1
ATI PEDIATRICS PROCTORED EXAM 2025 |
ALL VERIFIED QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | LATEST VERSION
JUST RELEASED
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the infant have achieved?
A. Walking with support
B. Sitting without support
C. Speaking single words
D. Using a pincer grasp
Correct Answer: B
Rationale: By 6 months, infants typically sit without support. Walking with support
occurs around 9–12 months, single words around 12 months, and pincer grasp around 9
months, per pediatric developmental guidelines.
2. What is the recommended site for an intramuscular injection in a 2-year-old child?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Vastus lateralis muscle
D. Dorsogluteal muscle
Correct Answer: C
Rationale: The vastus lateralis is the preferred IM injection site for children under 3
years due to its large muscle mass and safety, per ATI pediatric nursing standards.
3. A 4-year-old child with sickle cell anemia is admitted with a vaso-occlusive crisis.
What is the priority nursing intervention?
A. Administer oxygen
B. Provide IV hydration
C. Apply warm compresses
D. Restrict fluid intake
Correct Answer: B
Rationale: IV hydration is the priority to reduce blood viscosity and promote circulation,
alleviating pain and preventing complications in a vaso-occlusive crisis, per sickle cell
management protocols.
4. Which immunization is typically administered to a 2-month-old infant?
A. MMR (measles, mumps, rubella)
B. DTaP (diphtheria, tetanus, pertussis)
C. Varicella
D. Influenza
Correct Answer: B
Rationale: The DTaP vaccine is given at 2, 4, and 6 months to protect against diphtheria,
tetanus, and pertussis, per CDC immunization schedules.
5. A nurse is teaching parents about preventing sudden infant death syndrome (SIDS).
Which instruction is most important?
, 2
A. Place the infant on their back to sleep
B. Use a firm pillow in the crib
C. Keep the room temperature cool
D. Allow co-sleeping with parents
Correct Answer: A
Rationale: Placing infants on their back to sleep significantly reduces SIDS risk, per
American Academy of Pediatrics (AAP) guidelines.
6. A 10-year-old child with asthma is experiencing an acute exacerbation. Which
medication should the nurse administer first?
A. Albuterol nebulizer
B. Oral prednisone
C. Montelukast
D. Fluticasone inhaler
Correct Answer: A
Rationale: Albuterol, a short-acting beta-agonist, is the first-line treatment for acute
asthma exacerbations to relieve bronchospasm, per GINA guidelines.
7. What is a common clinical manifestation of dehydration in a 3-year-old child?
A. Bulging fontanel
B. Sunken eyes
C. Increased urine output
D. Moist mucous membranes
Correct Answer: B
Rationale: Sunken eyes are a hallmark sign of dehydration in young children, indicating
fluid loss, per pediatric assessment standards.
8. A nurse is caring for an infant with tetralogy of Fallot. Which finding indicates a
hypercyanotic spell?
A. Increased oxygen saturation
B. Sudden cyanosis and irritability
C. Regular heart rate
D. Improved feeding tolerance
Correct Answer: B
Rationale: Hypercyanotic spells in tetralogy of Fallot present with sudden cyanosis,
irritability, and respiratory distress due to decreased pulmonary blood flow, per
congenital heart defect protocols.
9. Which food should a nurse recommend for a 12-month-old transitioning to table
foods?
A. Whole grapes
B. Mashed sweet potatoes
C. Popcorn
D. Raw carrots
Correct Answer: B
Rationale: Mashed sweet potatoes are soft and safe for a 12-month-old, reducing
choking risk, per AAP nutrition guidelines.
10. A 5-year-old child is diagnosed with acute lymphocytic leukemia (ALL). Which lab
finding is expected?
A. Decreased white blood cell count
, 3
B. Increased platelet count
C. Elevated blast cells in bone marrow
D. Normal hemoglobin levels
Correct Answer: C
Rationale: ALL is characterized by increased blast cells in bone marrow, reflecting
immature leukocytes, per pediatric oncology standards.
11. What is the priority nursing action for a newborn with a temperature of 36.2°C
(97.2°F)?
A. Administer acetaminophen
B. Place the infant in a warmer
C. Increase room temperature
D. Monitor temperature in 4 hours
Correct Answer: B
Rationale: A temperature below 36.5°C in a newborn indicates hypothermia, requiring
immediate warming to prevent complications, per neonatal care guidelines.
12. A 7-year-old child with type 1 diabetes has a blood glucose level of 50 mg/dL. What
is the nurse’s first action?
A. Administer insulin
B. Give 15 grams of fast-acting carbohydrate
C. Encourage exercise
D. Withhold food intake
Correct Answer: B
Rationale: Hypoglycemia (blood glucose <70 mg/dL) requires immediate administration
of 15 grams of fast-acting carbohydrate, per ADA guidelines.
13. Which assessment finding indicates a positive Babinski reflex in a 6-month-old
infant?
A. Toes curl downward
B. Toes fan upward
C. No toe movement
D. Ankle flexion
Correct Answer: B
Rationale: A positive Babinski reflex, normal in infants under 2 years, shows toes
fanning upward when the sole is stroked, per neurological assessment standards.
14. A nurse is preparing to administer the rotavirus vaccine to an infant. What is a
contraindication?
A. Mild cold symptoms
B. History of intussusception
C. Breastfeeding
D. Age of 6 months
Correct Answer: B
Rationale: A history of intussusception is a contraindication for the rotavirus vaccine due
to increased risk of recurrence, per CDC guidelines.
15. A 3-year-old child with cystic fibrosis is admitted with a respiratory infection. What
is the priority nursing intervention?
