2026 GRADED A+ EXAM
ATI PEDIATRIC PROCTORED EXAM ACTUAL QUESTIONS AND
WELL REVISED ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS 2026
A nurse is assessing a 6-month-old infant. Which of the following
developmental milestones should the nurse expect?
A) Pulls to a standing position
B) Turns from back to stomach ✅
C) Uses a pincer grasp
D) Sits steadily without support
Answer: B
Rationale: Infants typically roll from back to front by 6 months. Sitting without
support and pincer grasp occur around 8–9 months; pulling to stand occurs
around 10–11 months.
A nurse is caring for a child with Epiglottitis. Which of the following actions is
the priority?
A) Obtain a throat culture
B) Ensure emergency intubation equipment is at the bedside ✅
C) Place the child in a supine position
D) Administer an oral antibiotic
Answer: B
Rationale: Epiglottitis is a medical emergency. Airway obstruction can occur
rapidly. Obtaining a throat culture or using a tongue depressor can trigger a fatal
laryngospasm.
A nurse is providing teaching to the parent of a child with Celiac Disease.
Which of the following food choices is appropriate?
A) Wheat crackers
B) Rye bread
C) Rice cakes ✅
,2026 GRADED A+ EXAM
D) Barley soup
Answer: C
Rationale: Celiac disease requires a gluten-free diet. The
acronym BROW (Barley, Rye, Oats, Wheat) helps identify grains to avoid. Rice
and corn are safe alternatives.
A nurse is assessing an infant with Pyloric Stenosis. Which of the following
findings is expected?
A) Currant-jelly stools
B) Projectile vomiting after feedings ✅
C) Sausage-shaped mass in the RUQ
D) Diarrhea
Answer: B
Rationale: Pyloric stenosis is characterized by non-bilious projectile vomiting
and a palpable olive-shaped mass in the epigastrium. Currant-jelly stools and
sausage-shaped masses are signs of Intussusception.
A child with Tetralogy of Fallot is having a hypercyanotic ("Tet") spell. What is
the priority nursing action?
A) Administer IV morphine
B) Place the child in a knee-chest position ✅
C) Administer 100% oxygen via mask
D) Start a large-bore IV line
Answer: B
Rationale: The knee-chest position increases systemic vascular resistance,
which decreases the right-to-left shunt and improves pulmonary blood flow.
A nurse is caring for a toddler with a Lead level of 12 mcg/dL. Which action
should the nurse take?
A) Administer chelation therapy
B) Provide the parents with information on reducing lead exposure ✅
C) Notify the CDC immediately
D) Admit the child for gastric lavage
Answer: B
Rationale: Levels >3.5 mcg/dL require follow-up and education. Chelation
therapy is generally reserved for levels >45 mcg/dL.
,2026 GRADED A+ EXAM
A nurse is assessing a child with Nephrotic Syndrome. Which of the following
findings is expected?
A) Gross hematuria
B) 3+ to 4+ Proteinuria ✅
C) Hypotension
D) Decreased serum lipids
Answer: B
Rationale: Nephrotic syndrome involves massive protein loss in the urine,
leading to hypoalbuminemia, severe edema, and hyperlipidemia. Hematuria and
hypertension are more common in Glomerulonephritis.
At what age is the first dose of the MMR (Measles, Mumps, Rubella) vaccine
typically administered?
A) 2 months
B) 6 months
C) 12 to 15 months ✅
D) 4 to 6 years
Answer: C
Rationale: The CDC and ATI standards state the first MMR dose is given
between 12 and 15 months. The second dose is given at 4–6 years.
A nurse is caring for a child with Hirschsprung’s Disease. Which type of stool
should the nurse expect?
A) Steatorrhea
B) Ribbon-like and foul-smelling ✅
C) Bloody and mucoid
D) Loose and green
Answer: B
Rationale: In Hirschsprung’s, aganglionic segments of the colon cause an
obstruction. Stool that passes through the narrow segment becomes ribbon-like.
