NUR 272/NURS 272 WEEK 14 ATI
PEDIATRIC NURSING COMPREHENSIVE
PROCTORED EXAM REVIEW — QUESTIONS
1–100 AND ANSWERS UPDATED
2026/2027 | NGN CLINICAL JUDGMENT
| DETAILED RATIONALES
Introduction
This original practice question bank is designed to support preparation for the NUR
272/NURS 272 Week 14 Pediatric Nursing Comprehensive Exam Review. It covers
pediatric growth and development, health promotion, immunizations, respiratory and
cardiovascular disorders, fluid and electrolyte balance, gastrointestinal and
genitourinary conditions, neurological emergencies, endocrine disorders, pediatric
medication safety, and family-centered nursing care.
Questions emphasize clinical reasoning and the Next Generation NCLEX (NGN)
clinical judgment process: recognizing cues, analyzing findings, prioritizing
hypotheses, generating solutions, taking action, and evaluating outcomes. Scenarios
include assessment findings, laboratory values, medication calculations, and priority-
setting decisions.
These are original educational practice questions, not verified copies of actual ATI or
Medgar Evers College examination items. Follow your instructor’s guidance and
current institutional protocols, particularly for medication administration,
immunization schedules, and emergency management.
Core content domains
1.
Growth, development, and health promotion
2.
3.
Pediatric assessment and vital signs
4.
5.
, Immunizations and communicable diseases
6.
7.
Respiratory disorders and airway emergencies
8.
9.
Cardiovascular disorders
10.
11.
Fluid, electrolyte, and gastrointestinal disorders
12.
13.
Neurological disorders and emergencies
14.
15.
Endocrine and metabolic conditions
16.
17.
Renal, urinary, and hematologic disorders
18.
19.
Medication safety, prioritization, and NGN clinical judgment
20.
Questions 1–10: Growth, Development, and
Health Promotion
Question 1
A nurse is assessing a 2-month-old infant during a well-child visit. Which finding
requires the nurse to notify the provider for further evaluation?
,A. The infant briefly raises the head while lying prone.
B. The infant startles in response to a sudden loud noise.
C. The infant demonstrates a strong rooting reflex.
D. The infant has a persistent asymmetric Moro reflex.
Rationale: A persistent asymmetric Moro reflex can indicate a neurological or
musculoskeletal problem, such as a birth-related nerve injury or clavicular fracture,
and requires further evaluation. Brief head lifting, a startle response, and rooting are
expected findings in a young infant.
Question 2
The parent of a 9-month-old infant asks which activity best supports developmental
progress. Which recommendation should the nurse make?
A. Encourage independent stair climbing.
B. Provide supervised floor play with safe toys that encourage reaching and crawling.
C. Use flash cards to teach reading for 30 minutes daily.
D. Keep the infant in a seated activity center for most of the day.
Rationale: Supervised floor play supports gross motor development, coordination,
exploration, and reaching. Independent stair climbing is unsafe, prolonged seated
activity restricts movement, and formal reading drills are not developmentally
appropriate priorities.
Question 3
A nurse is teaching the parent of a 2-year-old about nutrition. Which statement
demonstrates understanding?
A. “I will require my child to finish every meal.”
B. “I will eliminate all dietary fats.”
C. “I will offer only milk when my child refuses solid food.”
D. “I will offer small, nutritious portions and allow my child to respond to hunger and
fullness cues.”
Rationale: Toddlers benefit from small portions, predictable meals and snacks, and
responsive feeding. Forcing food can create negative associations with eating. Dietary
fats remain important for growth, and milk should not replace a balanced diet.
, Question 4
A nurse is preparing to administer a medication to a preschool-age child who is
frightened. Which approach is most appropriate?
A. Explain every technical detail of the procedure.
B. Use simple words, demonstrate on a doll, and offer a limited choice when possible.
C. Tell the child that the procedure will not hurt.
D. Ask the parent to leave so the child learns independence.
Rationale: Preschoolers benefit from concrete explanations, play-based preparation,
reassurance, and appropriate choices. Promising that a painful procedure will not hurt
can undermine trust. Parent involvement is often comforting, and technical
explanations may exceed the child’s developmental understanding.
Question 5
The nurse is assessing a school-age child. Which behavior is most consistent with
expected developmental needs?
A. Depending entirely on caregivers for all daily activities.
B. Demonstrating no interest in peer relationships.
C. Taking pride in completing a school project and developing skills.
D. Believing that all illness is caused by magical punishment.
Rationale: School-age children typically develop competence and self-esteem through
learning, achievement, and productive activities. Total dependence and absent peer
interest are not typical developmental expectations. Magical explanations are more
characteristic of younger children’s thinking.
Question 6
A nurse is teaching parents about injury prevention for a toddler. Which instruction is
the priority?
