ATI Nursing Education
ATI RN Pediatric Nursing Proctored Exam
2026/2027 | Verified Questions
ATI Nursing Education Certification | University-Level Nursing Students
70 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
ATI Nursing Education | ATI-PEDS | RN Pediatric Nursing
Proctored Examination Actual Exam | Academic Year 2026/2027
ATI RN Pediatric Nursing Proctored Exam 2026/2027 | Verified Questions
,INTRODUCTION
This document presents a set of 70 original verified questions created for the ATI RN Pediatric
Nursing Proctored Examination during the Academic Year 2026/2027. The items are organized
into four core domains, Growth, Development, and Health Promotion; Respiratory,
Cardiovascular, and Gastrointestinal Disorders; Neurologic, Musculoskeletal, Endocrine, and
Hematologic Disorders; and Family-Centered Care, Safety, and Atraumatic Care, divided as
evenly as possible, with 18 questions in each of the first two domains and 17 in each of the
remaining two. Every item is original and written to reinforce the official ATI RN Pediatric
Nursing Proctored Examination course objectives, building actual exam readiness along with
clinical proficiency in growth and development expectations, common childhood disorders, and
family-centered, atraumatic nursing care of infants, children, and adolescents. Each question
provides a correct response and a detailed rationale grounded in the clinical pediatric reasoning
used by foundational pediatric nursing textbooks, such as Wong's Nursing Care of Infants and
Children, and by the official ATI RN Pediatric Nursing curriculum, so that university-level
nursing students can see not only which option is correct but why it is correct. All content is
aligned with the Academic Year 2026/2027 curriculum blueprint.
ACTUAL QUESTIONS
Domain 1: Growth, Development, and Health Promotion
Question 1. During a well-child visit, the parent of a 6-month-old infant asks which
motor skill is expected at this age. Which response by the nurse is accurate?
A. Walking independently
B. Sitting briefly without support
C. Riding a tricycle
D. Hopping on one foot
Correct Answer: B
Rationale: By about 6 months of age, most infants roll in both directions and sit briefly without
support, leaning forward on their hands for balance. Independent walking typically appears
near 12 months, tricycle riding near 3 years, and hopping on one foot near 4 years, so the nurse
uses age-based milestones to coach families on expected development.
Question 2. A toddler consistently says 'me do it' and refuses help with dressing.
Which guidance should the nurse give the parent?
A. Dress the child quickly to avoid conflict
B. Use punishment to discourage the defiance
C. Compare the child with an older sibling who complied
D. Offer simple, safe choices and allow the child to attempt self-care tasks
Correct Answer: D
Rationale: According to Erikson, the developmental task of toddlerhood is autonomy versus
shame and doubt. Negativism and the drive for independence are normal, so allowing safe
choices and self-care attempts builds autonomy, while harsh criticism or comparison fosters
shame and doubt.
ATI RN Pediatric Nursing Proctored Exam 2026/2027 | Verified Questions
, Question 3. The parents of a 4-year-old report that the child talks to an imaginary
friend and tells elaborate stories. How should the nurse respond?
A. Explain that imaginative play and make-believe are typical of preschool-age thought
B. Refer the child for a developmental assessment at once
C. Tell the parents the child is lying and should be disciplined
D. Advise the parents to separate the child from other children
Correct Answer: A
Rationale: Preschoolers are in Piaget's preoperational stage, characterized by magical thinking,
animism, and rich imagination, including imaginary friends and exaggerated stories. These
behaviors are normal for the age and do not signal pathology, dishonesty, or a need for
isolation.
Question 4. A nurse is planning care for a 9-year-old. Which approach best supports
the child's developmental stage?
A. Allowing unlimited decisions about bedtime and meals
B. Encouraging full dependence on parents for all self-care
C. Focusing only on identity and body image concerns
D. Encouraging the child to master school tasks and hobbies while praising effort and
accomplishment
Correct Answer: D
Rationale: School-age children work through Erikson's stage of industry versus inferiority.
Success in schoolwork, hobbies, and tasks with recognition of their effort produces a sense of
industry, while repeated failure or ridicule produces feelings of inferiority. Unlimited adult
decisions belong to later adolescence, and body identity concerns peak in adolescence.
Question 5. Which topic is the priority for anticipatory guidance with an adolescent
during a health promotion visit?
A. Toilet training readiness
B. Injury prevention, including seat belt and helmet use and avoiding riding with impaired
drivers
C. Introduction of pureed foods
D. Management of stranger anxiety
Correct Answer: B
Rationale: Injuries, especially motor vehicle injuries, are the leading cause of death in
adolescence, and the belief that harm will not happen to them encourages risk-taking. Priority
guidance therefore addresses seat belts, helmets, water and firearm safety, and avoiding
impaired driving, while the other options apply to infants and toddlers.
Question 6. A parent asks how to tell whether an infant is gaining weight
appropriately. Which expected pattern should the nurse describe?
A. Birth weight doubles by 1 month and triples by 4 months
B. Birth weight doubles by 12 months and triples by 24 months
C. Birth weight usually doubles by about 6 months and triples by about 12 months
D. Infants typically gain no weight between 4 and 8 months
Correct Answer: C
Rationale: Steady growth is a central marker of infant health. Birth weight normally doubles by
about 6 months and triples by about 12 months, and all measurements are plotted on
standardized growth curves over time. A departure from the expected pattern prompts a
feeding and health workup.
