ATI PN PEDIATRICS PROCTORED EXAM
2026 | NURSING CARE OF CHILDREN | TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Growth and Development
Pediatric Assessment and Family-Centered Care
Health Promotion and Immunizations
Respiratory Disorders
Cardiovascular and Hematologic Disorders
Gastrointestinal and Nutritional Disorders
Neurologic and Musculoskeletal Disorders
Infectious Diseases and Medication Administration
Safety and Injury Prevention
Psychosocial Integrity
Introduction
The ATI PN Pediatric Proctored Exam is a comprehensive assessment designed
to evaluate the practical nursing student's mastery of pediatric nursing
concepts and readiness for entry-level practice in the care of children. It
assesses knowledge of growth and development across the lifespan, health
promotion and maintenance, acute and chronic illness management,
medication administration, and family-centered care. The exam employs
multiple-choice and scenario-based questions that require clinical judgment,
prioritization, and safe decision-making in real-world pediatric contexts.
Content emphasizes developmental milestones, age-appropriate interventions,
legal and ethical responsibilities, and evidence-based nursing practice. Success
,demonstrates the competencies essential for providing safe, quality nursing
care to pediatric clients and their families.
SECTION ONE: QUESTIONS 1–100
1. A nurse is receiving change-of-shift report for four children. Which of
the following children should the nurse assess first?
A. A toddler who has a concussion and an episode of forceful vomiting
B. An adolescent who has infective endocarditis and reports having a
headache
C. An adolescent who was placed into halo traction 1 hr ago and reports pain
as 6 on a scale of 0 to 10
D. A school-age child who has acute glomerulonephritis and brown-colored
urine
A. A toddler who has a concussion and an episode of forceful vomiting
RATIONALE: Using the ABCs and acute vs. chronic framework, forceful
vomiting in a toddler with a concussion is a classic sign of increased
intracranial pressure (ICP), a life-threatening complication requiring
immediate intervention .
2. A 9-year-old child arrives at the emergency department with severe
facial swelling and respiratory distress after a known peanut exposure.
The nurse notes audible wheezing and sees hives on the chest and
arms. Which of the following is the nurse's priority intervention?
A. Administer an albuterol nebulizer treatment
B. Administer oxygen at 6L/min via nasal cannula
C. Prepare a corticosteroid dose for IV administration
D. Administer intramuscular epinephrine
D. Administer intramuscular epinephrine
, RATIONALE: This child is showing signs of anaphylaxis, a life-threatening
allergic reaction. Epinephrine is the only first-line treatment for anaphylaxis
and reverses vasodilation, bronchoconstriction, and edema .
3. A nurse is providing dietary teaching to the guardian of a school-age
child who has cystic fibrosis. Which of the following statements should
the nurse make?
A. "You should offer your child high-protein meals and snacks throughout the
day."
B. "You should decrease your child's dietary fat intake to less than 10% of their
caloric intake."
C. "You should restrict your child's calorie intake to 1,200 per day."
D. "You should give your child a multivitamin once weekly."
A. "You should offer your child high-protein meals and snacks throughout
the day."
RATIONALE: Children with cystic fibrosis have malabsorption due to a
lack of pancreatic enzymes. They require a high-calorie, high-protein, and
high-fat diet to meet increased metabolic demands .
4. A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is planning to attend college. The nurse should
inform the client that he should receive which of the following
immunizations prior to moving into a campus dormitory?
A. Pneumococcal polysaccharide
B. Meningococcal polysaccharide
C. Rotavirus
D. Herpes zoster
B. Meningococcal polysaccharide
RATIONALE: The meningococcal vaccine is recommended for
adolescents prior to moving into a college dormitory due to the increased risk
of meningococcal disease in close living quarters .
, 5. A nurse is caring for a 3-month-old infant who has gastroesophageal
reflux. Which of the following actions should the nurse take?
A. Place the infant in a prone position after feedings
B. Feed the infant smaller amounts more frequently
C. Add cereal to the infant's bottle to thicken the formula
D. Position the infant in a semi-Fowler's position during feedings
B. Feed the infant smaller amounts more frequently
RATIONALE: Smaller, more frequent feedings help reduce the frequency
of reflux episodes by decreasing the volume in the stomach at one time. Prone
positioning increases the risk of SIDS .
6. A nurse is teaching the parent of a toddler about preventing injuries.
Which of the following statements by the parent indicates
understanding?
A. "I will leave small toys on the floor so my child can play."
B. "I will keep cleaning products in a cabinet low to the ground."
C. "I will use a rear-facing car seat until my child is 2 years old."
D. "I will give my child nuts because they are healthy."
C. "I will use a rear-facing car seat until my child is 2 years old."
RATIONALE: Children should ride in a rear-facing car seat until at least 2
years of age. Small toys, cleaning products, and nuts can pose choking or
poisoning hazards .
7. A nurse is caring for an adolescent who has type 1 diabetes mellitus.
Which of the following findings requires immediate follow-up?
