ATI RN PEDIATRIC (PEDS) PROCTORED(2 VERSIONS
EACH 70Q&A) 2026 ALL QUESTIONS AND ANSWERS
\ INSTANT PDF DOWNLOAD
Question 1: Developmental Milestones
A nurse is assessing a 12-month-old infant during a routine well-child visit. Which of the
following motor milestones should the nurse expect the infant to demonstrate?
A) Builds a tower of 6 blocks
B) Uses a neat two-finger pincer grasp
C) Speaks in 3- to 5-word sentences
D) Runs without falling
Correct Answer: B) Uses a neat two-finger pincer grasp
Rationale: By 12 months, an infant typically masters the neat pincer grasp (using the thumb
and index finger). Building a tower of 6 blocks and running without falling are milestones
typical of a 2-year-old (24 months). Expressing 3- to 5-word sentences usually occurs
around age 3.
Question 2: Pediatric Dosage Calculation
A pediatric nurse is preparing to administer oral acetaminophen 15 mg/kg to a toddler who
weighs 22 lb. The available medication concentration is 160 mg/5 mL.
How many mL should the nurse administer per dose? (Round the final answer to the
nearest tenth).
,Correct Answer: 4.7 mL
Calculation Steps:
1. Convert weight to kg: 22 lb÷2.2=10 kg
2. Calculate desired dose: 10 kg×15 mg/kg=150 mg
3. Calculate volume to administer:
160 mg150 mg×5 mL=4.6875 mL
4. Round to the nearest tenth: 4.7 mL
Question 3: Respiratory Emergencies (Epiglottitis)
A 4-year-old child presents to the emergency department with a high fever, severe sore
throat, drooling, and restlessness. The child is sitting upright in a "tripod" position. Which of
the following nursing actions is contraindicated?
A) Preparing equipment for emergency intubation
B) Obtaining a throat culture using a swab
C) Administering humidified oxygen via mask
D) Keeping the child calm in the parent's lap
Correct Answer: B) Obtaining a throat culture using a swab
Rationale: The child shows classic signs of acute epiglottitis (drooling, dysphagia,
distress, tripod positioning). Inspecting the pharynx or inserting anything into the throat
(tongue depressors, swabs) can trigger sudden laryngospasm and cause complete airway
occlusion. Emergency airway equipment must be made available immediately.
Question 4: Fluid & Electrolytes / Gastroenteritis
,A nurse is assessing an 8-month-old infant experiencing severe diarrhea and vomiting due
to acute gastroenteritis. Which clinical assessment finding indicates severe dehydration?
A) Bulging anterior fontanel and warm, flushed skin
B) Sunken anterior fontanel and capillary refill > 3 seconds
C) Weight gain of 2% over 24 hours
D) Bradycardia and normal urine output
Correct Answer: B) Sunken anterior fontanel and capillary refill > 3 seconds
Rationale: Signs of severe dehydration in infants include a depressed/sunken fontanel,
delayed capillary refill (>3 seconds), dry mucous membranes, weight loss, oliguria, and
tachycardia. A bulging fontanel indicates increased intracranial pressure or fluid overload,
not dehydration.
Question 5: Communicable Diseases (Measles / Rubeola)
A nurse is reviewing isolation precautions for an pediatric client diagnosed with Measles
(Rubeola). Which infection control measures must be implemented?
A) Standard precautions with contact goggles only
B) Droplet precautions with a standard surgical mask
C) Airborne precautions with an N95 respirator and negative-pressure room
D) Contact precautions with a gown and gloves only
Correct Answer: C) Airborne precautions with an N95 respirator and negative-
pressure room
, Rationale: Measles (Rubeola), Varicella (chickenpox), and Tuberculosis require Airborne
Precautions. This includes placing the client in a negative-pressure airflow room and
having healthcare personnel wear N95 respirators or equivalent protection upon entering.
Question 6: Cardiovascular (Tetralogy of Fallot)
A nurse is caring for an infant with Tetralogy of Fallot who suddenly experiences a
hypercyanotic ("tet") spell. Which action should the nurse take first?
A) Administer a dose of IV morphine
B) Place the infant in the knee-chest position
C) Apply 100% oxygen via non-rebreather mask
D) Start a bolus of 0.9% sodium chloride
Correct Answer: B) Place the infant in the knee-chest position
Rationale: Placing the infant in a knee-chest position (or flexing the legs over the abdomen)
increases systemic vascular resistance (SVR), which reduces the right-to-left shunting of
blood across the ventricular septal defect (VSD) and improves pulmonary arterial blood
flow. Oxygen and medication administration follow after immediately positioning the infant.
Question 7: Neurological (Seizure Precautions)
A nurse is providing discharge teaching to the parents of a 6-year-old child diagnosed with a
seizure disorder. Which statement by the parent indicates a correct understanding of
seizure safety?
A) "I will insert a padded tongue blade into his mouth if he starts seizing."
B) "I should hold his arms and legs down firmly to prevent injury during a seizure."
