP, Hib, IPV, PCV13, HepB, and MMR
Correct Answer: B
Rationale: At 6 months, the third doses of DTaP, Hib, IPV, PCV13, and HepB are due. The
rotavirus series is complete if a 2-dose product was used. MMR is administered at
12–15 months. Influenza may be offered seasonally but is not part of the primary series
schedule.
3. A nurse is assessing a 9-month-old during a routine visit. Which finding indicates a
need for further developmental evaluation?
A. Pulls to stand and cruises along furniture
,B. Says "mama" or "dada" nonspecifically
C. Does not bear weight on legs when held in a standing position
D. Transfers objects from hand to hand
Correct Answer: C
Rationale: By 9 months, infants should bear weight on their legs when supported.
Pulling to stand (A) and transferring objects (D) are expected milestones. Babbling
consonants (B) is appropriate. Failure to bear weight may indicate hypotonia,
developmental delay, or neuromuscular pathology requiring referral.
4. A 4-year-old is admitted for tonsillectomy. The parents want to stay overnight but are
concerned about caring for their other child at home. Which response by the nurse
demonstrates family-centered care?
A. "Hospital policy allows one parent to stay; you should decide what works best for
your family."
B. "It is best if you both stay to reduce your child's anxiety."
C. "Your child will be fine with our nurses; you should go home and rest."
D. "One parent may stay, and we can arrange a cot; let's discuss what supports your
family needs."
Correct Answer: D
Rationale: Family-centered care involves partnership, flexibility, and supporting the
family's needs and choices. Option D offers a practical solution while engaging the
, family in care planning. Options A and B place the decision burden on the family without
support, and option C dismisses the family's role.
5. A school nurse is conducting kindergarten screenings. A parent reports their
4-year-old received a severe anaphylactic reaction to the DTaP vaccine at 18 months,
requiring epinephrine. The child is due for kindergarten entry doses. Which action
should the nurse anticipate?
A. Administer DTaP in the office with epinephrine available at the bedside
B. Administer DT (full-dose diphtheria-tetanus) instead of DTaP
C. Defer all immunizations until the child is 7 years old
D. Administer Tdap instead of DTaP
Correct Answer: B
Rationale: A severe allergic reaction to a vaccine component is a contraindication to
that component. DT (without pertussis) should be substituted. Tdap (D) is indicated for
adolescents and adults. Deferring all immunizations (C) leaves the child unprotected
against diphtheria and tetanus.
6. A parent asks the nurse when it is safe to introduce cow's milk to their infant's diet.
Which response is correct?
A. "You can introduce whole cow's milk at 9 months if the infant is eating solid foods
well."
B. "Whole cow's milk should not be introduced before 12 months of age due to the risk
of iron deficiency and renal solute load."
– Complete Exam-Style Questions with Detailed Rationales |
100% Verified – Pass Guaranteed – A+ Graded
Time Allotment: 3 hours
Total Questions: 80
Question Formats: Multiple-Choice Questions (MCQ) and Select-All-That-Apply (SATA)
Passing Standard: Clinical Judgment and Pediatric Competency Proficiency
SECTION I: GROWTH, DEVELOPMENT, HEALTH PROMOTION &
NUTRITION
1. A nurse is reviewing the growth chart of a 15-month-old during a well-child visit. At 9
months, the child's weight was at the 50th percentile. At 12 months, it was at the 25th
percentile. At 15 months, it is at the 10th percentile. The child eats a varied diet and
appears active. Which action should the nurse take?
A. Reassure the parent that percentile shifts are normal during toddlerhood
B. Plot the weight-for-length ratio and obtain a detailed dietary and psychosocial history
C. Recommend a high-calorie, high-fat diet and recheck in 6 months
D. Refer immediately to endocrinology for growth hormone deficiency testing
,Correct Answer: B
Rationale: Crossing two major percentile lines downward (50th → 25th → 10th)
warrants further evaluation. The nurse should assess weight-for-length to determine
proportionality and investigate potential causes (inadequate caloric intake,
malabsorption, psychosocial factors) before specialty referral. Immediate endocrine
referral (D) is premature without initial assessment.
2. An infant is seen for a 6-month well-child visit. The parent states the infant received
HepB at birth, DTaP/Hib/IPV at 2 and 4 months, PCV13 at 2 and 4 months, and a 2-dose
rotavirus series at 2 and 4 months. Which immunizations are due at this visit?
A. DTaP, Hib, IPV, PCV13, HepB, and rotavirus
B. DTaP, Hib, IPV, PCV13, and HepB
C. DTaP, Hib, IPV, PCV13, HepB, and influenza
D. DTaP, Hib, IPV, PCV13, HepB, and MMR
Correct Answer: B
Rationale: At 6 months, the third doses of DTaP, Hib, IPV, PCV13, and HepB are due. The
rotavirus series is complete if a 2-dose product was used. MMR is administered at
12–15 months. Influenza may be offered seasonally but is not part of the primary series
schedule.
3. A nurse is assessing a 9-month-old during a routine visit. Which finding indicates a
need for further developmental evaluation?
A. Pulls to stand and cruises along furniture
,B. Says "mama" or "dada" nonspecifically
C. Does not bear weight on legs when held in a standing position
D. Transfers objects from hand to hand
Correct Answer: C
Rationale: By 9 months, infants should bear weight on their legs when supported.
Pulling to stand (A) and transferring objects (D) are expected milestones. Babbling
consonants (B) is appropriate. Failure to bear weight may indicate hypotonia,
developmental delay, or neuromuscular pathology requiring referral.
4. A 4-year-old is admitted for tonsillectomy. The parents want to stay overnight but are
concerned about caring for their other child at home. Which response by the nurse
demonstrates family-centered care?
A. "Hospital policy allows one parent to stay; you should decide what works best for
your family."
B. "It is best if you both stay to reduce your child's anxiety."
C. "Your child will be fine with our nurses; you should go home and rest."
D. "One parent may stay, and we can arrange a cot; let's discuss what supports your
family needs."
Correct Answer: D
Rationale: Family-centered care involves partnership, flexibility, and supporting the
family's needs and choices. Option D offers a practical solution while engaging the
, family in care planning. Options A and B place the decision burden on the family without
support, and option C dismisses the family's role.
5. A school nurse is conducting kindergarten screenings. A parent reports their
4-year-old received a severe anaphylactic reaction to the DTaP vaccine at 18 months,
requiring epinephrine. The child is due for kindergarten entry doses. Which action
should the nurse anticipate?
A. Administer DTaP in the office with epinephrine available at the bedside
B. Administer DT (full-dose diphtheria-tetanus) instead of DTaP
C. Defer all immunizations until the child is 7 years old
D. Administer Tdap instead of DTaP
Correct Answer: B
Rationale: A severe allergic reaction to a vaccine component is a contraindication to
that component. DT (without pertussis) should be substituted. Tdap (D) is indicated for
adolescents and adults. Deferring all immunizations (C) leaves the child unprotected
against diphtheria and tetanus.
6. A parent asks the nurse when it is safe to introduce cow's milk to their infant's diet.
Which response is correct?
A. "You can introduce whole cow's milk at 9 months if the infant is eating solid foods
well."
B. "Whole cow's milk should not be introduced before 12 months of age due to the risk
of iron deficiency and renal solute load."
