ATI PEDIATRIC NURSING PROCTORED ACTUAL
PRACTICE EXAM – 2026/2027 EDITION MOST TESTED
QUESTIONS WITH VERIFIED ANSWERS| INSTANT PDF
DOWNLOAD
1. A nurse is assessing a 9-month-old infant during a well-child visit.
Which developmental milestone should the infant be expected to
demonstrate?
A) Walks independently
B) Says two-word phrases
C) Sits without support
D) Builds a two-block tower
Rationale: Most infants can sit unsupported by 8–9 months.
2. A nurse is reinforcing teaching with the parents of a toddler about
safety. Which statement by the parent indicates understanding?
A) “I can leave the bathroom door open during bath time.”
B) “I’ll give my child toys with small detachable parts.”
C) “I’ll keep all cleaning supplies locked in a cabinet.”
D) “I’ll use baby powder after each diaper change.”
Rationale: Locking chemicals prevents ingestion and poisoning.
3. A preschool child’s parent expresses concern that the child has an
imaginary friend. The nurse should respond by saying:
A) “Imaginary friends are abnormal.”
B) “Imaginary friends are normal and help with social development.”
C) “We’ll schedule a developmental evaluation.”
D) “You should discourage this behavior.”
Rationale: Pretend play fosters imagination and coping.
4. Which age-appropriate toy is best for a hospitalized 4-year-old?
,A) Video games
B) Puzzle with small pieces
C) Crayons and coloring books
D) Reading textbook
Rationale: Creative, pretend play supports preschool development.
5. A nurse is caring for a 7-year-old child admitted with appendicitis.
Which activity is appropriate during recovery?
A) Competitive basketball
B) Board games with peers
C) Solitaire
D) Watching adult movies
Rationale: School-age children enjoy group games and cooperation.
6. An adolescent states, “I don’t want my parents to visit me in the
hospital.” The nurse should: A) Ignore the request
B) Respect privacy and encourage communication
C) Require parental presence
D) Document as defiance
Rationale: Autonomy and privacy are essential developmental needs.
7. The nurse prepares to administer oral medication to a 2-year-old.
What is the best approach?
A) Mix in a large bottle of milk
B) Offer choices when possible and use a calibrated syringe
C) Hold the nose closed
D) Give medication with force
Rationale: Giving controlled choices increases cooperation.
8. Which statement by the parent of a school-age child indicates need for
further teaching about nutrition?
A) “We limit soda to special occasions.”
B) “My child skips breakfast on school days.”
C) “We pack fruits for lunch.”
, D) “We encourage drinking water.”
Rationale: Regular meals prevent fatigue and promote concentration.
9. The nurse assesses a 15-month-old who received four vaccines today.
Which finding requires further evaluation?
A) Mild redness at injection site
B) High-pitched cry and inconsolability
C) Low-grade fever
D) Sleepiness
Rationale: Persistent high-pitched cry can signal neurologic reaction.
10. Which intervention best promotes bonding with a hospitalized
infant?
A) Provide frequent room changes
B) Encourage parents to room-in and participate in care
C) Limit parental presence
D) Use restraints for safety
Rationale: Parental involvement supports attachment and reduces
anxiety.
Pediatric Respiratory Disorders
11. A nurse is caring for a child with acute laryngotracheobronchitis
(croup).
Which finding requires immediate intervention?
A) Barking cough
B) Stridor at rest
C) Hoarseness
D) Low-grade fever
Rationale: Stridor at rest indicates airway obstruction and impending
respiratory distress.
PRACTICE EXAM – 2026/2027 EDITION MOST TESTED
QUESTIONS WITH VERIFIED ANSWERS| INSTANT PDF
DOWNLOAD
1. A nurse is assessing a 9-month-old infant during a well-child visit.
Which developmental milestone should the infant be expected to
demonstrate?
A) Walks independently
B) Says two-word phrases
C) Sits without support
D) Builds a two-block tower
Rationale: Most infants can sit unsupported by 8–9 months.
2. A nurse is reinforcing teaching with the parents of a toddler about
safety. Which statement by the parent indicates understanding?
A) “I can leave the bathroom door open during bath time.”
B) “I’ll give my child toys with small detachable parts.”
C) “I’ll keep all cleaning supplies locked in a cabinet.”
D) “I’ll use baby powder after each diaper change.”
Rationale: Locking chemicals prevents ingestion and poisoning.
3. A preschool child’s parent expresses concern that the child has an
imaginary friend. The nurse should respond by saying:
A) “Imaginary friends are abnormal.”
B) “Imaginary friends are normal and help with social development.”
C) “We’ll schedule a developmental evaluation.”
D) “You should discourage this behavior.”
Rationale: Pretend play fosters imagination and coping.
4. Which age-appropriate toy is best for a hospitalized 4-year-old?
,A) Video games
B) Puzzle with small pieces
C) Crayons and coloring books
D) Reading textbook
Rationale: Creative, pretend play supports preschool development.
5. A nurse is caring for a 7-year-old child admitted with appendicitis.
Which activity is appropriate during recovery?
A) Competitive basketball
B) Board games with peers
C) Solitaire
D) Watching adult movies
Rationale: School-age children enjoy group games and cooperation.
6. An adolescent states, “I don’t want my parents to visit me in the
hospital.” The nurse should: A) Ignore the request
B) Respect privacy and encourage communication
C) Require parental presence
D) Document as defiance
Rationale: Autonomy and privacy are essential developmental needs.
7. The nurse prepares to administer oral medication to a 2-year-old.
What is the best approach?
A) Mix in a large bottle of milk
B) Offer choices when possible and use a calibrated syringe
C) Hold the nose closed
D) Give medication with force
Rationale: Giving controlled choices increases cooperation.
8. Which statement by the parent of a school-age child indicates need for
further teaching about nutrition?
A) “We limit soda to special occasions.”
B) “My child skips breakfast on school days.”
C) “We pack fruits for lunch.”
, D) “We encourage drinking water.”
Rationale: Regular meals prevent fatigue and promote concentration.
9. The nurse assesses a 15-month-old who received four vaccines today.
Which finding requires further evaluation?
A) Mild redness at injection site
B) High-pitched cry and inconsolability
C) Low-grade fever
D) Sleepiness
Rationale: Persistent high-pitched cry can signal neurologic reaction.
10. Which intervention best promotes bonding with a hospitalized
infant?
A) Provide frequent room changes
B) Encourage parents to room-in and participate in care
C) Limit parental presence
D) Use restraints for safety
Rationale: Parental involvement supports attachment and reduces
anxiety.
Pediatric Respiratory Disorders
11. A nurse is caring for a child with acute laryngotracheobronchitis
(croup).
Which finding requires immediate intervention?
A) Barking cough
B) Stridor at rest
C) Hoarseness
D) Low-grade fever
Rationale: Stridor at rest indicates airway obstruction and impending
respiratory distress.
