ATI CONTENT MASTERY SERIES | REVIEW MODULE & PROCTORED EXAM PREPARATION
ATI RN PEDIATRIC
NURSING
Edition 13.0
COMPLETE TEST BANK
300 Exam-Style Questions
with Verified Answers & Detailed Rationales
300 12 A+
Questions Core Sections Graded
All Core Domains Covered
Growth & Development | Assessment | Respiratory | Cardiovascular
Neuro/Musculoskeletal | GI/GU/Endocrine | Heme/Onc/Immune
Infectious Diseases | Medication & Dosage | Emergencies & Safety
Psychosocial & Chronic Care | Perioperative & Prioritization
ALIGNED WITH 2026 ATI CURRICULUM STANDARDS
Current immunization schedules | Growth standards | Pediatric best practices
ATI CONTENT MASTERY SERIES | REVIEW MODULE & PROCTORED EXAM PREPARATION
,ATI RN Pediatric Nursing Edition 13.0 | Complete Test Bank | 300 Exam-Style Questions
Table of Contents
This complete test bank contains 300 exam-style questions aligned with the ATI RN Pediatric Nursing Edition 13.0
Content Mastery Series. Questions are organized across twelve core domains, with verified answers and detailed rationales
including pediatric nursing clinical reasoning and age-specific considerations.
Cognitive Level Distribution:
30 percent Recall — developmental norms, medication standards, immunization schedules, vital sign parameters.
50 percent Application — clinical scenarios requiring selection of the correct nursing action, interpretation of growth
charts and laboratory values, and parent teaching.
20 percent Analysis — comparison of similar conditions (croup vs. epiglottitis, cyanotic vs. acyanotic defects),
prioritization of care, and recognition of deterioration.
Section Map:
# Section Title Coverage Q Range
1 Developmental Milestones, Immunizations, Q1-32
Growth, Development, and Health Promotion Nutrition,
(32 &
Q)Health Screening
2 Head-to-Toe Assessment, Vital Signs by Age,
Pediatric Assessment and Nursing Process Growth
Q33-58 (26Charts,
Q) & Family-Centered Care
3 Respiratory Disorders in Children Asthma, Bronchiolitis, Croup, Epiglottitis, Pneumonia, & Cystic Fibrosis
Q59-88 (30 Q)
4 Cardiovascular Disorders in Children Congenital Heart Defects, Heart Failure, &Q89-112
Rheumatic
(24Fever
Q)
5 Seizures, Meningitis, Cerebral Palsy, SpinaQ113-140
Neurologic and Musculoskeletal Disorders Bifida, &(28
Fractures
Q)
6 GI Anomalies,
Gastrointestinal, Genitourinary, and Endocrine Dehydration, UTI, Diabetes,
Disorders & Thyroid
Q141-168 (28Disorders
Q)
7 Anemias,
Hematologic, Oncologic, and Immunologic Leukemia, Bleeding Disorders, &
Disorders Immunodeficiencies
Q169-192 (24 Q)
8 Infectious Diseases, Skin, and Eye/Ear Common
DisordersChildhood Infections, Dermatologic Conditions,
Q193-216 (24 Q)& Sensory Disorders
9 Weight-Based
Pediatric Medication Administration and Dosing, Safe Administration,
Dosage Calculations & IV Therapy
Q217-242 (26 Q)
10 Poisoning, Burns, Head Injury, Child Abuse,
Pediatric Emergencies, Trauma, and Safety & Injury
Q243-268 (26Prevention
Q)
11 Developmental
Psychosocial, Behavioral, and Chronic Illness Care Considerations, Family Coping, & Chronic
Q269-285 (17 Q) Disease Management
12 Surgicaland
Perioperative Care, Fluid/Electrolyte Balance, Care, Fluid Management, & Clinical
Prioritization Judgment
Q286-300 (15 Q)
Total: 300 questions — COMPLETE EXAM, all sections, all core domains. Use this test bank for systematic ATI
Content Mastery review and Proctored Exam preparation.
Aligned with 2026 ATI Curriculum Standards Page 2 A+ Graded | Review Module & Proctored Exam Prep
,ATI RN Pediatric Nursing Edition 13.0 | Complete Test Bank | 300 Exam-Style Questions
Section 1: Growth, Development, and Health Promotion Questions Q1-32
1 Developmental Milestones, Immunizations, Nutrition, & Health Screening
Q1. A parent asks the nurse when their 4-month-old infant should begin to roll from prone to supine. Which response by
the nurse is most appropriate based on developmental milestones?
A. Most infants roll from prone to supine by 2 months of age.
B. Infants typically roll from prone to supine by 4 to 6 months of age. [CORRECT]
C. Rolling from prone to supine usually occurs by 8 to 9 months of age.
D. Infants should be rolling both directions by 3 months of age.
Correct Answer: B — Infants typically roll from prone to supine by 4 to 6 months of age.
