ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM 2026/2027 - 400 VERIFIED
QUESTIONS WITH MIXED ANSWERS A,B,C,D & RATIONALES | A+
Course: ATI RN Nursing Care of Children CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix:
A=115 B=83 C=105 D=97
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Epiglottitis signs? (Variant 1 - 2026/2027)
A. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
B. Low fever
C. Barky cough
D. Runny nose
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
2. Dehydrated child improvement? (Variant 2 - 2026/2027)
A. Sunken fontanel
B. Dry diaper
C. Weight loss
D. Moist membranes, tears, skin turgor, increased UO
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
3. Kawasaki treatment? (Variant 3 - 2026/2027)
A. Steroids first
B. No treatment
C. Antibiotics only
D. IVIG and high-dose aspirin to prevent coronary aneurysm
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
4. Croup treatment? (Variant 4 - 2026/2027)
A. Antibiotics
B. No treatment
C. Intubation always
D. Racemic epi, steroids, humidified air, keep calm - barky cough
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
5. Epiglottitis signs? (Variant 5 - 2026/2027)
A. Barky cough
B. Low fever
C. Runny nose
D. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
6. Dehydrated child improvement? (Variant 6 - 2026/2027)
A. Sunken fontanel
B. Dry diaper
C. Weight loss
D. Moist membranes, tears, skin turgor, increased UO
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
7. Kawasaki treatment? (Variant 7 - 2026/2027)
A. Antibiotics only
B. IVIG and high-dose aspirin to prevent coronary aneurysm
C. Steroids first
D. No treatment
,Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
8. Croup treatment? (Variant 8 - 2026/2027)
A. Racemic epi, steroids, humidified air, keep calm - barky cough
B. No treatment
C. Intubation always
D. Antibiotics
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
9. Epiglottitis signs? (Variant 9 - 2026/2027)
A. Low fever
B. Barky cough
C. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
D. Runny nose
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
10. Dehydrated child improvement? (Variant 10 - 2026/2027)
A. Weight loss
B. Dry diaper
C. Moist membranes, tears, skin turgor, increased UO
D. Sunken fontanel
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
11. Kawasaki treatment? (Variant 11 - 2026/2027)
A. Antibiotics only
B. IVIG and high-dose aspirin to prevent coronary aneurysm
C. Steroids first
D. No treatment
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
12. Croup treatment? (Variant 12 - 2026/2027)
A. Intubation always
B. Racemic epi, steroids, humidified air, keep calm - barky cough
C. No treatment
D. Antibiotics
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
13. Epiglottitis signs? (Variant 13 - 2026/2027)
A. Low fever
B. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
C. Barky cough
D. Runny nose
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
14. Dehydrated child improvement? (Variant 14 - 2026/2027)
A. Dry diaper
B. Sunken fontanel
C. Moist membranes, tears, skin turgor, increased UO
D. Weight loss
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
,15. Kawasaki treatment? (Variant 15 - 2026/2027)
A. Antibiotics only
B. IVIG and high-dose aspirin to prevent coronary aneurysm
C. Steroids first
D. No treatment
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Opioid overdose triad: resp depression,
pinpoint pupils, LOC decreased. Naloxone antidote.
16. Croup treatment? (Variant 16 - 2026/2027)
A. Antibiotics
B. No treatment
C. Racemic epi, steroids, humidified air, keep calm - barky cough
D. Intubation always
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. WHO 5 moments for hand hygiene.
17. Epiglottitis signs? (Variant 17 - 2026/2027)
A. Barky cough
B. Low fever
C. Runny nose
D. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
18. Dehydrated child improvement? (Variant 18 - 2026/2027)
A. Sunken fontanel
B. Dry diaper
C. Moist membranes, tears, skin turgor, increased UO
D. Weight loss
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
19. Kawasaki treatment? (Variant 19 - 2026/2027)
A. IVIG and high-dose aspirin to prevent coronary aneurysm
B. Steroids first
C. No treatment
D. Antibiotics only
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
20. Croup treatment? (Variant 20 - 2026/2027)
A. No treatment
B. Intubation always
C. Racemic epi, steroids, humidified air, keep calm - barky cough
D. Antibiotics
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Alcohol DTs 48-96h after last drink.
