ATI PEDIATRIC PROCTORED EXAM | ASSESSMENT TECHNOLOGIES INSTITUTE | NGN-STYLE
2026/2027 ACADEMIC YEAR | 100 VERIFIED QUESTIONS | NGN CASE SCENARIOS | NEWEST EXAM
ATI
PEDS PROCTORED
NGN 2026/2027
ATI Pediatric Proctored Exam
Assessment Technologies Institute (ATI)
2026/2027 Academic Year | 100 Verified Questions with NGN-Style Case Scenarios
Detailed Rationales | Newest Exam | Proctored
100Q VERIFIED NEWEST EXAM CASE SCENARIOS
NGN STYLE 2026/2027 DETAILED
INCLUDES:
• Growth & Development, Vaccines, Safety, Fluid/Electrolytes, Pain, Family-Centered Care
• Respiratory, Cardiac, GI, GU, Neuro, Musculoskeletal, Infectious Diseases
• 100 Verified Questions + NGN-Style Case Scenarios + Detailed Rationales
• ATI Proctored Format | Professional Study Guide | Borders + Page Numbers
ATI Pediatric Proctored Exam | Assessment Technologies Institute | Not affiliated with ATI
Confidential Study Guide - Educational Purposes Only | 2026/2027 Edition
,Growth Development Health Promotion Safety
Description: Growth development cephalocaudal proximodistal milestones 2 months social smile 4 months rolls front to back 6 months sits without support 9 months crawls
pincer grasp 12 months walks with assistance 1-2 words 18 months walks up stairs with help 2-word phrases 2 years parallel play 2-3 word sentences vaccines CDC
schedule birth HepB 2 months DTaP Hib IPV PCV13 RV 4 months same 6 months same plus flu 12 months MMR Varicella HepA 15 months DTaP Hib PCV 4-6 years
DTaP IPV MMR Varicella safety car seat rear-facing until 2 years forward-facing 5-point harness booster until 4'9 choking hazards drowning burn prevention fluid
electrolytes maintenance Holliday-Segar 100/50/20 dehydration assessment mild moderate severe isotonic bolus 20 mL/kg NS LR pain assessment FLACC nonverbal
0-10 Wong-Baker FACES numeric family-centered care atraumatic care.
Respiratory Cardiac GI GU Pediatric Disorders
Description: Respiratory croup vs epiglottitis croup barky cough stridor low-grade fever treatment steroids dexamethasone cool mist racemic epinephrine epiglottitis
drooling tripod high fever toxic emergency airway do not examine throat bronchiolitis RSV nasal suction asthma albuterol steroids cardiac congenital acyanotic VSD ASD
PDA coarctation cyanotic Tetralogy Fallot transposition truncus tricuspid atresia Tetralogy 4 components VSD overriding aorta PS RVH tet spells knee-chest morphine
fluids propranolol heart failure tachycardia hepatomegaly poor feeding sweating diuretics digoxin ACE GI pyloric stenosis 3-6 weeks projectile nonbilious vomiting olive
mass RUQ metabolic alkalosis surgical pyloromyotomy intussusception currant jelly stools sausage mass RUQ air enema reduction Hirschsprung no stool meconium delay
megacolon GU vesicoureteral reflux retrograde flow UTI risk VCUG prophylactic antibiotics glomerulonephritis hematuria hypertension edema post-strep.
Page 2 - ATI Peds 100Q NGN 2026/2027
, Question 1: Q1: NGN Case: 2yo dehydration gastroenteritis dry mucosa cap refill 3 sec HR 140 no tears priority?
A. Recognize cues dehydration analyze moderate deficit prioritize hypothesis fluid volume deficit generate solutions isotonic bolus 20 mL/kg NS take
action administer fluids evaluate I/O daily weight Priority 20 mL/kg NS bolus
B. Give hypotonic D5W first
C. Give juice orally only
D. No fluids needed
CORRECT ANSWER: A. Recognize cues dehydration analyze moderate deficit prioritize hypothesis fluid volume deficit generate solutions
isotonic bolus 20 mL/kg NS take action administer fluids evaluate I/O daily weight Priority 20 mL/kg NS bolus
RATIONALE:
NGN Rationale: Recognize cues dehydration analyze moderate deficit prioritize hypothesis fluid volume deficit generate solutions isotonic bolus 20 mL/kg NS take action
administer fluids evaluate I/O daily weight Priority 20 mL/kg NS bolus. Clinical judgment model Recognize cues Analyze cues Prioritize hypotheses Generate solutions
Take action Evaluate outcomes ATI Pediatric Proctored Exam growth development health promotion safety family-centered care common pediatric disorders ATI outline.