C) "I will place him on his side to help keep his airway clear."
EACH 70Q&A) 2026 ALL QUESTIONS AND ANSWERS
\ INSTANT PDF DOWNLOAD
Question 1: Developmental Milestones
A nurse is assessing a 12-month-old infant during a routine well-child visit. Which of the
following motor milestones should the nurse expect the infant to demonstrate?
A) Builds a tower of 6 blocks
B) Uses a neat two-finger pincer grasp
C) Speaks in 3- to 5-word sentences
D) Runs without falling
Correct Answer: B) Uses a neat two-finger pincer grasp
Rationale: By 12 months, an infant typically masters the neat pincer grasp (using the thumb
and index finger). Building a tower of 6 blocks and running without falling are milestones
typical of a 2-year-old (24 months). Expressing 3- to 5-word sentences usually occurs
around age 3.
Question 2: Pediatric Dosage Calculation
A pediatric nurse is preparing to administer oral acetaminophen 15 mg/kg to a toddler who
weighs 22 lb. The available medication concentration is 160 mg/5 mL.
How many mL should the nurse administer per dose? (Round the final answer to the
nearest tenth).
,Correct Answer: 4.7 mL
Calculation Steps:
1. Convert weight to kg: 22 lb÷2.2=10 kg
2. Calculate desired dose: 10 kg×15 mg/kg=150 mg
3. Calculate volume to administer:
160 mg150 mg×5 mL=4.6875 mL
4. Round to the nearest tenth: 4.7 mL
Question 3: Respiratory Emergencies (Epiglottitis)
A 4-year-old child presents to the emergency department with a high fever, severe sore
throat, drooling, and restlessness. The child is sitting upright in a "tripod" position. Which of
the following nursing actions is contraindicated?
A) Preparing equipment for emergency intubation
B) Obtaining a throat culture using a swab
C) Administering humidified oxygen via mask
D) Keeping the child calm in the parent's lap
Correct Answer: B) Obtaining a throat culture using a swab
Rationale: The child shows classic signs of acute epiglottitis (drooling, dysphagia,
distress, tripod positioning). Inspecting the pharynx or inserting anything into the throat
(tongue depressors, swabs) can trigger sudden laryngospasm and cause complete airway
occlusion. Emergency airway equipment must be made available immediately.
Question 4: Fluid & Electrolytes / Gastroenteritis
,A nurse is assessing an 8-month-old infant experiencing severe diarrhea and vomiting due
to acute gastroenteritis. Which clinical assessment finding indicates severe dehydration?
A) Bulging anterior fontanel and warm, flushed skin
B) Sunken anterior fontanel and capillary refill > 3 seconds
C) Weight gain of 2% over 24 hours
D) Bradycardia and normal urine output
Correct Answer: B) Sunken anterior fontanel and capillary refill > 3 seconds
Rationale: Signs of severe dehydration in infants include a depressed/sunken fontanel,
delayed capillary refill (>3 seconds), dry mucous membranes, weight loss, oliguria, and
tachycardia. A bulging fontanel indicates increased intracranial pressure or fluid overload,
not dehydration.
Question 5: Communicable Diseases (Measles / Rubeola)
A nurse is reviewing isolation precautions for an pediatric client diagnosed with Measles
(Rubeola). Which infection control measures must be implemented?
A) Standard precautions with contact goggles only
B) Droplet precautions with a standard surgical mask
C) Airborne precautions with an N95 respirator and negative-pressure room
D) Contact precautions with a gown and gloves only
Correct Answer: C) Airborne precautions with an N95 respirator and negative-
pressure room
, Rationale: Measles (Rubeola), Varicella (chickenpox), and Tuberculosis require Airborne
Precautions. This includes placing the client in a negative-pressure airflow room and
having healthcare personnel wear N95 respirators or equivalent protection upon entering.
Question 6: Cardiovascular (Tetralogy of Fallot)
A nurse is caring for an infant with Tetralogy of Fallot who suddenly experiences a
hypercyanotic ("tet") spell. Which action should the nurse take first?
A) Administer a dose of IV morphine
B) Place the infant in the knee-chest position
C) Apply 100% oxygen via non-rebreather mask
D) Start a bolus of 0.9% sodium chloride
Correct Answer: B) Place the infant in the knee-chest position
Rationale: Placing the infant in a knee-chest position (or flexing the legs over the abdomen)
increases systemic vascular resistance (SVR), which reduces the right-to-left shunting of
blood across the ventricular septal defect (VSD) and improves pulmonary arterial blood
flow. Oxygen and medication administration follow after immediately positioning the infant.
Question 7: Neurological (Seizure Precautions)
A nurse is providing discharge teaching to the parents of a 6-year-old child diagnosed with a
seizure disorder. Which statement by the parent indicates a correct understanding of
seizure safety?
A) "I will insert a padded tongue blade into his mouth if he starts seizing."
B) "I should hold his arms and legs down firmly to prevent injury during a seizure."
C) "I will place him on his side to help keep his airway clear."