A. Blood glucose 150 mg/dL
B. Ketones in the urine
C. Hemoglobin A1c 7%
D. Weight gain of 1 lb in 1 week
B. Ketones in the urine
2026 | NURSING CARE OF CHILDREN | TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Growth and Development
Pediatric Assessment and Family-Centered Care
Health Promotion and Immunizations
Respiratory Disorders
Cardiovascular and Hematologic Disorders
Gastrointestinal and Nutritional Disorders
Neurologic and Musculoskeletal Disorders
Infectious Diseases and Medication Administration
Safety and Injury Prevention
Psychosocial Integrity
Introduction
The ATI PN Pediatric Proctored Exam is a comprehensive assessment designed
to evaluate the practical nursing student's mastery of pediatric nursing
concepts and readiness for entry-level practice in the care of children. It
assesses knowledge of growth and development across the lifespan, health
promotion and maintenance, acute and chronic illness management,
medication administration, and family-centered care. The exam employs
multiple-choice and scenario-based questions that require clinical judgment,
prioritization, and safe decision-making in real-world pediatric contexts.
Content emphasizes developmental milestones, age-appropriate interventions,
legal and ethical responsibilities, and evidence-based nursing practice. Success
,demonstrates the competencies essential for providing safe, quality nursing
care to pediatric clients and their families.
SECTION ONE: QUESTIONS 1–100
1. A nurse is receiving change-of-shift report for four children. Which of
the following children should the nurse assess first?
A. A toddler who has a concussion and an episode of forceful vomiting
B. An adolescent who has infective endocarditis and reports having a
headache
C. An adolescent who was placed into halo traction 1 hr ago and reports pain
as 6 on a scale of 0 to 10
D. A school-age child who has acute glomerulonephritis and brown-colored
urine
A. A toddler who has a concussion and an episode of forceful vomiting
RATIONALE: Using the ABCs and acute vs. chronic framework, forceful
vomiting in a toddler with a concussion is a classic sign of increased
intracranial pressure (ICP), a life-threatening complication requiring
immediate intervention .
2. A 9-year-old child arrives at the emergency department with severe
facial swelling and respiratory distress after a known peanut exposure.
The nurse notes audible wheezing and sees hives on the chest and
arms. Which of the following is the nurse's priority intervention?
A. Administer an albuterol nebulizer treatment
B. Administer oxygen at 6L/min via nasal cannula
C. Prepare a corticosteroid dose for IV administration
D. Administer intramuscular epinephrine
D. Administer intramuscular epinephrine
, RATIONALE: This child is showing signs of anaphylaxis, a life-threatening
allergic reaction. Epinephrine is the only first-line treatment for anaphylaxis
and reverses vasodilation, bronchoconstriction, and edema .
3. A nurse is providing dietary teaching to the guardian of a school-age
child who has cystic fibrosis. Which of the following statements should
the nurse make?
A. "You should offer your child high-protein meals and snacks throughout the
day."
B. "You should decrease your child's dietary fat intake to less than 10% of their
caloric intake."
C. "You should restrict your child's calorie intake to 1,200 per day."
D. "You should give your child a multivitamin once weekly."
A. "You should offer your child high-protein meals and snacks throughout
the day."
RATIONALE: Children with cystic fibrosis have malabsorption due to a
lack of pancreatic enzymes. They require a high-calorie, high-protein, and
high-fat diet to meet increased metabolic demands .
4. A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is planning to attend college. The nurse should
inform the client that he should receive which of the following
immunizations prior to moving into a campus dormitory?
A. Pneumococcal polysaccharide
B. Meningococcal polysaccharide
C. Rotavirus
D. Herpes zoster
B. Meningococcal polysaccharide
RATIONALE: The meningococcal vaccine is recommended for
adolescents prior to moving into a college dormitory due to the increased risk
of meningococcal disease in close living quarters .
, 5. A nurse is caring for a 3-month-old infant who has gastroesophageal
reflux. Which of the following actions should the nurse take?
A. Place the infant in a prone position after feedings
B. Feed the infant smaller amounts more frequently
C. Add cereal to the infant's bottle to thicken the formula
D. Position the infant in a semi-Fowler's position during feedings
B. Feed the infant smaller amounts more frequently
RATIONALE: Smaller, more frequent feedings help reduce the frequency
of reflux episodes by decreasing the volume in the stomach at one time. Prone
positioning increases the risk of SIDS .
6. A nurse is teaching the parent of a toddler about preventing injuries.
Which of the following statements by the parent indicates
understanding?
A. "I will leave small toys on the floor so my child can play."
B. "I will keep cleaning products in a cabinet low to the ground."
C. "I will use a rear-facing car seat until my child is 2 years old."
D. "I will give my child nuts because they are healthy."
C. "I will use a rear-facing car seat until my child is 2 years old."
RATIONALE: Children should ride in a rear-facing car seat until at least 2
years of age. Small toys, cleaning products, and nuts can pose choking or
poisoning hazards .
7. A nurse is caring for an adolescent who has type 1 diabetes mellitus.
Which of the following findings requires immediate follow-up?
A. Blood glucose 150 mg/dL
B. Ketones in the urine
C. Hemoglobin A1c 7%
D. Weight gain of 1 lb in 1 week
B. Ketones in the urine
