ATI RN Nursing Care of Children Proctored
Exam Practice Questions, 2026/2027 –
Pediatric
written by
BestSellerNew
ClassMerit
Did you know a seller earns an average of $1,500 per year selling their
notes?
Learn more on how to sell. Scan the QR code and turn your study notes into real cash today.
classmerit.com
Downloaded by: Want to earn $1,500
Distribution of this document is illegal extra per year?
, classmerit.com — The Marketplace to Buy and Sell Study Materials
ATI RN NURSING CARE OF CHILDREN
PROCTORED EXAM — PRACTICE QUESTIONS 2026/2027
Comprehensive Pediatric Nursing Competency Assessment
60 Multiple-Choice 90 Minutes Passing: 75–80% NCSBN CJMM
Questions Aligned
Domain Coverage
Domain Questions
Growth & Development 1–7
Pediatric Assessment & Family-Centered Care 8–13
Respiratory & Cardiovascular 14–20
Gastrointestinal & Renal 21–28
Neurologic & Hematologic/Oncologic 29–35
Infectious Diseases & Immunizations 36–40
Medication Admin & Safety 41–45
Emergency & Critical Care 46–50
Mental Health & Psychosocial 51–55
Scenario-Based Integration 56–60
Downloaded by: Want to earn $1,500
Distribution of this document is illegal extra per year?
, classmerit.com — The Marketplace to Buy and Sell Study Materials
Growth & Development Principles (Q1–Q7)
1. A 6-month-old infant is admitted to the pediatric unit for failure to thrive. The
infant's parent has been inconsistent with feeding schedules and has frequently left the
infant with different caregivers. The infant appears withdrawn, avoids eye contact, and
cries weakly when approached by the nurse. The nurse should identify that this infant is
at risk for failing to achieve which Erikson developmental task?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: A. Trust vs. Mistrust
Rationale: Infants in the first 18 months of life are in Erikson's trust vs. mistrust stage. Trust
develops when caregivers consistently meet the infant's basic needs for nourishment, comfort, and
nurturing. Inconsistent caregiving, frequent caregiver changes, and unmet needs place the infant at
risk for developing mistrust, which may manifest as withdrawal, poor feeding, and difficulty
bonding. Autonomy vs. shame and doubt (B) is the toddler stage, initiative vs. guilt (C) is the
preschool stage, and industry vs. inferiority (D) is the school-age stage.
2. A nurse is caring for a 2-year-old toddler who is recovering from surgery. The toddler
insists on choosing which pajamas to wear and becomes upset and throws clothing on
the floor when the nurse attempts to dress the child without offering choices. Which
response by the nurse is most appropriate based on the child's developmental stage?
A. "You must wear the hospital gown because I said so."
B. "I need to dress you quickly so we can finish your care on time."
C. "Would you like to wear the blue pajamas or the yellow pajamas today?"
D. "Your mother can dress you when she arrives later this afternoon."
Correct Answer: C. "Would you like to wear the blue pajamas or the yellow pajamas
today?"
Rationale: Toddlers (ages 1-3 years) are in Erikson's autonomy vs. shame and doubt stage and
have a strong need for independence and control. Offering limited, structured choices supports the
toddler's developing autonomy while maintaining safety and adherence to the care plan. Imposing
decisions without choices (A, B) can lead to shame and doubt. Deferring care unnecessarily (D)
disregards the child's need for participation and delays needed interventions.
3. A 15-year-old adolescent with a chronic illness tells the nurse, "I don't want to take
my medication anymore. None of my friends have to deal with this, and I just want to be
normal like everyone else." The nurse should recognize that this behavior is most
closely related to which Erikson developmental task?
A. Industry vs. Inferiority
B. Identity vs. Role Confusion
C. Initiative vs. Guilt
D. Intimacy vs. Isolation
Correct Answer: B. Identity vs. Role Confusion
Rationale: Adolescents (ages 12-18 years) are in Erikson's identity vs. role confusion stage, during
which they seek to develop a coherent sense of self and establish personal values. A chronic illness
can threaten the adolescent's emerging identity and their desire for peer acceptance. Nonadherence
in this context often reflects difficulty integrating the illness into their self-concept rather than
defiance. Industry vs. inferiority (A) is the school-age stage, initiative vs. guilt (C) is preschool, and
intimacy vs. isolation (D) is young adulthood.
4. A nurse is preparing a 4-year-old child for an outpatient surgical procedure. The
child's parent asks the nurse how to explain the procedure in a way the child will
understand. Based on Piaget's theory of cognitive development, which response by the
nurse is most appropriate?
A. "Provide a detailed explanation of the surgical anatomy and each step of the procedure."
ATI Pediatricby:
Downloaded Nursing Practice Exam 2026/2027 — Page 1
Want to earn $1,500
Distribution of this document is illegal extra per year?
