2025 ATI PEDIATRICS PROCTORED EXAM | ALL
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | LATEST VERSION (JUST RELEASED)
Pediatric Nursing & Health Management | Key Domains: Growth & Development Milestones (Infant
to Adolescent), Health Promotion & Immunizations, Common Pediatric Illnesses & Disorders,
Pediatric Medication Administration & Dosage Calculation, Family-Centered Care & Communication,
Pediatric Emergencies & Prioritization, Chronic Condition Management, and Psychosocial Support
for the Child & Family | Expert-Aligned Structure | Exam-Ready Format
Introduction
This structured 2025 ATI Pediatrics Proctored Exam provides 60 high-quality exam-style questions
with correct answers and rationales. It emphasizes age-appropriate assessment, developmental
theory application (Erikson, Piaget), safe medication practices using weight-based calculations,
family education, and nursing interventions tailored to the unique physiological and psychosocial
needs of the pediatric population.
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the developmental principle, pathophysiological basis for the pediatric condition,
priority nursing action for a child, and why alternative options are developmentally inappropriate,
unsafe, or not the highest priority.
Growth & Development
1.
A nurse is assessing a 6-month-old infant. Which finding should the nurse report to the provider?
,A. Rolls from back to front
B. Says "mama" and "dada"
C. Does not sit without support
D. Reaches for toys
C. Does not sit without support
By 6 months, infants typically sit with minimal support. Inability to do so may indicate
developmental delay. Rolling (A), reaching (D), and babbling (B, though true meaning comes
later) are expected at this age.
Immunizations
2.
Which vaccine is contraindicated in an infant with a severe egg allergy?
A. DTaP
B. Hepatitis B
C. Influenza (live attenuated)
D. Polio (IPV)
C. Influenza (live attenuated)
Live attenuated influenza vaccine (LAIV) is produced in eggs and is contraindicated in severe egg
allergy. Inactivated influenza vaccine (IIV) may be given with caution. DTaP, Hep B, and IPV are
egg-free.
Common Illnesses
3.
A child with croup has stridor at rest. What is the nurse’s priority action?
,A. Administer acetaminophen
B. Provide humidified oxygen
C. Encourage oral fluids
D. Administer racemic epinephrine
D. Administer racemic epinephrine
Stridor at rest indicates moderate to severe croup requiring immediate nebulized epinephrine to
reduce airway edema. Humidified oxygen (B) is supportive but not sufficient alone.
Acetaminophen (A) and fluids (C) address symptoms, not airway obstruction.
Medication Safety
4.
A 6-year-old child weighs 20 kg. The provider orders acetaminophen 15 mg/kg/dose. How many
milligrams should the nurse administer?
A. 150 mg
B. 200 mg
C. 300 mg
D. 400 mg
C. 300 mg
Calculation: 15 mg/kg × 20 kg = 300 mg. Accurate weight-based dosing prevents toxicity or
underdosing. Option B is 10 mg/kg; D is 20 mg/kg—both outside typical safe range (10–15
mg/kg).
Family-Centered Care
5.
When teaching parents of a toddler about discipline, which strategy should the nurse recommend?
, A. Time-outs lasting 10 minutes
B. Withholding meals as punishment
C. Time-outs lasting 1 minute per year of age
D. Ignoring all misbehavior
C. Time-outs lasting 1 minute per year of age
For toddlers, time-out duration should be brief (e.g., 2–3 minutes for a 2–3-year-old). Longer
timeouts (A) are ineffective; withholding food (B) is abusive; ignoring (D) fails to teach
boundaries.
Pediatric Emergencies
6.
A 3-year-old is choking and cannot cough, speak, or breathe. What should the nurse do first?
A. Perform abdominal thrusts (Heimlich maneuver)
B. Give 5 back blows
C. Begin CPR
D. Call for help
A. Perform abdominal thrusts (Heimlich maneuver)
For a conscious child over 1 year with complete airway obstruction, abdominal thrusts are
first-line. Back blows (B) are for infants (<1 year). CPR (C) is for unresponsive victims. Calling for
help (D) is important but not first if the nurse is alone and trained.
Chronic Conditions
7.
A child with type 1 diabetes has a blood glucose of 250 mg/dL and ketones in the urine. What
should the nurse prepare to administer?