A nurse is teaching the parents of a child with Sickle Cell Anemia. Which of
the following is the priority to prevent a Vaso-occlusive Crisis?
A) Restricting exercise
B) Maintaining high fluid intake (Hydration) ✅
C) Administering iron supplements
D) Wearing a face mask in public
, 2026 GRADED A+ EXAM
Answer: B
Rationale: Dehydration increases blood viscosity, which triggers sickling. High
hydration is the most important factor in preventing a crisis.
Which of the following is a classic sign of Intussusception?
A) Olive-shaped mass
B) Currant-jelly stools ✅
C) Projectile vomiting
D) Ribbon-like stools
Answer: B
Rationale: Intussusception (telescoping of the bowel) causes blood and mucus
to leak into the intestinal lumen, creating stools that look like currant jelly.
A child is admitted with Wilms' Tumor. What is a critical nursing precaution?
A) Use a rectal thermometer
B) Place a sign over the bed saying "Do Not Palpate Abdomen" ✅
C) Encourage vigorous play
D) Monitor for hypotension
Answer: B
Rationale: Palpating the abdomen can cause the encapsulated tumor to rupture,
leading to the seeding of cancer cells into the peritoneal cavity.
A nurse is assessing a child with Type 1 Diabetes who is pale, sweaty, and
irritable. What is the priority action?
A) Give a dose of rapid-acting insulin
B) Administer 15g of simple carbohydrates (e.g., orange juice) ✅
C) Check the urine for ketones
D) Call the provider for a stat glucose lab
Answer: B
Rationale: These are symptoms of hypoglycemia. The "15/15 rule" (15g carbs,
recheck in 15 mins) is the standard intervention.
A child has a positive "Gower’s Sign." This is an indicator of which condition?
A) Cerebral Palsy
B) Duchenne Muscular Dystrophy (DMD) ✅
C) Scoliosis
D) Spina Bifida
Answer: B
ATI PEDIATRIC PROCTORED EXAM ACTUAL QUESTIONS AND
WELL REVISED ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS 2026
A nurse is assessing a 6-month-old infant. Which of the following
developmental milestones should the nurse expect?
A) Pulls to a standing position
B) Turns from back to stomach ✅
C) Uses a pincer grasp
D) Sits steadily without support
Answer: B
Rationale: Infants typically roll from back to front by 6 months. Sitting without
support and pincer grasp occur around 8–9 months; pulling to stand occurs
around 10–11 months.
A nurse is caring for a child with Epiglottitis. Which of the following actions is
the priority?
A) Obtain a throat culture
B) Ensure emergency intubation equipment is at the bedside ✅
C) Place the child in a supine position
D) Administer an oral antibiotic
Answer: B
Rationale: Epiglottitis is a medical emergency. Airway obstruction can occur
rapidly. Obtaining a throat culture or using a tongue depressor can trigger a fatal
laryngospasm.
A nurse is providing teaching to the parent of a child with Celiac Disease.
Which of the following food choices is appropriate?
A) Wheat crackers
B) Rye bread
C) Rice cakes ✅
,2026 GRADED A+ EXAM
D) Barley soup
Answer: C
Rationale: Celiac disease requires a gluten-free diet. The
acronym BROW (Barley, Rye, Oats, Wheat) helps identify grains to avoid. Rice
and corn are safe alternatives.
A nurse is assessing an infant with Pyloric Stenosis. Which of the following
findings is expected?
A) Currant-jelly stools
B) Projectile vomiting after feedings ✅
C) Sausage-shaped mass in the RUQ
D) Diarrhea
Answer: B
Rationale: Pyloric stenosis is characterized by non-bilious projectile vomiting
and a palpable olive-shaped mass in the epigastrium. Currant-jelly stools and
sausage-shaped masses are signs of Intussusception.
