1. 2025 ATI PEDIATRIC CMS PROCTORED EXAM VERSION 1/ACTUAL EXAM WITH CORRECT DETAILED
ANSWERS WITH RATIONALES/A+ GRADE[Document title]
pediatric Nursing Exam – 40 Multiple-Choice Questions
Instructions: Choose the one best answer for each question.
Questions 1–10: Growth and Development
1. Which developmental milestone is expected in a 6-month-old infant?
A. Walking independently
B. Sitting with support
C. Riding a tricycle
D. Speaking in complete sentences
2. A toddler is most likely to demonstrate which behavior?
A. Strong desire for independence
B. Abstract reasoning
C. Formal logical thinking
D. Complete dependence on peers
3. The best approach when communicating with a preschool-age child is to:
A. Use complex medical terminology
B. Explain everything only to the parents
C. Use simple words and allow the child to ask questions
D. Avoid discussing procedures
4. Which activity is most appropriate for a school-age child in the hospital?
A. Playing with a rattle
B. Playing a board game
C. Playing peek-a-boo
D. Using a pacifier
5. Which developmental task is most important during adolescence?
A. Developing trust
B. Developing autonomy
C. Developing identity
D. Developing object permanence
6. Which finding should cause the nurse to assess an infant further?
A. Smiling socially
B. Rolling over
C. Persistent inability to support the head
D. Babbling
7. A nurse assessing a child's growth should routinely monitor:
A. Weight and height/length
B. Blood pressure only
C. Temperature only
D. Pulse only
, 1. 2025 ATI PEDIATRIC CMS PROCTORED EXAM VERSION 1/ACTUAL EXAM WITH CORRECT DETAILED
ANSWERS WITH RATIONALES/A+ GRADE[Document title]
8. The nurse should use which pain assessment tool for a preverbal child?
A. FLACC scale
B. Glasgow Coma Scale
C. Braden Scale
D. Apgar score
9. A toddler is most likely to fear:
A. Loss of independence
B. Loss of abstract thinking
C. Failure at work
D. Loss of retirement benefits
10. Which nursing intervention promotes family-centered pediatric care?
A. Excluding parents from procedures
B. Encouraging parents to participate in the child's care
C. Speaking only with the healthcare provider
D. Limiting parental visitation
Questions 11–20: Common Pediatric Conditions
11. Which symptom is most concerning in a child with respiratory distress?
A. Mild cough
B. Nasal congestion
C. Severe retractions and cyanosis
D. Occasional sneezing
12. A child with asthma is experiencing acute wheezing and difficulty breathing. The priority
is to:
A. Encourage strenuous exercise
B. Administer prescribed rapid-acting bronchodilator
C. Restrict all fluids
D. Place the child flat
13. Which finding is commonly associated with dehydration in an infant?
A. Increased urine output
B. Moist mucous membranes
C. Decreased wet diapers
D. Excessive tears
14. A child with severe diarrhea is at greatest risk for:
A. Dehydration
B. Hypertension
C. Obesity
D. Hyperactivity
15. Which sign is characteristic of meningitis in a child?
A. Neck stiffness
B. Increased appetite
C. Clear skin
D. Increased urine output
ANSWERS WITH RATIONALES/A+ GRADE[Document title]
pediatric Nursing Exam – 40 Multiple-Choice Questions
Instructions: Choose the one best answer for each question.
Questions 1–10: Growth and Development
1. Which developmental milestone is expected in a 6-month-old infant?
A. Walking independently
B. Sitting with support
C. Riding a tricycle
D. Speaking in complete sentences
2. A toddler is most likely to demonstrate which behavior?
A. Strong desire for independence
B. Abstract reasoning
C. Formal logical thinking
D. Complete dependence on peers
3. The best approach when communicating with a preschool-age child is to:
A. Use complex medical terminology
B. Explain everything only to the parents
C. Use simple words and allow the child to ask questions
D. Avoid discussing procedures
4. Which activity is most appropriate for a school-age child in the hospital?
A. Playing with a rattle
B. Playing a board game
C. Playing peek-a-boo
D. Using a pacifier
5. Which developmental task is most important during adolescence?
A. Developing trust
B. Developing autonomy
C. Developing identity
D. Developing object permanence
6. Which finding should cause the nurse to assess an infant further?
A. Smiling socially
B. Rolling over
C. Persistent inability to support the head
D. Babbling
7. A nurse assessing a child's growth should routinely monitor:
A. Weight and height/length
B. Blood pressure only
C. Temperature only
D. Pulse only
, 1. 2025 ATI PEDIATRIC CMS PROCTORED EXAM VERSION 1/ACTUAL EXAM WITH CORRECT DETAILED
ANSWERS WITH RATIONALES/A+ GRADE[Document title]
8. The nurse should use which pain assessment tool for a preverbal child?
A. FLACC scale
B. Glasgow Coma Scale
C. Braden Scale
D. Apgar score
9. A toddler is most likely to fear:
A. Loss of independence
B. Loss of abstract thinking
C. Failure at work
D. Loss of retirement benefits
10. Which nursing intervention promotes family-centered pediatric care?
A. Excluding parents from procedures
B. Encouraging parents to participate in the child's care
C. Speaking only with the healthcare provider
D. Limiting parental visitation
Questions 11–20: Common Pediatric Conditions
11. Which symptom is most concerning in a child with respiratory distress?
A. Mild cough
B. Nasal congestion
C. Severe retractions and cyanosis
D. Occasional sneezing
12. A child with asthma is experiencing acute wheezing and difficulty breathing. The priority
is to:
A. Encourage strenuous exercise
B. Administer prescribed rapid-acting bronchodilator
C. Restrict all fluids
D. Place the child flat
13. Which finding is commonly associated with dehydration in an infant?
A. Increased urine output
B. Moist mucous membranes
C. Decreased wet diapers
D. Excessive tears
14. A child with severe diarrhea is at greatest risk for:
A. Dehydration
B. Hypertension
C. Obesity
D. Hyperactivity
15. Which sign is characteristic of meningitis in a child?
A. Neck stiffness
B. Increased appetite
C. Clear skin
D. Increased urine output