Exam Practice Questions, 2026/2027 –
Pediatric
written by
BestSellerNew
ClassMerit
Did you know a seller earns an average of $1,500 per year selling their
notes?
Learn more on how to sell. Scan the QR code and turn your study notes into real cash today.
classmerit.com
Downloaded by: Want to earn $1,500
Distribution of this document is illegal extra per year?
, classmerit.com — The Marketplace to Buy and Sell Study Materials
ATI RN NURSING CARE OF CHILDREN
PROCTORED EXAM — PRACTICE QUESTIONS 2026/2027
Comprehensive Pediatric Nursing Competency Assessment
60 Multiple-Choice 90 Minutes Passing: 75–80% NCSBN CJMM
Questions Aligned
Domain Coverage
Domain Questions
Growth & Development 1–7
Pediatric Assessment & Family-Centered Care 8–13
Respiratory & Cardiovascular 14–20
Gastrointestinal & Renal 21–28
Neurologic & Hematologic/Oncologic 29–35
Infectious Diseases & Immunizations 36–40
Medication Admin & Safety 41–45
Emergency & Critical Care 46–50
Mental Health & Psychosocial 51–55
Scenario-Based Integration 56–60
Downloaded by: Want to earn $1,500
Distribution of this document is illegal extra per year?
, classmerit.com — The Marketplace to Buy and Sell Study Materials
Growth & Development Principles (Q1–Q7)
1. A 6-month-old infant is admitted to the pediatric unit for failure to thrive. The
infant's parent has been inconsistent with feeding schedules and has frequently left the
infant with different caregivers. The infant appears withdrawn, avoids eye contact, and
cries weakly when approached by the nurse. The nurse should identify that this infant is
at risk for failing to achieve which Erikson developmental task?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: A. Trust vs. Mistrust
Rationale: Infants in the first 18 months of life are in Erikson's trust vs. mistrust stage. Trust
develops when caregivers consistently meet the infant's basic needs for nourishment, comfort, and
nurturing. Inconsistent caregiving, frequent caregiver changes, and unmet needs place the infant at
risk for developing mistrust, which may manifest as withdrawal, poor feeding, and difficulty
bonding. Autonomy vs. shame and doubt (B) is the toddler stage, initiative vs. guilt (C) is the
preschool stage, and industry vs. inferiority (D) is the school-age stage.
2. A nurse is caring for a 2-year-old toddler who is recovering from surgery. The toddler
insists on choosing which pajamas to wear and becomes upset and throws clothing on
the floor when the nurse attempts to dress the child without offering choices. Which
response by the nurse is most appropriate based on the child's developmental stage?
A. "You must wear the hospital gown because I said so."
B. "I need to dress you quickly so we can finish your care on time."
C. "Would you like to wear the blue pajamas or the yellow pajamas today?"
D. "Your mother can dress you when she arrives later this afternoon."
Correct Answer: C. "Would you like to wear the blue pajamas or the yellow pajamas
today?"
Rationale: Toddlers (ages 1-3 years) are in Erikson's autonomy vs. shame and doubt stage and
have a strong need for independence and control. Offering limited, structured choices supports the
toddler's developing autonomy while maintaining safety and adherence to the care plan. Imposing
decisions without choices (A, B) can lead to shame and doubt. Deferring care unnecessarily (D)
disregards the child's need for participation and delays needed interventions.
3. A 15-year-old adolescent with a chronic illness tells the nurse, "I don't want to take
my medication anymore. None of my friends have to deal with this, and I just want to be
normal like everyone else." The nurse should recognize that this behavior is most
closely related to which Erikson developmental task?
A. Industry vs. Inferiority
B. Identity vs. Role Confusion
C. Initiative vs. Guilt
D. Intimacy vs. Isolation
Correct Answer: B. Identity vs. Role Confusion
Rationale: Adolescents (ages 12-18 years) are in Erikson's identity vs. role confusion stage, during
which they seek to develop a coherent sense of self and establish personal values. A chronic illness
can threaten the adolescent's emerging identity and their desire for peer acceptance. Nonadherence
in this context often reflects difficulty integrating the illness into their self-concept rather than
defiance. Industry vs. inferiority (A) is the school-age stage, initiative vs. guilt (C) is preschool, and
intimacy vs. isolation (D) is young adulthood.
4. A nurse is preparing a 4-year-old child for an outpatient surgical procedure. The
child's parent asks the nurse how to explain the procedure in a way the child will
understand. Based on Piaget's theory of cognitive development, which response by the
nurse is most appropriate?
A. "Provide a detailed explanation of the surgical anatomy and each step of the procedure."
ATI Pediatricby:
Downloaded Nursing Practice Exam 2026/2027 — Page 1
Want to earn $1,500
Distribution of this document is illegal extra per year?
