ATI RN Pediatric Proctored Exam (2026) NGN Study
Guide
Welcome to your comprehensive study resource for the ATI RN Pediatric
Proctored Exam with NGN. This guide is designed to help you master the key
concepts required for certification, covering growth and development, pediatric
assessment, common childhood illnesses, pharmacology, immunizations, and
family-centered care.
Part 1: Exam Overview & Core Concepts
Key Exam Information
- Exam Type: ATI RN Pediatric Proctored Exam with NGN (Next Generation
NCLEX-style questions)
- Typical Questions: 70-150 questions including multiple-choice, SATA, case
scenarios, and NGN-style items
- Content Areas: Growth & Development, Pediatric Assessment, Common
Childhood Illnesses, Pharmacology, Immunizations, Family-Centered Care, Safety,
Nursing Interventions
- Passing Score: Varies by institution; typically requires competency-level
performance
Core Content Domains
| Domain | Key Topics |
1
,|--|--|
| Growth & Development | Erikson, Piaget, developmental milestones, age-
appropriate activities |
| Pediatric Assessment | Vital signs, pain assessment, physical exam techniques,
growth parameters |
| Common Childhood Illnesses | Respiratory, cardiac, gastrointestinal, neurologic,
and infectious disorders |
| Pharmacology | Pediatric medication calculations, administration, side effects |
| Immunizations | Vaccine schedules, contraindications, parent education |
| Safety & Injury Prevention | Accident prevention, abuse recognition, home safety
|
| Family-Centered Care | Communication, therapeutic relationships, cultural
considerations |
Part 2: Practice Questions & Answers
The following questions are based on verified practice exam content from the 2026
ATI RN Pediatric Proctored Exam.
Section 1: Growth & Development
Q1. A nurse is collecting data from a 10-month-old infant. Which of the following
findings should the nurse report to the provider?
2
,A) Pulls self to standing position
B) Moves by creeping on hands and knees
C) Takes intentional steps when standing
D) Sits with support by leaning on hands
Answer: D
Rationale: By 10 months of age, an infant should be able to sit independently
without support. Sitting with support indicates a potential developmental delay that
should be reported to the provider.
Q2. 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 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 10.8 kg (24 lb)
3
, Answer: C
Rationale: By 12 months, birth length increases by approximately 50%, making 30
inches (76.2 cm) an expected finding. Birth weight typically triples by 12 months.
Q3. A nurse is assessing a 2½-year-old at a well-child visit. Which finding should
be reported to the provider?
A) Height increased by 7.5 cm (3 in) this past year
B) Head circumference exceeds chest circumference
C) Anterior and posterior fontanels have closed
D) Current weight equals four times the birth weight
Answer: B
Rationale: By 2 years of age, chest circumference should exceed head
circumference. The anterior fontanel closes by 18 months, and the posterior
fontanel closes by 2-3 months.
4
Guide
Welcome to your comprehensive study resource for the ATI RN Pediatric
Proctored Exam with NGN. This guide is designed to help you master the key
concepts required for certification, covering growth and development, pediatric
assessment, common childhood illnesses, pharmacology, immunizations, and
family-centered care.
Part 1: Exam Overview & Core Concepts
Key Exam Information
- Exam Type: ATI RN Pediatric Proctored Exam with NGN (Next Generation
NCLEX-style questions)
- Typical Questions: 70-150 questions including multiple-choice, SATA, case
scenarios, and NGN-style items
- Content Areas: Growth & Development, Pediatric Assessment, Common
Childhood Illnesses, Pharmacology, Immunizations, Family-Centered Care, Safety,
Nursing Interventions
- Passing Score: Varies by institution; typically requires competency-level
performance
Core Content Domains
| Domain | Key Topics |
1
,|--|--|
| Growth & Development | Erikson, Piaget, developmental milestones, age-
appropriate activities |
| Pediatric Assessment | Vital signs, pain assessment, physical exam techniques,
growth parameters |
| Common Childhood Illnesses | Respiratory, cardiac, gastrointestinal, neurologic,
and infectious disorders |
| Pharmacology | Pediatric medication calculations, administration, side effects |
| Immunizations | Vaccine schedules, contraindications, parent education |
| Safety & Injury Prevention | Accident prevention, abuse recognition, home safety
|
| Family-Centered Care | Communication, therapeutic relationships, cultural
considerations |
Part 2: Practice Questions & Answers
The following questions are based on verified practice exam content from the 2026
ATI RN Pediatric Proctored Exam.
Section 1: Growth & Development
Q1. A nurse is collecting data from a 10-month-old infant. Which of the following
findings should the nurse report to the provider?
2
,A) Pulls self to standing position
B) Moves by creeping on hands and knees
C) Takes intentional steps when standing
D) Sits with support by leaning on hands
Answer: D
Rationale: By 10 months of age, an infant should be able to sit independently
without support. Sitting with support indicates a potential developmental delay that
should be reported to the provider.
Q2. 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 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 10.8 kg (24 lb)
3
, Answer: C
Rationale: By 12 months, birth length increases by approximately 50%, making 30
inches (76.2 cm) an expected finding. Birth weight typically triples by 12 months.
Q3. A nurse is assessing a 2½-year-old at a well-child visit. Which finding should
be reported to the provider?
A) Height increased by 7.5 cm (3 in) this past year
B) Head circumference exceeds chest circumference
C) Anterior and posterior fontanels have closed
D) Current weight equals four times the birth weight
Answer: B
Rationale: By 2 years of age, chest circumference should exceed head
circumference. The anterior fontanel closes by 18 months, and the posterior
fontanel closes by 2-3 months.
4
