ATI PEDS FINAL. QUESTIONS AND
ANSWERS 2023/2026. GRADED A+
CORE DOMAINS
• Growth and Development Milestones
• Pediatric Respiratory Disorders
• Pediatric Cardiovascular Disorders
• Pediatric Neurological Disorders
• Pediatric Gastrointestinal and Nutritional Disorders
• Pediatric Endocrine and Metabolic Disorders
• Pediatric Musculoskeletal and Integumentary Disorders
, • Pediatric Hematologic and Immunologic Disorders
• Pediatric Pharmacology and Medication Safety
• Pediatric Safety, Injury Prevention, and Health Promotion
INTRODUCTION
The ATI Pediatrics Final examination is designed to evaluate the practical
nurse's competency in providing safe, effective, family-centered care to
pediatric clients from infancy through adolescence. The assessment addresses
essential knowledge across core domains, including growth and development
milestones, respiratory and cardiac disorders, gastrointestinal conditions,
endocrine dysfunction, and medication safety. The exam structure utilizes
multiple-choice and scenario-based questions that require clinical judgment,
prioritization, and decision-making skills. Candidates must demonstrate the
ability to recognize normal versus abnormal findings, interpret laboratory
data, apply developmental principles, and implement evidence-based
interventions in real-world pediatric settings. This comprehensive evaluation
ensures readiness for professional practice in diverse pediatric care
environments.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a 6-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the provider
as a potential developmental delay?
A. The infant rolls from back to abdomen
B. The infant has a social smile
C. The infant bears weight on the legs when held upright
D. The infant has poor head control when pulled to a sitting position
D. The infant has poor head control when pulled to a sitting position
, RATIONALE: By 6 months, an infant should have strong head control and
be able to sit with support. Poor head control at this age is a red flag for a
neuromuscular or developmental delay. Rolling over, social smile, and bearing
weight on legs are all appropriate milestones for this age.
2. A nurse is caring for a 6-month-old infant with bronchiolitis caused
by RSV. Which of the following interventions is the priority for this
infant?
A. Administering broad-spectrum antibiotics
B. Suctioning the nares with a bulb syringe
C. Placing the infant in a prone position for sleep
D. Encouraging oral intake of clear fluids
B. Suctioning the nares with a bulb syringe
RATIONALE: Infants are obligate nose breathers; therefore, maintaining a
clear airway is the priority. Suctioning the nares helps to clear secretions and
maintain patency of the airway. Antibiotics are not effective against RSV.
Prone positioning increases the risk of SIDS.
3. A nurse is providing discharge teaching to the parents of a child who
had a tonsillectomy. Which of the following statements by the parents
indicates an understanding of the teaching?
A. "We will give our child red-colored liquids to help hide the taste of
medicine."
B. "We will encourage our child to cough frequently to clear the airway."
C. "We will watch for frequent swallowing, which could indicate bleeding."
D. "We will give our child a straw to make drinking fluids easier."
C. "We will watch for frequent swallowing, which could indicate
bleeding."
, RATIONALE: Frequent swallowing is a sign of continuous bleeding in the
throat post-tonsillectomy. Red-colored liquids should be avoided because
they can mask the appearance of blood in emesis. Coughing and straws
should be avoided as they can dislodge the clot and cause bleeding.
4. A nurse is assessing a school-age child who has a history of seizures
and is currently taking valproic acid. Which of the following laboratory
values should the nurse monitor closely due to the adverse effects of
this medication?
A. Serum sodium level
B. Serum potassium level
C. Liver function tests
D. Blood urea nitrogen level
C. Liver function tests
RATIONALE: Valproic acid is hepatotoxic and can cause fatal liver failure,
particularly in children under 2 years of age. Monitoring liver function tests
(AST, ALT) is essential.
5. A nurse is performing a developmental screening on a 4-year-old
child. Which of the following milestones is appropriate for the nurse to
expect the child to achieve?
