2025 ATI PEDIATRICS PROCTORED EXAM | ALL
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | LATEST VERSION (JUST RELEASED)
high-yield, difficult, and comprehensive 2026 ATI Pediatrics Proctored Exam –
Questions 1–50, modeled in ATI style with case-based scenarios, multiple-choice
questions, Answers, and detailed rationales:
2026 ATI Pediatrics Proctored Exam – Questions 1–200
Question 1
A 2-year-old child presents with a high fever, irritability, and a rash that started on
the face and spread to the trunk. The child’s immunizations are up to date except
for the MMR. Which of the following is the most likely diagnosis?
A) Scarlet fever
B) Measles (Rubeola)
C) Rubella (German measles)
D) Roseola
E) Fifth disease
Answer-:: B) Measles (Rubeola)
Rationale: Measles presents with fever, cough, coryza, conjunctivitis, and a
maculopapular rash starting on the face and spreading downward. Lack of MMR
vaccination increases risk.
,Question 2
A 6-month-old infant is brought in for routine checkup. The nurse notes persistent
head lag and poor muscle tone. Which condition should the nurse suspect?
A) Cerebral palsy
B) Down syndrome
C) Developmental delay
D) Muscular dystrophy
E) Spina bifida
Answer-:: C) Developmental delay
Rationale: Persistent head lag beyond 6 months and hypotonia suggest delayed
motor development and warrant further evaluation.
Question 3
A 4-year-old child with asthma is prescribed albuterol via nebulizer. Which
statement by the parent indicates correct understanding?
A) “I will give albuterol only when the child is wheezing.”
B) “I will give albuterol every 2 hours regardless of symptoms.”
C) “Albuterol should be used before exercise to prevent asthma attacks.”
D) “I will stop the medication if the child feels better.”
E) “Albuterol is used to reduce inflammation long-term.”
Answer-:: C) “Albuterol should be used before exercise to prevent asthma
attacks.”
Rationale: Albuterol is a short-acting bronchodilator, often used pre-exercise to
prevent exercise-induced bronchospasm.
Question 4
A 7-year-old presents with sore throat, fever, and strawberry tongue. Rapid strep
test is positive. Which complication should the nurse monitor for?
A) Rheumatic fever
B) Kawasaki disease
,C) Scarlet fever
D) Hand-foot-mouth disease
E) Pertussis
Answer-:: A) Rheumatic fever
Rationale: Group A streptococcal infections can lead to rheumatic fever, affecting
the heart, joints, and CNS.
Question 5
A 10-month-old infant presents with projectile vomiting after feeding and a
palpable “olive” mass in the right upper quadrant. Which intervention is most
appropriate?
A) Begin oral rehydration therapy
B) Prepare for pyloromyotomy
C) Initiate antibiotic therapy
D) Recommend thickened feeds
E) Perform lumbar puncture
Answer-:: B) Prepare for pyloromyotomy
Rationale: Infantile hypertrophic pyloric stenosis presents with projectile
vomiting and palpable pyloric mass. Surgical intervention is definitive.
Question 6
A 15-year-old adolescent presents with primary amenorrhea and short stature.
Examination reveals a webbed neck and widely spaced nipples. Which condition is
most likely?
A) Turner syndrome
B) Klinefelter syndrome
C) Androgen insensitivity
D) Marfan syndrome
E) Noonan syndrome
Answer-:: A) Turner syndrome
, Rationale: Classic features of Turner syndrome include short stature, webbed
neck, broad chest, and primary amenorrhea.
Question 7
A 3-year-old child is diagnosed with otitis media. The parent asks about
management. Which statement by the nurse is correct?
A) “Most cases resolve without antibiotics, but follow-up is important.”
B) “All children require immediate IV antibiotics.”
C) “Ear infections do not cause fever.”
D) “Pain is rare in otitis media.”
E) “Surgery is always required.”
Answer-:: A) “Most cases resolve without antibiotics, but follow-up is important.”
Rationale: Many cases of acute otitis media are self-limited; watchful waiting is
appropriate in mild cases.
Question 8
A 2-year-old presents with barking cough, inspiratory stridor, and mild
retractions. Vital signs: temp 37.8°C. Which intervention is appropriate?
A) Administer racemic epinephrine
B) Start antibiotics
C) Encourage deep coughing
D) Provide cool-mist humidifier and supportive care
E) Immediate intubation
Answer-:: D) Provide cool-mist humidifier and supportive care
Rationale: Mild croup can be managed with humidified air and supportive care.
Racemic epinephrine is for moderate to severe cases.
Question 9
A 5-year-old child presents with a sudden limp and pain in the hip. X-ray shows no
fracture. Which diagnosis should the nurse consider?
