ATI RN Pediatric Nursing Proctored Exam
2025 – Verified Questions with 100%
Correct Answers
Question 1
A nurse is assessing a 6-month-old infant. Which developmental milestone is expected at this
age?
A. Walking independently
B. Sitting without support
C. Using a pincer grasp
D. Speaking two-word phrases
Correct Answer: B
Rationale: A 6-month-old infant is expected to sit without support (B). Walking independently
(A) occurs around 12 months, pincer grasp (C) around 9–12 months, and two-word phrases (D)
around 2 years.
Question 2
A child with asthma is prescribed albuterol via a metered -dose inhaler. What should the nurse
teach the parents?
A. Use it only during an asthma attack
B. Administer it daily for prevention
C. Give it with meals to reduce side effects
D. Avoid using a spacer device
Correct Answer: A
Rationale: Albuterol (A) is a short-acting beta-agonist used for acute asthma attacks. Daily use
(B) is for controller medications, meals (C) do not affect administration, and a spacer (D)
improves delivery.
Question 3
A 4-year-old with suspected appendicitis reports abdominal pain. What is the nurse’s priority
action?
,A. Administer pain medication
B. Assess for rebound tenderness
C. Encourage oral fluids
D. Apply a heating pad
Correct Answer: B
Rationale: Assessing for rebound tenderness (B) is critical to confirm appendicitis and guide
treatment. Pain medication (A) may mask symptoms, oral fluids (C) are contraindicated before
surgery, and heat (D) can worsen inflammation.
Question 4
Which finding in a newborn indicates respiratory distress syndrome?
A. Barrel-shaped chest
B. Nasal flaring and grunting
C. Clear lung sounds bilaterally
D. Slow, irregular respirations
Correct Answer: B
Rationale: Nasal flaring and grunting (B) are signs of respiratory distress syndrome in newborns
due to surfactant deficiency. Barrel chest (A) is seen in chronic lung conditions, clear lungs (C)
are normal, and irregular respirations (D) are less specific.
Question 5
A 2-year-old is admitted with dehydration. Which assessment finding is most concerning?
A. Heart rate of 120 bpm
B. Sunken fontanelles
C. Moist mucous membranes
D. Urine output of 2 mL/kg/hr
Correct Answer: B
Rationale: Sunken fontanelles (B) indicate severe dehydration in a 2-year-old. A heart rate of
120 bpm (A) is normal for a toddler, moist mucous membranes (C) suggest hydration, and urine
output of 2 mL/kg/hr (D) is adequate.
Question 6
A child with type 1 diabetes receives insulin. Which symptom indicates hypoglycemia?
A. Polyuria
, B. Sweating and shakiness
C. Increased thirst
D. Weight gain
Correct Answer: B
Rationale: Sweating and shakiness (B) are signs of hypoglycemia due to low blood glucose.
Polyuria (A) and increased thirst (C) indicate hyperglycemia, and weight gain (D) is unrelated.
Question 7
A nurse is caring for a child with sickle cell anemia in a vaso-occlusive crisis. What is the
priority intervention?
A. Administer oxygen
B. Provide pain management
C. Restrict fluid intake
D. Apply cold compresses
Correct Answer: B
Rationale: Pain management (B) is the priority in a vaso-occlusive crisis to relieve severe pain
from ischemia. Oxygen (A) is indicated for hypoxia, fluids (C) should be increased, and cold
compresses (D) are not used.
Question 8
A 5-year-old with epilepsy is prescribed phenytoin. What should the nurse monitor for toxicity?
A. Nystagmus and ataxia
B. Hypoglycemia
C. Hypertension
D. Bradycardia
Correct Answer: A
Rationale: Phenytoin toxicity causes nystagmus and ataxia (A) due to CNS effects.
Hypoglycemia (B), hypertension (C), and bradycardia (D) are not typical signs.
Question 9
Which immunization is recommended for a healthy 12-month-old?
