ATI RN Nursing Care of Children Proctored
ACTUAL EXAM 2026/2027: 100% Verified
Questions & Correct Answers
Question 1: A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone would the nurse expect to observe?
A. Sitting without support
B. Walking with assistance
C. Saying two-word phrases
D. Copying a circle
Correct Answer: A
Rationale: According to AAP developmental milestones, sitting without support is expected between
4-7 months. Walking with assistance occurs around 9-12 months, two-word phrases around 18-24
months, and copying a circle around 3 years.
Question 2: A nurse is preparing to administer digoxin to a 3-year-old child. Which action is the
nurse's priority before giving the medication?
A. Check the child's blood pressure
B. Assess the apical heart rate for 1 full minute
C. Weigh the child
D. Check the child's temperature
Correct Answer: B
Rationale: Before administering digoxin, the nurse must assess the apical heart rate for 1 full
minute. If the heart rate is below 90-110 bpm (depending on age), the medication should be held
and the provider notified due to risk of digoxin toxicity and bradycardia.
Question 3: A nurse is caring for a 4-year-old child with pneumonia. The child is receiving oxygen
via nasal cannula at 2 L/min. Which finding indicates effective oxygenation?
A. Oxygen saturation 94%
B. Respiratory rate 36/min
C. Mild retractions
D. Nasal flaring
Correct Answer: A
,Rationale: An oxygen saturation of 94% indicates adequate oxygenation. Normal respiratory rate
for a 4-year-old is 20-30/min, so 36/min indicates tachypnea. Mild retractions and nasal flaring are
signs of respiratory distress, not effective oxygenation.
Question 4: A nurse is teaching a parent about introducing solid foods to their 6-month-old infant.
Which food should the nurse recommend as the first solid food?
A. Rice cereal
B. Cow's milk
C. Honey
D. Strawberries
Correct Answer: A
Rationale: Rice cereal is typically recommended as the first solid food due to its low allergenic
potential and iron fortification. Cow's milk should not be introduced before 12 months, honey before
12 months due to botulism risk, and strawberries are potential allergens introduced later.
Question 5: A nurse is assessing a 2-year-old child who has dehydration. Which assessment
finding would the nurse expect to observe first?
A. Sunken fontanel
B. Decreased urine output
C. Dry mucous membranes
D. Hypotension
Correct Answer: C
Rationale: Dry mucous membranes are typically the first sign of dehydration in toddlers. Sunken
fontanels occur with moderate to severe dehydration, decreased urine output with moderate
dehydration, and hypotension is a late sign of severe dehydration.
Question 6: A nurse is caring for a 5-year-old child with asthma. Which intervention should the
nurse implement to reduce anxiety during breathing treatments?
A. Allow the child to hold the nebulizer mask
B. Force the child to keep the mask on
C. Tell the child the treatment won't take long
D. Have the parent leave the room
Correct Answer: A
Rationale: Allowing the child to hold the nebulizer mask gives them a sense of control and reduces
anxiety. Forcing the mask increases anxiety, minimizing the time doesn't address the child's fear,
and having parents leave removes comfort.
, Question 7: A nurse is calculating the daily maintenance fluid requirements for a 10-kg child using
the Holliday-Segar method. Which amount should the nurse calculate?
A. 500 mL
B. 1,000 mL
C. 1,500 mL
D. 2,000 mL
Correct Answer: B
Rationale: Using the Holliday-Segar method: 100 mL/kg for first 10 kg = 1,000 mL/day. This method
calculates maintenance fluids as 100 mL/kg for first 10 kg, 50 mL/kg for next 10 kg, and 20 mL/kg
for weight >20 kg.
Question 8: A nurse is assessing a newborn's reflexes. Which reflex is present at birth and typically
disappears by 4 months of age?
A. Moro reflex
B. Plantar grasp
C. Tonic neck reflex
D. All of the above
Correct Answer: D
Rationale: All listed reflexes are present at birth and typically disappear by 4-6 months: Moro reflex
(disappears by 3-4 months), plantar grasp (disappears by 8-10 months), and tonic neck reflex
(disappears by 4-6 months).
Question 9: A nurse is teaching a parent about car seat safety for their 8-month-old infant. Which
instruction should the nurse include?
A. Place the car seat facing forward
B. Position the harness at shoulder level
C. Use a booster seat
D. Place the car seat in the front seat
Correct Answer: B
Rationale: For infants, the harness straps should be positioned at or below shoulder level when
rear-facing. Children should remain rear-facing until at least 2 years, use a convertible seat (not
booster), and never in the front seat with active airbags.
Question 10: A nurse is caring for a 3-day-old infant who has jaundice. The bilirubin level is 18
mg/dL. Which intervention should the nurse anticipate?