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | LATEST VERSION (JUST RELEASED)
high-yield, difficult, and comprehensive 2026 ATI Pediatrics Proctored Exam –
Questions 1–50, modeled in ATI style with case-based scenarios, multiple-choice
questions, Answers, and detailed rationales:
2026 ATI Pediatrics Proctored Exam – Questions 1–200
Question 1
A 2-year-old child presents with a high fever, irritability, and a rash that started on
the face and spread to the trunk. The child’s immunizations are up to date except
for the MMR. Which of the following is the most likely diagnosis?
A) Scarlet fever
B) Measles (Rubeola)
C) Rubella (German measles)
D) Roseola
E) Fifth disease
Answer-:: B) Measles (Rubeola)
Rationale: Measles presents with fever, cough, coryza, conjunctivitis, and a
maculopapular rash starting on the face and spreading downward. Lack of MMR
vaccination increases risk.
,Question 2
A 6-month-old infant is brought in for routine checkup. The nurse notes persistent
head lag and poor muscle tone. Which condition should the nurse suspect?
A) Cerebral palsy
B) Down syndrome
C) Developmental delay
D) Muscular dystrophy
E) Spina bifida
Answer-:: C) Developmental delay
Rationale: Persistent head lag beyond 6 months and hypotonia suggest delayed
motor development and warrant further evaluation.
Question 3
A 4-year-old child with asthma is prescribed albuterol via nebulizer. Which
statement by the parent indicates correct understanding?
A) “I will give albuterol only when the child is wheezing.”
B) “I will give albuterol every 2 hours regardless of symptoms.”
C) “Albuterol should be used before exercise to prevent asthma attacks.”
D) “I will stop the medication if the child feels better.”
E) “Albuterol is used to reduce inflammation long-term.”
Answer-:: C) “Albuterol should be used before exercise to prevent asthma
attacks.”
Rationale: Albuterol is a short-acting bronchodilator, often used pre-exercise to
prevent exercise-induced bronchospasm.
Question 4
A 7-year-old presents with sore throat, fever, and strawberry tongue. Rapid strep
test is positive. Which complication should the nurse monitor for?
A) Rheumatic fever
B) Kawasaki disease
,C) Scarlet fever
D) Hand-foot-mouth disease
E) Pertussis
Answer-:: A) Rheumatic fever
Rationale: Group A streptococcal infections can lead to rheumatic fever, affecting
the heart, joints, and CNS.
Question 5
A 10-month-old infant presents with projectile vomiting after feeding and a
palpable “olive” mass in the right upper quadrant. Which intervention is most
appropriate?
A) Begin oral rehydration therapy
B) Prepare for pyloromyotomy
C) Initiate antibiotic therapy
D) Recommend thickened feeds
E) Perform lumbar puncture
Answer-:: B) Prepare for pyloromyotomy
Rationale: Infantile hypertrophic pyloric stenosis presents with projectile
vomiting and palpable pyloric mass. Surgical intervention is definitive.
Question 6
A 15-year-old adolescent presents with primary amenorrhea and short stature.
Examination reveals a webbed neck and widely spaced nipples. Which condition is
most likely?
A) Turner syndrome
B) Klinefelter syndrome
C) Androgen insensitivity
D) Marfan syndrome
E) Noonan syndrome
Answer-:: A) Turner syndrome
, Rationale: Classic features of Turner syndrome include short stature, webbed
neck, broad chest, and primary amenorrhea.
Question 7
A 3-year-old child is diagnosed with otitis media. The parent asks about
management. Which statement by the nurse is correct?
A) “Most cases resolve without antibiotics, but follow-up is important.”
B) “All children require immediate IV antibiotics.”
C) “Ear infections do not cause fever.”
D) “Pain is rare in otitis media.”
E) “Surgery is always required.”
Answer-:: A) “Most cases resolve without antibiotics, but follow-up is important.”
Rationale: Many cases of acute otitis media are self-limited; watchful waiting is
appropriate in mild cases.
Question 8
A 2-year-old presents with barking cough, inspiratory stridor, and mild
retractions. Vital signs: temp 37.8°C. Which intervention is appropriate?
A) Administer racemic epinephrine
B) Start antibiotics
C) Encourage deep coughing
D) Provide cool-mist humidifier and supportive care
E) Immediate intubation
Answer-:: D) Provide cool-mist humidifier and supportive care
Rationale: Mild croup can be managed with humidified air and supportive care.
Racemic epinephrine is for moderate to severe cases.
Question 9
A 5-year-old child presents with a sudden limp and pain in the hip. X-ray shows no
fracture. Which diagnosis should the nurse consider?