A. Ties shoelaces
B. Draws a circle
C. Uses a fork to eat independently
D. Rides a tricycle
B. Draws a circle
ANSWERS 2023/2026. GRADED A+
CORE DOMAINS
• Growth and Development Milestones
• Pediatric Respiratory Disorders
• Pediatric Cardiovascular Disorders
• Pediatric Neurological Disorders
• Pediatric Gastrointestinal and Nutritional Disorders
• Pediatric Endocrine and Metabolic Disorders
• Pediatric Musculoskeletal and Integumentary Disorders
, • Pediatric Hematologic and Immunologic Disorders
• Pediatric Pharmacology and Medication Safety
• Pediatric Safety, Injury Prevention, and Health Promotion
INTRODUCTION
The ATI Pediatrics Final examination is designed to evaluate the practical
nurse's competency in providing safe, effective, family-centered care to
pediatric clients from infancy through adolescence. The assessment addresses
essential knowledge across core domains, including growth and development
milestones, respiratory and cardiac disorders, gastrointestinal conditions,
endocrine dysfunction, and medication safety. The exam structure utilizes
multiple-choice and scenario-based questions that require clinical judgment,
prioritization, and decision-making skills. Candidates must demonstrate the
ability to recognize normal versus abnormal findings, interpret laboratory
data, apply developmental principles, and implement evidence-based
interventions in real-world pediatric settings. This comprehensive evaluation
ensures readiness for professional practice in diverse pediatric care
environments.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a 6-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the provider
as a potential developmental delay?
A. The infant rolls from back to abdomen
B. The infant has a social smile
C. The infant bears weight on the legs when held upright
D. The infant has poor head control when pulled to a sitting position
D. The infant has poor head control when pulled to a sitting position
, RATIONALE: By 6 months, an infant should have strong head control and
be able to sit with support. Poor head control at this age is a red flag for a
neuromuscular or developmental delay. Rolling over, social smile, and bearing
weight on legs are all appropriate milestones for this age.
2. A nurse is caring for a 6-month-old infant with bronchiolitis caused
by RSV. Which of the following interventions is the priority for this
infant?
A. Administering broad-spectrum antibiotics
B. Suctioning the nares with a bulb syringe
C. Placing the infant in a prone position for sleep
D. Encouraging oral intake of clear fluids
B. Suctioning the nares with a bulb syringe
RATIONALE: Infants are obligate nose breathers; therefore, maintaining a
clear airway is the priority. Suctioning the nares helps to clear secretions and
maintain patency of the airway. Antibiotics are not effective against RSV.
Prone positioning increases the risk of SIDS.
3. A nurse is providing discharge teaching to the parents of a child who
had a tonsillectomy. Which of the following statements by the parents
indicates an understanding of the teaching?
A. "We will give our child red-colored liquids to help hide the taste of
medicine."
B. "We will encourage our child to cough frequently to clear the airway."
C. "We will watch for frequent swallowing, which could indicate bleeding."
D. "We will give our child a straw to make drinking fluids easier."
C. "We will watch for frequent swallowing, which could indicate
bleeding."
, RATIONALE: Frequent swallowing is a sign of continuous bleeding in the
throat post-tonsillectomy. Red-colored liquids should be avoided because
they can mask the appearance of blood in emesis. Coughing and straws
should be avoided as they can dislodge the clot and cause bleeding.
4. A nurse is assessing a school-age child who has a history of seizures
and is currently taking valproic acid. Which of the following laboratory
values should the nurse monitor closely due to the adverse effects of
this medication?
A. Serum sodium level
B. Serum potassium level
C. Liver function tests
D. Blood urea nitrogen level
C. Liver function tests
RATIONALE: Valproic acid is hepatotoxic and can cause fatal liver failure,
particularly in children under 2 years of age. Monitoring liver function tests
(AST, ALT) is essential.
5. A nurse is performing a developmental screening on a 4-year-old
child. Which of the following milestones is appropriate for the nurse to
expect the child to achieve?
A. Ties shoelaces
B. Draws a circle
C. Uses a fork to eat independently
D. Rides a tricycle
B. Draws a circle
