(NGN) ATI Pediatric Proctored Exam 2 Versions | Actual
Exam 2026/2027 | Verified Questions
ATI Nursing Education | Verified Q&A | Pediatric Proctored Exam Candidates
Comprehensive 140-Question Original Next-Generation NCLEX (NGN) Exam Set |
2026/2027
Introduction
This 2026/2027 comprehensive 140-question actual exam set provides original Next-
Generation NCLEX (NGN) style questions covering critical pediatric nursing concepts.
Section 1 focuses on Pediatric Growth and Development, Safe Medication
Administration, and Acute Infectious Respiratory Disorders
The content is designed to reinforce official ATI pediatric proctored exam blueprints for
clinical readiness and board competency by strengthening your knowledge of
developmental milestones, immunization schedules, pediatric vital signs, isolation
precautions, and high-alert nursing interventions. Each item includes Verified Questions
with concise clinical rationales matching the format requested.
, Batch 1: Growth & Development, Med-Surg Safety, & Respiratory Disorders
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to demonstrate?
A. Walking while holding onto furniture
B. Rolling from back to stomach
C. Using a neat pincer grasp to pick up objects
D. Saying two meaningful words like "mama" or "dada"
Explanation: Gross motor development guidelines state that an infant should reliably
roll from back to front by 6 months of age. Walking while holding onto furniture (cruising)
and neat pincer grasp are expected milestones around 9 to 11 months.
2. A nurse is preparing to administer an intramuscular (IM) injection to an 8-month-
old infant. Which anatomical site should the nurse select as the safest choice for this
injection?
A. Dorsogluteal muscle
B. Deltoid muscle
C. Vastus lateralis muscle
D. Ventrogluteal muscle
, Explanation: The vastus lateralis muscle is the preferred and safest injection site for
infants under 12 months because it is the most developed muscle mass at this age and
avoids major blood vessels and nerves.
3. A 2-year-old toddler is admitted to the pediatric unit with suspected bacterial
meningitis. Which isolation precaution category must the nurse implement
immediately?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions only
D. Protective environment guidelines
Explanation: Neisseria meningitidis and Haemophilus influenzae type b are respiratory
pathogens transmitted through large droplets, requiring droplet precautions in addition to
standard precautions for at least the first 24 hours of effective antimicrobial therapy.
4. A nurse is reviewing the immunization record of a 12-month-old child. Which
vaccine should the nurse expect to administer at this specific visit based on the CDC
schedule?
A. Rotavirus (RV)
B. Human Papillomavirus (HPV)
C. Measles, Mumps, and Rubella (MMR)
, D. Tetanus, Diphtheria, and Acellular Pertussis (Tdap)
Explanation: The first dose of the live MMR vaccine is safely recommended between
12 and 15 months of age. Rotavirus is given orally in early infancy (before 6 months), and
Tdap/HPV are administered to older children and adolescents.
5. A 4-year-old child is brought to the emergency department with a high fever,
severe sore throat, barky cough, and inspiratory stridor. The child is sitting up,
leaning forward with the chin thrust out and mouth open (tripod position), and is
drooling. Which nursing action is the absolute priority?
A. Collect a thorough throat culture swab immediately.
B. Obtain a peripheral intravenous access line.
C. Keep the child calm and avoid any throat visualization until airway equipment is at
the bedside.
D. Place the child in a supine position to inspect the chest expansion.
Explanation: The clinical presentation is highly suggestive of acute epiglottitis, a
medical emergency. Forcing examination of the throat or causing distress can trigger
sudden laryngospasm and complete airway obstruction; airway stabilization tools must be
present first.
6. A nurse is evaluating a 9-month-old infant for developmental delays. Which reflex
should the nurse expect to be completely integrated or absent by this age?
Exam 2026/2027 | Verified Questions
ATI Nursing Education | Verified Q&A | Pediatric Proctored Exam Candidates
Comprehensive 140-Question Original Next-Generation NCLEX (NGN) Exam Set |
2026/2027
Introduction
This 2026/2027 comprehensive 140-question actual exam set provides original Next-
Generation NCLEX (NGN) style questions covering critical pediatric nursing concepts.
Section 1 focuses on Pediatric Growth and Development, Safe Medication
Administration, and Acute Infectious Respiratory Disorders
The content is designed to reinforce official ATI pediatric proctored exam blueprints for
clinical readiness and board competency by strengthening your knowledge of
developmental milestones, immunization schedules, pediatric vital signs, isolation
precautions, and high-alert nursing interventions. Each item includes Verified Questions
with concise clinical rationales matching the format requested.
, Batch 1: Growth & Development, Med-Surg Safety, & Respiratory Disorders
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to demonstrate?
A. Walking while holding onto furniture
B. Rolling from back to stomach
C. Using a neat pincer grasp to pick up objects
D. Saying two meaningful words like "mama" or "dada"
Explanation: Gross motor development guidelines state that an infant should reliably
roll from back to front by 6 months of age. Walking while holding onto furniture (cruising)
and neat pincer grasp are expected milestones around 9 to 11 months.
2. A nurse is preparing to administer an intramuscular (IM) injection to an 8-month-
old infant. Which anatomical site should the nurse select as the safest choice for this
injection?
A. Dorsogluteal muscle
B. Deltoid muscle
C. Vastus lateralis muscle
D. Ventrogluteal muscle
, Explanation: The vastus lateralis muscle is the preferred and safest injection site for
infants under 12 months because it is the most developed muscle mass at this age and
avoids major blood vessels and nerves.
3. A 2-year-old toddler is admitted to the pediatric unit with suspected bacterial
meningitis. Which isolation precaution category must the nurse implement
immediately?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions only
D. Protective environment guidelines
Explanation: Neisseria meningitidis and Haemophilus influenzae type b are respiratory
pathogens transmitted through large droplets, requiring droplet precautions in addition to
standard precautions for at least the first 24 hours of effective antimicrobial therapy.
4. A nurse is reviewing the immunization record of a 12-month-old child. Which
vaccine should the nurse expect to administer at this specific visit based on the CDC
schedule?
A. Rotavirus (RV)
B. Human Papillomavirus (HPV)
C. Measles, Mumps, and Rubella (MMR)
, D. Tetanus, Diphtheria, and Acellular Pertussis (Tdap)
Explanation: The first dose of the live MMR vaccine is safely recommended between
12 and 15 months of age. Rotavirus is given orally in early infancy (before 6 months), and
Tdap/HPV are administered to older children and adolescents.
5. A 4-year-old child is brought to the emergency department with a high fever,
severe sore throat, barky cough, and inspiratory stridor. The child is sitting up,
leaning forward with the chin thrust out and mouth open (tripod position), and is
drooling. Which nursing action is the absolute priority?
A. Collect a thorough throat culture swab immediately.
B. Obtain a peripheral intravenous access line.
C. Keep the child calm and avoid any throat visualization until airway equipment is at
the bedside.
D. Place the child in a supine position to inspect the chest expansion.
Explanation: The clinical presentation is highly suggestive of acute epiglottitis, a
medical emergency. Forcing examination of the throat or causing distress can trigger
sudden laryngospasm and complete airway obstruction; airway stabilization tools must be
present first.
6. A nurse is evaluating a 9-month-old infant for developmental delays. Which reflex
should the nurse expect to be completely integrated or absent by this age?
