ATI RN Pediatric Exam with NGN 70 Questions | 105 Minutes
ATI RN Pediatric Exam with NGN 2026 update
70 Questions and answer key | Time Allowed: 105 Minutes
Instructions: Read each question carefully. Select the BEST answer for each
question. Some questions may test your clinical judgment and prioritization skills.
Record your answers on a separate sheet. The answer key with detailed
rationales follows the examination section.
Answer key at the end
1. A nurse is assessing a 4-month-old infant during a well-child visit. Which of
the following developmental milestones should the nurse expect the infant to
have achieved?
A. Sitting
independently without support
B. Turning from back to front
C. Walking independently
D. Speaking two-word phrases
2. Anurse is providing anticipatory guidance to the parents of a 12-month-old
infant. Which of the following statements by the parent indicates a need for
further teaching?
A. "I should place gate at the top and bottom of the stairs."
B. "My infant can drink whole milk now."
C. "I should switch my infant to a forward-facing car seat."
D. "My infant should be eating finger foods."
3. Anurse is assessing a 3-year-old toddler's cognitive development using
Piaget's theory. Which of the following behaviors should the nurse expect?
A. Ability to think abstractly and solve complex problems
B. Egocentric thought and magical thinking
C. Understanding of conservation of matter
D. Ability to classify objects by multiple characteristics
4. A
nurse is evaluating the language development of a 2-year-old toddler.
Which of the following findings should the nurse identify as an expected
1
,ATI RN Pediatric Exam with NGN 70 Questions | 105 Minutes
milestone for this age?
A. Uses sentences of 4-5 words
B. Has a vocabulary of approximately 50 words
C. Can name and identify body parts
D. Tells simple stories with a beginning, middle, and end
5. Anurse is planning care for a 5-year-old child who is hospitalized. Which of
the following approaches should the nurse use to best support the child's
psychosocial development according to Erikson?
A. Allow the child to make decisions about care activities whenever possible
B. Encourage the child to maintain a sense of industry through structured
activities
C. Provide consistent caregivers and a familiar routine to promote trust
D. Offer opportunities for the child to participate in peer group activities
6. A
nurse is assessing the gross motor development of an 18-month-old toddler.
Which of the following skills should the nurse expect the child to have
achieved?
2
,ATI RN Pediatric Exam with NGN 70 Questions | 105 Minutes
A. Jumping with both feet
B. Walking up stairs with both feet on each step
C. Throwing a ball overhand
D. Riding a tricycle
7. Anurse is teaching the parents of a 9-month-old infant about age-appropriate
toys. Which of the following toys should the nurse recommend?
A. A puzzle with large interlocking pieces
B. A push-pull toy
C. A small building block set
D. A coloring book with crayons
8. Anurse is performing a Denver II developmental screening on a 15-month-old
toddler. The child can build a tower of 2 cubes, use 3 words, and walk
independently. Which interpretation is correct?
A. The child is developmentally advanced for age
B. The child is meeting expected developmental milestones
C. The child shows a delay in gross motor development
D. The child shows a delay in language development
9. A nurse is caring for an infant with respiratory syncytial virus (RSV)
bronchiolitis. Which of the following interventions should the nurse implement
first?
A. Administer the prescribed bronchodilator
B. Initiate strict intake and output monitoring
C. Place the infant in a mist tent with cool humidity
D. Assess the infant's respiratory status and vital signs
10. Anurse is assessing a child with suspected epiglottitis. Which of the
following findings should the nurse expect?
A. Barking cough and inspiratory stridor
B. Drooling and tripoding posture
C. Low-grade fever and rhinorrhea
D. Gradual onset of respiratory distress over several days
3
, ATI RN Pediatric Exam with NGN 70 Questions | 105 Minutes
11. A
nurse is providing discharge teaching to the parents of a toddler who has
had a tonsillectomy. Which statement indicates understanding?
A. "I should give my child orange juice for vitamin C."
B. "I will let my child eat crunchy foods when hungry."
C. "I should watch for bleeding and report any signs."
D. "I will give my child aspirin for pain relief."
12. A
nurse is caring for a child with asthma experiencing an acute
exacerbation. Which medication should the nurse administer first?
