1
NGN ATI Pediatrics Proctored Exam 2025–2026 | 150
Verified Questions + Correct Answers & RATIONALES |
GRADED A+ | ACTUAL EXAM FORMAT
Question 1 – Developmental Milestone
A nurse is performing a developmental assessment for a 9-month-old infant during a well-child
visit. The infant is able to sit unsupported, responds to their name, and reaches for toys, but does
not yet crawl. The parent expresses concern about delayed development. Which response by the
nurse is appropriate?
A. "Crawling is typically expected by 6 months, so we will refer your baby for evaluation."
B. "It is concerning that your child has not begun walking by 9 months."
C. "Crawling is not considered a universal developmental milestone, so there's no cause for
concern."
D. "Let's wait until the 1-year mark before addressing any motor delay."
,2
Correct Answer: C. "Crawling is not considered a universal developmental milestone, so
there's no cause for concern."
Rationale: Although many infants begin crawling between 6–10 months, crawling is not a
required developmental milestone according to the CDC and AAP. Some infants skip crawling
entirely and go directly to standing or walking. Sitting unsupported and responding to name are
age-appropriate developmental markers. This conversation is an opportunity to reassure the
parent while continuing to monitor developmental progress.
PTS: 1 | DIF: Understand | REF: ATI Pediatrics 2025 | OBJ: Infant Development Assessment
Question 2 – Vaccine Safety
A nurse is preparing to administer the MMR and varicella vaccines to a 12-month-old child. The
parent expresses concern because the child recently had a mild cold with nasal congestion. What
is the nurse’s best response?
A. "We’ll need to postpone the vaccines until your child is completely symptom-free."
B. "We should wait until your child is fever-free for 24 hours before proceeding."
C. "Mild illness without fever is not a contraindication to vaccination, so we can proceed
today."
D. "Let’s delay both vaccines and notify the healthcare provider."
Correct Answer: C. "Mild illness without fever is not a contraindication to vaccination, so
we can proceed today."
,3
Rationale: According to CDC guidelines, mild illness without fever, such as nasal congestion
or minor cold symptoms, is not a reason to delay routine childhood vaccinations. Administering
vaccines on schedule is important for timely immunity. Postponing unnecessarily can contribute
to delays in protection. The nurse must provide evidence-based reassurance while supporting
informed parental consent.
PTS: 1 | DIF: Apply | REF: ATI Pediatrics 2025 | OBJ: Immunization Administration Safety
Question 3 – Pain Management
A nurse is caring for a 5-year-old child post-tonsillectomy. The child is crying, refusing fluids,
and rating their pain as 8/10 using the Wong-Baker FACES scale. What is the nurse's priority
action?
A. Administer prescribed pain medication and encourage fluid intake.
B. Offer ice chips and distract the child with a toy.
C. Document the pain score and reassess in 30 minutes.
D. Notify the provider of the refusal to eat and drink.
Correct Answer: A. Administer prescribed pain medication and encourage fluid intake.
Rationale: The child is experiencing moderate to severe pain, which can prevent fluid intake
and increase the risk of dehydration or hemorrhage post-tonsillectomy. The priority is to
relieve pain using prescribed medication, which will enable the child to resume drinking
fluids. Distraction may help but is not appropriate as the first action when pain is high.
, 4
PTS: 1 | DIF: Apply | REF: ATI Pediatrics 2025 | OBJ: Postoperative Pediatric Pain
Management
Question 4 – Respiratory Illness
A 2-year-old child presents to the emergency department with a barking cough, inspiratory
stridor, and low-grade fever. The nurse suspects croup. Which of the following is the priority
nursing intervention?
A. Administer oral ibuprofen for fever.
B. Obtain a throat culture for confirmation.
C. Provide humidified oxygen and keep the child calm.
D. Place the child in a supine position for rest.
Correct Answer: C. Provide humidified oxygen and keep the child calm.
Rationale: Croup (laryngotracheobronchitis) is characterized by upper airway inflammation,
leading to stridor and a barking cough. Agitation can worsen airway obstruction, so the priority
is to maintain a calm environment and administer humidified oxygen. Throat cultures may
worsen laryngeal spasms. Supine positioning can increase airway obstruction risk.
