ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
ATI RN Proctored Exam 2026 Pediatrics
& Fundamentals | 350 Real Exam
Questions | First Attempt Version |
Verified Answers & Detailed
Rationales/Latest Verified!!!
Introduction
This exam contains over 300 multiple-choice questions covering critical areas in
pediatric nursing and foundational nursing principles. Each question is
accompanied by a verified correct answer and a detailed rationale, providing not
only the correct response but also the reasoning behind it, ensuring deeper
understanding and retention of core concepts..
A nurse is assessing a 4-year-old child during a well-child visit. Which
developmental milestone should the nurse expect?
A. Copies a circle
B. Ties shoelaces independently
C. Uses 2-word sentences
D. Counts backward from 20
Answer: A
Rationale:
At 4 years of age, children are in the preschool developmental stage. Fine motor
development at this age includes the ability to copy simple geometric shapes such
as a circle and sometimes a cross. This demonstrates maturation of hand-eye
coordination and visual-motor integration.
Tying shoelaces requires more advanced fine motor coordination and sequencing
skills, typically developing closer to age 5–6 years.
1|Page
,ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A nurse is preparing to administer oral medication to a toddler. Which action is
appropriate?
A. Mix medication with a full bottle of milk
B. Place medication at the back of the tongue
C. Offer a small amount of juice after medication
D. Force the child to swallow immediately
Answer: C
Rationale:
Administering oral medication to toddlers requires strategies that promote safety
and cooperation while ensuring full dosing. Offering a small amount of juice after
administering medication helps reduce unpleasant taste and encourages
swallowing without compromising the full medication dose.
A nurse is caring for a child with suspected epiglottitis. What is the priority action?
A. Obtain a throat culture
B. Visualize the throat with a tongue depressor
C. Prepare for airway management
D. Encourage oral fluids
Answer: C
Rationale:
Epiglottitis is an acute, potentially life-threatening condition characterized by
inflammation and swelling of the epiglottis, which can rapidly obstruct the airway.
Because airway compromise can occur suddenly, airway stabilization is the
highest priority intervention according to ABC (Airway, Breathing, Circulation)
principles.
A nurse is teaching parents about car seat safety for a 1-year-old infant. Which
statement indicates understanding?
2|Page
,ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A. “My child can sit in the front seat.”
B. “I will use a rear-facing car seat.”
C. “Booster seats are appropriate now.”
D. “Seat belts alone are fine.”
Answer: B
Rationale:
Current pediatric safety guidelines recommend that infants and toddlers remain
in rear-facing car seats for as long as possible, ideally until they reach the
maximum height or weight allowed by the car seat manufacturer. Rear-facing
positioning provides optimal protection for the head, neck, and spine in the event
of a collision.
A nurse notes that a child with dehydration has sunken eyes and decreased urine
output. Which is the priority intervention?
A. Provide high-protein snacks
B. Initiate oral rehydration solution
C. Encourage physical activity
D. Restrict fluids
Answer: B
Rationale:
Sunken eyes and decreased urine output are clinical indicators of moderate
dehydration. The priority intervention is restoration of fluid and electrolyte
balance. Oral rehydration solution (ORS) is specifically formulated to replace lost
sodium, potassium, glucose, and water in physiologically appropriate proportions.
Providing high-protein snacks does not address immediate fluid deficits and may
worsen gastrointestinal distress.
A nurse is assessing a 6-month-old infant. Which developmental milestone should
the nurse expect?
3|Page
, ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A. Sits without support
B. Rolls from back to abdomen
C. Uses three-word sentences
D. Walks independently
Answer: B
Rationale: At 6 months, infants typically roll over and begin sitting with support.
Sitting independently and walking occur later, and three-word sentences are
expected in toddler years.
A nurse prepares to administer an intramuscular injection to a 2-month-old
infant. Which site is appropriate?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
Answer: C
Rationale: The vastus lateralis is the preferred IM site for infants due to adequate
muscle mass. The deltoid is not sufficiently developed at this age.
A nurse is caring for a child with droplet precautions. Which action is required?
A. Wear N95 respirator
B. Wear surgical mask within 3 feet
C. Place child in negative pressure room
D. Use sterile gloves at all times
Answer: B
Rationale: Droplet precautions require a surgical mask when within close range.
N95 and negative pressure are required for airborne precautions.
A nurse notes a medication order that seems unusually high. What is the nurse’s
first action?