A. Measles, mumps, rubella (MMR)
B. Tetanus, diphtheria, pertussis (Tdap)
2025 – Verified Questions with 100%
Correct Answers
Question 1
A nurse is assessing a 6-month-old infant. Which developmental milestone is expected at this
age?
A. Walking independently
B. Sitting without support
C. Using a pincer grasp
D. Speaking two-word phrases
Correct Answer: B
Rationale: A 6-month-old infant is expected to sit without support (B). Walking independently
(A) occurs around 12 months, pincer grasp (C) around 9–12 months, and two-word phrases (D)
around 2 years.
Question 2
A child with asthma is prescribed albuterol via a metered -dose inhaler. What should the nurse
teach the parents?
A. Use it only during an asthma attack
B. Administer it daily for prevention
C. Give it with meals to reduce side effects
D. Avoid using a spacer device
Correct Answer: A
Rationale: Albuterol (A) is a short-acting beta-agonist used for acute asthma attacks. Daily use
(B) is for controller medications, meals (C) do not affect administration, and a spacer (D)
improves delivery.
Question 3
A 4-year-old with suspected appendicitis reports abdominal pain. What is the nurse’s priority
action?
,A. Administer pain medication
B. Assess for rebound tenderness
C. Encourage oral fluids
D. Apply a heating pad
Correct Answer: B
Rationale: Assessing for rebound tenderness (B) is critical to confirm appendicitis and guide
treatment. Pain medication (A) may mask symptoms, oral fluids (C) are contraindicated before
surgery, and heat (D) can worsen inflammation.
Question 4
Which finding in a newborn indicates respiratory distress syndrome?
A. Barrel-shaped chest
B. Nasal flaring and grunting
C. Clear lung sounds bilaterally
D. Slow, irregular respirations
Correct Answer: B
Rationale: Nasal flaring and grunting (B) are signs of respiratory distress syndrome in newborns
due to surfactant deficiency. Barrel chest (A) is seen in chronic lung conditions, clear lungs (C)
are normal, and irregular respirations (D) are less specific.
Question 5
A 2-year-old is admitted with dehydration. Which assessment finding is most concerning?
A. Heart rate of 120 bpm
B. Sunken fontanelles
C. Moist mucous membranes
D. Urine output of 2 mL/kg/hr
Correct Answer: B
Rationale: Sunken fontanelles (B) indicate severe dehydration in a 2-year-old. A heart rate of
120 bpm (A) is normal for a toddler, moist mucous membranes (C) suggest hydration, and urine
output of 2 mL/kg/hr (D) is adequate.
Question 6
A child with type 1 diabetes receives insulin. Which symptom indicates hypoglycemia?
A. Polyuria
, B. Sweating and shakiness
C. Increased thirst
D. Weight gain
Correct Answer: B
Rationale: Sweating and shakiness (B) are signs of hypoglycemia due to low blood glucose.
Polyuria (A) and increased thirst (C) indicate hyperglycemia, and weight gain (D) is unrelated.
Question 7
A nurse is caring for a child with sickle cell anemia in a vaso-occlusive crisis. What is the
priority intervention?
A. Administer oxygen
B. Provide pain management
C. Restrict fluid intake
D. Apply cold compresses
Correct Answer: B
Rationale: Pain management (B) is the priority in a vaso-occlusive crisis to relieve severe pain
from ischemia. Oxygen (A) is indicated for hypoxia, fluids (C) should be increased, and cold
compresses (D) are not used.
Question 8
A 5-year-old with epilepsy is prescribed phenytoin. What should the nurse monitor for toxicity?
A. Nystagmus and ataxia
B. Hypoglycemia
C. Hypertension
D. Bradycardia
Correct Answer: A
Rationale: Phenytoin toxicity causes nystagmus and ataxia (A) due to CNS effects.
Hypoglycemia (B), hypertension (C), and bradycardia (D) are not typical signs.
Question 9
Which immunization is recommended for a healthy 12-month-old?
A. Measles, mumps, rubella (MMR)
B. Tetanus, diphtheria, pertussis (Tdap)
