1
ATI NURSING CARE OF CHILDREN FORM B
PRACTICE EXAM WITH REAL TEST QUESTIONS
AND ANSWERS 2026–2027
Q1
A 6-month-old infant presents with high fever, irritability, and
poor feeding. What is the nurse’s first action?
A. Assess vital signs and hydration status
B. Administer antipyretic
C. Notify the provider
D. Encourage fluids
Correct Answer: A
Rationale: Assessment is always the first step to determine the
severity of illness and risk of dehydration.
Q2
,2
A toddler with acute otitis media is prescribed amoxicillin.
What is essential teaching for the parent?
A. Complete the full course of antibiotics
B. Stop medication once fever resolves
C. Only give the medication at night
D. Mix medication with juice without measuring
Correct Answer: A
Rationale: Completing the full course ensures eradication of
infection and prevents antibiotic resistance.
Q3
A 4-year-old is scheduled for surgery. What is the best approach
for preoperative teaching?
A. Use age-appropriate language and visual aids
B. Give detailed adult-level explanations
C. Avoid telling the child about the procedure
D. Allow the child to make medical decisions
Correct Answer: A
Rationale: Age-appropriate teaching reduces anxiety and
promotes cooperation.
Q4
,3
Which is a normal vital sign range for a 2-year-old?
A. HR: 98–140 bpm, RR: 22–30/min, BP: 86–106/42–63 mmHg
B. HR: 60–80 bpm, RR: 12–18/min, BP: 120/80 mmHg
C. HR: 50–90 bpm, RR: 14–20/min, BP: 90/60 mmHg
D. HR: 150–180 bpm, RR: 40–50/min, BP: 70/40 mmHg
Correct Answer: A
Rationale: Pediatric vital signs differ from adults and vary by
age; these ranges reflect a healthy 2-year-old.
Q5
A 5-year-old with asthma is experiencing wheezing and
shortness of breath. Which intervention is priority?
A. Administer prescribed albuterol via nebulizer
B. Encourage oral fluids
C. Apply warm compress
D. Position supine
Correct Answer: A
Rationale: Albuterol provides rapid bronchodilation, addressing
airway obstruction immediately.
Q6
, 4
A nurse is assessing a child with dehydration. Which is a reliable
indicator?
A. Capillary refill >2 seconds
B. Low-grade fever
C. Presence of cough
D. Mild irritability
Correct Answer: A
Rationale: Delayed capillary refill reflects poor perfusion, a key
sign of dehydration.
Q7
Which statement indicates a parent understands lead poisoning
prevention in a toddler?
A. “I will avoid using old lead-based paint in the home.”
B. “I will give extra vitamin D only.”
C. “I will only wash hands before meals.”
D. “I will let my child play outside only.”
Correct Answer: A
Rationale: Lead-based paint is the most common source;
prevention focuses on environmental hazards.
Q8
ATI NURSING CARE OF CHILDREN FORM B
PRACTICE EXAM WITH REAL TEST QUESTIONS
AND ANSWERS 2026–2027
Q1
A 6-month-old infant presents with high fever, irritability, and
poor feeding. What is the nurse’s first action?
A. Assess vital signs and hydration status
B. Administer antipyretic
C. Notify the provider
D. Encourage fluids
Correct Answer: A
Rationale: Assessment is always the first step to determine the
severity of illness and risk of dehydration.
Q2
,2
A toddler with acute otitis media is prescribed amoxicillin.
What is essential teaching for the parent?
A. Complete the full course of antibiotics
B. Stop medication once fever resolves
C. Only give the medication at night
D. Mix medication with juice without measuring
Correct Answer: A
Rationale: Completing the full course ensures eradication of
infection and prevents antibiotic resistance.
Q3
A 4-year-old is scheduled for surgery. What is the best approach
for preoperative teaching?
A. Use age-appropriate language and visual aids
B. Give detailed adult-level explanations
C. Avoid telling the child about the procedure
D. Allow the child to make medical decisions
Correct Answer: A
Rationale: Age-appropriate teaching reduces anxiety and
promotes cooperation.
Q4
,3
Which is a normal vital sign range for a 2-year-old?
A. HR: 98–140 bpm, RR: 22–30/min, BP: 86–106/42–63 mmHg
B. HR: 60–80 bpm, RR: 12–18/min, BP: 120/80 mmHg
C. HR: 50–90 bpm, RR: 14–20/min, BP: 90/60 mmHg
D. HR: 150–180 bpm, RR: 40–50/min, BP: 70/40 mmHg
Correct Answer: A
Rationale: Pediatric vital signs differ from adults and vary by
age; these ranges reflect a healthy 2-year-old.
Q5
A 5-year-old with asthma is experiencing wheezing and
shortness of breath. Which intervention is priority?
A. Administer prescribed albuterol via nebulizer
B. Encourage oral fluids
C. Apply warm compress
D. Position supine
Correct Answer: A
Rationale: Albuterol provides rapid bronchodilation, addressing
airway obstruction immediately.
Q6
, 4
A nurse is assessing a child with dehydration. Which is a reliable
indicator?
A. Capillary refill >2 seconds
B. Low-grade fever
C. Presence of cough
D. Mild irritability
Correct Answer: A
Rationale: Delayed capillary refill reflects poor perfusion, a key
sign of dehydration.
Q7
Which statement indicates a parent understands lead poisoning
prevention in a toddler?
A. “I will avoid using old lead-based paint in the home.”
B. “I will give extra vitamin D only.”
C. “I will only wash hands before meals.”
D. “I will let my child play outside only.”
Correct Answer: A
Rationale: Lead-based paint is the most common source;
prevention focuses on environmental hazards.
Q8