A. Inhaled corticosteroid via metered-dose inhaler
B. Short-acting beta-2 agonist (SABA) such as albuterol
C. Oral montelukast (Singulair)
D. Intravenous methylprednisolone
4
ATI RN Pediatric Exam with NGN 2026 update
70 Questions and answer key | Time Allowed: 105 Minutes
Instructions: Read each question carefully. Select the BEST answer for each
question. Some questions may test your clinical judgment and prioritization skills.
Record your answers on a separate sheet. The answer key with detailed
rationales follows the examination section.
Answer key at the end
1. A nurse is assessing a 4-month-old infant during a well-child visit. Which of
the following developmental milestones should the nurse expect the infant to
have achieved?
A. Sitting
independently without support
B. Turning from back to front
C. Walking independently
D. Speaking two-word phrases
2. Anurse is providing anticipatory guidance to the parents of a 12-month-old
infant. Which of the following statements by the parent indicates a need for
further teaching?
A. "I should place gate at the top and bottom of the stairs."
B. "My infant can drink whole milk now."
C. "I should switch my infant to a forward-facing car seat."
D. "My infant should be eating finger foods."
3. Anurse is assessing a 3-year-old toddler's cognitive development using
Piaget's theory. Which of the following behaviors should the nurse expect?
A. Ability to think abstractly and solve complex problems
B. Egocentric thought and magical thinking
C. Understanding of conservation of matter
D. Ability to classify objects by multiple characteristics
4. A
nurse is evaluating the language development of a 2-year-old toddler.
Which of the following findings should the nurse identify as an expected
1
,ATI RN Pediatric Exam with NGN 70 Questions | 105 Minutes
milestone for this age?
A. Uses sentences of 4-5 words
B. Has a vocabulary of approximately 50 words
C. Can name and identify body parts
D. Tells simple stories with a beginning, middle, and end
5. Anurse is planning care for a 5-year-old child who is hospitalized. Which of
the following approaches should the nurse use to best support the child's
psychosocial development according to Erikson?
A. Allow the child to make decisions about care activities whenever possible
B. Encourage the child to maintain a sense of industry through structured
activities
C. Provide consistent caregivers and a familiar routine to promote trust
D. Offer opportunities for the child to participate in peer group activities
6. A
nurse is assessing the gross motor development of an 18-month-old toddler.
Which of the following skills should the nurse expect the child to have
achieved?
2
,ATI RN Pediatric Exam with NGN 70 Questions | 105 Minutes
A. Jumping with both feet
B. Walking up stairs with both feet on each step
C. Throwing a ball overhand
D. Riding a tricycle
7. Anurse is teaching the parents of a 9-month-old infant about age-appropriate
toys. Which of the following toys should the nurse recommend?
A. A puzzle with large interlocking pieces
B. A push-pull toy
C. A small building block set
D. A coloring book with crayons
8. Anurse is performing a Denver II developmental screening on a 15-month-old
toddler. The child can build a tower of 2 cubes, use 3 words, and walk
independently. Which interpretation is correct?
A. The child is developmentally advanced for age
B. The child is meeting expected developmental milestones
C. The child shows a delay in gross motor development
D. The child shows a delay in language development
9. A nurse is caring for an infant with respiratory syncytial virus (RSV)
bronchiolitis. Which of the following interventions should the nurse implement
first?
A. Administer the prescribed bronchodilator
B. Initiate strict intake and output monitoring
C. Place the infant in a mist tent with cool humidity
D. Assess the infant's respiratory status and vital signs
10. Anurse is assessing a child with suspected epiglottitis. Which of the
following findings should the nurse expect?
A. Barking cough and inspiratory stridor
B. Drooling and tripoding posture
C. Low-grade fever and rhinorrhea
D. Gradual onset of respiratory distress over several days
3
, ATI RN Pediatric Exam with NGN 70 Questions | 105 Minutes
11. A
nurse is providing discharge teaching to the parents of a toddler who has
had a tonsillectomy. Which statement indicates understanding?
A. "I should give my child orange juice for vitamin C."
B. "I will let my child eat crunchy foods when hungry."
C. "I should watch for bleeding and report any signs."
D. "I will give my child aspirin for pain relief."
12. A
nurse is caring for a child with asthma experiencing an acute
exacerbation. Which medication should the nurse administer first?
A. Inhaled corticosteroid via metered-dose inhaler
B. Short-acting beta-2 agonist (SABA) such as albuterol
C. Oral montelukast (Singulair)
D. Intravenous methylprednisolone
4
