NURSING CARE OF CHILDREN ATI PROCTORED EXAM
2026-2027 UPDATE EXAM COMPREHENSIVE PRACTICE TEST BANK
Welcome to the ultimate preparation test bank for the ATI RN Nursing Care of Children Proctored Exam (2026-2027
Update). This study companion is meticulously compiled to cover the primary conceptual domains, developmental
parameters, nursing interventions, and physiological systems tested in official board examinations. This resource is 100%
grounded in core nursing curriculum principles, ensuring that each clinical scenario mimics the rigor and scope of the actual
exam.
Strategic Test-Taking Guidance:
• Prioritization & Safety: Apply the Airway-Breathing-Circulation (ABC) framework and the Urgent-vs-Nonurgent nursing
triage principle to identify which pediatric client requires immediate assessment.
• Developmental Calibration: Always match nursing actions to the child's specific developmental stage (e.g.,
trust-vs-mistrust, autonomy-vs-shame, industry-vs-inferiority) and expected gross/fine motor milestones.
• Safe Administration: Pay critical attention to exact pediatric dosages, medication-specific safety guidelines, and
non-pharmacological comfort techniques.
TABLE OF CONTENTS
Chapter 1: Growth, Development, and Health Promotion
................................................................................................................. Questions 1 – 10
Chapter 2: Pediatric Assessment, Basic Procedures, and Patient Care
................................................................................................................. Questions 11 – 20
Chapter 3: Cardiovascular, Hematologic, and Fluid/Electrolyte Disorders
................................................................................................................. Questions 21 – 30
Chapter 4: Respiratory and Gastrointestinal Disorders
................................................................................................................. Questions 31 – 40
Chapter 5: Neurologic, Oncologic, and Musculoskeletal Disorders
................................................................................................................. Questions 41 – 50
Chapter 6: Infectious Diseases, Immunology, and Immunizations
................................................................................................................. Questions 51 – 60
Comprehensive Study Companion & Practice Exam. Grounded in Official Course Blueprints.
,ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM (2026-2027) COMPREHENSIVE TEST BANK
CHAPTER 1: GROWTH, DEVELOPMENT, AND HEALTH PROMOTION
QUESTION 1: During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler
takes several hours to fall asleep at night. Which of the following recommendations should the nurse make?
A. Vary the time the toddler goes to bed each night.
B. Allow the toddler to watch television before bedtime.
C. Provide the toddler with a favorite toy at bedtime.
D. Increase the toddler's activity prior to bedtime.
ANSWER : C — Provide the toddler with a favorite toy at bedtime.
Explanation: Providing the toddler with a favorite toy or blanket (a transitional object) at bedtime helps the toddler feel more
secure and facilitates sleep. Bedtimes should remain consistent, active play should be avoided right before bed, and television
watching is stimulating and can delay sleep.
QUESTION 2: A nurse is teaching the parent of a toddler about motor development milestones. Which of the
following instructions should the nurse include regarding fine motor skills?
A. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months."
B. "Your child should be able to make strokes imitatively at the age of 12 months."
C. "Your child should be able to draw a perfect circle at the age of 18 months."
D. "Your child should be able to cut shapes with scissors by the age of 15 months."
ANSWER : A — "Your child should be able to scribble spontaneously using a crayon at the age of 15 months."
Explanation: At the age of 15 months, the toddler should be able to scribble spontaneously with a crayon. At the age of 18
months, the toddler should be able to make strokes imitatively. Drawing a circle is a more advanced fine motor skill typically
achieved around the age of 4 years. Cutting with scissors is achieved later in the preschool years.
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, ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM (2026-2027) COMPREHENSIVE TEST BANK
QUESTION 3: A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following
expected behavior characteristics of toddlers should the nurse include?
A. Controls impulsive feelings without difficulty
B. Understands right from wrong and basic moral principles
C. Easily separates from parents for long periods of time
D. Expresses likes and dislikes
ANSWER : D — Expresses likes and dislikes
Explanation: Expressing likes and dislikes is an expected behavioral characteristic of toddlers as they develop autonomy and a
sense of self. Toddlers struggle with impulse control, do not fully comprehend moral principles of right and wrong, and experience
separation anxiety, making long separations difficult.
QUESTION 4: A nurse is collecting data from a 12-month-old infant during a well-child visit. At birth, the
infant's weight was 3.6 kg (8 lb) and his length was 50.8 cm (20 in). Based on this data, which of the following
findings should the nurse expect?
A. The infant weighs 6.4 kg (14 lb).
B. The infant is 101.6 cm (40 in) long.
C. The infant is 76.2 cm (30 in) long.
D. The infant weighs 14.5 kg (32 lb).
ANSWER : C — The infant is 76.2 cm (30 in) long.
Explanation: An infant's length should increase by about 50% by 12 months of age, which makes 76.2 cm (30 in) the expected
length. Additionally, birth weight is expected to triple by 12 months, resulting in an expected weight of approximately 10.8 kg (24
lb).
QUESTION 5: A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The
mother asks if this game has any developmental significance. The nurse should inform the mother that
peek-a-boo helps develop which of the following concepts in the child?
A. Hand-eye coordination
B. Sense of trust and security
C. Object permanence
D. Egocentrism
ANSWER : C — Object permanence
Explanation: Object permanence refers to the cognitive skill of knowing that an object or person still exists even when they are
out of sight. In discovering a hidden object or face while playing peek-a-boo, the infant experiences validation of this critical
developmental concept.
