PEDS ATI STANDARDIZED EXAM 2025/2026 QUESTIONS
WITH SOLUTIONS GRADED A+
✔✔Family Assessment - ✔✔- History: Medical history for parents, siblings, and
grandparents
- Structure: Family members (mother, father, son)
Developmental tasks: Tasks a family works on as the child grows (parents helping a
school-age child develop peer relations)
- Family characteristics: Cultural, religious, and economic influences on behavior,
attitudes, and actions
- Family stressors: Expected (birth of a child) and unexpected (illness, divorce,
disability, or death of a family member) events that cause stress
- Environment: Availability of and family interactions with community resources
- Family support system: Availability of extended family, work and peer relationships, as
well as social systems and community resources to assist the family in meeting needs
or adapting to a stressor
✔✔Overall nursing actions during pediatric physical asessments - ✔✔- keep room warm
and well lit
- nonthreatening environment, keep med eqiupment out of sight
- Provide privacy (esp. consider adolescents)
- Observe behaviors that show readiness to cooperate: interact with nurse, making eye
contact, willingly sitting on exam table
- explain each step of exam to the child: appropriate language, demonstrate, allow child
to handle equipment
- Examine in secure, comfortable position (ex: toddler on parent's lap)
- Organized sequence
- If uncooperative: assess reasons, be firm and direct, complete assessment quick, use
calm voice
- encourage child anf family to ask questions during and after exam
✔✔Newborn Vital Signs (birth-4wks) - ✔✔- Temp: 99.5F, axillary & rectal
- Heart Rate: 110-160/min
- Respirations: 30-60/min
- Blood pressure (avg. 50th percentile): 64/41 mmHg
- Growth:
✔✔Infant Vital signs (1-12 months) - ✔✔- Temp: 99.5-9F, axillary & rectal
- Heart Rate: 90-160/min
- Respirations: 25-60/min
- Blood pressure (avg. 50th percentile): 85-50 mmHg
- Growth:
✔✔Toddler Vital signs (1-2yrs) - ✔✔- Temp: 99.9F, axillary & rectal
- Heart Rate: 80-140/min
- Respirations: 25-30/min
,- Blood pressure (avg. 50th percentile): male SBP 85-91, female SBP 86-89
- growth:
✔✔Preschooler Vital signs (3-5yrs) - ✔✔- Temp: 99.0-98.6F. can take axillary,
tympanic, oral, rectal
- Heart Rate: 70-120/min
- Respirations: 20-25/min
- Blood pressure (avg. 50th percentile): male SBP 91-98, female SBP 89-93
- Growth:
✔✔Schoolager Vital signs (6-12yrs) - ✔✔- Temp: 98.6-98.1F. oral, axillary, tympanic
- Heart Rate 60-110/min
- Respirations: 20-25/min
- Blood pressure (avg. 50th percentile): male SBP 96-106, Female SBP 94-105
- Growth:
✔✔Adolescent Vital Signs (13-18yrs) - ✔✔- Temp: 97.9F, oral, axillary, tympani
- Heart Rate: 50-100/min
- Respirations: 16-20/min
- Blood pressure: SBP < 120, DBP < 80
- Growth:
✔✔When should Fontannels close - ✔✔- posterior fontanel usually closes by 8 weeks of
age,
- anterior fontanel usually closes between 12 and 18 months of age.
✔✔Normal Peripheral visual fiels - ✔✔- Upward 50°
- Downward 70°
- Nasally 60°
- Temporally 90°
✔✔Visual Acuity testing - ✔✔- Can be difficult to determine in children younger than 3
years of age.
- Visual acuity in infants can be assessed by holding an object in front of the eyes and
checking to see whether the infant is able to fix on the object and follow it.
- Use the tumbling E or HOTV test to check visual acuity of children who are unable to
read letters and numbers.
- Older children should be tested using a Snellen chart or symbol chart.
✔✔Normal irises age - ✔✔should be round with the permanent color manifesting
around 6 to 12 months of age.
✔✔Extraocular movement assessment - ✔✔- Might not be symmetric in newborns.
- Corneal light reflex should be symmetric.
- Cover/uncover test should demonstrate equal movement of the eyes.
, - Six cardinal fields of gaze should demonstrate no nystagmus.
