ATI RN Pediatrics 2026 Proctored Exam with
NGN Questions and 100% Correct Answers
to Score 98% and Above in the New 2026 RN
ATI Pediatrics Proctored Assessment,
Updated Exam Review Materials,
Comprehensive Study Guide and Practice
Questions
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse
report to the provider?
• A. Positive Babinski reflex
• B. Red circle: Absent Moro reflex
• C. Positive rooting reflex
• D. Presence of head lag
The Moro reflex typically disappears by 4–6 months of age. An absent Moro
reflex at 6 months is expected, but if it was absent before 4 months it would be
abnormal. However, in this context, the nurse should report an absent Moro
reflex if it was previously present and now absent unexpectedly, which could
indicate neurological dysfunction. The Babinski reflex is normal until 12–24
months, rooting is present until 4–6 months, and head lag should resolve by 4–6
months.
2. A nurse is caring for a 2-year-old child with acute otitis media. Which
instruction should the nurse include in the teaching plan?
• A. Avoid giving analgesics unless fever is present.
• B. Red circle: Administer prescribed antibiotics for the full course.
• C. Place cotton swabs in the ear canal to absorb drainage.
, • D. Keep the child in a supine position during feeding.
Acute otitis media is often bacterial and requires a full course of antibiotics to
prevent complications such as mastoiditis. Analgesics should be given for pain
regardless of fever. Cotton swabs should never be placed in the ear canal. Supine
feeding increases risk of otitis media due to eustachian tube dysfunction.
3. A nurse is reviewing the immunization schedule for a 12-month-old child.
Which vaccine should the nurse expect to administer?
• A. Red circle: Measles, mumps, rubella (MMR)
• B. Hepatitis B (HepB) first dose
• C. Inactivated poliovirus (IPV) first dose
• D. Rotavirus first dose
The MMR vaccine is given at 12–15 months. HepB first dose is at birth. IPV
first dose is at 2 months. Rotavirus first dose is at 2 months. Therefore, MMR is
the expected vaccine at 12 months.
4. A nurse is assessing a 4-year-old child. Which developmental milestone
should the nurse expect?
• A. Ability to skip on alternating feet
• B. Red circle: Ability to draw a circle
• C. Ability to tie shoelaces
• D. Ability to count backwards from 10
A 4-year-old can typically draw a circle. Skipping is expected at 5 years. Tying
shoelaces is expected at 5–6 years. Counting backwards from 10 is expected at 6–
7 years.
,5. A nurse is caring for a child with severe dehydration. Which finding should the
nurse expect?
• A. Bradycardia
• B. Red circle: Sunken fontanelle in an infant
• C. Increased urine output
• D. Moist mucous membranes
Severe dehydration in an infant causes sunken fontanelles, tachycardia (not
bradycardia), decreased urine output, and dry mucous membranes.
6. A nurse is teaching a parent about car seat safety for a 3-year-old child
weighing 35 lb (15.9 kg). Which car seat should the nurse recommend?
• A. Rear-facing car seat in the front seat
• B. Red circle: Forward-facing car seat with a 5-point harness in the back
seat
• C. Booster seat with a lap belt only
• D. Seat belt alone in the back seat
A 3-year-old weighing 35 lb should use a forward-facing car seat with a 5-
point harness in the back seat until they reach the highest weight or height
allowed by the manufacturer. Rear-facing is for children under 2 years or until
they reach the weight limit. Booster seats are for children over 40 lb and at least 4
years old. Seat belts alone are for children over 8 years or 4’9”.
7. A nurse is assessing a newborn immediately after delivery. Which finding
requires immediate intervention?
• A. Heart rate 130 beats/min
• B. Red circle: Respiratory rate 80 breaths/min with grunting
• C. Acrocyanosis
, • D. Positive Moro reflex
A respiratory rate of 80 with grunting indicates respiratory distress and
requires immediate intervention. Heart rate 130 is normal. Acrocyanosis is normal
in the first 24 hours. Moro reflex is normal.
8. A nurse is caring for a child with cystic fibrosis. Which medication should the
nurse expect to administer?
• A. Red circle: Pancreatic enzymes with meals and snacks
• B. Furosemide daily
• C. Insulin before meals
• D. Levothyroxine daily
Children with cystic fibrosis have pancreatic insufficiency and require
pancreatic enzymes with all meals and snacks to aid digestion. Furosemide,
insulin, and levothyroxine are not standard for CF.
9. A nurse is assessing a 9-month-old infant. Which finding indicates a need for
further evaluation?
• A. Pulls to stand
• B. Red circle: Does not sit without support
• C. Says “mama” and “dada”
• D. Pincer grasp present
A 9-month-old should sit without support. Pulling to stand, saying
“mama/dada,” and pincer grasp are expected at 9 months. Inability to sit without
support indicates developmental delay.
10. A nurse is teaching a parent about preventing sudden infant death
syndrome (SIDS). Which statement by the parent indicates understanding?
