ATI RN Pediatric Nursing Proctored
Exam 2025 – Verified Questions and
Correct Answers | Already Graded A
Question 1
A nurse is assessing a 2-month-old infant during a well-child visit. Which reflex should be
present?
A. Stepping reflex
B. Moro reflex
C. Babinski reflex
D. Tonic neck reflex
Rationale: The Moro reflex (startle response) is present until 3-4 months and indicates
neurological health (ATI Pediatric Nursing 2025, Ch. 3). Stepping (A) fades by 2 months.
Babinski (C) and tonic neck (D) persist longer but are not primary at this age.
Question 2
A 4-year-old with asthma is in respiratory distress. What is the priority nursing action?
A. Administer oral corticosteroids
B. Administer albuterol via nebulizer and monitor SpO2
C. Encourage coughing
D. Monitor for 1 hour
Rationale: Acute asthma exacerbation requires immediate bronchodilation with albuterol and
SpO2 monitoring (GINA 2025, ATI Ch. 18). Oral steroids (A) are slower. Coughing (C) is
ineffective. Monitoring (D) delays treatment.
Question 3
A nurse is teaching parents about infant car seat safety. Which instruction is correct?
,A. Place in front seat
B. Rear-facing in back seat until age 2
C. Forward-facing at 1 year
D. Use booster at 2 years
Rationale: AAP 2025 recommends rear-facing car seats in the back seat until age 2 or
height/weight limits for safety. Front seat (A) is unsafe. Forward -facing (C) or booster (D) is
premature.
Question 4
A 6-year-old with type 1 diabetes has a blood glucose of 50 mg/dL. What is the nurse’s first
action?
A. Administer insulin
B. Give 15 g fast-acting carbohydrate
C. Restrict food
D. Monitor for 30 minutes
Rationale: Hypoglycemia (<70 mg/dL) requires 15 g of fast-acting carbs (e.g., juice) to raise
glucose (ADA 2025, ATI Ch. 22). Insulin (A) worsens hypoglycemia. Restriction (C) or
monitoring (D) delays treatment.
Question 5
A 12-month-old is screened for developmental milestones. Which skill is expected?
A. Riding a tricycle
B. Walking independently
C. Speaking in sentences
D. Stacking 6 blocks
Rationale: Independent walking is typical by 12-15 months (CDC 2025, ATI Ch. 4). Tricycling
(A) and sentences (C) occur at 3 years. Stacking 6 blocks (D) is at 2 years.
Question 6
A 3-year-old with fever and stridor is diagnosed with croup. What is the priority intervention?
, A. Administer antibiotics
B. Give racemic epinephrine and dexamethasone
C. Monitor temperature only
D. Encourage oral fluids
Rationale: Severe croup with stridor requires epinephrine for airway edema and steroids for
inflammation (AAP 2025, ATI Ch. 18). Antibiotics (A) are ineffective for viral croup.
Monitoring (C) or fluids (D) are secondary.
Question 7
A nurse is preparing to administer an IM injection to a 4-year-old. Which site is most
appropriate?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
Rationale: The vastus lateralis is preferred in children due to its size and safety (ATI Ch. 15,
AAP 2025). Dorsogluteal (A) risks sciatic injury. Deltoid (C) is for older children. Ventrogluteal
(D) is less common in young children.
Question 8
A 9-month-old with dehydration has sunken fontanelles. What is the initial treatment?
A. Oral rehydration solution only
B. IV isotonic fluids with monitoring
C. Hypertonic saline
D. Restrict fluids
Rationale: Severe dehydration in infants requires IV isotonic fluids (e.g., NS) to restore volume
(AAP 2025, ATI Ch. 20). Oral solution (A) is for mild cases. Hypertonic saline (C) risks shifts.
Restriction (D) worsens dehydration.
Question 9
A 5-year-old with sickle cell disease presents with fever and chest pain. What is the suspected
complication?
Exam 2025 – Verified Questions and
Correct Answers | Already Graded A
Question 1
A nurse is assessing a 2-month-old infant during a well-child visit. Which reflex should be
present?
A. Stepping reflex
B. Moro reflex
C. Babinski reflex
D. Tonic neck reflex
Rationale: The Moro reflex (startle response) is present until 3-4 months and indicates
neurological health (ATI Pediatric Nursing 2025, Ch. 3). Stepping (A) fades by 2 months.
Babinski (C) and tonic neck (D) persist longer but are not primary at this age.
Question 2
A 4-year-old with asthma is in respiratory distress. What is the priority nursing action?
A. Administer oral corticosteroids
B. Administer albuterol via nebulizer and monitor SpO2
C. Encourage coughing
D. Monitor for 1 hour
Rationale: Acute asthma exacerbation requires immediate bronchodilation with albuterol and
SpO2 monitoring (GINA 2025, ATI Ch. 18). Oral steroids (A) are slower. Coughing (C) is
ineffective. Monitoring (D) delays treatment.
Question 3
A nurse is teaching parents about infant car seat safety. Which instruction is correct?
,A. Place in front seat
B. Rear-facing in back seat until age 2
C. Forward-facing at 1 year
D. Use booster at 2 years
Rationale: AAP 2025 recommends rear-facing car seats in the back seat until age 2 or
height/weight limits for safety. Front seat (A) is unsafe. Forward -facing (C) or booster (D) is
premature.
Question 4
A 6-year-old with type 1 diabetes has a blood glucose of 50 mg/dL. What is the nurse’s first
action?
A. Administer insulin
B. Give 15 g fast-acting carbohydrate
C. Restrict food
D. Monitor for 30 minutes
Rationale: Hypoglycemia (<70 mg/dL) requires 15 g of fast-acting carbs (e.g., juice) to raise
glucose (ADA 2025, ATI Ch. 22). Insulin (A) worsens hypoglycemia. Restriction (C) or
monitoring (D) delays treatment.
Question 5
A 12-month-old is screened for developmental milestones. Which skill is expected?
A. Riding a tricycle
B. Walking independently
C. Speaking in sentences
D. Stacking 6 blocks
Rationale: Independent walking is typical by 12-15 months (CDC 2025, ATI Ch. 4). Tricycling
(A) and sentences (C) occur at 3 years. Stacking 6 blocks (D) is at 2 years.
Question 6
A 3-year-old with fever and stridor is diagnosed with croup. What is the priority intervention?
, A. Administer antibiotics
B. Give racemic epinephrine and dexamethasone
C. Monitor temperature only
D. Encourage oral fluids
Rationale: Severe croup with stridor requires epinephrine for airway edema and steroids for
inflammation (AAP 2025, ATI Ch. 18). Antibiotics (A) are ineffective for viral croup.
Monitoring (C) or fluids (D) are secondary.
Question 7
A nurse is preparing to administer an IM injection to a 4-year-old. Which site is most
appropriate?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
Rationale: The vastus lateralis is preferred in children due to its size and safety (ATI Ch. 15,
AAP 2025). Dorsogluteal (A) risks sciatic injury. Deltoid (C) is for older children. Ventrogluteal
(D) is less common in young children.
Question 8
A 9-month-old with dehydration has sunken fontanelles. What is the initial treatment?
A. Oral rehydration solution only
B. IV isotonic fluids with monitoring
C. Hypertonic saline
D. Restrict fluids
Rationale: Severe dehydration in infants requires IV isotonic fluids (e.g., NS) to restore volume
(AAP 2025, ATI Ch. 20). Oral solution (A) is for mild cases. Hypertonic saline (C) risks shifts.
Restriction (D) worsens dehydration.
Question 9
A 5-year-old with sickle cell disease presents with fever and chest pain. What is the suspected
complication?
