ATI RN PEDIATRIC NURSING PROCTORED
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Growth and Development Across the Pediatric Lifespan
Pediatric Assessment and Physical Examination
Family-Centered Care and Communication
Health Promotion and Immunizations
Common Pediatric Respiratory Conditions
Common Pediatric Cardiovascular Conditions
Pediatric Neurological and Sensory Conditions
Pediatric Gastrointestinal and Genitourinary Conditions
Pediatric Musculoskeletal and Integumentary Conditions
Pediatric Pharmacology and Medication Administration
Pediatric Emergency and Critical Care
Pediatric Mental Health and Behavioral Disorders
Introduction
This comprehensive examination assesses the candidate's mastery of
pediatric nursing concepts required for the ATI RN Pediatric Nursing
Proctored Exam. It evaluates knowledge of growth and development,
pediatric assessment, family-centered care, health promotion, common
pediatric conditions across body systems, pharmacology, emergency
care, and mental health. Questions are presented in multiple-choice and
scenario-based formats requiring integration of knowledge across
,domains. Emphasis is placed on real-world application, critical thinking,
and clinical decision-making in pediatric nursing practice. Successful
completion demonstrates readiness for professional pediatric nursing
practice.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is assessing a 6-month-old infant during a well-child visit. Which
of the following findings should the nurse expect?
A. The infant can sit without support
B. The infant has a positive Babinski reflex
C. The infant can transfer objects from one hand to the other
D. The infant can say "mama" and "dada" with meaning
B. The infant has a positive Babinski reflex
RATIONALE: A positive Babinski reflex is a normal finding in infants
up to 12 months of age. Sitting without support typically occurs at 8
months, transferring objects at 7 months, and saying "mama" and "dada"
with meaning at 10 months.
Question 2
A nurse is caring for a 2-year-old child who is hospitalized. Which of the
following toys is most appropriate for this child?
A. A 500-piece puzzle
B. A board game with small pieces
C. A push-pull toy
,D. A video game console
C. A push-pull toy
RATIONALE: Toddlers (1–3 years) enjoy push-pull toys, which
support gross motor development and provide appropriate sensory
stimulation. Small pieces, complex puzzles, and video games are
inappropriate due to choking hazards and developmental mismatch.
Question 3
A nurse is preparing to administer immunizations to a 4-month-old infant.
Which of the following immunizations should the nurse anticipate
administering?
A. Measles, mumps, and rubella (MMR)
B. Diphtheria, tetanus, and acellular pertussis (DTaP)
C. Varicella
D. Hepatitis A
B. Diphtheria, tetanus, and acellular pertussis (DTaP)
RATIONALE: DTaP is administered at 2, 4, 6, and 15–18 months, with
a booster at 4–6 years. MMR and varicella are given at 12–15 months.
Hepatitis A is given at 12–23 months.
Question 4
A nurse is assessing a 5-year-old child who has just returned from
surgery. Which of the following pain assessment tools is most
appropriate for this child?
A. Numeric rating scale (0–10)
, B. Wong-Baker FACES Pain Rating Scale
C. Visual analog scale
D. Neonatal Infant Pain Scale (NIPS)
B. Wong-Baker FACES Pain Rating Scale
RATIONALE: The Wong-Baker FACES scale is appropriate for children
ages 3 and older. It uses facial expressions to help children communicate
their pain level. The numeric scale requires abstract thinking, the visual
analog scale is for older children and adults, and NIPS is for neonates.
Question 5
A nurse is teaching the parents of a 6-month-old infant about introducing
solid foods. Which of the following instructions should the nurse include?
A. Introduce one new food at a time, waiting 3–5 days between new
foods
B. Begin with mixed foods that contain multiple ingredients
C. Add honey to sweeten the food
D. Introduce cow's milk as the primary beverage
A. Introduce one new food at a time, waiting 3–5 days between new
foods
RATIONALE: Introducing one new food at a time allows for
identification of food allergies or intolerances. Honey is contraindicated
in infants under 12 months due to botulism risk. Cow's milk should not
replace breast milk or formula before 12 months.