✔✔color vision assessment - ✔✔- Should be determined using the Ishihara color test or
the Hardy-Rand-Rittler test.
- The child should be able to correctly identify shapes, symbols, or numbers.
✔✔Internal ear assessment - ✔✔- In infants and toddlers, pull the pinna down and back
to visualize the tympanic membrane. QPCC
In children older than 3 years of age, pull the pinna up and back to visualize.
- Tympanic membrane should be pearly pink or grey
✔✔Hearing assessment - ✔✔- Newborns should have intact acoustic blink reflexes to
sudden sounds.
- Infants should turn toward sounds.
- Older children can be screened by whispering a word from behind to see whether they
can identify the word.
✔✔Teeth assessment - ✔✔- Infants should have six to eight teeth by 1 year of age.
- Children and adolescents should have teeth that are white and smooth, and begin
replacing the 20 deciduous teeth with 32 permanent teeth.
✔✔Breast assessment - ✔✔- Females: Breasts typically develop between 10 to 14
years of age. The breasts should appear asymmetric, have no masses, and be
palpable.
- Males can develop gynecomastia, which is unilateral or bilateral breast enlargement
that occurs during puberty.
✔✔Infant Reflexes: Neuro System assessment - ✔✔- Birth to 4 weeks: stepping
- Birth to 4 months: sucking and rooting reflex, palmar grasp, moro reflex
- Birth to 8 months: plantar grasp
Birth-3/4months: tonic neck reflex
- Birth to 1yr: babinski reflex (Elicited by stroking the outer edge of the sole of an infant's
foot up toward the toesThe infant's toes fan upward and out.)
✔✔Cerebellar function tests - ✔✔- Finger to nose test: Rapid coordinated movements
- Heel to shin test: Able to run the heel of one foot down the shin of the other leg while
standing
- Romberg test: Able to stand with slight swaying while eyes are closed
✔✔Measurements of a full term newborn - ✔✔- Head circumference: averages between
33 and 35 cm (13 and 14 in).
- Crown to rump length: 31 to 35 cm (12.5 to 14 in), approximately equal to head
circumference.
Length: Head to heel length averages 48 to 53 cm (19 to 21 in).
Weight: averages 2,700 to 4,000 g (6 to 9 lb).
WITH SOLUTIONS GRADED A+
✔✔Family Assessment - ✔✔- History: Medical history for parents, siblings, and
grandparents
- Structure: Family members (mother, father, son)
Developmental tasks: Tasks a family works on as the child grows (parents helping a
school-age child develop peer relations)
- Family characteristics: Cultural, religious, and economic influences on behavior,
attitudes, and actions
- Family stressors: Expected (birth of a child) and unexpected (illness, divorce,
disability, or death of a family member) events that cause stress
- Environment: Availability of and family interactions with community resources
- Family support system: Availability of extended family, work and peer relationships, as
well as social systems and community resources to assist the family in meeting needs
or adapting to a stressor
✔✔Overall nursing actions during pediatric physical asessments - ✔✔- keep room warm
and well lit
- nonthreatening environment, keep med eqiupment out of sight
- Provide privacy (esp. consider adolescents)
- Observe behaviors that show readiness to cooperate: interact with nurse, making eye
contact, willingly sitting on exam table
- explain each step of exam to the child: appropriate language, demonstrate, allow child
to handle equipment
- Examine in secure, comfortable position (ex: toddler on parent's lap)
- Organized sequence
- If uncooperative: assess reasons, be firm and direct, complete assessment quick, use
calm voice
- encourage child anf family to ask questions during and after exam
✔✔Newborn Vital Signs (birth-4wks) - ✔✔- Temp: 99.5F, axillary & rectal
- Heart Rate: 110-160/min
- Respirations: 30-60/min
- Blood pressure (avg. 50th percentile): 64/41 mmHg
- Growth:
✔✔Infant Vital signs (1-12 months) - ✔✔- Temp: 99.5-9F, axillary & rectal
- Heart Rate: 90-160/min
- Respirations: 25-60/min
- Blood pressure (avg. 50th percentile): 85-50 mmHg
- Growth:
✔✔Toddler Vital signs (1-2yrs) - ✔✔- Temp: 99.9F, axillary & rectal
- Heart Rate: 80-140/min
- Respirations: 25-30/min
,- Blood pressure (avg. 50th percentile): male SBP 85-91, female SBP 86-89
- growth:
✔✔Preschooler Vital signs (3-5yrs) - ✔✔- Temp: 99.0-98.6F. can take axillary,
tympanic, oral, rectal
- Heart Rate: 70-120/min
- Respirations: 20-25/min
- Blood pressure (avg. 50th percentile): male SBP 91-98, female SBP 89-93
- Growth:
✔✔Schoolager Vital signs (6-12yrs) - ✔✔- Temp: 98.6-98.1F. oral, axillary, tympanic
- Heart Rate 60-110/min
- Respirations: 20-25/min
- Blood pressure (avg. 50th percentile): male SBP 96-106, Female SBP 94-105
- Growth:
✔✔Adolescent Vital Signs (13-18yrs) - ✔✔- Temp: 97.9F, oral, axillary, tympani
- Heart Rate: 50-100/min
- Respirations: 16-20/min
- Blood pressure: SBP < 120, DBP < 80
- Growth:
✔✔When should Fontannels close - ✔✔- posterior fontanel usually closes by 8 weeks of
age,
- anterior fontanel usually closes between 12 and 18 months of age.
