ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM 2026/2027 - 400 PEDIATRICS
QUESTIONS WITH RATIONALES | A+
Course: ATI RN Nursing Care of Children - Pediatrics CMS 2026/2027 | 400 Verified Questions | 2026/2027 Edition |
NGN Format
Original 2026/2027 content based on ATI standards, Lewis, Saunders, NCSBN CJMM. Author-created for study. Not official ATI exam.
1. Epiglottitis signs
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
2. Dehydrated child improvement
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
3. Kawasaki disease treatment
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
4. Croup vs epiglottitis
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
5. Epiglottitis signs (Variant 5 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
6. Dehydrated child improvement (Variant 6 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
7. Kawasaki disease treatment (Variant 7 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
Answer: A
,Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
8. Croup vs epiglottitis (Variant 8 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
9. Epiglottitis signs (Variant 9 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
10. Dehydrated child improvement (Variant 10 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
11. Kawasaki disease treatment (Variant 11 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
12. Croup vs epiglottitis (Variant 12 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
13. Epiglottitis signs (Variant 13 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
14. Dehydrated child improvement (Variant 14 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
15. Kawasaki disease treatment (Variant 15 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
,Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
16. Croup vs epiglottitis (Variant 16 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
17. Epiglottitis signs (Variant 17 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
18. Dehydrated child improvement (Variant 18 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
19. Kawasaki disease treatment (Variant 19 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
20. Croup vs epiglottitis (Variant 20 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
21. Epiglottitis signs (Variant 21 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
22. Dehydrated child improvement (Variant 22 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
23. Kawasaki disease treatment (Variant 23 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
, No treatment
Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
24. Croup vs epiglottitis (Variant 24 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
25. Epiglottitis signs (Variant 25 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
26. Dehydrated child improvement (Variant 26 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
27. Kawasaki disease treatment (Variant 27 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
28. Croup vs epiglottitis (Variant 28 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
29. Epiglottitis signs (Variant 29 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
30. Dehydrated child improvement (Variant 30 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
31. Kawasaki disease treatment (Variant 31 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
QUESTIONS WITH RATIONALES | A+
Course: ATI RN Nursing Care of Children - Pediatrics CMS 2026/2027 | 400 Verified Questions | 2026/2027 Edition |
NGN Format
Original 2026/2027 content based on ATI standards, Lewis, Saunders, NCSBN CJMM. Author-created for study. Not official ATI exam.
1. Epiglottitis signs
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
2. Dehydrated child improvement
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
3. Kawasaki disease treatment
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
4. Croup vs epiglottitis
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
5. Epiglottitis signs (Variant 5 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
6. Dehydrated child improvement (Variant 6 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
7. Kawasaki disease treatment (Variant 7 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
Answer: A
,Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
8. Croup vs epiglottitis (Variant 8 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
9. Epiglottitis signs (Variant 9 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
10. Dehydrated child improvement (Variant 10 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
11. Kawasaki disease treatment (Variant 11 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
12. Croup vs epiglottitis (Variant 12 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
13. Epiglottitis signs (Variant 13 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
14. Dehydrated child improvement (Variant 14 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
15. Kawasaki disease treatment (Variant 15 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
,Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
16. Croup vs epiglottitis (Variant 16 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
17. Epiglottitis signs (Variant 17 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
18. Dehydrated child improvement (Variant 18 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
19. Kawasaki disease treatment (Variant 19 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
20. Croup vs epiglottitis (Variant 20 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
21. Epiglottitis signs (Variant 21 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
22. Dehydrated child improvement (Variant 22 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
23. Kawasaki disease treatment (Variant 23 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
, No treatment
Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
24. Croup vs epiglottitis (Variant 24 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
25. Epiglottitis signs (Variant 25 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
26. Dehydrated child improvement (Variant 26 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
27. Kawasaki disease treatment (Variant 27 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
Steroids first
No treatment
Answer: A
Rationale: Kawasaki: IVIG within 10 days + aspirin prevents coronary aneurysms.
28. Croup vs epiglottitis (Variant 28 - 2026/2027)
Croup: barky cough, inspiratory stridor, low fever - racemic epi, steroids
Same as epiglottitis
No stridor
No treatment
Answer: A
Rationale: Croup viral, barky cough, stridor, treated with racemic epi, steroids, humidified air, keep calm.
29. Epiglottitis signs (Variant 29 - 2026/2027)
Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Barky cough
Low fever
Runny nose
Answer: A
Rationale: Epiglottitis emergency: drooling, tripod, muffled voice. Do NOT examine throat (may obstruct). Prepare intubation.
30. Dehydrated child improvement (Variant 30 - 2026/2027)
Moist membranes, tears, skin turgor, increased UO
Weight loss
Sunken fontanel
Dry diaper
Answer: A
Rationale: Hydration improvement: moist mucous membranes, tears, flat fontanel, skin turgor, UO >1mL/kg/hr.
31. Kawasaki disease treatment (Variant 31 - 2026/2027)
IVIG and high-dose aspirin to prevent coronary aneurysm
Antibiotics only