A. Phototherapy
B. Exchange transfusion
C. IV fluids
ACTUAL EXAM 2026/2027: 100% Verified
Questions & Correct Answers
Question 1: A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone would the nurse expect to observe?
A. Sitting without support
B. Walking with assistance
C. Saying two-word phrases
D. Copying a circle
Correct Answer: A
Rationale: According to AAP developmental milestones, sitting without support is expected between
4-7 months. Walking with assistance occurs around 9-12 months, two-word phrases around 18-24
months, and copying a circle around 3 years.
Question 2: A nurse is preparing to administer digoxin to a 3-year-old child. Which action is the
nurse's priority before giving the medication?
A. Check the child's blood pressure
B. Assess the apical heart rate for 1 full minute
C. Weigh the child
D. Check the child's temperature
Correct Answer: B
Rationale: Before administering digoxin, the nurse must assess the apical heart rate for 1 full
minute. If the heart rate is below 90-110 bpm (depending on age), the medication should be held
and the provider notified due to risk of digoxin toxicity and bradycardia.
Question 3: A nurse is caring for a 4-year-old child with pneumonia. The child is receiving oxygen
via nasal cannula at 2 L/min. Which finding indicates effective oxygenation?
A. Oxygen saturation 94%
B. Respiratory rate 36/min
C. Mild retractions
D. Nasal flaring
Correct Answer: A
,Rationale: An oxygen saturation of 94% indicates adequate oxygenation. Normal respiratory rate
for a 4-year-old is 20-30/min, so 36/min indicates tachypnea. Mild retractions and nasal flaring are
signs of respiratory distress, not effective oxygenation.
Question 4: A nurse is teaching a parent about introducing solid foods to their 6-month-old infant.
Which food should the nurse recommend as the first solid food?
A. Rice cereal
B. Cow's milk
C. Honey
D. Strawberries
Correct Answer: A
Rationale: Rice cereal is typically recommended as the first solid food due to its low allergenic
potential and iron fortification. Cow's milk should not be introduced before 12 months, honey before
12 months due to botulism risk, and strawberries are potential allergens introduced later.
Question 5: A nurse is assessing a 2-year-old child who has dehydration. Which assessment
finding would the nurse expect to observe first?
A. Sunken fontanel
B. Decreased urine output
C. Dry mucous membranes
D. Hypotension
Correct Answer: C
Rationale: Dry mucous membranes are typically the first sign of dehydration in toddlers. Sunken
fontanels occur with moderate to severe dehydration, decreased urine output with moderate
dehydration, and hypotension is a late sign of severe dehydration.
Question 6: A nurse is caring for a 5-year-old child with asthma. Which intervention should the
nurse implement to reduce anxiety during breathing treatments?
A. Allow the child to hold the nebulizer mask
B. Force the child to keep the mask on
C. Tell the child the treatment won't take long
D. Have the parent leave the room
Correct Answer: A
Rationale: Allowing the child to hold the nebulizer mask gives them a sense of control and reduces
anxiety. Forcing the mask increases anxiety, minimizing the time doesn't address the child's fear,
and having parents leave removes comfort.
, Question 7: A nurse is calculating the daily maintenance fluid requirements for a 10-kg child using
the Holliday-Segar method. Which amount should the nurse calculate?
A. 500 mL
B. 1,000 mL
C. 1,500 mL
D. 2,000 mL
Correct Answer: B
Rationale: Using the Holliday-Segar method: 100 mL/kg for first 10 kg = 1,000 mL/day. This method
calculates maintenance fluids as 100 mL/kg for first 10 kg, 50 mL/kg for next 10 kg, and 20 mL/kg
for weight >20 kg.
Question 8: A nurse is assessing a newborn's reflexes. Which reflex is present at birth and typically
disappears by 4 months of age?
A. Moro reflex
B. Plantar grasp
C. Tonic neck reflex
D. All of the above
Correct Answer: D
Rationale: All listed reflexes are present at birth and typically disappear by 4-6 months: Moro reflex
(disappears by 3-4 months), plantar grasp (disappears by 8-10 months), and tonic neck reflex
(disappears by 4-6 months).
Question 9: A nurse is teaching a parent about car seat safety for their 8-month-old infant. Which
instruction should the nurse include?
A. Place the car seat facing forward
B. Position the harness at shoulder level
C. Use a booster seat
D. Place the car seat in the front seat
Correct Answer: B
Rationale: For infants, the harness straps should be positioned at or below shoulder level when
rear-facing. Children should remain rear-facing until at least 2 years, use a convertible seat (not
booster), and never in the front seat with active airbags.
Question 10: A nurse is caring for a 3-day-old infant who has jaundice. The bilirubin level is 18
mg/dL. Which intervention should the nurse anticipate?
A. Phototherapy
B. Exchange transfusion
C. IV fluids