Page 3
2026-2027 UPDATE EXAM COMPREHENSIVE PRACTICE TEST BANK
Welcome to the ultimate preparation test bank for the ATI RN Nursing Care of Children Proctored Exam (2026-2027
Update). This study companion is meticulously compiled to cover the primary conceptual domains, developmental
parameters, nursing interventions, and physiological systems tested in official board examinations. This resource is 100%
grounded in core nursing curriculum principles, ensuring that each clinical scenario mimics the rigor and scope of the actual
exam.
Strategic Test-Taking Guidance:
• Prioritization & Safety: Apply the Airway-Breathing-Circulation (ABC) framework and the Urgent-vs-Nonurgent nursing
triage principle to identify which pediatric client requires immediate assessment.
• Developmental Calibration: Always match nursing actions to the child's specific developmental stage (e.g.,
trust-vs-mistrust, autonomy-vs-shame, industry-vs-inferiority) and expected gross/fine motor milestones.
• Safe Administration: Pay critical attention to exact pediatric dosages, medication-specific safety guidelines, and
non-pharmacological comfort techniques.
TABLE OF CONTENTS
Chapter 1: Growth, Development, and Health Promotion
................................................................................................................. Questions 1 – 10
Chapter 2: Pediatric Assessment, Basic Procedures, and Patient Care
................................................................................................................. Questions 11 – 20
Chapter 3: Cardiovascular, Hematologic, and Fluid/Electrolyte Disorders
................................................................................................................. Questions 21 – 30
Chapter 4: Respiratory and Gastrointestinal Disorders
................................................................................................................. Questions 31 – 40
Chapter 5: Neurologic, Oncologic, and Musculoskeletal Disorders
................................................................................................................. Questions 41 – 50
Chapter 6: Infectious Diseases, Immunology, and Immunizations
................................................................................................................. Questions 51 – 60
Comprehensive Study Companion & Practice Exam. Grounded in Official Course Blueprints.
,ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM (2026-2027) COMPREHENSIVE TEST BANK
CHAPTER 1: GROWTH, DEVELOPMENT, AND HEALTH PROMOTION
QUESTION 1: During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler
takes several hours to fall asleep at night. Which of the following recommendations should the nurse make?
A. Vary the time the toddler goes to bed each night.
B. Allow the toddler to watch television before bedtime.
C. Provide the toddler with a favorite toy at bedtime.
D. Increase the toddler's activity prior to bedtime.
ANSWER : C — Provide the toddler with a favorite toy at bedtime.
Explanation: Providing the toddler with a favorite toy or blanket (a transitional object) at bedtime helps the toddler feel more
secure and facilitates sleep. Bedtimes should remain consistent, active play should be avoided right before bed, and television
watching is stimulating and can delay sleep.
QUESTION 2: A nurse is teaching the parent of a toddler about motor development milestones. Which of the
following instructions should the nurse include regarding fine motor skills?
A. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months."
B. "Your child should be able to make strokes imitatively at the age of 12 months."
C. "Your child should be able to draw a perfect circle at the age of 18 months."
D. "Your child should be able to cut shapes with scissors by the age of 15 months."
ANSWER : A — "Your child should be able to scribble spontaneously using a crayon at the age of 15 months."
Explanation: At the age of 15 months, the toddler should be able to scribble spontaneously with a crayon. At the age of 18
months, the toddler should be able to make strokes imitatively. Drawing a circle is a more advanced fine motor skill typically
achieved around the age of 4 years. Cutting with scissors is achieved later in the preschool years.
Page 2
, ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM (2026-2027) COMPREHENSIVE TEST BANK
QUESTION 3: A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following
expected behavior characteristics of toddlers should the nurse include?
A. Controls impulsive feelings without difficulty
B. Understands right from wrong and basic moral principles
C. Easily separates from parents for long periods of time
D. Expresses likes and dislikes
ANSWER : D — Expresses likes and dislikes
Explanation: Expressing likes and dislikes is an expected behavioral characteristic of toddlers as they develop autonomy and a
sense of self. Toddlers struggle with impulse control, do not fully comprehend moral principles of right and wrong, and experience
separation anxiety, making long separations difficult.
QUESTION 4: A nurse is collecting data from a 12-month-old infant during a well-child visit. At birth, the
infant's weight was 3.6 kg (8 lb) and his length was 50.8 cm (20 in). Based on this data, which of the following
findings should the nurse expect?
A. The infant weighs 6.4 kg (14 lb).
B. The infant is 101.6 cm (40 in) long.
C. The infant is 76.2 cm (30 in) long.
D. The infant weighs 14.5 kg (32 lb).
ANSWER : C — The infant is 76.2 cm (30 in) long.
Explanation: An infant's length should increase by about 50% by 12 months of age, which makes 76.2 cm (30 in) the expected
length. Additionally, birth weight is expected to triple by 12 months, resulting in an expected weight of approximately 10.8 kg (24
lb).
QUESTION 5: A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The
mother asks if this game has any developmental significance. The nurse should inform the mother that
peek-a-boo helps develop which of the following concepts in the child?
A. Hand-eye coordination
B. Sense of trust and security
C. Object permanence
D. Egocentrism
ANSWER : C — Object permanence
Explanation: Object permanence refers to the cognitive skill of knowing that an object or person still exists even when they are
out of sight. In discovering a hidden object or face while playing peek-a-boo, the infant experiences validation of this critical
developmental concept.
Page 3