Question 2: Q2: Growth 9-month milestone?
A. 2-word sentences 9 months
B. Walks independently 9 months
C. 9 months crawls pulls to stand pincer grasp mama/dada nonspecific stranger anxiety object permanence
D. Rides tricycle 9 months
CORRECT ANSWER: C. 9 months crawls pulls to stand pincer grasp mama/dada nonspecific stranger anxiety object permanence
RATIONALE:
NGN Rationale: 9 months crawls pulls to stand pincer grasp mama/dada nonspecific stranger anxiety object permanence. Clinical judgment model Recognize cues
Analyze cues Prioritize hypotheses Generate solutions Take action Evaluate outcomes ATI Pediatric Proctored Exam growth development health promotion safety
family-centered care common pediatric disorders ATI outline.
Question 3: Q3: Vaccines 2-month visit?
A. Varicella 2 months
B. MMR 2 months
C. HPV 2 months
D. 2-month DTaP Hib IPV PCV13 RV per CDC
CORRECT ANSWER: D. 2-month DTaP Hib IPV PCV13 RV per CDC
RATIONALE:
NGN Rationale: 2-month DTaP Hib IPV PCV13 RV per CDC. Clinical judgment model Recognize cues Analyze cues Prioritize hypotheses Generate solutions Take action
Evaluate outcomes ATI Pediatric Proctored Exam growth development health promotion safety family-centered care common pediatric disorders ATI outline.
Question 4: Q4: Fluid maintenance 20 kg?
A. 200 mL/day 20 kg
B. Holliday-Segar 100 mL/kg first 10 kg +50 mL/kg next 10 kg +20 mL/kg remainder =1000+500=1500 mL/day 20 kg
C. 5000 mL/day 20 kg
D. No formula
CORRECT ANSWER: B. Holliday-Segar 100 mL/kg first 10 kg +50 mL/kg next 10 kg +20 mL/kg remainder =1000+500=1500 mL/day 20 kg
RATIONALE:
NGN Rationale: Holliday-Segar 100 mL/kg first 10 kg +50 mL/kg next 10 kg +20 mL/kg remainder =1000+500=1500 mL/day 20 kg. Clinical judgment model Recognize
cues Analyze cues Prioritize hypotheses Generate solutions Take action Evaluate outcomes ATI Pediatric Proctored Exam growth development health promotion safety
family-centered care common pediatric disorders ATI outline.
Question 5: Q5: Pain FLACC nonverbal?
A. FLACC Face Legs Activity Cry Consolability 0-10 infants nonverbal postoperative
B. FLACC verbal adolescents only
C. FLACC only adults
D. No pain scale
CORRECT ANSWER: A. FLACC Face Legs Activity Cry Consolability 0-10 infants nonverbal postoperative
RATIONALE:
NGN Rationale: FLACC Face Legs Activity Cry Consolability 0-10 infants nonverbal postoperative. Clinical judgment model Recognize cues Analyze cues Prioritize
hypotheses Generate solutions Take action Evaluate outcomes ATI Pediatric Proctored Exam growth development health promotion safety family-centered care common
pediatric disorders ATI outline.
Question 6: Q6: Respiratory Croup vs epiglottitis NGN?
A. Epiglottitis barky cough
B. Both same
C. Croup barky cough stridor low-grade fever steroids cool mist epiglottitis drooling tripod high fever toxic no throat exam emergency airway
D. Croup drooling tripod
CORRECT ANSWER: C. Croup barky cough stridor low-grade fever steroids cool mist epiglottitis drooling tripod high fever toxic no throat
exam emergency airway
RATIONALE:
NGN Rationale: Croup barky cough stridor low-grade fever steroids cool mist epiglottitis drooling tripod high fever toxic no throat exam emergency airway. Clinical
judgment model Recognize cues Analyze cues Prioritize hypotheses Generate solutions Take action Evaluate outcomes ATI Pediatric Proctored Exam growth
development health promotion safety family-centered care common pediatric disorders ATI outline.
Question 7: Q7: Cardiac Tetralogy tet spells?
