2026 ATI RN PEDIATRICS PROCTOR
EXAM MASTERY QUESTIONS WITH
VERIFIED ANSWERS
1. A nurse is assessing a 4-month-old infant during a routine check-up. Which of the following
findings should the nurse report to the provider?
A. The infant has not yet doubled their birth weight.
B. The infant is unable to sit unsupported.
C. The infant lacks a head lag when pulled to a sitting position.
D. The infant does not respond to their name.
Answer: A
Conceptual Explanation: By age 4 to 6 months, an infant’s birth weight should double.
Sitting unsupported usually occurs at 6-8 months, and responding to name happens around
7 months. Head lag should disappear by 4-6 months, but its presence is more concerning
earlier.
,2. A nurse is caring for a child who has cystic fibrosis. Which of the following dietary
recommendations should the nurse provide?
A. Increase intake of sodium during hot weather.
B. Administer pancreatic enzymes 2 hours after meals.
C. Restrict fat intake to less than 20 percent of total calories.
D. Decrease caloric intake to prevent obesity.
Answer: A
Conceptual Explanation: Children with cystic fibrosis lose excessive sodium through
sweat; therefore, increased salt intake is necessary, especially in hot weather or during
exercise. They require a high-calorie, high-protein, and high-fat diet with enzymes taken
with every meal and snack.
3. A child is admitted with suspected epiglottitis. Which of the following actions should the
nurse take first?
A. Ensure emergency intubation equipment is at the bedside.
B. Inspect the throat using a tongue blade for inflammation.
C. Place the child in a side-lying position.
D. Obtain a throat culture to identify the causative agent.
Answer: A
, Conceptual Explanation: Epiglottitis is a medical emergency that can lead to rapid airway
obstruction. Airway management is the priority. The nurse should never inspect the throat
or take a culture, as this can trigger laryngospasm. The child should be kept upright.
4. A nurse is teaching the parents of a toddler about toilet training. Which of the following
signs indicates the toddler is ready?
A. The child stays dry for at least 2 hours at a time.
B. The child can sit still for 2 minutes.
C. The child prefers to wear diapers over underwear.
D. The child is in the ‘Autonomy vs. Shame and Doubt’ stage.
Answer: A
Conceptual Explanation: Physical readiness for toilet training includes the ability to stay
dry for at least 2 hours, recognizing the urge to urinate/defecate, and the ability to walk to
the bathroom.
5. A nurse is assessing a child with Tetralogy of Fallot who is experiencing a hypercyanotic
(‘tet’) spell. Which action should the nurse take first?
A. Administer 100% oxygen via face mask.
B. Place the child in the knee-chest position.
C. Administer morphine sulfate intravenously.
D. Prepare for immediate surgical intervention.
EXAM MASTERY QUESTIONS WITH
VERIFIED ANSWERS
1. A nurse is assessing a 4-month-old infant during a routine check-up. Which of the following
findings should the nurse report to the provider?
A. The infant has not yet doubled their birth weight.
B. The infant is unable to sit unsupported.
C. The infant lacks a head lag when pulled to a sitting position.
D. The infant does not respond to their name.
Answer: A
Conceptual Explanation: By age 4 to 6 months, an infant’s birth weight should double.
Sitting unsupported usually occurs at 6-8 months, and responding to name happens around
7 months. Head lag should disappear by 4-6 months, but its presence is more concerning
earlier.
,2. A nurse is caring for a child who has cystic fibrosis. Which of the following dietary
recommendations should the nurse provide?
A. Increase intake of sodium during hot weather.
B. Administer pancreatic enzymes 2 hours after meals.
C. Restrict fat intake to less than 20 percent of total calories.
D. Decrease caloric intake to prevent obesity.
Answer: A
Conceptual Explanation: Children with cystic fibrosis lose excessive sodium through
sweat; therefore, increased salt intake is necessary, especially in hot weather or during
exercise. They require a high-calorie, high-protein, and high-fat diet with enzymes taken
with every meal and snack.
3. A child is admitted with suspected epiglottitis. Which of the following actions should the
nurse take first?
A. Ensure emergency intubation equipment is at the bedside.
B. Inspect the throat using a tongue blade for inflammation.
C. Place the child in a side-lying position.
D. Obtain a throat culture to identify the causative agent.
Answer: A
, Conceptual Explanation: Epiglottitis is a medical emergency that can lead to rapid airway
obstruction. Airway management is the priority. The nurse should never inspect the throat
or take a culture, as this can trigger laryngospasm. The child should be kept upright.
4. A nurse is teaching the parents of a toddler about toilet training. Which of the following
signs indicates the toddler is ready?
A. The child stays dry for at least 2 hours at a time.
B. The child can sit still for 2 minutes.
C. The child prefers to wear diapers over underwear.
D. The child is in the ‘Autonomy vs. Shame and Doubt’ stage.
Answer: A
Conceptual Explanation: Physical readiness for toilet training includes the ability to stay
dry for at least 2 hours, recognizing the urge to urinate/defecate, and the ability to walk to
the bathroom.
5. A nurse is assessing a child with Tetralogy of Fallot who is experiencing a hypercyanotic
(‘tet’) spell. Which action should the nurse take first?
A. Administer 100% oxygen via face mask.
B. Place the child in the knee-chest position.
C. Administer morphine sulfate intravenously.
D. Prepare for immediate surgical intervention.
