ATI PEDIATRICS PROCTORED EXAM
PREP 2026/2027 QUESTIONS AND
ANSWERS
1. A nurse is assessing a 4-year-old child for developmental milestones. Which of the
following findings should the nurse expect?
A. Uses a pencil to write their name.
B. Cuts a shape using scissors.
C. Ties shoelaces independently.
D. Walks backward heel-to-toe.
Answer: B
Conceptual Explanation: A 4-year-old is expected to have the fine motor skills to use
scissors to cut out a shape. Writing a name and tying shoes are typically 5-year-old
milestones.
2. A nurse is providing teaching to the parents of a child with Celiac disease. Which of the
following food choices should the nurse recommend?
A. Wheat crackers
B. Rye bread
,C. Barley soup
D. Rice cakes
Answer: D
Conceptual Explanation: Celiac disease requires a gluten-free diet. Wheat, rye, and barley
contain gluten. Rice is a safe, gluten-free alternative.
3. 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. Administer morphine sulfate IV.
B. Administer 100% oxygen via face mask.
C. Place the infant in a knee-chest position.
D. Increase IV fluid maintenance rate.
Answer: C
Conceptual Explanation: The first action in a tet spell is placing the infant in a knee-chest
position to increase systemic vascular resistance and improve pulmonary blood flow.
4. A nurse is assessing a school-age child who has a suspected diagnosis of Epiglottitis. Which
of the following actions is the nurse’s priority?
A. Prepare for emergency airway management.
B. Visualize the throat with a tongue depressor.
C. Obtain a throat culture.
, D. Obtain a rectal temperature.
Answer: A
Conceptual Explanation: Epiglottitis is a medical emergency that can cause sudden
airway obstruction. Throat examination or cultures can trigger laryngospasm; priority is
airway readiness.
5. A nurse is teaching the parent of a toddler who has a new prescription for liquid iron
supplements. Which of the following instructions should the nurse include?
A. Administer the medicine with a glass of milk.
B. Expect stools to be light yellow in color.
C. Mix the medicine with cereal.
D. Administer the medicine through a straw.
Answer: D
Conceptual Explanation: Liquid iron can stain teeth. Administering it through a straw or
dropper placed toward the back of the mouth helps prevent staining. It should be taken
with Vitamin C, not milk.
6. A nurse is monitoring a child following a tonsillectomy. Which of the following findings is a
sign of postoperative bleeding?
A. Report of a sore throat
B. Dark brown secretions
PREP 2026/2027 QUESTIONS AND
ANSWERS
1. A nurse is assessing a 4-year-old child for developmental milestones. Which of the
following findings should the nurse expect?
A. Uses a pencil to write their name.
B. Cuts a shape using scissors.
C. Ties shoelaces independently.
D. Walks backward heel-to-toe.
Answer: B
Conceptual Explanation: A 4-year-old is expected to have the fine motor skills to use
scissors to cut out a shape. Writing a name and tying shoes are typically 5-year-old
milestones.
2. A nurse is providing teaching to the parents of a child with Celiac disease. Which of the
following food choices should the nurse recommend?
A. Wheat crackers
B. Rye bread
,C. Barley soup
D. Rice cakes
Answer: D
Conceptual Explanation: Celiac disease requires a gluten-free diet. Wheat, rye, and barley
contain gluten. Rice is a safe, gluten-free alternative.
3. 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. Administer morphine sulfate IV.
B. Administer 100% oxygen via face mask.
C. Place the infant in a knee-chest position.
D. Increase IV fluid maintenance rate.
Answer: C
Conceptual Explanation: The first action in a tet spell is placing the infant in a knee-chest
position to increase systemic vascular resistance and improve pulmonary blood flow.
4. A nurse is assessing a school-age child who has a suspected diagnosis of Epiglottitis. Which
of the following actions is the nurse’s priority?
A. Prepare for emergency airway management.
B. Visualize the throat with a tongue depressor.
C. Obtain a throat culture.
, D. Obtain a rectal temperature.
Answer: A
Conceptual Explanation: Epiglottitis is a medical emergency that can cause sudden
airway obstruction. Throat examination or cultures can trigger laryngospasm; priority is
airway readiness.
5. A nurse is teaching the parent of a toddler who has a new prescription for liquid iron
supplements. Which of the following instructions should the nurse include?
A. Administer the medicine with a glass of milk.
B. Expect stools to be light yellow in color.
C. Mix the medicine with cereal.
D. Administer the medicine through a straw.
Answer: D
Conceptual Explanation: Liquid iron can stain teeth. Administering it through a straw or
dropper placed toward the back of the mouth helps prevent staining. It should be taken
with Vitamin C, not milk.
6. A nurse is monitoring a child following a tonsillectomy. Which of the following findings is a
sign of postoperative bleeding?
A. Report of a sore throat
B. Dark brown secretions