A. No oxygen tet spell
B. Lay flat supine no knee-chest
C. Only antibiotics
Page 3 - ATI Peds 100Q NGN 2026/2027
2026/2027 ACADEMIC YEAR | 100 VERIFIED QUESTIONS | NGN CASE SCENARIOS | NEWEST EXAM
ATI
PEDS PROCTORED
NGN 2026/2027
ATI Pediatric Proctored Exam
Assessment Technologies Institute (ATI)
2026/2027 Academic Year | 100 Verified Questions with NGN-Style Case Scenarios
Detailed Rationales | Newest Exam | Proctored
100Q VERIFIED NEWEST EXAM CASE SCENARIOS
NGN STYLE 2026/2027 DETAILED
INCLUDES:
• Growth & Development, Vaccines, Safety, Fluid/Electrolytes, Pain, Family-Centered Care
• Respiratory, Cardiac, GI, GU, Neuro, Musculoskeletal, Infectious Diseases
• 100 Verified Questions + NGN-Style Case Scenarios + Detailed Rationales
• ATI Proctored Format | Professional Study Guide | Borders + Page Numbers
ATI Pediatric Proctored Exam | Assessment Technologies Institute | Not affiliated with ATI
Confidential Study Guide - Educational Purposes Only | 2026/2027 Edition
,Growth Development Health Promotion Safety
Description: Growth development cephalocaudal proximodistal milestones 2 months social smile 4 months rolls front to back 6 months sits without support 9 months crawls
pincer grasp 12 months walks with assistance 1-2 words 18 months walks up stairs with help 2-word phrases 2 years parallel play 2-3 word sentences vaccines CDC
schedule birth HepB 2 months DTaP Hib IPV PCV13 RV 4 months same 6 months same plus flu 12 months MMR Varicella HepA 15 months DTaP Hib PCV 4-6 years
DTaP IPV MMR Varicella safety car seat rear-facing until 2 years forward-facing 5-point harness booster until 4'9 choking hazards drowning burn prevention fluid
electrolytes maintenance Holliday-Segar 100/50/20 dehydration assessment mild moderate severe isotonic bolus 20 mL/kg NS LR pain assessment FLACC nonverbal
0-10 Wong-Baker FACES numeric family-centered care atraumatic care.
Respiratory Cardiac GI GU Pediatric Disorders
Description: Respiratory croup vs epiglottitis croup barky cough stridor low-grade fever treatment steroids dexamethasone cool mist racemic epinephrine epiglottitis
drooling tripod high fever toxic emergency airway do not examine throat bronchiolitis RSV nasal suction asthma albuterol steroids cardiac congenital acyanotic VSD ASD
PDA coarctation cyanotic Tetralogy Fallot transposition truncus tricuspid atresia Tetralogy 4 components VSD overriding aorta PS RVH tet spells knee-chest morphine
fluids propranolol heart failure tachycardia hepatomegaly poor feeding sweating diuretics digoxin ACE GI pyloric stenosis 3-6 weeks projectile nonbilious vomiting olive
mass RUQ metabolic alkalosis surgical pyloromyotomy intussusception currant jelly stools sausage mass RUQ air enema reduction Hirschsprung no stool meconium delay
megacolon GU vesicoureteral reflux retrograde flow UTI risk VCUG prophylactic antibiotics glomerulonephritis hematuria hypertension edema post-strep.
Page 2 - ATI Peds 100Q NGN 2026/2027
, Question 1: Q1: NGN Case: 2yo dehydration gastroenteritis dry mucosa cap refill 3 sec HR 140 no tears priority?
A. Recognize cues dehydration analyze moderate deficit prioritize hypothesis fluid volume deficit generate solutions isotonic bolus 20 mL/kg NS take
action administer fluids evaluate I/O daily weight Priority 20 mL/kg NS bolus
B. Give hypotonic D5W first
C. Give juice orally only
D. No fluids needed
CORRECT ANSWER: A. Recognize cues dehydration analyze moderate deficit prioritize hypothesis fluid volume deficit generate solutions
isotonic bolus 20 mL/kg NS take action administer fluids evaluate I/O daily weight Priority 20 mL/kg NS bolus
RATIONALE:
NGN Rationale: Recognize cues dehydration analyze moderate deficit prioritize hypothesis fluid volume deficit generate solutions isotonic bolus 20 mL/kg NS take action
administer fluids evaluate I/O daily weight Priority 20 mL/kg NS bolus. Clinical judgment model Recognize cues Analyze cues Prioritize hypotheses Generate solutions
Take action Evaluate outcomes ATI Pediatric Proctored Exam growth development health promotion safety family-centered care common pediatric disorders ATI outline.
