NCLEX-Style Questions with Verified
Answers for ATI Pediatrics Test Bank
Comprehensive Practice for Pediatric Nursing Concepts
September 29, 2025
, NCLEX-Style Pediatric Nursing Test Bank
1 Growth and Development
Q1 During a well-child visit for a 2-year-old, which approach should the nurse prioritize to reduce
distress?
a. Start with invasive procedures.
b. Limit initial physical contact.
c. Use complex medical terminology.
d. Stop if the child resists.
Answer: b
Rationale: Minimizing physical contact initially reduces anxiety and builds trust in toddlers.
Q2 Which vaccine is recommended for an 18-year-old moving into a college dormitory?
a. Pneumococcal conjugate.
b. Meningococcal conjugate.
c. Rotavirus.
d. Varicella.
Answer: b
Rationale: Meningococcal conjugate vaccine protects against meningitis, prevalent in communal
settings.
Q3 When educating parents about infant food allergens, which is identified as the most common?
a. Cows milk protein.
b. Rice cereal.
c. Pureed apples.
d. Soy-based formula.
Answer: a
Rationale: Cows milk protein is a leading allergen causing reactions in infants.
Q4 A parent receives home safety teaching for a toddler. Which response indicates understanding?
a. Medications are locked in a cabinet.
b. Crib mattress is kept at the highest setting.
c. Pot handles face outward on the stove.
d. Ipecac is used for poisoning.
Answer: a
Rationale: Locking medications prevents accidental ingestion, a key safety measure.
Q5 Which reflex is expected in a healthy 6-month-old during a physical exam?
1
, NCLEX-Style Pediatric Nursing Test Bank
a. Stepping reflex.
b. Babinski reflex.
c. Extrusion reflex.
d. Moro reflex.
Answer: b
Rationale: The Babinski reflex persists until approximately 12 months of age.
Q6 Which immunizations are scheduled for a 2-month-old infant per standard guidelines?
a. HPV and hepatitis A.
b. MMR and varicella.
c. Hib and IPV.
d. TDaP and influenza.
Answer: c
Rationale: Hib and IPV are part of the 2-month vaccination schedule per CDC recommendations.
Q7 Which finding in a 4-month-old requires further evaluation?
a. Open posterior fontanel.
b. Steady head control when upright.
c. Rolling from prone to supine.
d. Soft, open anterior fontanel.
Answer: a
Rationale: The posterior fontanel typically closes by 2 months; an open fontanel suggests a delay.
Q8 A child with increased intracranial pressure shows decreased consciousness. Which order should
the nurse question?
a. Passive hip range of motion exercises.
b. Oxygen at 2L to maintain saturation >95%.
c. Hourly vital signs and neurological checks.
d. Elevate head of bed to 30 degrees.
Answer: a
Rationale: Hip flexion may increase intracranial pressure, worsening the condition.
Q9 A 4-year-old on a ketogenic diet presents with left-sided pain. What complication is suspected?
a. Appendicitis.
b. Bowel obstruction.
c. Kidney stones.
d. Pancreatitis.
2
Answers for ATI Pediatrics Test Bank
Comprehensive Practice for Pediatric Nursing Concepts
September 29, 2025
, NCLEX-Style Pediatric Nursing Test Bank
1 Growth and Development
Q1 During a well-child visit for a 2-year-old, which approach should the nurse prioritize to reduce
distress?
a. Start with invasive procedures.
b. Limit initial physical contact.
c. Use complex medical terminology.
d. Stop if the child resists.
Answer: b
Rationale: Minimizing physical contact initially reduces anxiety and builds trust in toddlers.
Q2 Which vaccine is recommended for an 18-year-old moving into a college dormitory?
a. Pneumococcal conjugate.
b. Meningococcal conjugate.
c. Rotavirus.
d. Varicella.
Answer: b
Rationale: Meningococcal conjugate vaccine protects against meningitis, prevalent in communal
settings.
Q3 When educating parents about infant food allergens, which is identified as the most common?
a. Cows milk protein.
b. Rice cereal.
c. Pureed apples.
d. Soy-based formula.
Answer: a
Rationale: Cows milk protein is a leading allergen causing reactions in infants.
Q4 A parent receives home safety teaching for a toddler. Which response indicates understanding?
a. Medications are locked in a cabinet.
b. Crib mattress is kept at the highest setting.
c. Pot handles face outward on the stove.
d. Ipecac is used for poisoning.
Answer: a
Rationale: Locking medications prevents accidental ingestion, a key safety measure.
Q5 Which reflex is expected in a healthy 6-month-old during a physical exam?
1
, NCLEX-Style Pediatric Nursing Test Bank
a. Stepping reflex.
b. Babinski reflex.
c. Extrusion reflex.
d. Moro reflex.
Answer: b
Rationale: The Babinski reflex persists until approximately 12 months of age.
Q6 Which immunizations are scheduled for a 2-month-old infant per standard guidelines?
a. HPV and hepatitis A.
b. MMR and varicella.
c. Hib and IPV.
d. TDaP and influenza.
Answer: c
Rationale: Hib and IPV are part of the 2-month vaccination schedule per CDC recommendations.
Q7 Which finding in a 4-month-old requires further evaluation?
a. Open posterior fontanel.
b. Steady head control when upright.
c. Rolling from prone to supine.
d. Soft, open anterior fontanel.
Answer: a
Rationale: The posterior fontanel typically closes by 2 months; an open fontanel suggests a delay.
Q8 A child with increased intracranial pressure shows decreased consciousness. Which order should
the nurse question?
a. Passive hip range of motion exercises.
b. Oxygen at 2L to maintain saturation >95%.
c. Hourly vital signs and neurological checks.
d. Elevate head of bed to 30 degrees.
Answer: a
Rationale: Hip flexion may increase intracranial pressure, worsening the condition.
Q9 A 4-year-old on a ketogenic diet presents with left-sided pain. What complication is suspected?
a. Appendicitis.
b. Bowel obstruction.
c. Kidney stones.
d. Pancreatitis.
2
