ATI Pediatrics Proctored Examination
2026–2027 | Comprehensive Question
Practice Test with Answers & Rationales|
Free Pdf Access
1. A nurse is assessing a 6-month-old infant. Which developmental milestone
is expected?
A. Sitting without support
B. Rolling from front to back
C. Riding a tricycle
D. Using two-word sentences
Correct Answer: B
Rationale: By 6 months of age, infants commonly roll from front to back and begin
developing increased mobility.
2. A child is admitted with acute epiglottitis. Which nursing action is the
priority?
A. Prepare for airway management
B. Obtain a throat culture
C. Inspect the throat with a tongue blade
D. Encourage oral fluids
Correct Answer: A
Rationale: Epiglottitis can rapidly obstruct the airway, making airway management the
highest priority.
3. A nurse is caring for a child with dehydration. Which assessment finding
indicates severe dehydration?
,A. Capillary refill greater than 3 seconds
B. Moist mucous membranes
C. Normal skin turgor
D. Increased urine output
Correct Answer: A
Rationale: Delayed capillary refill is a sign of poor perfusion associated with significant
dehydration.
4. Which immunization is typically administered at birth?
A. Hepatitis B
B. MMR
C. Varicella
D. DTaP
Correct Answer: A
Rationale: The Hepatitis B vaccine is routinely administered shortly after birth.
5. A nurse is assessing a toddler. Which behavior is expected?
A. Parallel play
B. Cooperative team play
C. Abstract thinking
D. Formal reasoning
Correct Answer: A
Rationale: Toddlers commonly engage in parallel play, playing alongside rather than
directly with other children.
6. A child with asthma is experiencing wheezing and shortness of breath.
Which medication should be administered first?
A. Albuterol
B. Fluticasone
C. Montelukast
D. Prednisone
Correct Answer: A
Rationale: Albuterol is a rapid-acting bronchodilator used for acute asthma symptoms.
, 7. Which finding is a classic manifestation of croup?
A. Barking cough
B. Projectile vomiting
C. Bilateral edema
D. Strawberry tongue
Correct Answer: A
Rationale: A barking cough is a hallmark sign of croup.
8. A nurse is teaching parents about sudden infant death syndrome (SIDS)
prevention. Which instruction should be included?
A. Place infants on their backs to sleep
B. Use soft blankets in the crib
C. Allow stomach sleeping
D. Place pillows in the crib
Correct Answer: A
Rationale: Back sleeping significantly reduces the risk of SIDS.
9. Which laboratory value is most important to monitor in a child with
diabetic ketoacidosis?
A. Potassium
B. Hemoglobin
C. Platelet count
D. Calcium
Correct Answer: A
Rationale: Potassium levels can fluctuate significantly during DKA treatment and require
close monitoring.
10. A child with Kawasaki disease is at greatest risk for complications
involving:
A. Coronary arteries
B. Kidneys
C. Lungs
D. Liver
Correct Answer: A
Rationale: Kawasaki disease can lead to coronary artery aneurysms.
2026–2027 | Comprehensive Question
Practice Test with Answers & Rationales|
Free Pdf Access
1. A nurse is assessing a 6-month-old infant. Which developmental milestone
is expected?
A. Sitting without support
B. Rolling from front to back
C. Riding a tricycle
D. Using two-word sentences
Correct Answer: B
Rationale: By 6 months of age, infants commonly roll from front to back and begin
developing increased mobility.
2. A child is admitted with acute epiglottitis. Which nursing action is the
priority?
A. Prepare for airway management
B. Obtain a throat culture
C. Inspect the throat with a tongue blade
D. Encourage oral fluids
Correct Answer: A
Rationale: Epiglottitis can rapidly obstruct the airway, making airway management the
highest priority.
3. A nurse is caring for a child with dehydration. Which assessment finding
indicates severe dehydration?
,A. Capillary refill greater than 3 seconds
B. Moist mucous membranes
C. Normal skin turgor
D. Increased urine output
Correct Answer: A
Rationale: Delayed capillary refill is a sign of poor perfusion associated with significant
dehydration.
4. Which immunization is typically administered at birth?
A. Hepatitis B
B. MMR
C. Varicella
D. DTaP
Correct Answer: A
Rationale: The Hepatitis B vaccine is routinely administered shortly after birth.
5. A nurse is assessing a toddler. Which behavior is expected?
A. Parallel play
B. Cooperative team play
C. Abstract thinking
D. Formal reasoning
Correct Answer: A
Rationale: Toddlers commonly engage in parallel play, playing alongside rather than
directly with other children.
6. A child with asthma is experiencing wheezing and shortness of breath.
Which medication should be administered first?
A. Albuterol
B. Fluticasone
C. Montelukast
D. Prednisone
Correct Answer: A
Rationale: Albuterol is a rapid-acting bronchodilator used for acute asthma symptoms.
, 7. Which finding is a classic manifestation of croup?
A. Barking cough
B. Projectile vomiting
C. Bilateral edema
D. Strawberry tongue
Correct Answer: A
Rationale: A barking cough is a hallmark sign of croup.
8. A nurse is teaching parents about sudden infant death syndrome (SIDS)
prevention. Which instruction should be included?
A. Place infants on their backs to sleep
B. Use soft blankets in the crib
C. Allow stomach sleeping
D. Place pillows in the crib
Correct Answer: A
Rationale: Back sleeping significantly reduces the risk of SIDS.
9. Which laboratory value is most important to monitor in a child with
diabetic ketoacidosis?
A. Potassium
B. Hemoglobin
C. Platelet count
D. Calcium
Correct Answer: A
Rationale: Potassium levels can fluctuate significantly during DKA treatment and require
close monitoring.
10. A child with Kawasaki disease is at greatest risk for complications
involving:
A. Coronary arteries
B. Kidneys
C. Lungs
D. Liver
Correct Answer: A
Rationale: Kawasaki disease can lead to coronary artery aneurysms.