Question 2: Q2: Growth 9-month milestone?
A. 2-word sentences 9 months
B. Walks independently 9 months
C. 9 months crawls pulls to stand pincer grasp mama/dada nonspecific stranger anxiety object permanence
D. Rides tricycle 9 months
CORRECT ANSWER: C. 9 months crawls pulls to stand pincer grasp mama/dada nonspecific stranger anxiety object permanence
RATIONALE:
NGN Rationale: 9 months crawls pulls to stand pincer grasp mama/dada nonspecific stranger anxiety object permanence. Clinical judgment model Recognize cues
Analyze cues Prioritize hypotheses Generate solutions Take action Evaluate outcomes ATI Pediatric Proctored Exam growth development health promotion safety
family-centered care common pediatric disorders ATI outline.
Question 3: Q3: Vaccines 2-month visit?
A. Varicella 2 months
B. MMR 2 months
C. HPV 2 months
D. 2-month DTaP Hib IPV PCV13 RV per CDC
CORRECT ANSWER: D. 2-month DTaP Hib IPV PCV13 RV per CDC
RATIONALE:
NGN Rationale: 2-month DTaP Hib IPV PCV13 RV per CDC. Clinical judgment model Recognize cues Analyze cues Prioritize hypotheses Generate solutions Take action
Evaluate outcomes ATI Pediatric Proctored Exam growth development health promotion safety family-centered care common pediatric disorders ATI outline.
Question 4: Q4: Fluid maintenance 20 kg?
A. 200 mL/day 20 kg
B. Holliday-Segar 100 mL/kg first 10 kg +50 mL/kg next 10 kg +20 mL/kg remainder =1000+500=1500 mL/day 20 kg
C. 5000 mL/day 20 kg
D. No formula
CORRECT ANSWER: B. Holliday-Segar 100 mL/kg first 10 kg +50 mL/kg next 10 kg +20 mL/kg remainder =1000+500=1500 mL/day 20 kg
RATIONALE:
NGN Rationale: Holliday-Segar 100 mL/kg first 10 kg +50 mL/kg next 10 kg +20 mL/kg remainder =1000+500=1500 mL/day 20 kg. Clinical judgment model Recognize
cues Analyze cues Prioritize hypotheses Generate solutions Take action Evaluate outcomes ATI Pediatric Proctored Exam growth development health promotion safety
family-centered care common pediatric disorders ATI outline.
Question 5: Q5: Pain FLACC nonverbal?
A. FLACC Face Legs Activity Cry Consolability 0-10 infants nonverbal postoperative
B. FLACC verbal adolescents only
C. FLACC only adults
D. No pain scale
CORRECT ANSWER: A. FLACC Face Legs Activity Cry Consolability 0-10 infants nonverbal postoperative
RATIONALE:
NGN Rationale: FLACC Face Legs Activity Cry Consolability 0-10 infants nonverbal postoperative. Clinical judgment model Recognize cues Analyze cues Prioritize
hypotheses Generate solutions Take action Evaluate outcomes ATI Pediatric Proctored Exam growth development health promotion safety family-centered care common
pediatric disorders ATI outline.
Question 6: Q6: Respiratory Croup vs epiglottitis NGN?
A. Epiglottitis barky cough
B. Both same
C. Croup barky cough stridor low-grade fever steroids cool mist epiglottitis drooling tripod high fever toxic no throat exam emergency airway
D. Croup drooling tripod
CORRECT ANSWER: C. Croup barky cough stridor low-grade fever steroids cool mist epiglottitis drooling tripod high fever toxic no throat
exam emergency airway
RATIONALE:
NGN Rationale: Croup barky cough stridor low-grade fever steroids cool mist epiglottitis drooling tripod high fever toxic no throat exam emergency airway. Clinical
judgment model Recognize cues Analyze cues Prioritize hypotheses Generate solutions Take action Evaluate outcomes ATI Pediatric Proctored Exam growth
development health promotion safety family-centered care common pediatric disorders ATI outline.
Question 7: Q7: Cardiac Tetralogy tet spells?
A. No oxygen tet spell
B. Lay flat supine no knee-chest
C. Only antibiotics
Page 3 - ATI Peds 100Q NGN 2026/2027
