ATI PEDIATRICS PROCTORED EXAM
2026 RETAKE QUESTIONS AND
ANSWERS
1. A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider as a potential developmental delay?
A. The infant is unable to stand alone without support.
B. The infant cannot say at least ten words clearly.
C. The infant is unable to crawl on hands and knees.
D. The infant cannot use a spoon to feed themselves.
Answer: A
Conceptual Explanation: By 12 months, an infant should be able to stand alone. While
crawling usually occurs earlier, some infants skip it; however, standing alone is a key
milestone for this age. Ten words and self-feeding with a spoon are milestones for older
toddlers.
2. A nurse is caring for an infant who has Tetralogy of Fallot and is experiencing a
hypercyanotic (‘Tet’) spell. Which of the following actions should the nurse take first?
A. Place the infant in a knee-chest position.
,B. Administer 100% oxygen via face mask.
C. Administer morphine sulfate intravenously.
D. Prepare to administer intravenous fluids.
Answer: A
Conceptual Explanation: The priority action during a hypercyanotic spell is to place the
infant in the knee-chest position. This increases systemic vascular resistance, which helps
reduce the right-to-left shunt and improves pulmonary blood flow.
3. A nurse is evaluating a child who is suspected of having epiglottitis. Which of the following
actions is contraindicated?
A. Examining the throat with a tongue depressor.
B. Initiating droplet precautions.
C. Obtaining a blood culture.
D. Assessing for the tripod position.
Answer: A
Conceptual Explanation: Examining the throat of a child with suspected epiglottitis using
a tongue depressor can trigger a complete airway obstruction due to laryngospasm. This
should only be done in a setting where emergency intubation is immediately available.
, 4. A nurse is teaching the parents of a child with cystic fibrosis about the administration of
pancreatic enzymes. Which of the following instructions should the nurse include?
A. Administer enzymes once daily in the morning.
B. Administer enzymes with every meal and snack.
C. Give enzymes 2 hours after the child finishes a meal.
D. Crush the enteric-coated beads if the child has trouble swallowing.
Answer: B
Conceptual Explanation: Pancreatic enzymes must be taken with every meal and snack to
ensure proper digestion and absorption of nutrients, as the child’s pancreas does not
produce sufficient enzymes.
5. A nurse is assessing a 4-week-old infant who has hypertrophic pyloric stenosis. Which of
the following findings should the nurse expect?
A. Distended veins on the abdominal wall.
B. Currant jelly-like stools containing blood and mucus.
C. Bile-stained projectile vomiting after feedings.
D. An olive-shaped mass in the right upper quadrant.
Answer: D
2026 RETAKE QUESTIONS AND
ANSWERS
1. A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider as a potential developmental delay?
A. The infant is unable to stand alone without support.
B. The infant cannot say at least ten words clearly.
C. The infant is unable to crawl on hands and knees.
D. The infant cannot use a spoon to feed themselves.
Answer: A
Conceptual Explanation: By 12 months, an infant should be able to stand alone. While
crawling usually occurs earlier, some infants skip it; however, standing alone is a key
milestone for this age. Ten words and self-feeding with a spoon are milestones for older
toddlers.
2. A nurse is caring for an infant who has Tetralogy of Fallot and is experiencing a
hypercyanotic (‘Tet’) spell. Which of the following actions should the nurse take first?
A. Place the infant in a knee-chest position.
,B. Administer 100% oxygen via face mask.
C. Administer morphine sulfate intravenously.
D. Prepare to administer intravenous fluids.
Answer: A
Conceptual Explanation: The priority action during a hypercyanotic spell is to place the
infant in the knee-chest position. This increases systemic vascular resistance, which helps
reduce the right-to-left shunt and improves pulmonary blood flow.
3. A nurse is evaluating a child who is suspected of having epiglottitis. Which of the following
actions is contraindicated?
A. Examining the throat with a tongue depressor.
B. Initiating droplet precautions.
C. Obtaining a blood culture.
D. Assessing for the tripod position.
Answer: A
Conceptual Explanation: Examining the throat of a child with suspected epiglottitis using
a tongue depressor can trigger a complete airway obstruction due to laryngospasm. This
should only be done in a setting where emergency intubation is immediately available.
, 4. A nurse is teaching the parents of a child with cystic fibrosis about the administration of
pancreatic enzymes. Which of the following instructions should the nurse include?
A. Administer enzymes once daily in the morning.
B. Administer enzymes with every meal and snack.
C. Give enzymes 2 hours after the child finishes a meal.
D. Crush the enteric-coated beads if the child has trouble swallowing.
Answer: B
Conceptual Explanation: Pancreatic enzymes must be taken with every meal and snack to
ensure proper digestion and absorption of nutrients, as the child’s pancreas does not
produce sufficient enzymes.
5. A nurse is assessing a 4-week-old infant who has hypertrophic pyloric stenosis. Which of
the following findings should the nurse expect?
A. Distended veins on the abdominal wall.
B. Currant jelly-like stools containing blood and mucus.
C. Bile-stained projectile vomiting after feedings.
D. An olive-shaped mass in the right upper quadrant.
Answer: D