PTS: 1 | DIF: Analyze | REF: ATI Pediatrics 2025 | OBJ: Respiratory Disorder Management
Question 5 – Safety Education
NGN ATI Pediatrics Proctored Exam 2025–2026 | 150
Verified Questions + Correct Answers & RATIONALES |
GRADED A+ | ACTUAL EXAM FORMAT
Question 1 – Developmental Milestone
A nurse is performing a developmental assessment for a 9-month-old infant during a well-child
visit. The infant is able to sit unsupported, responds to their name, and reaches for toys, but does
not yet crawl. The parent expresses concern about delayed development. Which response by the
nurse is appropriate?
A. "Crawling is typically expected by 6 months, so we will refer your baby for evaluation."
B. "It is concerning that your child has not begun walking by 9 months."
C. "Crawling is not considered a universal developmental milestone, so there's no cause for
concern."
D. "Let's wait until the 1-year mark before addressing any motor delay."
,2
Correct Answer: C. "Crawling is not considered a universal developmental milestone, so
there's no cause for concern."
Rationale: Although many infants begin crawling between 6–10 months, crawling is not a
required developmental milestone according to the CDC and AAP. Some infants skip crawling
entirely and go directly to standing or walking. Sitting unsupported and responding to name are
age-appropriate developmental markers. This conversation is an opportunity to reassure the
parent while continuing to monitor developmental progress.
PTS: 1 | DIF: Understand | REF: ATI Pediatrics 2025 | OBJ: Infant Development Assessment
Question 2 – Vaccine Safety
A nurse is preparing to administer the MMR and varicella vaccines to a 12-month-old child. The
parent expresses concern because the child recently had a mild cold with nasal congestion. What
is the nurse’s best response?
A. "We’ll need to postpone the vaccines until your child is completely symptom-free."
B. "We should wait until your child is fever-free for 24 hours before proceeding."
C. "Mild illness without fever is not a contraindication to vaccination, so we can proceed
today."
D. "Let’s delay both vaccines and notify the healthcare provider."
Correct Answer: C. "Mild illness without fever is not a contraindication to vaccination, so
we can proceed today."
,3
Rationale: According to CDC guidelines, mild illness without fever, such as nasal congestion
or minor cold symptoms, is not a reason to delay routine childhood vaccinations. Administering
vaccines on schedule is important for timely immunity. Postponing unnecessarily can contribute
to delays in protection. The nurse must provide evidence-based reassurance while supporting
informed parental consent.
PTS: 1 | DIF: Apply | REF: ATI Pediatrics 2025 | OBJ: Immunization Administration Safety
Question 3 – Pain Management
A nurse is caring for a 5-year-old child post-tonsillectomy. The child is crying, refusing fluids,
and rating their pain as 8/10 using the Wong-Baker FACES scale. What is the nurse's priority
action?
A. Administer prescribed pain medication and encourage fluid intake.
B. Offer ice chips and distract the child with a toy.
C. Document the pain score and reassess in 30 minutes.
D. Notify the provider of the refusal to eat and drink.
Correct Answer: A. Administer prescribed pain medication and encourage fluid intake.
Rationale: The child is experiencing moderate to severe pain, which can prevent fluid intake
and increase the risk of dehydration or hemorrhage post-tonsillectomy. The priority is to
relieve pain using prescribed medication, which will enable the child to resume drinking
fluids. Distraction may help but is not appropriate as the first action when pain is high.
, 4
PTS: 1 | DIF: Apply | REF: ATI Pediatrics 2025 | OBJ: Postoperative Pediatric Pain
Management
Question 4 – Respiratory Illness
A 2-year-old child presents to the emergency department with a barking cough, inspiratory
stridor, and low-grade fever. The nurse suspects croup. Which of the following is the priority
nursing intervention?
A. Administer oral ibuprofen for fever.
B. Obtain a throat culture for confirmation.
C. Provide humidified oxygen and keep the child calm.
D. Place the child in a supine position for rest.
Correct Answer: C. Provide humidified oxygen and keep the child calm.
Rationale: Croup (laryngotracheobronchitis) is characterized by upper airway inflammation,
leading to stridor and a barking cough. Agitation can worsen airway obstruction, so the priority
is to maintain a calm environment and administer humidified oxygen. Throat cultures may
worsen laryngeal spasms. Supine positioning can increase airway obstruction risk.
PTS: 1 | DIF: Analyze | REF: ATI Pediatrics 2025 | OBJ: Respiratory Disorder Management
Question 5 – Safety Education