A child with Tetralogy of Fallot is having a hypercyanotic ("Tet") spell. What is
the priority nursing action?
A) Administer IV morphine
B) Place the child in a knee-chest position ✅
C) Administer 100% oxygen via mask
D) Start a large-bore IV line
Answer: B
Rationale: The knee-chest position increases systemic vascular resistance,
which decreases the right-to-left shunt and improves pulmonary blood flow.
A nurse is caring for a toddler with a Lead level of 12 mcg/dL. Which action
should the nurse take?
A) Administer chelation therapy
B) Provide the parents with information on reducing lead exposure ✅
C) Notify the CDC immediately
D) Admit the child for gastric lavage
Answer: B
Rationale: Levels >3.5 mcg/dL require follow-up and education. Chelation
therapy is generally reserved for levels >45 mcg/dL.
,2026 GRADED A+ EXAM
A nurse is assessing a child with Nephrotic Syndrome. Which of the following
findings is expected?
A) Gross hematuria
B) 3+ to 4+ Proteinuria ✅
C) Hypotension
D) Decreased serum lipids
Answer: B
Rationale: Nephrotic syndrome involves massive protein loss in the urine,
leading to hypoalbuminemia, severe edema, and hyperlipidemia. Hematuria and
hypertension are more common in Glomerulonephritis.
At what age is the first dose of the MMR (Measles, Mumps, Rubella) vaccine
typically administered?
A) 2 months
B) 6 months
C) 12 to 15 months ✅
D) 4 to 6 years
Answer: C
Rationale: The CDC and ATI standards state the first MMR dose is given
between 12 and 15 months. The second dose is given at 4–6 years.
A nurse is caring for a child with Hirschsprung’s Disease. Which type of stool
should the nurse expect?
A) Steatorrhea
B) Ribbon-like and foul-smelling ✅
C) Bloody and mucoid
D) Loose and green
Answer: B
Rationale: In Hirschsprung’s, aganglionic segments of the colon cause an
obstruction. Stool that passes through the narrow segment becomes ribbon-like.
A nurse is teaching the parents of a child with Sickle Cell Anemia. Which of
the following is the priority to prevent a Vaso-occlusive Crisis?
A) Restricting exercise
B) Maintaining high fluid intake (Hydration) ✅
C) Administering iron supplements
D) Wearing a face mask in public
, 2026 GRADED A+ EXAM
Answer: B
Rationale: Dehydration increases blood viscosity, which triggers sickling. High
hydration is the most important factor in preventing a crisis.
Which of the following is a classic sign of Intussusception?
A) Olive-shaped mass
B) Currant-jelly stools ✅
C) Projectile vomiting
D) Ribbon-like stools
Answer: B
Rationale: Intussusception (telescoping of the bowel) causes blood and mucus
to leak into the intestinal lumen, creating stools that look like currant jelly.
A child is admitted with Wilms' Tumor. What is a critical nursing precaution?
A) Use a rectal thermometer
B) Place a sign over the bed saying "Do Not Palpate Abdomen" ✅
C) Encourage vigorous play
D) Monitor for hypotension
Answer: B
Rationale: Palpating the abdomen can cause the encapsulated tumor to rupture,
leading to the seeding of cancer cells into the peritoneal cavity.
A nurse is assessing a child with Type 1 Diabetes who is pale, sweaty, and
irritable. What is the priority action?
A) Give a dose of rapid-acting insulin
B) Administer 15g of simple carbohydrates (e.g., orange juice) ✅
C) Check the urine for ketones
D) Call the provider for a stat glucose lab
Answer: B
Rationale: These are symptoms of hypoglycemia. The "15/15 rule" (15g carbs,
recheck in 15 mins) is the standard intervention.
A child has a positive "Gower’s Sign." This is an indicator of which condition?
A) Cerebral Palsy
B) Duchenne Muscular Dystrophy (DMD) ✅
C) Scoliosis
D) Spina Bifida
Answer: B