21. Epiglottitis signs? (Variant 21 - 2026/2027)
A. Barky cough
B. Runny nose
C. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
D. Low fever
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. EPS emergency dystonia can affect airway.
22. Dehydrated child improvement? (Variant 22 - 2026/2027)
A. Dry diaper
B. Weight loss
, C. Moist membranes, tears, skin turgor, increased UO
D. Sunken fontanel
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
23. Kawasaki treatment? (Variant 23 - 2026/2027)
A. Steroids first
B. IVIG and high-dose aspirin to prevent coronary aneurysm
C. No treatment
D. Antibiotics only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Opioid overdose triad: resp depression,
pinpoint pupils, LOC decreased. Naloxone antidote.
24. Croup treatment? (Variant 24 - 2026/2027)
A. No treatment
B. Intubation always
C. Racemic epi, steroids, humidified air, keep calm - barky cough
D. Antibiotics
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. WHO 5 moments for hand hygiene.
25. Epiglottitis signs? (Variant 25 - 2026/2027)
A. Runny nose
B. Barky cough
C. Low fever
D. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
26. Dehydrated child improvement? (Variant 26 - 2026/2027)
A. Moist membranes, tears, skin turgor, increased UO
B. Dry diaper
C. Weight loss
D. Sunken fontanel
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
27. Kawasaki treatment? (Variant 27 - 2026/2027)
A. Steroids first
B. Antibiotics only
C. No treatment
D. IVIG and high-dose aspirin to prevent coronary aneurysm
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. START triage: Red immediate, Yellow
delayed, Green minor, Black deceased.
28. Croup treatment? (Variant 28 - 2026/2027)
A. Racemic epi, steroids, humidified air, keep calm - barky cough
B. Antibiotics
C. Intubation always
D. No treatment
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
29. Epiglottitis signs? (Variant 29 - 2026/2027)
A. Low fever
B. Runny nose
C. Barky cough
D. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Correct Answer: D
QUESTIONS WITH MIXED ANSWERS A,B,C,D & RATIONALES | A+
Course: ATI RN Nursing Care of Children CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix:
A=115 B=83 C=105 D=97
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Epiglottitis signs? (Variant 1 - 2026/2027)
A. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
B. Low fever
C. Barky cough
D. Runny nose
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
2. Dehydrated child improvement? (Variant 2 - 2026/2027)
A. Sunken fontanel
B. Dry diaper
C. Weight loss
D. Moist membranes, tears, skin turgor, increased UO
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
3. Kawasaki treatment? (Variant 3 - 2026/2027)
A. Steroids first
B. No treatment
C. Antibiotics only
D. IVIG and high-dose aspirin to prevent coronary aneurysm
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
4. Croup treatment? (Variant 4 - 2026/2027)
A. Antibiotics
B. No treatment
C. Intubation always
D. Racemic epi, steroids, humidified air, keep calm - barky cough
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
5. Epiglottitis signs? (Variant 5 - 2026/2027)
A. Barky cough
B. Low fever
C. Runny nose
D. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
6. Dehydrated child improvement? (Variant 6 - 2026/2027)
A. Sunken fontanel
B. Dry diaper
C. Weight loss
D. Moist membranes, tears, skin turgor, increased UO
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
7. Kawasaki treatment? (Variant 7 - 2026/2027)
A. Antibiotics only
B. IVIG and high-dose aspirin to prevent coronary aneurysm
C. Steroids first
D. No treatment
,Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
8. Croup treatment? (Variant 8 - 2026/2027)
A. Racemic epi, steroids, humidified air, keep calm - barky cough
B. No treatment
C. Intubation always
D. Antibiotics
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
9. Epiglottitis signs? (Variant 9 - 2026/2027)
A. Low fever
B. Barky cough
C. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
D. Runny nose
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
10. Dehydrated child improvement? (Variant 10 - 2026/2027)
A. Weight loss
B. Dry diaper
C. Moist membranes, tears, skin turgor, increased UO
D. Sunken fontanel
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
11. Kawasaki treatment? (Variant 11 - 2026/2027)
A. Antibiotics only
B. IVIG and high-dose aspirin to prevent coronary aneurysm
C. Steroids first
D. No treatment
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
12. Croup treatment? (Variant 12 - 2026/2027)
A. Intubation always
B. Racemic epi, steroids, humidified air, keep calm - barky cough
C. No treatment
D. Antibiotics
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
13. Epiglottitis signs? (Variant 13 - 2026/2027)
A. Low fever
B. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
C. Barky cough
D. Runny nose
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
14. Dehydrated child improvement? (Variant 14 - 2026/2027)
A. Dry diaper
B. Sunken fontanel
C. Moist membranes, tears, skin turgor, increased UO
D. Weight loss
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
,15. Kawasaki treatment? (Variant 15 - 2026/2027)
A. Antibiotics only
B. IVIG and high-dose aspirin to prevent coronary aneurysm
C. Steroids first
D. No treatment
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Opioid overdose triad: resp depression,
pinpoint pupils, LOC decreased. Naloxone antidote.
