ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
ATI RN Proctored Exam 2026 Pediatrics
& Fundamentals | 350 Real Exam
Questions | First Attempt Version |
Verified Answers & Detailed Rationales
Introduction
This exam contains over 300 multiple-choice questions covering critical areas in
pediatric nursing and foundational nursing principles. Each question is accompanied by
a verified correct answer and a detailed rationale, providing not only the correct
response but also the reasoning behind it, ensuring deeper understanding and
retention of core concepts..
A nurse is assessing a 4-year-old child during a well-child visit. Which developmental
milestone should the nurse expect?
A. Copies a circle
B. Ties shoelaces independently
C. Uses 2-word sentences
D. Counts backward from 20
Answer: A
Rationale:
At 4 years of age, children are in the preschool developmental stage. Fine motor
development at this age includes the ability to copy simple geometric shapes such as a
circle and sometimes a cross. This demonstrates maturation of hand-eye coordination
and visual-motor integration.
Tying shoelaces requires more advanced fine motor coordination and sequencing skills,
typically developing closer to age 5–6 years.
1|Page
,ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A nurse is preparing to administer oral medication to a toddler. Which action is
appropriate?
A. Mix medication with a full bottle of milk
B. Place medication at the back of the tongue
C. Offer a small amount of juice after medication
D. Force the child to swallow immediately
Answer: C
Rationale:
Administering oral medication to toddlers requires strategies that promote safety and
cooperation while ensuring full dosing. Offering a small amount of juice after
administering medication helps reduce unpleasant taste and encourages swallowing
without compromising the full medication dose.
A nurse is caring for a child with suspected epiglottitis. What is the priority action?
A. Obtain a throat culture
B. Visualize the throat with a tongue depressor
C. Prepare for airway management
D. Encourage oral fluids
Answer: C
Rationale:
Epiglottitis is an acute, potentially life-threatening condition characterized by
inflammation and swelling of the epiglottis, which can rapidly obstruct the airway.
Because airway compromise can occur suddenly, airway stabilization is the highest
priority intervention according to ABC (Airway, Breathing, Circulation) principles.
A nurse is teaching parents about car seat safety for a 1-year-old infant. Which statement
indicates understanding?
2|Page
,ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A. “My child can sit in the front seat.”
B. “I will use a rear-facing car seat.”
C. “Booster seats are appropriate now.”
D. “Seat belts alone are fine.”
Answer: B
Rationale:
Current pediatric safety guidelines recommend that infants and toddlers remain in rear-
facing car seats for as long as possible, ideally until they reach the maximum height or
weight allowed by the car seat manufacturer. Rear-facing positioning provides optimal
protection for the head, neck, and spine in the event of a collision.
A nurse notes that a child with dehydration has sunken eyes and decreased urine output.
Which is the priority intervention?
A. Provide high-protein snacks
B. Initiate oral rehydration solution
C. Encourage physical activity
D. Restrict fluids
Answer: B
Rationale:
Sunken eyes and decreased urine output are clinical indicators of moderate dehydration.
The priority intervention is restoration of fluid and electrolyte balance. Oral rehydration
solution (ORS) is specifically formulated to replace lost sodium, potassium, glucose, and
water in physiologically appropriate proportions.
Providing high-protein snacks does not address immediate fluid deficits and may worsen
gastrointestinal distress.
A nurse is assessing a 6-month-old infant. Which developmental milestone should the
nurse expect?
3|Page
, ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A. Sits without support
B. Rolls from back to abdomen
C. Uses three-word sentences
D. Walks independently
Answer: B
Rationale: At 6 months, infants typically roll over and begin sitting with support. Sitting
independently and walking occur later, and three-word sentences are expected in toddler
years.
A nurse prepares to administer an intramuscular injection to a 2-month-old
infant. Which site is appropriate?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
Answer: C
Rationale: The vastus lateralis is the preferred IM site for infants due to adequate muscle
mass. The deltoid is not sufficiently developed at this age.
A nurse is caring for a child with droplet precautions. Which action is required?
A. Wear N95 respirator
B. Wear surgical mask within 3 feet
C. Place child in negative pressure room
D. Use sterile gloves at all times
Answer: B
Rationale: Droplet precautions require a surgical mask when within close range. N95 and
negative pressure are required for airborne precautions.
A nurse notes a medication order that seems unusually high. What is the nurse’s
first action?
