PEDS ATI COMPREHENSIVE PAPER 2025/2026 QUESTIONS
WITH SOLUTIONS GRADED A+
✔✔Toddler Language - ✔✔- 1 y/o use hollow phrases (1 word sentences)
- 2 y/o use sentences that have 2-3 words
✔✔Age Appropriate Activities: Toddler - ✔✔Parallel Play; playing next to friends but not
playing with them
Toys: large puzzles, blocks, push-pull toys, puppets
✔✔Toddler Toilet Training - ✔✔starts around 2-3 y/o, should not start until toddler has
urge to urinate/defecate on their own
✔✔Gross/Fine Motor Skills: Toddler 15 mos - ✔✔walk without help, successfully build
two block tower
✔✔Gross/Fine Motor Skills: Toddler 18 mos - ✔✔throw ball overhand, jump in place
using both feet, use a spoon without rotation, build 3-4 block tower
✔✔Gross/Fine Motor Skills: Toddler 2 years - ✔✔place both feet on steps going up and
down stairs, build 6-7 block tower
✔✔Gross/Fine Motor Skills: Toddler 2.5 years - ✔✔stand on one foot and draw a circle
✔✔Immunizations Toddler - ✔✔I'MHPV
IPV (may not need this if got 3rd dose at 6 mos)
MMR
HIV
PCV
Varicella
* should also receive annual flu vaccine
✔✔12-23 mos: Immunizations - ✔✔will get Hep A in 2 doses 6 mos apart
✔✔15-18 mos: Immunizations - ✔✔DTAP
✔✔Nutrition: Toddler - ✔✔switch from whole milk to low fat milk around 2 yrs, limit juice
to 4-6 oz daily, avoid choking hazards, cut food into bite size pieces
✔✔Preschoolers: H & W - ✔✔Wt: gain 4.5-6.5 lbs yearly
Ht: grow 2.5-3 in yearly
✔✔Gross and Fine Motor Skills: Preschoolers 3 years - ✔✔ride a tricycle, jump off
bottom step of stairs
,✔✔Gross and Fine Motor Skills: Preschoolers 4 years - ✔✔skip and hop on one foot,
throw a ball overhead, use scissors to cut out a shape
✔✔Gross and Fine Motor Skills: Preschoolers 5 years - ✔✔jump rope and draw stick
figure with 7 body parts
✔✔Gross and Fine Motor Skills: Preschoolers 6 years - ✔✔use utensil to spread butter,
identify L vs R hand
✔✔Key Beliefs: Toddler - ✔✔- concept of magical thinking; believe that thought can
cause events to occur
- belief in animism; inanimate objects are alive
- time; do not understand clock or frame of time, understand time relative to daily routine
i.e Mom will be home after your nap
✔✔Age Appropriate Activities: Preschool - ✔✔Associative Play; playing together,
interaction, not organized play
Toys: ball, puzzles, tricycles, dress-up, role playing, painting, reading books
✔✔Immunizations: Preschool 4-6 yrs - ✔✔DIM
DTAP
IPV
MMR
* get annual flu vaccine
✔✔Nutrition: Preschool - ✔✔need half calories of adults, provide 5 servings of fruits and
veggies daily
✔✔Daily Routine: Preschool - ✔✔-limit screen time to 2 hrs daily, allow for physical
activity time
- sleep about 12 hrs each night, want consistent bedtime, avoid letting them sleep with
parents, provide night light if needed
✔✔School Age Children: H & W - ✔✔Wt: 4.5-6.5 lbs yearly
Ht: 2 in yearly
✔✔Age Appropriate Activities: School Age - ✔✔Cooperative; organized, competitive
play
Toys: board games, jump rope, bicycles, organized sports
✔✔Immunizations: School Age 11-12 y/o - ✔✔TDAP, HPV, meningitis
* annual flu vaccine
✔✔School Age Sleep - ✔✔need about 9-10 hrs per night
, ✔✔Injury Prevention: Preschool and School Age - ✔✔- encourage use of protective
equipment; helmets, pads
- lock away firearms
- lock away cleaners, harsh chemicals
- set water heater below 120 F
- do not leave children unattended near body of water
- have child use forward facing car seat or booster until 4'9
- bicycle: right size, ride in single line direction of traffic, wear bright clothing so visible to
traffic
✔✔Adolescents: Female Growth - ✔✔- Stop growing 2-2.5 yrs after onset of first period
- Sexual Maturation Order: development of breasts, pubic hair, axillary hair,
menstruation
✔✔Adolescents: Male Growth - ✔✔- Stop growing around 18-20
- Sexual Maturation Order: development of testes, pubic hair, penial enlargement,
axillary hair, facial hair, voice changes
✔✔Age Appropriate Activities: Teens (Adolescent) - ✔✔video games, listening to music,
sports, reading, taking care of a pet
✔✔Immunizations: Adolescent 16-18 yrs - ✔✔MCV-4 booster (meningitis)
* annual flu vaccine
✔✔Safe Medication Admin Principles: PO - ✔✔- use smallest measuring device
possible
- avoid mixing meds with formula (if they don't drink all formula, not sure how much med
they got)
- can use flavored meds
- place small amt in child mouth and promote swallowing through stroking underneath
chin and hold cheeks closed
✔✔Safe Medication Admin Principles: Optic - ✔✔- pull lower eyelid downward and instill
med into conjunctival sac
- ointment goes from inner to outer canthus, give before naps d/t blurred vision
- if applying both, give drops then ointment (wait 3 mins before admin of ointment)
✔✔Safe Medication Admin Principles: Otic - ✔✔- pull pinna down and back for children
under 3
- pull pinna up and back for children over 3
✔✔Safe Medication Admin Principles: ID - ✔✔use 26-30 gauge needle, bevel up, 15
