ATI Pediatrics | Health Promotion & Preventive Care | Exam 2 Practice
2026 |Questions |Answers |Rationales
1. Which immunization is typically administered for the first time to an infant
between 12 and 15 months of age?
A. Rotavirus
B. Diphtheria, Tetanus, Pertussis (DTaP)
C. Hepatitis B
D. Measles, Mumps, Rubella (MMR)
Answer: D
Rationale: The first dose of the MMR vaccine is recommended for children between 12 and
15 months of age. Hepatitis B is given at birth, and Rotavirus/DTaP begin at 2 months.
2. Which food item should be avoided in a 12-month-old’s diet to prevent
choking?
A. Mashed potatoes
B. Yogurt
C. Applesauce
D. Popcorn
Answer: D
Rationale: Popcorn, grapes, hot dogs, and hard candies are significant choking hazards for
toddlers and should be avoided until the child is older and has better chewing capabilities.
,3. A parent of a 2-year-old is frustrated by the child constantly saying ‘no’ to
every request. Which developmental concept explains this behavior?
A. Regression
B. Moral development
C. Separation anxiety
D. Autonomy vs. Shame and Doubt
Answer: D
Rationale: Negativism is a normal part of a toddler’s quest for autonomy as they learn they
have a will of their own, according to Erikson’s stage of Autonomy vs. Shame and Doubt.
4. At what age is it recommended to transition a child to a forward-facing car
seat, provided they meet the weight/height requirements?
A. 6 months
B. 12 months
C. 4 years
D. 2 years
Answer: D
Rationale: The American Academy of Pediatrics recommends that children remain in a
rear-facing car seat until age 2 or until they reach the maximum height and weight for the
seat.
5. Which psychosocial stage of development applies to school-age children (6 to
12 years)?
A. Trust vs. Mistrust
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Identity vs. Role Confusion
Answer: B
, Rationale: School-age children are in the Industry vs. Inferiority stage, focusing on
mastering skills and social productivity.
6. During a health history interview with an adolescent, which action by the
nurse best promotes open communication?
A. Interviewing the adolescent with parents present
B. Assuring confidentiality within legal and safety limits
C. Focusing strictly on physical growth milestones
D. Avoiding questions about sensitive topics like sexuality
Answer: B
Rationale: Adolescents are more likely to share honest information if they are assured of
confidentiality, though nurses must explain limits regarding harm to self or others.
7. To reduce the risk of Sudden Infant Death Syndrome (SIDS), how should a
nurse instruct parents to place their infant for sleep?
A. Side-lying
B. Supine (on back)
C. Prone (on stomach)
D. In a car seat or swing
Answer: B
Rationale: The ‘Back to Sleep’ campaign recommends the supine position for all infants to
reduce SIDS risk.
8. At what age is routine blood lead level screening usually recommended for
children considered at risk?
A. 6 months
B. 1 and 2 years
C. 5 years
D. 10 years
Answer: B
2026 |Questions |Answers |Rationales
1. Which immunization is typically administered for the first time to an infant
between 12 and 15 months of age?
A. Rotavirus
B. Diphtheria, Tetanus, Pertussis (DTaP)
C. Hepatitis B
D. Measles, Mumps, Rubella (MMR)
Answer: D
Rationale: The first dose of the MMR vaccine is recommended for children between 12 and
15 months of age. Hepatitis B is given at birth, and Rotavirus/DTaP begin at 2 months.
2. Which food item should be avoided in a 12-month-old’s diet to prevent
choking?
A. Mashed potatoes
B. Yogurt
C. Applesauce
D. Popcorn
Answer: D
Rationale: Popcorn, grapes, hot dogs, and hard candies are significant choking hazards for
toddlers and should be avoided until the child is older and has better chewing capabilities.
,3. A parent of a 2-year-old is frustrated by the child constantly saying ‘no’ to
every request. Which developmental concept explains this behavior?
A. Regression
B. Moral development
C. Separation anxiety
D. Autonomy vs. Shame and Doubt
Answer: D
Rationale: Negativism is a normal part of a toddler’s quest for autonomy as they learn they
have a will of their own, according to Erikson’s stage of Autonomy vs. Shame and Doubt.
4. At what age is it recommended to transition a child to a forward-facing car
seat, provided they meet the weight/height requirements?
A. 6 months
B. 12 months
C. 4 years
D. 2 years
Answer: D
Rationale: The American Academy of Pediatrics recommends that children remain in a
rear-facing car seat until age 2 or until they reach the maximum height and weight for the
seat.
5. Which psychosocial stage of development applies to school-age children (6 to
12 years)?
A. Trust vs. Mistrust
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Identity vs. Role Confusion
Answer: B
, Rationale: School-age children are in the Industry vs. Inferiority stage, focusing on
mastering skills and social productivity.
6. During a health history interview with an adolescent, which action by the
nurse best promotes open communication?
A. Interviewing the adolescent with parents present
B. Assuring confidentiality within legal and safety limits
C. Focusing strictly on physical growth milestones
D. Avoiding questions about sensitive topics like sexuality
Answer: B
Rationale: Adolescents are more likely to share honest information if they are assured of
confidentiality, though nurses must explain limits regarding harm to self or others.
7. To reduce the risk of Sudden Infant Death Syndrome (SIDS), how should a
nurse instruct parents to place their infant for sleep?
A. Side-lying
B. Supine (on back)
C. Prone (on stomach)
D. In a car seat or swing
Answer: B
Rationale: The ‘Back to Sleep’ campaign recommends the supine position for all infants to
reduce SIDS risk.
8. At what age is routine blood lead level screening usually recommended for
children considered at risk?
A. 6 months
B. 1 and 2 years
C. 5 years
D. 10 years
Answer: B
