ATI RN Pediatrics Proctored Exam Newest

ATI RN Pediatrics Proctored Exam — Newest Version 2025/2026 200 Questions -Based Questions and Answers Accuracy Paramedic Program Admission Prep

Introduction This complete study guide features 200 multiple-choice questions and from the ATI RN Pediatrics Proctored Exam – Newest Version for the 2025/2026 cycle. It comprehensively covers pediatric growth and development, immunizations, disease processes, nursing interventions, communication with families, pharmacology, and safety—fully aligned with ATI and NCLEX-RN standards to ensure clinical readiness and proctored exam success.

Answer Format answers are clearly marked in bold and green for efficient review and confident preparation.ATI RN Pediatrics Proctored Exam 2025/2026 Q&A Launch Your Paramedic Career with Confidence

Question 1 A nurse is assessing a 2-year-old child during a well-child visit. Which milestone should the nurse expect?

• Running steadily
• Speaking in full sentences
• Kicking a ball
• Tying shoelaces

Rationale: A 2-year-old typically develops gross motor skills like kicking a ball, while speaking in full sentences and tying shoelaces are later milestones.Question 2 A nurse is teaching parents about immunizations for a 6-month-old. Which vaccine is due?

A) MMR

• DTaP

C) HPV

• Varicella

Rationale: DTaP (diphtheria, tetanus, pertussis) is scheduled at 6 months as part of the immunization series.Question 3 A nurse is caring for a child with asthma. What should the nurse monitor?

• Blood glucose
• Respiratory rate
• Urine output
• Liver enzymes

Rationale: Respiratory rate is critical to monitor in asthma to assess breathing difficulty or improvement. 1 / 4

Question 4 A nurse is providing discharge teaching to parents of a child with a new diagnosis of type 1 diabetes. What should the nurse include?

• Limit physical activity
• Check blood glucose regularly
• Avoid insulin adjustments
• Increase sugary snacks

Rationale: Regular blood glucose monitoring is essential for managing type 1 diabetes effectively.Question 5 A nurse is assessing a 4-year-old with a fever. What finding requires immediate intervention?

• Temperature of 38.5°C (101.3°F)
• Lethargy and rash
• Mild irritability
• Decreased appetite

Rationale: Lethargy and rash may indicate a serious condition like meningitis, requiring immediate attention.Question 6 A nurse is administering acetaminophen to a 3-year-old. The dose is 15 mg/kg every 4-6 hours. The child weighs 14 kg. How much should the nurse administer?

• 140 mg
• 210 mg
• 280 mg
• 300 mg

Rationale: 15 mg/kg x 14 kg = 210 mg per dose.

Question 7 A nurse is teaching a parent about preventing sudden infant death syndrome (SIDS). What should the nurse recommend?

• Place infant prone to sleep
• Place infant supine to sleep
• Use soft bedding
• Co-sleep with infant

Rationale: Placing the infant supine reduces the risk of SIDS.

Question 8 A nurse is caring for a child with a suspected fracture. What should the nurse do first?

• Apply heat to the area
• Immobilize the limb
• Give pain medication
• Encourage weight-bearing

Rationale: Immobilizing the limb is the priority to prevent further injury.

Question 9 A nurse is assessing a newborn for jaundice. What finding is concerning?

• Yellowing of the skin on day 2
• Yellowing of the sclera on day 1 2 / 4

• Mild yellowing by day 5
• Fading jaundice by day 7

Rationale: Yellowing of the sclera on day 1 may indicate pathological jaundice requiring evaluation.Question 10 A nurse is teaching a family about a child with cystic fibrosis. What should the nurse emphasize?

• Limit fluid intake
• Perform chest physiotherapy
• Avoid high-fat foods
• Reduce salt intake

Rationale: Chest physiotherapy helps clear mucus in cystic fibrosis.

Question 11 A nurse is caring for a 1-year-old with a fever of 39°C (102.2°F). What intervention is appropriate?

• Apply a heating pad
• Administer antipyretics
• Encourage cold baths
• Wrap in heavy blankets

Rationale: Antipyretics like acetaminophen or ibuprofen are appropriate to reduce fever safely.Question 12 A nurse is assessing a 6-month-old for developmental delay. Which finding is concerning?

• Sitting with support
• No head control
• Babbling sounds
• Rolling over

Rationale: Lack of head control by 6 months is a red flag for developmental delay.Question 13 A nurse is teaching a parent about a child with epilepsy. What should the nurse include?

• Stop medication if seizures stop
• Ensure medication compliance
• Avoid regular sleep schedules
• Increase water intake during seizures

Rationale: Medication compliance is critical to prevent seizures in epilepsy.

Question 14 A nurse is caring for a child with a urinary tract infection. What should the nurse encourage?

• Holding urine
• Increased fluid intake
• Reducing bathroom visits
• Avoiding cranberry juice

Rationale: Increased fluid intake helps flush bacteria from the urinary tract.

Question 15 A nurse is assessing a 3-year-old for lead poisoning. What finding is a risk factor? 3 / 4

• Eating a balanced diet
• Pica behavior
• Regular handwashing
• Living in a new home

Rationale: Pica (eating non-food items) increases lead exposure risk.

Question 16 A nurse is administering an IM injection to a 5-year-old. What site is appropriate?

• Deltoid
• Vastus lateralis
• Dorsogluteal
• Rectus femoris

Rationale: The vastus lateralis is the preferred site for IM injections in young children.Question 17 A nurse is caring for a child with Kawasaki disease. What finding is expected?

• Low-grade fever
• Strawberry tongue
• Clear lungs
• Normal heart rate

Rationale: Strawberry tongue is a classic sign of Kawasaki disease.

Question 18 A nurse is teaching a parent about a child with ADHD. What should the nurse recommend?

• Limit structured activities
• Establish a routine
• Avoid medication
• Encourage screen time

Rationale: A consistent routine helps manage ADHD symptoms.

Question 19 A nurse is assessing a newborn with a heart murmur. What action is priority?

• Delay feeding
• Notify the provider
• Administer oxygen
• Start IV fluids

Rationale: Notifying the provider is priority to evaluate the murmur’s significance.Question 20 A nurse is caring for a child with iron-deficiency anemia. What food should be encouraged?

• White bread
• Spinach
• Bananas
• Rice cereal

Rationale: Spinach is a good source of iron to treat anemia.

Question 21 A nurse is teaching a parent about a child with a lactose intolerance. What should the nurse suggest?

• Increase milk intake
• / 4