A. Administer pancreatic enzymes
B. Initiate chest physiotherapy
ATI PEDIATRICS PROCTORED EXAM 2025 |
ALL VERIFIED QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | LATEST VERSION
JUST RELEASED
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the infant have achieved?
A. Walking with support
B. Sitting without support
C. Speaking single words
D. Using a pincer grasp
Correct Answer: B
Rationale: By 6 months, infants typically sit without support. Walking with support
occurs around 9–12 months, single words around 12 months, and pincer grasp around 9
months, per pediatric developmental guidelines.
2. What is the recommended site for an intramuscular injection in a 2-year-old child?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Vastus lateralis muscle
D. Dorsogluteal muscle
Correct Answer: C
Rationale: The vastus lateralis is the preferred IM injection site for children under 3
years due to its large muscle mass and safety, per ATI pediatric nursing standards.
3. A 4-year-old child with sickle cell anemia is admitted with a vaso-occlusive crisis.
What is the priority nursing intervention?
A. Administer oxygen
B. Provide IV hydration
C. Apply warm compresses
D. Restrict fluid intake
Correct Answer: B
Rationale: IV hydration is the priority to reduce blood viscosity and promote circulation,
alleviating pain and preventing complications in a vaso-occlusive crisis, per sickle cell
management protocols.
4. Which immunization is typically administered to a 2-month-old infant?
A. MMR (measles, mumps, rubella)
B. DTaP (diphtheria, tetanus, pertussis)
C. Varicella
D. Influenza
Correct Answer: B
Rationale: The DTaP vaccine is given at 2, 4, and 6 months to protect against diphtheria,
tetanus, and pertussis, per CDC immunization schedules.
5. A nurse is teaching parents about preventing sudden infant death syndrome (SIDS).
Which instruction is most important?
, 2
A. Place the infant on their back to sleep
B. Use a firm pillow in the crib
C. Keep the room temperature cool
D. Allow co-sleeping with parents
Correct Answer: A
Rationale: Placing infants on their back to sleep significantly reduces SIDS risk, per
American Academy of Pediatrics (AAP) guidelines.
6. A 10-year-old child with asthma is experiencing an acute exacerbation. Which
medication should the nurse administer first?
A. Albuterol nebulizer
B. Oral prednisone
C. Montelukast
D. Fluticasone inhaler
Correct Answer: A
Rationale: Albuterol, a short-acting beta-agonist, is the first-line treatment for acute
asthma exacerbations to relieve bronchospasm, per GINA guidelines.
7. What is a common clinical manifestation of dehydration in a 3-year-old child?
A. Bulging fontanel
B. Sunken eyes
C. Increased urine output
D. Moist mucous membranes
Correct Answer: B
Rationale: Sunken eyes are a hallmark sign of dehydration in young children, indicating
fluid loss, per pediatric assessment standards.
8. A nurse is caring for an infant with tetralogy of Fallot. Which finding indicates a
hypercyanotic spell?
A. Increased oxygen saturation
B. Sudden cyanosis and irritability
C. Regular heart rate
D. Improved feeding tolerance
Correct Answer: B
Rationale: Hypercyanotic spells in tetralogy of Fallot present with sudden cyanosis,
irritability, and respiratory distress due to decreased pulmonary blood flow, per
congenital heart defect protocols.
9. Which food should a nurse recommend for a 12-month-old transitioning to table
foods?
A. Whole grapes
B. Mashed sweet potatoes
C. Popcorn
D. Raw carrots
Correct Answer: B
Rationale: Mashed sweet potatoes are soft and safe for a 12-month-old, reducing
choking risk, per AAP nutrition guidelines.
10. A 5-year-old child is diagnosed with acute lymphocytic leukemia (ALL). Which lab
finding is expected?
A. Decreased white blood cell count
, 3
B. Increased platelet count
C. Elevated blast cells in bone marrow
D. Normal hemoglobin levels
Correct Answer: C
Rationale: ALL is characterized by increased blast cells in bone marrow, reflecting
immature leukocytes, per pediatric oncology standards.
11. What is the priority nursing action for a newborn with a temperature of 36.2°C
(97.2°F)?
A. Administer acetaminophen
B. Place the infant in a warmer
C. Increase room temperature
D. Monitor temperature in 4 hours
Correct Answer: B
Rationale: A temperature below 36.5°C in a newborn indicates hypothermia, requiring
immediate warming to prevent complications, per neonatal care guidelines.
12. A 7-year-old child with type 1 diabetes has a blood glucose level of 50 mg/dL. What
is the nurse’s first action?
A. Administer insulin
B. Give 15 grams of fast-acting carbohydrate
C. Encourage exercise
D. Withhold food intake
Correct Answer: B
Rationale: Hypoglycemia (blood glucose <70 mg/dL) requires immediate administration
of 15 grams of fast-acting carbohydrate, per ADA guidelines.
13. Which assessment finding indicates a positive Babinski reflex in a 6-month-old
infant?
A. Toes curl downward
B. Toes fan upward
C. No toe movement
D. Ankle flexion
Correct Answer: B
Rationale: A positive Babinski reflex, normal in infants under 2 years, shows toes
fanning upward when the sole is stroked, per neurological assessment standards.
14. A nurse is preparing to administer the rotavirus vaccine to an infant. What is a
contraindication?
A. Mild cold symptoms
B. History of intussusception
C. Breastfeeding
D. Age of 6 months
Correct Answer: B
Rationale: A history of intussusception is a contraindication for the rotavirus vaccine due
to increased risk of recurrence, per CDC guidelines.
15. A 3-year-old child with cystic fibrosis is admitted with a respiratory infection. What
is the priority nursing intervention?
A. Administer pancreatic enzymes
B. Initiate chest physiotherapy