Question 6
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Growth and Development Across the Pediatric Lifespan
Pediatric Assessment and Physical Examination
Family-Centered Care and Communication
Health Promotion and Immunizations
Common Pediatric Respiratory Conditions
Common Pediatric Cardiovascular Conditions
Pediatric Neurological and Sensory Conditions
Pediatric Gastrointestinal and Genitourinary Conditions
Pediatric Musculoskeletal and Integumentary Conditions
Pediatric Pharmacology and Medication Administration
Pediatric Emergency and Critical Care
Pediatric Mental Health and Behavioral Disorders
Introduction
This comprehensive examination assesses the candidate's mastery of
pediatric nursing concepts required for the ATI RN Pediatric Nursing
Proctored Exam. It evaluates knowledge of growth and development,
pediatric assessment, family-centered care, health promotion, common
pediatric conditions across body systems, pharmacology, emergency
care, and mental health. Questions are presented in multiple-choice and
scenario-based formats requiring integration of knowledge across
,domains. Emphasis is placed on real-world application, critical thinking,
and clinical decision-making in pediatric nursing practice. Successful
completion demonstrates readiness for professional pediatric nursing
practice.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is assessing a 6-month-old infant during a well-child visit. Which
of the following findings should the nurse expect?
A. The infant can sit without support
B. The infant has a positive Babinski reflex
C. The infant can transfer objects from one hand to the other
D. The infant can say "mama" and "dada" with meaning
B. The infant has a positive Babinski reflex
RATIONALE: A positive Babinski reflex is a normal finding in infants
up to 12 months of age. Sitting without support typically occurs at 8
months, transferring objects at 7 months, and saying "mama" and "dada"
with meaning at 10 months.
Question 2
A nurse is caring for a 2-year-old child who is hospitalized. Which of the
following toys is most appropriate for this child?
A. A 500-piece puzzle
B. A board game with small pieces
C. A push-pull toy
,D. A video game console
C. A push-pull toy
RATIONALE: Toddlers (1–3 years) enjoy push-pull toys, which
support gross motor development and provide appropriate sensory
stimulation. Small pieces, complex puzzles, and video games are
inappropriate due to choking hazards and developmental mismatch.
Question 3
A nurse is preparing to administer immunizations to a 4-month-old infant.
Which of the following immunizations should the nurse anticipate
administering?
A. Measles, mumps, and rubella (MMR)
B. Diphtheria, tetanus, and acellular pertussis (DTaP)
C. Varicella
D. Hepatitis A
B. Diphtheria, tetanus, and acellular pertussis (DTaP)
RATIONALE: DTaP is administered at 2, 4, 6, and 15–18 months, with
a booster at 4–6 years. MMR and varicella are given at 12–15 months.
Hepatitis A is given at 12–23 months.
Question 4
A nurse is assessing a 5-year-old child who has just returned from
surgery. Which of the following pain assessment tools is most
appropriate for this child?
A. Numeric rating scale (0–10)
, B. Wong-Baker FACES Pain Rating Scale
C. Visual analog scale
D. Neonatal Infant Pain Scale (NIPS)
B. Wong-Baker FACES Pain Rating Scale
RATIONALE: The Wong-Baker FACES scale is appropriate for children
ages 3 and older. It uses facial expressions to help children communicate
their pain level. The numeric scale requires abstract thinking, the visual
analog scale is for older children and adults, and NIPS is for neonates.
Question 5
A nurse is teaching the parents of a 6-month-old infant about introducing
solid foods. Which of the following instructions should the nurse include?
A. Introduce one new food at a time, waiting 3–5 days between new
foods
B. Begin with mixed foods that contain multiple ingredients
C. Add honey to sweeten the food
D. Introduce cow's milk as the primary beverage
A. Introduce one new food at a time, waiting 3–5 days between new
foods
RATIONALE: Introducing one new food at a time allows for
identification of food allergies or intolerances. Honey is contraindicated
in infants under 12 months due to botulism risk. Cow's milk should not
replace breast milk or formula before 12 months.
Question 6
