, ATI RN PedIATRIc NuRsINg PRocToRed exAm – ATI NuRsINg
educATIoN – 2026/2027 AcAdemIc YeAR – 70 QuesTIoNs ANd
ANsweRs coveRINg FouR coRe domAINs || jusT ReleAsed.
The following 70 questions are organized into four primary content domains aligned with the
official ATI RN Pediatric Nursing Proctored Examination blueprint. Each question includes four
answer choices, the correct answer, and a detailed rationale grounded in evidence-based
pediatric nursing practice, growth and development principles, and ATI testing standards.
Domain 1: Health Promotion and Maintenance (Questions 1–17)
Question 1: A nurse is providing anticipatory guidance to the parents of a 4-month-old infant.
Which statement by the parent indicates a need for further teaching?
• A) "I will continue to breastfeed my baby on demand."
• B) "I will introduce solid foods when my baby is 6 months old."
• C) "I will place my baby on their stomach to sleep."
• D) "I will use a rear-facing car seat in the back seat."
coRRecT ANsweR: C
RATIoNAle: Infants should be placed on their backs to sleep to reduce the risk of Sudden
Infant Death Syndrome (SIDS). Placing an infant on their stomach to sleep is a significant risk
factor for SIDS. Breastfeeding on demand is appropriate; solid foods are introduced around 6
months; rear-facing car seats are recommended for infants.
Question 2: A nurse is assessing the developmental milestones of a 2-year-old child. Which
milestone should the nurse expect the child to have achieved?
• A) Riding a tricycle
• B) Speaking in 2-3 word sentences
• C) Tying shoelaces
• D) Drawing a circle
coRRecT ANsweR: B
, RATIoNAle: A 2-year-old child is expected to speak in 2-3 word sentences. Riding a tricycle is
a 3-year-old milestone; tying shoelaces is a 5-6 year milestone; drawing a circle is a 3-4 year
milestone.
Question 3: A nurse is educating the parents of a school-age child about immunizations. Which
immunization is recommended at age 11-12 years?
• A) DTaP
• B) MMR
• C) Tdap
• D) HepB
coRRecT ANsweR: C
RATIoNAle: The Tdap (tetanus, diphtheria, pertussis) booster is recommended at age 11-12
years. DTaP is given in early childhood; MMR is given at 12-15 months and 4-6 years; HepB is
given in infancy.
Question 4: A nurse is providing education to the parents of a child with a new diagnosis of
type 1 diabetes. Which statement by the parent indicates understanding?
• A) "I will give insulin only when my child has symptoms."
• B) "I will rotate insulin injection sites to prevent lipohypertrophy."
• C) "I will check my child's blood glucose once a week."
• D) "I will give insulin after meals."
coRRecT ANsweR: B
RATIoNAle: Rotating insulin injection sites prevents lipohypertrophy and ensures consistent
absorption. Insulin should be given on a scheduled basis, not only when symptoms occur; blood
glucose should be checked multiple times daily; insulin is typically given before meals.
Question 5: A nurse is assessing a 9-month-old infant. Which finding is consistent with normal
growth and development?
• A) The infant has a pincer grasp
• B) The infant is able to walk independently
• C) The infant says 10 words
• D) The infant uses a spoon
coRRecT ANsweR: A
educATIoN – 2026/2027 AcAdemIc YeAR – 70 QuesTIoNs ANd
ANsweRs coveRINg FouR coRe domAINs || jusT ReleAsed.
The following 70 questions are organized into four primary content domains aligned with the
official ATI RN Pediatric Nursing Proctored Examination blueprint. Each question includes four
answer choices, the correct answer, and a detailed rationale grounded in evidence-based
pediatric nursing practice, growth and development principles, and ATI testing standards.
Domain 1: Health Promotion and Maintenance (Questions 1–17)
Question 1: A nurse is providing anticipatory guidance to the parents of a 4-month-old infant.
Which statement by the parent indicates a need for further teaching?
• A) "I will continue to breastfeed my baby on demand."
• B) "I will introduce solid foods when my baby is 6 months old."
• C) "I will place my baby on their stomach to sleep."
• D) "I will use a rear-facing car seat in the back seat."
coRRecT ANsweR: C
RATIoNAle: Infants should be placed on their backs to sleep to reduce the risk of Sudden
Infant Death Syndrome (SIDS). Placing an infant on their stomach to sleep is a significant risk
factor for SIDS. Breastfeeding on demand is appropriate; solid foods are introduced around 6
months; rear-facing car seats are recommended for infants.
Question 2: A nurse is assessing the developmental milestones of a 2-year-old child. Which
milestone should the nurse expect the child to have achieved?
• A) Riding a tricycle
• B) Speaking in 2-3 word sentences
• C) Tying shoelaces
• D) Drawing a circle
coRRecT ANsweR: B
, RATIoNAle: A 2-year-old child is expected to speak in 2-3 word sentences. Riding a tricycle is
a 3-year-old milestone; tying shoelaces is a 5-6 year milestone; drawing a circle is a 3-4 year
milestone.
Question 3: A nurse is educating the parents of a school-age child about immunizations. Which
immunization is recommended at age 11-12 years?
• A) DTaP
• B) MMR
• C) Tdap
• D) HepB
coRRecT ANsweR: C
RATIoNAle: The Tdap (tetanus, diphtheria, pertussis) booster is recommended at age 11-12
years. DTaP is given in early childhood; MMR is given at 12-15 months and 4-6 years; HepB is
given in infancy.
Question 4: A nurse is providing education to the parents of a child with a new diagnosis of
type 1 diabetes. Which statement by the parent indicates understanding?
• A) "I will give insulin only when my child has symptoms."
• B) "I will rotate insulin injection sites to prevent lipohypertrophy."
• C) "I will check my child's blood glucose once a week."
• D) "I will give insulin after meals."
coRRecT ANsweR: B
RATIoNAle: Rotating insulin injection sites prevents lipohypertrophy and ensures consistent
absorption. Insulin should be given on a scheduled basis, not only when symptoms occur; blood
glucose should be checked multiple times daily; insulin is typically given before meals.
Question 5: A nurse is assessing a 9-month-old infant. Which finding is consistent with normal
growth and development?
• A) The infant has a pincer grasp
• B) The infant is able to walk independently
• C) The infant says 10 words
• D) The infant uses a spoon
coRRecT ANsweR: A