ATI RN Pediatric Nursing Proctored Exam 2026/2027 | Verified Questions
ATI RN Pediatric Nursing Proctored Exam
2026/2027 | Verified Questions
ATI Nursing Education Certification | University-Level Nursing Students
70 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
ATI Nursing Education | ATI-PEDS | RN Pediatric Nursing
Proctored Examination Actual Exam | Academic Year 2026/2027
ATI RN Pediatric Nursing Proctored Exam 2026/2027 | Verified Questions
,INTRODUCTION
This document presents a set of 70 original verified questions created for the ATI RN Pediatric
Nursing Proctored Examination during the Academic Year 2026/2027. The items are organized
into four core domains, Growth, Development, and Health Promotion; Respiratory,
Cardiovascular, and Gastrointestinal Disorders; Neurologic, Musculoskeletal, Endocrine, and
Hematologic Disorders; and Family-Centered Care, Safety, and Atraumatic Care, divided as
evenly as possible, with 18 questions in each of the first two domains and 17 in each of the
remaining two. Every item is original and written to reinforce the official ATI RN Pediatric
Nursing Proctored Examination course objectives, building actual exam readiness along with
clinical proficiency in growth and development expectations, common childhood disorders, and
family-centered, atraumatic nursing care of infants, children, and adolescents. Each question
provides a correct response and a detailed rationale grounded in the clinical pediatric reasoning
used by foundational pediatric nursing textbooks, such as Wong's Nursing Care of Infants and
Children, and by the official ATI RN Pediatric Nursing curriculum, so that university-level
nursing students can see not only which option is correct but why it is correct. All content is
aligned with the Academic Year 2026/2027 curriculum blueprint.
ACTUAL QUESTIONS
Domain 1: Growth, Development, and Health Promotion
Question 1. During a well-child visit, the parent of a 6-month-old infant asks which
motor skill is expected at this age. Which response by the nurse is accurate?
A. Walking independently
B. Sitting briefly without support
C. Riding a tricycle
D. Hopping on one foot
Correct Answer: B
Rationale: By about 6 months of age, most infants roll in both directions and sit briefly without
support, leaning forward on their hands for balance. Independent walking typically appears
near 12 months, tricycle riding near 3 years, and hopping on one foot near 4 years, so the nurse
uses age-based milestones to coach families on expected development.
Question 2. A toddler consistently says 'me do it' and refuses help with dressing.
Which guidance should the nurse give the parent?
A. Dress the child quickly to avoid conflict
B. Use punishment to discourage the defiance
C. Compare the child with an older sibling who complied
D. Offer simple, safe choices and allow the child to attempt self-care tasks
Correct Answer: D
Rationale: According to Erikson, the developmental task of toddlerhood is autonomy versus
shame and doubt. Negativism and the drive for independence are normal, so allowing safe
choices and self-care attempts builds autonomy, while harsh criticism or comparison fosters
shame and doubt.
ATI RN Pediatric Nursing Proctored Exam 2026/2027 | Verified Questions
, Question 3. The parents of a 4-year-old report that the child talks to an imaginary
friend and tells elaborate stories. How should the nurse respond?
A. Explain that imaginative play and make-believe are typical of preschool-age thought
B. Refer the child for a developmental assessment at once
C. Tell the parents the child is lying and should be disciplined
D. Advise the parents to separate the child from other children
Correct Answer: A
Rationale: Preschoolers are in Piaget's preoperational stage, characterized by magical thinking,
animism, and rich imagination, including imaginary friends and exaggerated stories. These
behaviors are normal for the age and do not signal pathology, dishonesty, or a need for
isolation.
Question 4. A nurse is planning care for a 9-year-old. Which approach best supports
the child's developmental stage?
A. Allowing unlimited decisions about bedtime and meals
B. Encouraging full dependence on parents for all self-care
C. Focusing only on identity and body image concerns
D. Encouraging the child to master school tasks and hobbies while praising effort and
accomplishment
Correct Answer: D
Rationale: School-age children work through Erikson's stage of industry versus inferiority.
Success in schoolwork, hobbies, and tasks with recognition of their effort produces a sense of
industry, while repeated failure or ridicule produces feelings of inferiority. Unlimited adult
decisions belong to later adolescence, and body identity concerns peak in adolescence.
Question 5. Which topic is the priority for anticipatory guidance with an adolescent
during a health promotion visit?
A. Toilet training readiness
B. Injury prevention, including seat belt and helmet use and avoiding riding with impaired
drivers
C. Introduction of pureed foods
D. Management of stranger anxiety
Correct Answer: B
Rationale: Injuries, especially motor vehicle injuries, are the leading cause of death in
adolescence, and the belief that harm will not happen to them encourages risk-taking. Priority
guidance therefore addresses seat belts, helmets, water and firearm safety, and avoiding
impaired driving, while the other options apply to infants and toddlers.
Question 6. A parent asks how to tell whether an infant is gaining weight
appropriately. Which expected pattern should the nurse describe?
A. Birth weight doubles by 1 month and triples by 4 months
B. Birth weight doubles by 12 months and triples by 24 months
C. Birth weight usually doubles by about 6 months and triples by about 12 months
D. Infants typically gain no weight between 4 and 8 months
Correct Answer: C
Rationale: Steady growth is a central marker of infant health. Birth weight normally doubles by
about 6 months and triples by about 12 months, and all measurements are plotted on
standardized growth curves over time. A departure from the expected pattern prompts a
feeding and health workup.
ATI RN Pediatric Nursing Proctored Exam 2026/2027 | Verified Questions
