ATI RN Pediatrics Proctored Exam — Newest Version 2025/2026 | 200 Questions Real Exam-Based Questions and Verified Answers | 100% Accuracy | Paramedic Program Admission Prep | Graded A+
Introduction This complete study guide features 200 verified multiple-choice questions and correct answers 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 All correct answers are clearly marked in bold and green for efficient review and confident preparation.ATI RN Pediatrics Proctored Exam | 2025/2026 Verified Q&A | Graded 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
- Blood glucose
- Respiratory rate
- Urine output
- Liver enzymes
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?
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
- Temperature of 38.5°C (101.3°F)
- Lethargy and rash
- Mild irritability
- Decreased appetite
- 140 mg
- 210 mg
- 280 mg
- 300 mg
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?
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?
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
- Limit fluid intake
- Perform chest physiotherapy
- Avoid high-fat foods
- Reduce salt intake
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?
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
- Sitting with support
- No head control
- Babbling sounds
- Rolling over
- Stop medication if seizures stop
- Ensure medication compliance
- Avoid regular sleep schedules
- Increase water intake during seizures
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?
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?
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
- Low-grade fever
- Strawberry tongue
- Clear lungs
- Normal heart rate
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?
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
- White bread
- Spinach
- Bananas
- Rice cereal
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?
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
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