A. Administer as prescribed
B. Clarify the order with provider
4|Page
ATI RN Proctored Exam 2026 Pediatrics
& Fundamentals | 350 Real Exam
Questions | First Attempt Version |
Verified Answers & Detailed Rationales
Introduction
This exam contains over 300 multiple-choice questions covering critical areas in
pediatric nursing and foundational nursing principles. Each question is accompanied by
a verified correct answer and a detailed rationale, providing not only the correct
response but also the reasoning behind it, ensuring deeper understanding and
retention of core concepts..
A nurse is assessing a 4-year-old child during a well-child visit. Which developmental
milestone should the nurse expect?
A. Copies a circle
B. Ties shoelaces independently
C. Uses 2-word sentences
D. Counts backward from 20
Answer: A
Rationale:
At 4 years of age, children are in the preschool developmental stage. Fine motor
development at this age includes the ability to copy simple geometric shapes such as a
circle and sometimes a cross. This demonstrates maturation of hand-eye coordination
and visual-motor integration.
Tying shoelaces requires more advanced fine motor coordination and sequencing skills,
typically developing closer to age 5–6 years.
1|Page
,ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A nurse is preparing to administer oral medication to a toddler. Which action is
appropriate?
A. Mix medication with a full bottle of milk
B. Place medication at the back of the tongue
C. Offer a small amount of juice after medication
D. Force the child to swallow immediately
Answer: C
Rationale:
Administering oral medication to toddlers requires strategies that promote safety and
cooperation while ensuring full dosing. Offering a small amount of juice after
administering medication helps reduce unpleasant taste and encourages swallowing
without compromising the full medication dose.
A nurse is caring for a child with suspected epiglottitis. What is the priority action?
A. Obtain a throat culture
B. Visualize the throat with a tongue depressor
C. Prepare for airway management
D. Encourage oral fluids
Answer: C
Rationale:
Epiglottitis is an acute, potentially life-threatening condition characterized by
inflammation and swelling of the epiglottis, which can rapidly obstruct the airway.
Because airway compromise can occur suddenly, airway stabilization is the highest
priority intervention according to ABC (Airway, Breathing, Circulation) principles.
A nurse is teaching parents about car seat safety for a 1-year-old infant. Which statement
indicates understanding?
2|Page
,ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A. “My child can sit in the front seat.”
B. “I will use a rear-facing car seat.”
C. “Booster seats are appropriate now.”
D. “Seat belts alone are fine.”
Answer: B
Rationale:
Current pediatric safety guidelines recommend that infants and toddlers remain in rear-
facing car seats for as long as possible, ideally until they reach the maximum height or
weight allowed by the car seat manufacturer. Rear-facing positioning provides optimal
protection for the head, neck, and spine in the event of a collision.
A nurse notes that a child with dehydration has sunken eyes and decreased urine output.
Which is the priority intervention?
A. Provide high-protein snacks
B. Initiate oral rehydration solution
C. Encourage physical activity
D. Restrict fluids
Answer: B
Rationale:
Sunken eyes and decreased urine output are clinical indicators of moderate dehydration.
The priority intervention is restoration of fluid and electrolyte balance. Oral rehydration
solution (ORS) is specifically formulated to replace lost sodium, potassium, glucose, and
water in physiologically appropriate proportions.
Providing high-protein snacks does not address immediate fluid deficits and may worsen
gastrointestinal distress.
A nurse is assessing a 6-month-old infant. Which developmental milestone should the
nurse expect?
3|Page
, ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A. Sits without support
B. Rolls from back to abdomen
C. Uses three-word sentences
D. Walks independently
Answer: B
Rationale: At 6 months, infants typically roll over and begin sitting with support. Sitting
independently and walking occur later, and three-word sentences are expected in toddler
years.
A nurse prepares to administer an intramuscular injection to a 2-month-old
infant. Which site is appropriate?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
Answer: C
Rationale: The vastus lateralis is the preferred IM site for infants due to adequate muscle
mass. The deltoid is not sufficiently developed at this age.
A nurse is caring for a child with droplet precautions. Which action is required?
A. Wear N95 respirator
B. Wear surgical mask within 3 feet
C. Place child in negative pressure room
D. Use sterile gloves at all times
Answer: B
Rationale: Droplet precautions require a surgical mask when within close range. N95 and
negative pressure are required for airborne precautions.
A nurse notes a medication order that seems unusually high. What is the nurse’s
first action?
A. Administer as prescribed
B. Clarify the order with provider
4|Page