Rationale:
Rolling from prone to supine is a gross motor milestone typically achieved between 4 and 6 months of age, with supine to prone
following at about 6 months. Expecting this skill at 2 or 3 months is developmentally premature and may cause parental anxiety,
while 8 to 9 months is delayed and warrants developmental evaluation. Anticipatory guidance should reflect typical ranges to
support realistic parental expectations.
Q2. The nurse is assessing a 6-month-old infant during a well-child visit. Which finding requires IMMEDIATE follow-up?
A. The infant has no teeth yet.
B. The infant cannot sit without support.
C. The infant does not turn toward a voice. [CORRECT]
D. The infant drools frequently.
Correct Answer: C — The infant does not turn toward a voice.
Rationale:
By 6 months, infants should turn toward sound and voice; failure to do so suggests possible hearing impairment requiring prompt
audiology referral. Absence of teeth at 6 months is normal (first tooth usually erupts 6 to 10 months), lack of independent sitting
is expected to develop closer to 8 months, and drooling is common at this age due to salivary gland maturation. Hearing concerns
must be addressed early to prevent speech and language delays.
Q3. A nurse is providing anticipatory guidance to the parents of a 12-month-old toddler. Which statement by the parent
indicates a need for further teaching?
A. I will offer whole milk instead of formula now that my child is 1 year old.
B. I expect my child to say at least two to three words besides mama and dada.
C. I will let my child drink 24 ounces of milk per day to ensure adequate calcium. [CORRECT]
D. I will encourage my child to use a spoon with supervision at mealtimes.
Correct Answer: C — I will let my child drink 24 ounces of milk per day to ensure adequate calcium.
Rationale:
Toddlers should consume no more than 16 to 24 ounces of milk per day; excessive milk intake displaces solid foods and is a
leading cause of iron deficiency anemia in toddlers. Switching to whole milk at 12 months is correct, expecting 2 to 3 words
reflects typical language development, and encouraging spoon use supports autonomy. The parent needs teaching on balancing
milk with iron-rich solid foods.
Aligned with 2026 ATI Curriculum Standards Page 3 A+ Graded | Review Module & Proctored Exam Prep
, ATI RN Pediatric Nursing Edition 13.0 | Complete Test Bank | 300 Exam-Style Questions
Q4. Which gross motor milestone is EXPECTED for a typically developing 18-month-old toddler?
A. Walking up stairs with alternating feet
B. Running stiffly and walking up stairs with one hand held [CORRECT]
C. Jumping in place with both feet
D. Riding a tricycle using pedals
Correct Answer: B — Running stiffly and walking up stairs with one hand held
Rationale:
At 18 months, toddlers typically walk well, run stiffly, and walk up stairs with one hand held or with both feet on each step.
Alternating feet on stairs develops around age 3, jumping in place emerges around 24 to 30 months, and pedaling a tricycle is a
3-year milestone. Expecting these later skills too early reflects a misunderstanding of motor maturation sequences.
Q5. The parents of a 2-year-old ask the nurse whether their child's tendency to say no to everything is normal. The nurse's
best response is:
A. This behavior is concerning and may indicate an oppositional disorder that requires evaluation.
B. Saying no frequently is a normal expression of autonomy and is expected at this age. [CORRECT]
C. You should discipline your child firmly each time they say no to prevent it from becoming a habit.
D. This behavior means your child is ready for preschool to learn social rules.
Correct Answer: B — Saying no frequently is a normal expression of autonomy and is expected at this age.
Rationale:
Frequent use of the word no is a hallmark of the toddler's drive for autonomy, consistent with Erikson's stage of autonomy versus
shame and doubt. This behavior is developmentally normal and not pathological; firm discipline for normal assertion can
undermine autonomy. Preschool readiness emerges around age 3, when the child can engage in cooperative play.
Q6. A nurse is assessing a 3-year-old preschooler. Which finding requires IMMEDIATE follow-up?
A. The child uses three- to four-word sentences.
B. The child cannot hop on one foot.
C. The child's speech is largely unintelligible to strangers. [CORRECT]
D. The child engages in parallel play with peers.
Correct Answer: C — The child's speech is largely unintelligible to strangers.
Rationale:
By age 3, a child's speech should be at least 75 percent intelligible to strangers; significant unintelligibility suggests
speech-language delay requiring referral. Three- to four-word sentences are expected at this age, hopping on one foot emerges
closer to age 4, and parallel play is the typical play pattern of toddlers and young preschoolers. Speech intelligibility is a critical
screen for hearing and developmental concerns.
