ATI Pediatric CMS Proctored Exam 2026/2027
Actual Exam | Complete Questions & Rationales |
Pass Guaranteed - A+ Graded
TABLE OF CONTENTS
Section 1 | Growth and Development (Infant through Adolescent) | Q1 – Q10
Section 2 | Health Promotion and Disease Prevention | Q11 – Q20
Section 3 | Acute and Chronic Pediatric Conditions | Q21 – Q30
Section 4 | Medication Administration and Pediatric Pharmacology | Q31 – Q40
Section 5 | Family Dynamics, Safety, and Psychosocial Integrity | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: GROWTH AND DEVELOPMENT (INFANT THROUGH ADOLESCENT) Q1 –
Q10
══════════════════════════════════════
Question 1 of 50
A nurse is assessing a 6-month-old infant during a well-child visit. The mother reports
the baby can roll from stomach to back, reaches for toys, and babbles consonant
sounds. The nurse asks the mother about the next expected milestone. What should the
mother anticipate seeing soon?
A. Walking with support while holding furniture
B. Transferring objects from hand to hand ✓ CORRECT
C. Speaking two-word phrases such as "all gone"
D. Drawing a circle with a crayon
Correct Answer: B
Rationale: By 6 months infants typically transfer objects between hands, demonstrating
developing fine motor skills and bilateral coordination. Parents often expect walking or
two-word phrases prematurely because these are 9- to 12-month and 2-year milestones
,respectively. Documenting milestone achievement at each visit helps identify delays
early and reassures families about normal progression.
Question 2 of 50
A school nurse is evaluating a 5-year-old boy entering kindergarten. The child can draw
a person with six parts, hop on one foot, and recite his home address. During the
assessment, the child speaks in complete sentences and follows a three-step direction
to complete a puzzle. Which behavior best indicates school readiness?
A. Crying briefly when the mother leaves the room
B. Unable to tie his shoelaces independently
C. Refusing to share a favorite toy with another child
D. Speaking in complete sentences and following multi-step directions ✓ CORRECT
Correct Answer: D
Rationale: School readiness includes the ability to follow multi-step directions and
communicate in complete sentences, reflecting cognitive and language development
appropriate for kindergarten. Crying at separation is common at this age and not a
readiness indicator, while inability to tie shoes is a 6-year milestone. Kindergarten
teachers expect children to understand basic rules and communicate needs clearly.
Question 3 of 50
A pediatric nurse is caring for a 13-year-old girl hospitalized for appendicitis. The patient
spends most of her time texting friends and becomes embarrassed when her mother
asks personal questions in front of the nurse. Which nursing approach best supports
normal adolescent development?
A. Provide opportunities for private conversation and respect her need for autonomy ✓
CORRECT
B. Insist the mother stay present for all assessments to maintain family involvement
C. Ask the mother to answer all questions since the teen is being uncooperative
,D. Restrict phone use until discharge to encourage rest and family interaction
Correct Answer: A
Rationale: Adolescents need privacy and autonomy as they develop identity and
independence, so offering confidential conversation respects normal developmental
tasks. Forcing parental presence or restricting communication devices undermines trust
and creates resistance. Building rapport with teens improves adherence to treatment
and honest reporting of symptoms.
Question 4 of 50
During a 2-year-old's physical exam, the nurse notes the child says about 50 words, runs
well, and climbs stairs with assistance. The parent is concerned the child is not yet
toilet trained. What is the nurse's best response?
A. Most children are fully trained by age 2 and this delay needs further evaluation
B. Begin intensive toilet training immediately using a reward chart and scheduled sits
C. Reassure the parent that bowel control typically comes first and daytime training
usually occurs between 2.5 and 3 years ✓ CORRECT
D. Recommend limiting fluids after dinner to prevent bedwetting once training starts
Correct Answer: C
Rationale: Daytime toilet training typically begins between 2.5 and 3 years, and bowel
control usually develops before bladder control, so a 2-year-old not yet trained is
developmentally normal. Pushing training too early creates frustration and resistance,
while limiting fluids is inappropriate for a child not yet training. Parents often need
reassurance that developmental timelines vary widely.
Question 5 of 50
A nurse is assessing a 9-month-old infant during a routine checkup. Which finding
would require further evaluation?
, A. Pulling to stand at the furniture
B. Not yet sitting without support ✓ CORRECT
C. Using a pincer grasp to pick up small cereal pieces
D. Saying "mama" and "dada" nonspecifically
Correct Answer: B
Rationale: Infants should sit without support by 8 months, so a 9-month-old who cannot
sit warrants further assessment for motor delay. Pulling to stand and pincer grasp are 9-
to 10-month milestones, and nonspecific babbling is expected at this age. Early
identification of motor delays allows for timely referral to early intervention services.
Question 6 of 50
A nurse is teaching parents of a 4-month-old about safe sleep. The parents state they
place the baby on her back in a crib with a firm mattress, no loose bedding, and a
pacifier. Which additional instruction is most important?
A. Place a wedge under the mattress to elevate the head for reflux
B. Use a loose blanket tucked around the baby for warmth
C. Allow the baby to sleep in a car seat for daytime naps
D. Keep the crib free of bumper pads, toys, and positioning devices ✓ CORRECT
Correct Answer: D
Rationale: A bare crib with only a fitted sheet and pacifier is the safest sleep
environment, and bumper pads or positioning devices increase suffocation and
entrapment risk. Wedges and loose bedding are contraindicated for safe sleep, and
routine car seat sleeping outside the vehicle is not recommended. Consistent safe sleep
education at every visit reinforces these critical practices.