degree angle
WITH SOLUTIONS GRADED A+
✔✔Toddler Language - ✔✔- 1 y/o use hollow phrases (1 word sentences)
- 2 y/o use sentences that have 2-3 words
✔✔Age Appropriate Activities: Toddler - ✔✔Parallel Play; playing next to friends but not
playing with them
Toys: large puzzles, blocks, push-pull toys, puppets
✔✔Toddler Toilet Training - ✔✔starts around 2-3 y/o, should not start until toddler has
urge to urinate/defecate on their own
✔✔Gross/Fine Motor Skills: Toddler 15 mos - ✔✔walk without help, successfully build
two block tower
✔✔Gross/Fine Motor Skills: Toddler 18 mos - ✔✔throw ball overhand, jump in place
using both feet, use a spoon without rotation, build 3-4 block tower
✔✔Gross/Fine Motor Skills: Toddler 2 years - ✔✔place both feet on steps going up and
down stairs, build 6-7 block tower
✔✔Gross/Fine Motor Skills: Toddler 2.5 years - ✔✔stand on one foot and draw a circle
✔✔Immunizations Toddler - ✔✔I'MHPV
IPV (may not need this if got 3rd dose at 6 mos)
MMR
HIV
PCV
Varicella
* should also receive annual flu vaccine
✔✔12-23 mos: Immunizations - ✔✔will get Hep A in 2 doses 6 mos apart
✔✔15-18 mos: Immunizations - ✔✔DTAP
✔✔Nutrition: Toddler - ✔✔switch from whole milk to low fat milk around 2 yrs, limit juice
to 4-6 oz daily, avoid choking hazards, cut food into bite size pieces
✔✔Preschoolers: H & W - ✔✔Wt: gain 4.5-6.5 lbs yearly
Ht: grow 2.5-3 in yearly
✔✔Gross and Fine Motor Skills: Preschoolers 3 years - ✔✔ride a tricycle, jump off
bottom step of stairs
,✔✔Gross and Fine Motor Skills: Preschoolers 4 years - ✔✔skip and hop on one foot,
throw a ball overhead, use scissors to cut out a shape
✔✔Gross and Fine Motor Skills: Preschoolers 5 years - ✔✔jump rope and draw stick
figure with 7 body parts
✔✔Gross and Fine Motor Skills: Preschoolers 6 years - ✔✔use utensil to spread butter,
identify L vs R hand
✔✔Key Beliefs: Toddler - ✔✔- concept of magical thinking; believe that thought can
cause events to occur
- belief in animism; inanimate objects are alive
- time; do not understand clock or frame of time, understand time relative to daily routine
i.e Mom will be home after your nap
✔✔Age Appropriate Activities: Preschool - ✔✔Associative Play; playing together,
interaction, not organized play
Toys: ball, puzzles, tricycles, dress-up, role playing, painting, reading books
✔✔Immunizations: Preschool 4-6 yrs - ✔✔DIM
DTAP
IPV
MMR
* get annual flu vaccine
✔✔Nutrition: Preschool - ✔✔need half calories of adults, provide 5 servings of fruits and
veggies daily
✔✔Daily Routine: Preschool - ✔✔-limit screen time to 2 hrs daily, allow for physical
activity time
- sleep about 12 hrs each night, want consistent bedtime, avoid letting them sleep with
parents, provide night light if needed
✔✔School Age Children: H & W - ✔✔Wt: 4.5-6.5 lbs yearly
Ht: 2 in yearly
✔✔Age Appropriate Activities: School Age - ✔✔Cooperative; organized, competitive
play
Toys: board games, jump rope, bicycles, organized sports
✔✔Immunizations: School Age 11-12 y/o - ✔✔TDAP, HPV, meningitis
* annual flu vaccine
✔✔School Age Sleep - ✔✔need about 9-10 hrs per night
, ✔✔Injury Prevention: Preschool and School Age - ✔✔- encourage use of protective
equipment; helmets, pads
- lock away firearms
- lock away cleaners, harsh chemicals
- set water heater below 120 F
- do not leave children unattended near body of water
- have child use forward facing car seat or booster until 4'9
- bicycle: right size, ride in single line direction of traffic, wear bright clothing so visible to
traffic
✔✔Adolescents: Female Growth - ✔✔- Stop growing 2-2.5 yrs after onset of first period
- Sexual Maturation Order: development of breasts, pubic hair, axillary hair,
menstruation
✔✔Adolescents: Male Growth - ✔✔- Stop growing around 18-20
- Sexual Maturation Order: development of testes, pubic hair, penial enlargement,
axillary hair, facial hair, voice changes
✔✔Age Appropriate Activities: Teens (Adolescent) - ✔✔video games, listening to music,
sports, reading, taking care of a pet
✔✔Immunizations: Adolescent 16-18 yrs - ✔✔MCV-4 booster (meningitis)
* annual flu vaccine
✔✔Safe Medication Admin Principles: PO - ✔✔- use smallest measuring device
possible
- avoid mixing meds with formula (if they don't drink all formula, not sure how much med
they got)
- can use flavored meds
- place small amt in child mouth and promote swallowing through stroking underneath
chin and hold cheeks closed
✔✔Safe Medication Admin Principles: Optic - ✔✔- pull lower eyelid downward and instill
med into conjunctival sac
- ointment goes from inner to outer canthus, give before naps d/t blurred vision
- if applying both, give drops then ointment (wait 3 mins before admin of ointment)
✔✔Safe Medication Admin Principles: Otic - ✔✔- pull pinna down and back for children
under 3
- pull pinna up and back for children over 3
✔✔Safe Medication Admin Principles: ID - ✔✔use 26-30 gauge needle, bevel up, 15
degree angle