Aligned with 2026 ATI Curriculum Standards Page 4 A+ Graded | Review Module & Proctored Exam Prep
ATI RN PEDIATRIC
NURSING
Edition 13.0
COMPLETE TEST BANK
300 Exam-Style Questions
with Verified Answers & Detailed Rationales
300 12 A+
Questions Core Sections Graded
All Core Domains Covered
Growth & Development | Assessment | Respiratory | Cardiovascular
Neuro/Musculoskeletal | GI/GU/Endocrine | Heme/Onc/Immune
Infectious Diseases | Medication & Dosage | Emergencies & Safety
Psychosocial & Chronic Care | Perioperative & Prioritization
ALIGNED WITH 2026 ATI CURRICULUM STANDARDS
Current immunization schedules | Growth standards | Pediatric best practices
ATI CONTENT MASTERY SERIES | REVIEW MODULE & PROCTORED EXAM PREPARATION
,ATI RN Pediatric Nursing Edition 13.0 | Complete Test Bank | 300 Exam-Style Questions
Table of Contents
This complete test bank contains 300 exam-style questions aligned with the ATI RN Pediatric Nursing Edition 13.0
Content Mastery Series. Questions are organized across twelve core domains, with verified answers and detailed rationales
including pediatric nursing clinical reasoning and age-specific considerations.
Cognitive Level Distribution:
30 percent Recall — developmental norms, medication standards, immunization schedules, vital sign parameters.
50 percent Application — clinical scenarios requiring selection of the correct nursing action, interpretation of growth
charts and laboratory values, and parent teaching.
20 percent Analysis — comparison of similar conditions (croup vs. epiglottitis, cyanotic vs. acyanotic defects),
prioritization of care, and recognition of deterioration.
Section Map:
# Section Title Coverage Q Range
1 Developmental Milestones, Immunizations, Q1-32
Growth, Development, and Health Promotion Nutrition,
(32 &
Q)Health Screening
2 Head-to-Toe Assessment, Vital Signs by Age,
Pediatric Assessment and Nursing Process Growth
Q33-58 (26Charts,
Q) & Family-Centered Care
3 Respiratory Disorders in Children Asthma, Bronchiolitis, Croup, Epiglottitis, Pneumonia, & Cystic Fibrosis
Q59-88 (30 Q)
4 Cardiovascular Disorders in Children Congenital Heart Defects, Heart Failure, &Q89-112
Rheumatic
(24Fever
Q)
5 Seizures, Meningitis, Cerebral Palsy, SpinaQ113-140
Neurologic and Musculoskeletal Disorders Bifida, &(28
Fractures
Q)
6 GI Anomalies,
Gastrointestinal, Genitourinary, and Endocrine Dehydration, UTI, Diabetes,
Disorders & Thyroid
Q141-168 (28Disorders
Q)
7 Anemias,
Hematologic, Oncologic, and Immunologic Leukemia, Bleeding Disorders, &
Disorders Immunodeficiencies
Q169-192 (24 Q)
8 Infectious Diseases, Skin, and Eye/Ear Common
DisordersChildhood Infections, Dermatologic Conditions,
Q193-216 (24 Q)& Sensory Disorders
9 Weight-Based
Pediatric Medication Administration and Dosing, Safe Administration,
Dosage Calculations & IV Therapy
Q217-242 (26 Q)
10 Poisoning, Burns, Head Injury, Child Abuse,
Pediatric Emergencies, Trauma, and Safety & Injury
Q243-268 (26Prevention
Q)
11 Developmental
Psychosocial, Behavioral, and Chronic Illness Care Considerations, Family Coping, & Chronic
Q269-285 (17 Q) Disease Management
12 Surgicaland
Perioperative Care, Fluid/Electrolyte Balance, Care, Fluid Management, & Clinical
Prioritization Judgment
Q286-300 (15 Q)
Total: 300 questions — COMPLETE EXAM, all sections, all core domains. Use this test bank for systematic ATI
Content Mastery review and Proctored Exam preparation.
Aligned with 2026 ATI Curriculum Standards Page 2 A+ Graded | Review Module & Proctored Exam Prep
,ATI RN Pediatric Nursing Edition 13.0 | Complete Test Bank | 300 Exam-Style Questions
Section 1: Growth, Development, and Health Promotion Questions Q1-32
1 Developmental Milestones, Immunizations, Nutrition, & Health Screening
Q1. A parent asks the nurse when their 4-month-old infant should begin to roll from prone to supine. Which response by
the nurse is most appropriate based on developmental milestones?
A. Most infants roll from prone to supine by 2 months of age.
B. Infants typically roll from prone to supine by 4 to 6 months of age. [CORRECT]
C. Rolling from prone to supine usually occurs by 8 to 9 months of age.
D. Infants should be rolling both directions by 3 months of age.
Correct Answer: B — Infants typically roll from prone to supine by 4 to 6 months of age.