✔✔Normal Peripheral visual fiels - ✔✔- Upward 50°
- Downward 70°
- Nasally 60°
- Temporally 90°
✔✔Visual Acuity testing - ✔✔- Can be difficult to determine in children younger than 3
years of age.
- Visual acuity in infants can be assessed by holding an object in front of the eyes and
checking to see whether the infant is able to fix on the object and follow it.
- Use the tumbling E or HOTV test to check visual acuity of children who are unable to
read letters and numbers.
- Older children should be tested using a Snellen chart or symbol chart.
✔✔Normal irises age - ✔✔should be round with the permanent color manifesting
around 6 to 12 months of age.
✔✔Extraocular movement assessment - ✔✔- Might not be symmetric in newborns.
- Corneal light reflex should be symmetric.
- Cover/uncover test should demonstrate equal movement of the eyes.
, - Six cardinal fields of gaze should demonstrate no nystagmus.
✔✔color vision assessment - ✔✔- Should be determined using the Ishihara color test or
the Hardy-Rand-Rittler test.
- The child should be able to correctly identify shapes, symbols, or numbers.
✔✔Internal ear assessment - ✔✔- In infants and toddlers, pull the pinna down and back
to visualize the tympanic membrane. QPCC
In children older than 3 years of age, pull the pinna up and back to visualize.
- Tympanic membrane should be pearly pink or grey
✔✔Hearing assessment - ✔✔- Newborns should have intact acoustic blink reflexes to
sudden sounds.
- Infants should turn toward sounds.
- Older children can be screened by whispering a word from behind to see whether they
can identify the word.
✔✔Teeth assessment - ✔✔- Infants should have six to eight teeth by 1 year of age.
- Children and adolescents should have teeth that are white and smooth, and begin
replacing the 20 deciduous teeth with 32 permanent teeth.
✔✔Breast assessment - ✔✔- Females: Breasts typically develop between 10 to 14
years of age. The breasts should appear asymmetric, have no masses, and be
palpable.
- Males can develop gynecomastia, which is unilateral or bilateral breast enlargement
that occurs during puberty.
✔✔Infant Reflexes: Neuro System assessment - ✔✔- Birth to 4 weeks: stepping
- Birth to 4 months: sucking and rooting reflex, palmar grasp, moro reflex
- Birth to 8 months: plantar grasp
Birth-3/4months: tonic neck reflex
- Birth to 1yr: babinski reflex (Elicited by stroking the outer edge of the sole of an infant's
foot up toward the toesThe infant's toes fan upward and out.)
✔✔Cerebellar function tests - ✔✔- Finger to nose test: Rapid coordinated movements
- Heel to shin test: Able to run the heel of one foot down the shin of the other leg while
standing
- Romberg test: Able to stand with slight swaying while eyes are closed
✔✔Measurements of a full term newborn - ✔✔- Head circumference: averages between
33 and 35 cm (13 and 14 in).
- Crown to rump length: 31 to 35 cm (12.5 to 14 in), approximately equal to head
circumference.
Length: Head to heel length averages 48 to 53 cm (19 to 21 in).
Weight: averages 2,700 to 4,000 g (6 to 9 lb).