A. Allow the toddler to use a riding toy near traffic if supervised.
B. Store cleaning products beneath the kitchen sink for easy access.
C. Keep medications and household chemicals locked and out of sight and reach.
D. Permit the toddler to eat whole grapes while walking.
PEDIATRIC NURSING COMPREHENSIVE
PROCTORED EXAM REVIEW — QUESTIONS
1–100 AND ANSWERS UPDATED
2026/2027 | NGN CLINICAL JUDGMENT
| DETAILED RATIONALES
Introduction
This original practice question bank is designed to support preparation for the NUR
272/NURS 272 Week 14 Pediatric Nursing Comprehensive Exam Review. It covers
pediatric growth and development, health promotion, immunizations, respiratory and
cardiovascular disorders, fluid and electrolyte balance, gastrointestinal and
genitourinary conditions, neurological emergencies, endocrine disorders, pediatric
medication safety, and family-centered nursing care.
Questions emphasize clinical reasoning and the Next Generation NCLEX (NGN)
clinical judgment process: recognizing cues, analyzing findings, prioritizing
hypotheses, generating solutions, taking action, and evaluating outcomes. Scenarios
include assessment findings, laboratory values, medication calculations, and priority-
setting decisions.
These are original educational practice questions, not verified copies of actual ATI or
Medgar Evers College examination items. Follow your instructor’s guidance and
current institutional protocols, particularly for medication administration,
immunization schedules, and emergency management.
Core content domains
1.
Growth, development, and health promotion
2.
3.
Pediatric assessment and vital signs
4.
5.
, Immunizations and communicable diseases
6.
7.
Respiratory disorders and airway emergencies
8.
9.
Cardiovascular disorders
10.
11.
Fluid, electrolyte, and gastrointestinal disorders
12.
13.
Neurological disorders and emergencies
14.
15.
Endocrine and metabolic conditions
16.
17.
Renal, urinary, and hematologic disorders
18.
19.
Medication safety, prioritization, and NGN clinical judgment
20.
Questions 1–10: Growth, Development, and
Health Promotion
Question 1
A nurse is assessing a 2-month-old infant during a well-child visit. Which finding
requires the nurse to notify the provider for further evaluation?
,A. The infant briefly raises the head while lying prone.
B. The infant startles in response to a sudden loud noise.
C. The infant demonstrates a strong rooting reflex.
D. The infant has a persistent asymmetric Moro reflex.
Rationale: A persistent asymmetric Moro reflex can indicate a neurological or
musculoskeletal problem, such as a birth-related nerve injury or clavicular fracture,
and requires further evaluation. Brief head lifting, a startle response, and rooting are
expected findings in a young infant.
Question 2
The parent of a 9-month-old infant asks which activity best supports developmental
progress. Which recommendation should the nurse make?
A. Encourage independent stair climbing.
B. Provide supervised floor play with safe toys that encourage reaching and crawling.
C. Use flash cards to teach reading for 30 minutes daily.
D. Keep the infant in a seated activity center for most of the day.
Rationale: Supervised floor play supports gross motor development, coordination,
exploration, and reaching. Independent stair climbing is unsafe, prolonged seated
activity restricts movement, and formal reading drills are not developmentally
appropriate priorities.
Question 3
A nurse is teaching the parent of a 2-year-old about nutrition. Which statement
demonstrates understanding?
A. “I will require my child to finish every meal.”
B. “I will eliminate all dietary fats.”
C. “I will offer only milk when my child refuses solid food.”
D. “I will offer small, nutritious portions and allow my child to respond to hunger and
fullness cues.”
Rationale: Toddlers benefit from small portions, predictable meals and snacks, and
responsive feeding. Forcing food can create negative associations with eating. Dietary
fats remain important for growth, and milk should not replace a balanced diet.
, Question 4
A nurse is preparing to administer a medication to a preschool-age child who is
frightened. Which approach is most appropriate?
A. Explain every technical detail of the procedure.
B. Use simple words, demonstrate on a doll, and offer a limited choice when possible.
C. Tell the child that the procedure will not hurt.
D. Ask the parent to leave so the child learns independence.
Rationale: Preschoolers benefit from concrete explanations, play-based preparation,
reassurance, and appropriate choices. Promising that a painful procedure will not hurt
can undermine trust. Parent involvement is often comforting, and technical
explanations may exceed the child’s developmental understanding.
Question 5
The nurse is assessing a school-age child. Which behavior is most consistent with
expected developmental needs?
A. Depending entirely on caregivers for all daily activities.
B. Demonstrating no interest in peer relationships.
C. Taking pride in completing a school project and developing skills.
D. Believing that all illness is caused by magical punishment.
Rationale: School-age children typically develop competence and self-esteem through
learning, achievement, and productive activities. Total dependence and absent peer
interest are not typical developmental expectations. Magical explanations are more
characteristic of younger children’s thinking.
Question 6
A nurse is teaching parents about injury prevention for a toddler. Which instruction is
the priority?
A. Allow the toddler to use a riding toy near traffic if supervised.
B. Store cleaning products beneath the kitchen sink for easy access.
C. Keep medications and household chemicals locked and out of sight and reach.
D. Permit the toddler to eat whole grapes while walking.