Rationale:
Rolling from prone to supine is a gross motor milestone typically achieved between 4 and 6 months of age, with supine to prone
following at about 6 months. Expecting this skill at 2 or 3 months is developmentally premature and may cause parental anxiety,
while 8 to 9 months is delayed and warrants developmental evaluation. Anticipatory guidance should reflect typical ranges to
support realistic parental expectations.
Q2. The nurse is assessing a 6-month-old infant during a well-child visit. Which finding requires IMMEDIATE follow-up?
A. The infant has no teeth yet.
B. The infant cannot sit without support.
C. The infant does not turn toward a voice. [CORRECT]
D. The infant drools frequently.
Correct Answer: C — The infant does not turn toward a voice.
Rationale:
By 6 months, infants should turn toward sound and voice; failure to do so suggests possible hearing impairment requiring prompt
audiology referral. Absence of teeth at 6 months is normal (first tooth usually erupts 6 to 10 months), lack of independent sitting
is expected to develop closer to 8 months, and drooling is common at this age due to salivary gland maturation. Hearing concerns
must be addressed early to prevent speech and language delays.
Q3. A nurse is providing anticipatory guidance to the parents of a 12-month-old toddler. Which statement by the parent
indicates a need for further teaching?
A. I will offer whole milk instead of formula now that my child is 1 year old.
B. I expect my child to say at least two to three words besides mama and dada.
C. I will let my child drink 24 ounces of milk per day to ensure adequate calcium. [CORRECT]
D. I will encourage my child to use a spoon with supervision at mealtimes.
Correct Answer: C — I will let my child drink 24 ounces of milk per day to ensure adequate calcium.
Rationale:
Toddlers should consume no more than 16 to 24 ounces of milk per day; excessive milk intake displaces solid foods and is a
leading cause of iron deficiency anemia in toddlers. Switching to whole milk at 12 months is correct, expecting 2 to 3 words
reflects typical language development, and encouraging spoon use supports autonomy. The parent needs teaching on balancing
milk with iron-rich solid foods.
Aligned with 2026 ATI Curriculum Standards Page 3 A+ Graded | Review Module & Proctored Exam Prep
, ATI RN Pediatric Nursing Edition 13.0 | Complete Test Bank | 300 Exam-Style Questions
Q4. Which gross motor milestone is EXPECTED for a typically developing 18-month-old toddler?
A. Walking up stairs with alternating feet
B. Running stiffly and walking up stairs with one hand held [CORRECT]
C. Jumping in place with both feet
D. Riding a tricycle using pedals
Correct Answer: B — Running stiffly and walking up stairs with one hand held
Rationale:
At 18 months, toddlers typically walk well, run stiffly, and walk up stairs with one hand held or with both feet on each step.
Alternating feet on stairs develops around age 3, jumping in place emerges around 24 to 30 months, and pedaling a tricycle is a
3-year milestone. Expecting these later skills too early reflects a misunderstanding of motor maturation sequences.
Q5. The parents of a 2-year-old ask the nurse whether their child's tendency to say no to everything is normal. The nurse's
best response is:
A. This behavior is concerning and may indicate an oppositional disorder that requires evaluation.
B. Saying no frequently is a normal expression of autonomy and is expected at this age. [CORRECT]
C. You should discipline your child firmly each time they say no to prevent it from becoming a habit.
D. This behavior means your child is ready for preschool to learn social rules.
Correct Answer: B — Saying no frequently is a normal expression of autonomy and is expected at this age.
Rationale:
Frequent use of the word no is a hallmark of the toddler's drive for autonomy, consistent with Erikson's stage of autonomy versus
shame and doubt. This behavior is developmentally normal and not pathological; firm discipline for normal assertion can
undermine autonomy. Preschool readiness emerges around age 3, when the child can engage in cooperative play.
Q6. A nurse is assessing a 3-year-old preschooler. Which finding requires IMMEDIATE follow-up?
A. The child uses three- to four-word sentences.
B. The child cannot hop on one foot.
C. The child's speech is largely unintelligible to strangers. [CORRECT]
D. The child engages in parallel play with peers.
Correct Answer: C — The child's speech is largely unintelligible to strangers.
Rationale:
By age 3, a child's speech should be at least 75 percent intelligible to strangers; significant unintelligibility suggests
speech-language delay requiring referral. Three- to four-word sentences are expected at this age, hopping on one foot emerges
closer to age 4, and parallel play is the typical play pattern of toddlers and young preschoolers. Speech intelligibility is a critical
screen for hearing and developmental concerns.
Aligned with 2026 ATI Curriculum Standards Page 4 A+ Graded | Review Module & Proctored Exam Prep