Question 7 of 50
Actual Exam | Complete Questions & Rationales |
Pass Guaranteed - A+ Graded
TABLE OF CONTENTS
Section 1 | Growth and Development (Infant through Adolescent) | Q1 – Q10
Section 2 | Health Promotion and Disease Prevention | Q11 – Q20
Section 3 | Acute and Chronic Pediatric Conditions | Q21 – Q30
Section 4 | Medication Administration and Pediatric Pharmacology | Q31 – Q40
Section 5 | Family Dynamics, Safety, and Psychosocial Integrity | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: GROWTH AND DEVELOPMENT (INFANT THROUGH ADOLESCENT) Q1 –
Q10
══════════════════════════════════════
Question 1 of 50
A nurse is assessing a 6-month-old infant during a well-child visit. The mother reports
the baby can roll from stomach to back, reaches for toys, and babbles consonant
sounds. The nurse asks the mother about the next expected milestone. What should the
mother anticipate seeing soon?
A. Walking with support while holding furniture
B. Transferring objects from hand to hand ✓ CORRECT
C. Speaking two-word phrases such as "all gone"
D. Drawing a circle with a crayon
Correct Answer: B
Rationale: By 6 months infants typically transfer objects between hands, demonstrating
developing fine motor skills and bilateral coordination. Parents often expect walking or
two-word phrases prematurely because these are 9- to 12-month and 2-year milestones
,respectively. Documenting milestone achievement at each visit helps identify delays
early and reassures families about normal progression.
Question 2 of 50
A school nurse is evaluating a 5-year-old boy entering kindergarten. The child can draw
a person with six parts, hop on one foot, and recite his home address. During the
assessment, the child speaks in complete sentences and follows a three-step direction
to complete a puzzle. Which behavior best indicates school readiness?
A. Crying briefly when the mother leaves the room
B. Unable to tie his shoelaces independently
C. Refusing to share a favorite toy with another child
D. Speaking in complete sentences and following multi-step directions ✓ CORRECT
Correct Answer: D
Rationale: School readiness includes the ability to follow multi-step directions and
communicate in complete sentences, reflecting cognitive and language development
appropriate for kindergarten. Crying at separation is common at this age and not a
readiness indicator, while inability to tie shoes is a 6-year milestone. Kindergarten
teachers expect children to understand basic rules and communicate needs clearly.
Question 3 of 50
A pediatric nurse is caring for a 13-year-old girl hospitalized for appendicitis. The patient
spends most of her time texting friends and becomes embarrassed when her mother
asks personal questions in front of the nurse. Which nursing approach best supports
normal adolescent development?
A. Provide opportunities for private conversation and respect her need for autonomy ✓
CORRECT
B. Insist the mother stay present for all assessments to maintain family involvement
C. Ask the mother to answer all questions since the teen is being uncooperative
,D. Restrict phone use until discharge to encourage rest and family interaction
Correct Answer: A
Rationale: Adolescents need privacy and autonomy as they develop identity and
independence, so offering confidential conversation respects normal developmental
tasks. Forcing parental presence or restricting communication devices undermines trust
and creates resistance. Building rapport with teens improves adherence to treatment
and honest reporting of symptoms.
Question 4 of 50
During a 2-year-old's physical exam, the nurse notes the child says about 50 words, runs
well, and climbs stairs with assistance. The parent is concerned the child is not yet
toilet trained. What is the nurse's best response?
A. Most children are fully trained by age 2 and this delay needs further evaluation
B. Begin intensive toilet training immediately using a reward chart and scheduled sits
C. Reassure the parent that bowel control typically comes first and daytime training
usually occurs between 2.5 and 3 years ✓ CORRECT
D. Recommend limiting fluids after dinner to prevent bedwetting once training starts
Correct Answer: C
Rationale: Daytime toilet training typically begins between 2.5 and 3 years, and bowel
control usually develops before bladder control, so a 2-year-old not yet trained is
developmentally normal. Pushing training too early creates frustration and resistance,
while limiting fluids is inappropriate for a child not yet training. Parents often need
reassurance that developmental timelines vary widely.
Question 5 of 50
A nurse is assessing a 9-month-old infant during a routine checkup. Which finding
would require further evaluation?
, A. Pulling to stand at the furniture
B. Not yet sitting without support ✓ CORRECT
C. Using a pincer grasp to pick up small cereal pieces
D. Saying "mama" and "dada" nonspecifically
Correct Answer: B
Rationale: Infants should sit without support by 8 months, so a 9-month-old who cannot
sit warrants further assessment for motor delay. Pulling to stand and pincer grasp are 9-
to 10-month milestones, and nonspecific babbling is expected at this age. Early
identification of motor delays allows for timely referral to early intervention services.
Question 6 of 50
A nurse is teaching parents of a 4-month-old about safe sleep. The parents state they
place the baby on her back in a crib with a firm mattress, no loose bedding, and a
pacifier. Which additional instruction is most important?
A. Place a wedge under the mattress to elevate the head for reflux
B. Use a loose blanket tucked around the baby for warmth
C. Allow the baby to sleep in a car seat for daytime naps
D. Keep the crib free of bumper pads, toys, and positioning devices ✓ CORRECT
Correct Answer: D
Rationale: A bare crib with only a fitted sheet and pacifier is the safest sleep
environment, and bumper pads or positioning devices increase suffocation and
entrapment risk. Wedges and loose bedding are contraindicated for safe sleep, and
routine car seat sleeping outside the vehicle is not recommended. Consistent safe sleep
education at every visit reinforces these critical practices.
Question 7 of 50
