Pediatrics ATI Comprehensive Predictor Practice Exam (2026 Edition)
Questions and Answers with Detailed Rationales
Question 1
A nurse is caring for a 6-month-old infant. Which developmental
milestone should the nurse expect?
A. Walking independently
B. Sitting with support
C. Speaking in complete sentences
D. Using a fork independently
Correct Answer: B. Sitting With Support
Rationale:
At approximately 6 months, infants develop improved trunk control and
can sit with support. Walking and complex language skills occur later.
Question 2
A nurse is teaching parents about safe sleep practices for an infant.
Which statement indicates correct understanding?
A. “I will place my baby on the stomach to sleep.”
B. “I will place my baby on the back on a firm mattress.”
C. “I will use pillows to make my baby comfortable.”
D. “I will place stuffed animals in the crib.”
Correct Answer: B. “I will place my baby on the back on a firm
mattress.”
,Rationale:
Supine sleeping on a firm surface reduces the risk of sudden infant
death syndrome (SIDS).
Question 3
A nurse is assessing a child with respiratory distress. Which finding
requires immediate intervention?
A. Mild cough
B. Oxygen saturation of 87%
C. Runny nose
D. Decreased appetite
Correct Answer: B. Oxygen Saturation of 87%
Rationale:
Low oxygen saturation indicates impaired oxygenation and requires
immediate respiratory support.
Question 4
A child with asthma is experiencing an acute exacerbation. Which
medication should the nurse administer first?
A. Albuterol
B. Montelukast
C. Fluticasone
D. Antibiotic therapy
Correct Answer: A. Albuterol
,Rationale:
Albuterol is a short-acting bronchodilator used for rapid relief during
acute asthma symptoms.
Question 5
A nurse is caring for a child with dehydration due to diarrhea. Which
finding indicates worsening dehydration?
A. Increased urine output
B. Moist mucous membranes
C. Lethargy and decreased urine output
D. Increased appetite
Correct Answer: C. Lethargy and Decreased Urine Output
Rationale:
Lethargy and reduced urine output indicate worsening fluid deficit and
decreased perfusion.
Question 6
A nurse caring for a child having a seizure should:
A. Place an object in the child’s mouth
B. Restrain the child’s movements
C. Protect the child from injury and maintain airway safety
D. Give fluids immediately
Correct Answer: C. Protect the Child From Injury and Maintain Airway
Safety
, Rationale:
During seizures, the priority is preventing injury and maintaining airway
protection.
Question 7
A nurse is teaching parents about signs of hypoglycemia in a child with
diabetes. Which finding should be reported?
A. Sweating and trembling
B. Increased thirst
C. Fruity breath
D. Deep rapid breathing
Correct Answer: A. Sweating and Trembling
Rationale:
Hypoglycemia causes symptoms such as sweating, shaking, hunger, and
confusion.
Question 8
A child diagnosed with cystic fibrosis is admitted with respiratory
problems. Which intervention is priority?
A. Airway clearance therapy
B. Fluid restriction
C. Low-calorie meals
D. Avoiding exercise
Correct Answer: A. Airway Clearance Therapy
Questions and Answers with Detailed Rationales
Question 1
A nurse is caring for a 6-month-old infant. Which developmental
milestone should the nurse expect?
A. Walking independently
B. Sitting with support
C. Speaking in complete sentences
D. Using a fork independently
Correct Answer: B. Sitting With Support
Rationale:
At approximately 6 months, infants develop improved trunk control and
can sit with support. Walking and complex language skills occur later.
Question 2
A nurse is teaching parents about safe sleep practices for an infant.
Which statement indicates correct understanding?
A. “I will place my baby on the stomach to sleep.”
B. “I will place my baby on the back on a firm mattress.”
C. “I will use pillows to make my baby comfortable.”
D. “I will place stuffed animals in the crib.”
Correct Answer: B. “I will place my baby on the back on a firm
mattress.”
,Rationale:
Supine sleeping on a firm surface reduces the risk of sudden infant
death syndrome (SIDS).
Question 3
A nurse is assessing a child with respiratory distress. Which finding
requires immediate intervention?
A. Mild cough
B. Oxygen saturation of 87%
C. Runny nose
D. Decreased appetite
Correct Answer: B. Oxygen Saturation of 87%
Rationale:
Low oxygen saturation indicates impaired oxygenation and requires
immediate respiratory support.
Question 4
A child with asthma is experiencing an acute exacerbation. Which
medication should the nurse administer first?
A. Albuterol
B. Montelukast
C. Fluticasone
D. Antibiotic therapy
Correct Answer: A. Albuterol
,Rationale:
Albuterol is a short-acting bronchodilator used for rapid relief during
acute asthma symptoms.
Question 5
A nurse is caring for a child with dehydration due to diarrhea. Which
finding indicates worsening dehydration?
A. Increased urine output
B. Moist mucous membranes
C. Lethargy and decreased urine output
D. Increased appetite
Correct Answer: C. Lethargy and Decreased Urine Output
Rationale:
Lethargy and reduced urine output indicate worsening fluid deficit and
decreased perfusion.
Question 6
A nurse caring for a child having a seizure should:
A. Place an object in the child’s mouth
B. Restrain the child’s movements
C. Protect the child from injury and maintain airway safety
D. Give fluids immediately
Correct Answer: C. Protect the Child From Injury and Maintain Airway
Safety
, Rationale:
During seizures, the priority is preventing injury and maintaining airway
protection.
Question 7
A nurse is teaching parents about signs of hypoglycemia in a child with
diabetes. Which finding should be reported?
A. Sweating and trembling
B. Increased thirst
C. Fruity breath
D. Deep rapid breathing
Correct Answer: A. Sweating and Trembling
Rationale:
Hypoglycemia causes symptoms such as sweating, shaking, hunger, and
confusion.
Question 8
A child diagnosed with cystic fibrosis is admitted with respiratory
problems. Which intervention is priority?
A. Airway clearance therapy
B. Fluid restriction
C. Low-calorie meals
D. Avoiding exercise
Correct Answer: A. Airway Clearance Therapy