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | LATEST VERSION (JUST RELEASED)
Pediatric Nursing & Health Management | Key Domains: Growth & Development Milestones (Infant
to Adolescent), Health Promotion & Immunizations, Common Pediatric Illnesses & Disorders,
Pediatric Medication Administration & Dosage Calculation, Family-Centered Care & Communication,
Pediatric Emergencies & Prioritization, Chronic Condition Management, and Psychosocial Support
for the Child & Family | Expert-Aligned Structure | Exam-Ready Format
Introduction
This structured 2025 ATI Pediatrics Proctored Exam provides 60 high-quality exam-style questions
with correct answers and rationales. It emphasizes age-appropriate assessment, developmental
theory application (Erikson, Piaget), safe medication practices using weight-based calculations,
family education, and nursing interventions tailored to the unique physiological and psychosocial
needs of the pediatric population.
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the developmental principle, pathophysiological basis for the pediatric condition,
priority nursing action for a child, and why alternative options are developmentally inappropriate,
unsafe, or not the highest priority.
Growth & Development
1.
A nurse is assessing a 6-month-old infant. Which finding should the nurse report to the provider?
,A. Rolls from back to front
B. Says "mama" and "dada"
C. Does not sit without support
D. Reaches for toys
C. Does not sit without support
By 6 months, infants typically sit with minimal support. Inability to do so may indicate
developmental delay. Rolling (A), reaching (D), and babbling (B, though true meaning comes
later) are expected at this age.
Immunizations
2.
Which vaccine is contraindicated in an infant with a severe egg allergy?
A. DTaP
B. Hepatitis B
C. Influenza (live attenuated)
D. Polio (IPV)
C. Influenza (live attenuated)
Live attenuated influenza vaccine (LAIV) is produced in eggs and is contraindicated in severe egg
allergy. Inactivated influenza vaccine (IIV) may be given with caution. DTaP, Hep B, and IPV are
egg-free.
Common Illnesses
3.
A child with croup has stridor at rest. What is the nurse’s priority action?
,A. Administer acetaminophen
B. Provide humidified oxygen
C. Encourage oral fluids
D. Administer racemic epinephrine
D. Administer racemic epinephrine
Stridor at rest indicates moderate to severe croup requiring immediate nebulized epinephrine to
reduce airway edema. Humidified oxygen (B) is supportive but not sufficient alone.
Acetaminophen (A) and fluids (C) address symptoms, not airway obstruction.
Medication Safety
4.
A 6-year-old child weighs 20 kg. The provider orders acetaminophen 15 mg/kg/dose. How many
milligrams should the nurse administer?
A. 150 mg
B. 200 mg
C. 300 mg
D. 400 mg
C. 300 mg
Calculation: 15 mg/kg × 20 kg = 300 mg. Accurate weight-based dosing prevents toxicity or
underdosing. Option B is 10 mg/kg; D is 20 mg/kg—both outside typical safe range (10–15
mg/kg).
Family-Centered Care
5.
When teaching parents of a toddler about discipline, which strategy should the nurse recommend?
, A. Time-outs lasting 10 minutes
B. Withholding meals as punishment
C. Time-outs lasting 1 minute per year of age
D. Ignoring all misbehavior
C. Time-outs lasting 1 minute per year of age
For toddlers, time-out duration should be brief (e.g., 2–3 minutes for a 2–3-year-old). Longer
timeouts (A) are ineffective; withholding food (B) is abusive; ignoring (D) fails to teach
boundaries.
Pediatric Emergencies
6.
A 3-year-old is choking and cannot cough, speak, or breathe. What should the nurse do first?
A. Perform abdominal thrusts (Heimlich maneuver)
B. Give 5 back blows
C. Begin CPR
D. Call for help
A. Perform abdominal thrusts (Heimlich maneuver)
For a conscious child over 1 year with complete airway obstruction, abdominal thrusts are
first-line. Back blows (B) are for infants (<1 year). CPR (C) is for unresponsive victims. Calling for
help (D) is important but not first if the nurse is alone and trained.
Chronic Conditions
7.
A child with type 1 diabetes has a blood glucose of 250 mg/dL and ketones in the urine. What
should the nurse prepare to administer?