A. Administer as prescribed
B. Clarify the order with provider
4|Page
ATI RN Proctored Exam 2026 Pediatrics
& Fundamentals | 350 Real Exam
Questions | First Attempt Version |
Verified Answers & Detailed
Rationales/Latest Verified!!!
Introduction
This exam contains over 300 multiple-choice questions covering critical areas in
pediatric nursing and foundational nursing principles. Each question is
accompanied by a verified correct answer and a detailed rationale, providing not
only the correct response but also the reasoning behind it, ensuring deeper
understanding and retention of core concepts..
A nurse is assessing a 4-year-old child during a well-child visit. Which
developmental milestone should the nurse expect?
A. Copies a circle
B. Ties shoelaces independently
C. Uses 2-word sentences
D. Counts backward from 20
Answer: A
Rationale:
At 4 years of age, children are in the preschool developmental stage. Fine motor
development at this age includes the ability to copy simple geometric shapes such
as a circle and sometimes a cross. This demonstrates maturation of hand-eye
coordination and visual-motor integration.
Tying shoelaces requires more advanced fine motor coordination and sequencing
skills, typically developing closer to age 5–6 years.
1|Page
,ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A nurse is preparing to administer oral medication to a toddler. Which action is
appropriate?
A. Mix medication with a full bottle of milk
B. Place medication at the back of the tongue
C. Offer a small amount of juice after medication
D. Force the child to swallow immediately
Answer: C
Rationale:
Administering oral medication to toddlers requires strategies that promote safety
and cooperation while ensuring full dosing. Offering a small amount of juice after
administering medication helps reduce unpleasant taste and encourages
swallowing without compromising the full medication dose.
A nurse is caring for a child with suspected epiglottitis. What is the priority action?
A. Obtain a throat culture
B. Visualize the throat with a tongue depressor
C. Prepare for airway management
D. Encourage oral fluids
Answer: C
Rationale:
Epiglottitis is an acute, potentially life-threatening condition characterized by
inflammation and swelling of the epiglottis, which can rapidly obstruct the airway.
Because airway compromise can occur suddenly, airway stabilization is the
highest priority intervention according to ABC (Airway, Breathing, Circulation)
principles.
A nurse is teaching parents about car seat safety for a 1-year-old infant. Which
statement indicates understanding?
2|Page
,ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A. “My child can sit in the front seat.”
B. “I will use a rear-facing car seat.”
C. “Booster seats are appropriate now.”
D. “Seat belts alone are fine.”
Answer: B
Rationale:
Current pediatric safety guidelines recommend that infants and toddlers remain
in rear-facing car seats for as long as possible, ideally until they reach the
maximum height or weight allowed by the car seat manufacturer. Rear-facing
positioning provides optimal protection for the head, neck, and spine in the event
of a collision.
A nurse notes that a child with dehydration has sunken eyes and decreased urine
output. Which is the priority intervention?
A. Provide high-protein snacks
B. Initiate oral rehydration solution
C. Encourage physical activity
D. Restrict fluids
Answer: B
Rationale:
Sunken eyes and decreased urine output are clinical indicators of moderate
dehydration. The priority intervention is restoration of fluid and electrolyte
balance. Oral rehydration solution (ORS) is specifically formulated to replace lost
sodium, potassium, glucose, and water in physiologically appropriate proportions.
Providing high-protein snacks does not address immediate fluid deficits and may
worsen gastrointestinal distress.
A nurse is assessing a 6-month-old infant. Which developmental milestone should
the nurse expect?
3|Page
, ATI RN Proctored Exam 2026 Pediatrics & Fundamentals
A. Sits without support
B. Rolls from back to abdomen
C. Uses three-word sentences
D. Walks independently
Answer: B
Rationale: At 6 months, infants typically roll over and begin sitting with support.
Sitting independently and walking occur later, and three-word sentences are
expected in toddler years.
A nurse prepares to administer an intramuscular injection to a 2-month-old
infant. Which site is appropriate?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
Answer: C
Rationale: The vastus lateralis is the preferred IM site for infants due to adequate
muscle mass. The deltoid is not sufficiently developed at this age.
A nurse is caring for a child with droplet precautions. Which action is required?
A. Wear N95 respirator
B. Wear surgical mask within 3 feet
C. Place child in negative pressure room
D. Use sterile gloves at all times
Answer: B
Rationale: Droplet precautions require a surgical mask when within close range.
N95 and negative pressure are required for airborne precautions.
A nurse notes a medication order that seems unusually high. What is the nurse’s
first action?
A. Administer as prescribed
B. Clarify the order with provider
4|Page