NGN Questions and 100% Correct Answers
to Score 98% and Above in the New 2026 RN
ATI Pediatrics Proctored Assessment,
Updated Exam Review Materials,
Comprehensive Study Guide and Practice
Questions
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse
report to the provider?
• A. Positive Babinski reflex
• B. Red circle: Absent Moro reflex
• C. Positive rooting reflex
• D. Presence of head lag
The Moro reflex typically disappears by 4–6 months of age. An absent Moro
reflex at 6 months is expected, but if it was absent before 4 months it would be
abnormal. However, in this context, the nurse should report an absent Moro
reflex if it was previously present and now absent unexpectedly, which could
indicate neurological dysfunction. The Babinski reflex is normal until 12–24
months, rooting is present until 4–6 months, and head lag should resolve by 4–6
months.
2. A nurse is caring for a 2-year-old child with acute otitis media. Which
instruction should the nurse include in the teaching plan?
• A. Avoid giving analgesics unless fever is present.
• B. Red circle: Administer prescribed antibiotics for the full course.
• C. Place cotton swabs in the ear canal to absorb drainage.
, • D. Keep the child in a supine position during feeding.
Acute otitis media is often bacterial and requires a full course of antibiotics to
prevent complications such as mastoiditis. Analgesics should be given for pain
regardless of fever. Cotton swabs should never be placed in the ear canal. Supine
feeding increases risk of otitis media due to eustachian tube dysfunction.
3. A nurse is reviewing the immunization schedule for a 12-month-old child.
Which vaccine should the nurse expect to administer?
• A. Red circle: Measles, mumps, rubella (MMR)
• B. Hepatitis B (HepB) first dose
• C. Inactivated poliovirus (IPV) first dose
• D. Rotavirus first dose
The MMR vaccine is given at 12–15 months. HepB first dose is at birth. IPV
first dose is at 2 months. Rotavirus first dose is at 2 months. Therefore, MMR is
the expected vaccine at 12 months.
4. A nurse is assessing a 4-year-old child. Which developmental milestone
should the nurse expect?
• A. Ability to skip on alternating feet
• B. Red circle: Ability to draw a circle
• C. Ability to tie shoelaces
• D. Ability to count backwards from 10
A 4-year-old can typically draw a circle. Skipping is expected at 5 years. Tying
shoelaces is expected at 5–6 years. Counting backwards from 10 is expected at 6–
7 years.
,5. A nurse is caring for a child with severe dehydration. Which finding should the
nurse expect?
• A. Bradycardia
• B. Red circle: Sunken fontanelle in an infant
• C. Increased urine output
• D. Moist mucous membranes
Severe dehydration in an infant causes sunken fontanelles, tachycardia (not
bradycardia), decreased urine output, and dry mucous membranes.
6. A nurse is teaching a parent about car seat safety for a 3-year-old child
weighing 35 lb (15.9 kg). Which car seat should the nurse recommend?
• A. Rear-facing car seat in the front seat
• B. Red circle: Forward-facing car seat with a 5-point harness in the back
seat
• C. Booster seat with a lap belt only
• D. Seat belt alone in the back seat
A 3-year-old weighing 35 lb should use a forward-facing car seat with a 5-
point harness in the back seat until they reach the highest weight or height
allowed by the manufacturer. Rear-facing is for children under 2 years or until
they reach the weight limit. Booster seats are for children over 40 lb and at least 4
years old. Seat belts alone are for children over 8 years or 4’9”.
7. A nurse is assessing a newborn immediately after delivery. Which finding
requires immediate intervention?
• A. Heart rate 130 beats/min
• B. Red circle: Respiratory rate 80 breaths/min with grunting
• C. Acrocyanosis
, • D. Positive Moro reflex
A respiratory rate of 80 with grunting indicates respiratory distress and
requires immediate intervention. Heart rate 130 is normal. Acrocyanosis is normal
in the first 24 hours. Moro reflex is normal.
8. A nurse is caring for a child with cystic fibrosis. Which medication should the
nurse expect to administer?
• A. Red circle: Pancreatic enzymes with meals and snacks
• B. Furosemide daily
• C. Insulin before meals
• D. Levothyroxine daily
Children with cystic fibrosis have pancreatic insufficiency and require
pancreatic enzymes with all meals and snacks to aid digestion. Furosemide,
insulin, and levothyroxine are not standard for CF.
9. A nurse is assessing a 9-month-old infant. Which finding indicates a need for
further evaluation?
• A. Pulls to stand
• B. Red circle: Does not sit without support
• C. Says “mama” and “dada”
• D. Pincer grasp present
A 9-month-old should sit without support. Pulling to stand, saying
“mama/dada,” and pincer grasp are expected at 9 months. Inability to sit without
support indicates developmental delay.
10. A nurse is teaching a parent about preventing sudden infant death
syndrome (SIDS). Which statement by the parent indicates understanding?