16. Croup treatment? (Variant 16 - 2026/2027)
A. Antibiotics
B. No treatment
C. Racemic epi, steroids, humidified air, keep calm - barky cough
D. Intubation always
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. WHO 5 moments for hand hygiene.
17. Epiglottitis signs? (Variant 17 - 2026/2027)
A. Barky cough
B. Low fever
C. Runny nose
D. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
18. Dehydrated child improvement? (Variant 18 - 2026/2027)
A. Sunken fontanel
B. Dry diaper
C. Moist membranes, tears, skin turgor, increased UO
D. Weight loss
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
19. Kawasaki treatment? (Variant 19 - 2026/2027)
A. IVIG and high-dose aspirin to prevent coronary aneurysm
B. Steroids first
C. No treatment
D. Antibiotics only
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
20. Croup treatment? (Variant 20 - 2026/2027)
A. No treatment
B. Intubation always
C. Racemic epi, steroids, humidified air, keep calm - barky cough
D. Antibiotics
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Alcohol DTs 48-96h after last drink.
21. Epiglottitis signs? (Variant 21 - 2026/2027)
A. Barky cough
B. Runny nose
C. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
D. Low fever
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. EPS emergency dystonia can affect airway.
22. Dehydrated child improvement? (Variant 22 - 2026/2027)
A. Dry diaper
B. Weight loss
, C. Moist membranes, tears, skin turgor, increased UO
D. Sunken fontanel
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
23. Kawasaki treatment? (Variant 23 - 2026/2027)
A. Steroids first
B. IVIG and high-dose aspirin to prevent coronary aneurysm
C. No treatment
D. Antibiotics only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Opioid overdose triad: resp depression,
pinpoint pupils, LOC decreased. Naloxone antidote.
24. Croup treatment? (Variant 24 - 2026/2027)
A. No treatment
B. Intubation always
C. Racemic epi, steroids, humidified air, keep calm - barky cough
D. Antibiotics
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. WHO 5 moments for hand hygiene.
25. Epiglottitis signs? (Variant 25 - 2026/2027)
A. Runny nose
B. Barky cough
C. Low fever
D. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
26. Dehydrated child improvement? (Variant 26 - 2026/2027)
A. Moist membranes, tears, skin turgor, increased UO
B. Dry diaper
C. Weight loss
D. Sunken fontanel
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
27. Kawasaki treatment? (Variant 27 - 2026/2027)
A. Steroids first
B. Antibiotics only
C. No treatment
D. IVIG and high-dose aspirin to prevent coronary aneurysm
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. START triage: Red immediate, Yellow
delayed, Green minor, Black deceased.
28. Croup treatment? (Variant 28 - 2026/2027)
A. Racemic epi, steroids, humidified air, keep calm - barky cough
B. Antibiotics
C. Intubation always
D. No treatment
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
29. Epiglottitis signs? (Variant 29 - 2026/2027)
A. Low fever
B. Runny nose
C. Barky cough
D. Drooling, tripod, dysphagia, muffled voice - do NOT examine throat
Correct Answer: D
