Pass the 2026 ATI RN Pediatrics
Proctor Exam with 350+ Questions,
NGN-Style Questions & Case
Scenarios | Get A Level 2 or Higher
EXAM OVERVIEW & KEY FACTS
Feature Details
Number of
~70–120 questions
Questions
Passing Score Level 1 (~60–70%)
Time Limit Typically 2–3 hours
Growth & Development, Health Promotion, Pediatric Assessment, Common Illnesses,
Key Topics
Pharmacology, Safety, NGN Case Scenarios
Question Types Multiple Choice, Select All That Apply, NGN Case Studies, Matrix, Ordered Response
Scoring Levels :
Level 3: Exceeds expectations (highest)
Level 2: Exceeds minimum expectations (~71–80%)
Level 1: Meets minimum expectations (~60–70%)
, Below Level 1: Does not meet expectations
SECTION 1: GROWTH & DEVELOPMENT
Q1. A nurse is assessing a 2-year-old child during a well-child visit. Which milestone
should the nurse expect?
A. Running steadily
B. Speaking in full sentences
C. Kicking a ball
D. Tying shoelaces
Answer: C
Rationale: A 2-year-old typically develops gross motor skills like kicking a ball. Running
steadily is expected at 3 years. Speaking in full sentences occurs at 3–4 years. Tying
shoelaces is a 5–6 year milestone .
Q2. A nurse is teaching parents about immunizations for a 6-month-old infant. Which
vaccine is due at this age?
A. MMR
B. DTaP
C. HPV
D. Varicella
Answer: B
Rationale: DTaP (diphtheria, tetanus, pertussis) is scheduled at 2, 4, and 6 months as
part of the primary immunization series. MMR and Varicella are given at 12–15 months.
HPV is given at 11–12 years .
,Q3. A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations
and is planning to attend college. The nurse should inform the client that he should
receive which immunization prior to moving into a campus dormitory?
A. Pneumococcal polysaccharide
B. Meningococcal polysaccharide
C. Rotavirus
D. Herpes zoster
Answer: B
Rationale: Meningococcal polysaccharide vaccine (MenACWY) is recommended for
adolescents before college dormitory living due to increased risk of meningococcal
disease in crowded settings .
Q4. A nurse is performing a physical assessment on a 6-month-old infant. Which reflex
should the nurse expect to find?
A. Stepping
B. Babinski
C. Extrusion
D. Moro
Answer: B
Rationale: The Babinski reflex (toes fanning when sole is stroked) is present until
approximately 12 months of age. Stepping, Moro, and extrusion reflexes are usually
absent by 4–6 months .
Q5. A nurse is assessing a 3-year-old child who is 1-day postoperative following a
tonsillectomy. Which method should the nurse use to determine if the child is
experiencing pain?
A. Ask the parents
B. Use the FACES scale
, C. Use the numeric rating scale
D. Check the child's temperature
Answer: B
Rationale: The FACES pain rating scale is appropriate for children ages 3 and older. The
numeric rating scale is used for children 7 years and older. Parents can provide input,
but the child's self-report is the gold standard .
Q6. A nurse is teaching the parent of an infant about food allergies. Which food should
the nurse include as the most common food allergy in children?
A. Cow's milk
B. Wheat bread
C. Corn syrup
D. Eggs
Answer: A
Rationale: Cow's milk is the most common food allergy in infants and young children,
followed by eggs and peanuts. Wheat and corn are less common allergens .
Q7. A nurse is teaching a parent about preventing sudden infant death syndrome (SIDS).
What should the nurse recommend?
A. Place the infant prone to sleep
B. Place the infant supine to sleep
C. Use soft bedding in the crib
D. Co-sleep with the infant
Answer: B
Rationale: Placing the infant supine (on the back) for sleep is the single most important
intervention to reduce the risk of SIDS. Soft bedding and co-sleeping increase SIDS risk .
Proctor Exam with 350+ Questions,
NGN-Style Questions & Case
Scenarios | Get A Level 2 or Higher
EXAM OVERVIEW & KEY FACTS
Feature Details
Number of
~70–120 questions
Questions
Passing Score Level 1 (~60–70%)
Time Limit Typically 2–3 hours
Growth & Development, Health Promotion, Pediatric Assessment, Common Illnesses,
Key Topics
Pharmacology, Safety, NGN Case Scenarios
Question Types Multiple Choice, Select All That Apply, NGN Case Studies, Matrix, Ordered Response
Scoring Levels :
Level 3: Exceeds expectations (highest)
Level 2: Exceeds minimum expectations (~71–80%)
Level 1: Meets minimum expectations (~60–70%)
, Below Level 1: Does not meet expectations
SECTION 1: GROWTH & DEVELOPMENT
Q1. A nurse is assessing a 2-year-old child during a well-child visit. Which milestone
should the nurse expect?
A. Running steadily
B. Speaking in full sentences
C. Kicking a ball
D. Tying shoelaces
Answer: C
Rationale: A 2-year-old typically develops gross motor skills like kicking a ball. Running
steadily is expected at 3 years. Speaking in full sentences occurs at 3–4 years. Tying
shoelaces is a 5–6 year milestone .
Q2. A nurse is teaching parents about immunizations for a 6-month-old infant. Which
vaccine is due at this age?
A. MMR
B. DTaP
C. HPV
D. Varicella
Answer: B
Rationale: DTaP (diphtheria, tetanus, pertussis) is scheduled at 2, 4, and 6 months as
part of the primary immunization series. MMR and Varicella are given at 12–15 months.
HPV is given at 11–12 years .
,Q3. A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations
and is planning to attend college. The nurse should inform the client that he should
receive which immunization prior to moving into a campus dormitory?
A. Pneumococcal polysaccharide
B. Meningococcal polysaccharide
C. Rotavirus
D. Herpes zoster
Answer: B
Rationale: Meningococcal polysaccharide vaccine (MenACWY) is recommended for
adolescents before college dormitory living due to increased risk of meningococcal
disease in crowded settings .
Q4. A nurse is performing a physical assessment on a 6-month-old infant. Which reflex
should the nurse expect to find?
A. Stepping
B. Babinski
C. Extrusion
D. Moro
Answer: B
Rationale: The Babinski reflex (toes fanning when sole is stroked) is present until
approximately 12 months of age. Stepping, Moro, and extrusion reflexes are usually
absent by 4–6 months .
Q5. A nurse is assessing a 3-year-old child who is 1-day postoperative following a
tonsillectomy. Which method should the nurse use to determine if the child is
experiencing pain?
A. Ask the parents
B. Use the FACES scale
, C. Use the numeric rating scale
D. Check the child's temperature
Answer: B
Rationale: The FACES pain rating scale is appropriate for children ages 3 and older. The
numeric rating scale is used for children 7 years and older. Parents can provide input,
but the child's self-report is the gold standard .
Q6. A nurse is teaching the parent of an infant about food allergies. Which food should
the nurse include as the most common food allergy in children?
A. Cow's milk
B. Wheat bread
C. Corn syrup
D. Eggs
Answer: A
Rationale: Cow's milk is the most common food allergy in infants and young children,
followed by eggs and peanuts. Wheat and corn are less common allergens .
Q7. A nurse is teaching a parent about preventing sudden infant death syndrome (SIDS).
What should the nurse recommend?
A. Place the infant prone to sleep
B. Place the infant supine to sleep
C. Use soft bedding in the crib
D. Co-sleep with the infant
Answer: B
Rationale: Placing the infant supine (on the back) for sleep is the single most important
intervention to reduce the risk of SIDS. Soft bedding and co-sleeping increase SIDS risk .
