2026–2027 | Complete 100-Question Practice
Exam with Detailed Rationales, Growth &
Development, Pediatric Disorders,
Pharmacology, Emergency Nursing, NGN
Clinical Judgment & NCLEX Readiness
Review
ATI Pediatrics Proctored Examination
Comprehensive Pediatric Nursing Practice Examination
Features
✔ 100 ATI-Style Pediatric Questions
✔ Detailed Rationales
✔ Growth and Development
✔ Family-Centered Care
✔ Health Promotion and Disease Prevention
✔ Pediatric Pharmacology
✔ Respiratory Disorders
✔ Cardiac Disorders
✔ Gastrointestinal Disorders
✔ Neurological Disorders
✔ Endocrine Disorders
✔ Delegation and Prioritization
✔ NGN Clinical Judgment Integration
, Questions 1–100
Growth and Development
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone is expected?
A. Sitting with support
B. Riding a tricycle
C. Tying shoelaces
D. Writing simple words
Correct Answer: A. Sitting with support
Rationale: At approximately 6 months of age, infants commonly sit with support and
demonstrate increasing trunk control.
ATI Success Strategy: Memorize age-specific developmental milestones frequently tested
on pediatric examinations.
Difficulty: Easy
2. A nurse is assessing a 12-month-old child. Which developmental achievement is
expected?
A. Pulling to stand and cruising
B. Solving complex puzzles
C. Reading short sentences
D. Riding a bicycle independently
Correct Answer: A. Pulling to stand and cruising
Rationale: By 12 months, many infants pull to stand, cruise along furniture, and may take
a few independent steps.
ATI Success Strategy: Gross motor milestones are common ATI testing topics.
Difficulty: Easy
,3. A nurse is teaching parents about toddler development. Which behavior is expected
in a 2-year-old child?
A. Parallel play
B. Cooperative team play
C. Formal logical thinking
D. Abstract reasoning
Correct Answer: A. Parallel play
Rationale: Toddlers commonly engage in parallel play, playing beside rather than directly
with other children.
ATI Success Strategy: Associate play activities with developmental stages.
Difficulty: Easy
4. A nurse is caring for a hospitalized preschool-age child. Which activity is
developmentally appropriate?
A. Playing dress-up and pretend games
B. Solving advanced algebra problems
C. Participating in formal debates
D. Completing college-level assignments
Correct Answer: A. Playing dress-up and pretend games
Rationale: Preschool children engage in imaginative and associative play that promotes
social and cognitive development.
ATI Success Strategy: Imaginative play is characteristic of preschool-age children.
Difficulty: Easy
5. A nurse is assessing a school-age child. Which developmental task is most important
according to Erikson's theory?
A. Industry versus inferiority
B. Trust versus mistrust
C. Autonomy versus shame and doubt
D. Integrity versus despair
Correct Answer: A. Industry versus inferiority
Rationale: School-age children focus on achievement, competence, and developing skills.
, ATI Success Strategy: Know Erikson's psychosocial stages by age group.
Difficulty: Moderate
Family-Centered Care
6. A nurse is planning care for a hospitalized child. Which intervention reflects family-
centered care?
A. Including parents in care decisions
B. Restricting parental participation
C. Limiting communication with family members
D. Making all decisions without parental input
Correct Answer: A. Including parents in care decisions
Rationale: Family-centered care recognizes the family as an essential partner in the child's
healthcare.
ATI Success Strategy: Parents are considered part of the healthcare team.
Difficulty: Easy
7. A nurse is preparing a child for a painful procedure. Which intervention is
appropriate?
A. Use age-appropriate explanations
B. Avoid discussing the procedure entirely
C. Provide inaccurate information to reduce fear
D. Delay all questions until after the procedure
Correct Answer: A. Use age-appropriate explanations
Rationale: Honest, developmentally appropriate communication reduces anxiety and
promotes trust.
ATI Success Strategy: Tailor explanations to the child's developmental level.
Difficulty: Moderate
8. A nurse is teaching a parent about injury prevention for a toddler. Which statement
indicates understanding?