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ATI PEDIATRICS PROCTORED EXAM 2026
RETAKE EXAM WITH COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY
GRADED A+
GROWTH, DEVELOPMENT, AND HEALTH PROMOTION
1. A nurse is assessing a 9-month-old infant. Which of the following findings
requires further intervention?
A. Positive Babinski reflex
B. Positive Moro reflex
C. Negative Doll's eye reflex
D. Negative Crawl reflex
Correct Answer: B. Positive Moro reflex
Rationale: The Moro reflex typically disappears by 3-4 months of age. Its presence in a
9-month-old infant indicates a delay in neurological development and requires further
evaluation. The Babinski reflex can persist until 1 year of age, a negative Doll's eye reflex
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is normal, and the Crawl reflex disappears after 6 months, so a negative finding at 9
months is expected .
2. A nurse is providing teaching to the parents of a preschooler about social
development. Which of the following play activities should the nurse recommend?
A. Playing pat-a-cake
B. Using a push-pull toy
C. Creating a scrapbook
D. Playing dress-up
Correct Answer: D. Playing dress-up
Rationale: Preschoolers (ages 3-6 years) engage in associative play and enjoy imitating
adults. Dress-up allows for therapeutic play, imagination, and social interaction. Pat-a-
cake is appropriate for infants, push-pull toys for toddlers, and scrapbooking for school-
age children .
3. A nurse is teaching the parents of a newborn about preventing Sudden Infant
Death Syndrome (SIDS). Which of the following instructions should the nurse
include?
A. Place the infant in a prone position to sleep
B. Allow the infant to sleep on a large pillow
C. Use a soft mattress in the infant's crib
D. Give the infant a pacifier at bedtime
Correct Answer: D. Give the infant a pacifier at bedtime
Rationale: The use of a pacifier during sleep is a protective factor against SIDS. Other
important preventive measures include placing the infant on their back on a firm
mattress with no soft objects, pillows, or loose bedding in the crib .
4. A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the
following manifestations should the nurse report to the provider?
A. Blood pressure 90/50 mm Hg
B. Respiratory rate 45/min
C. Weight 14.5 kg (32 lb)
D. Heart rate 110/min
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Correct Answer: B. Respiratory rate 45/min
Rationale: A respiratory rate of 45/min is above the expected reference range for a 3-
year-old (typically 20-30 breaths per minute) and may indicate respiratory distress. The
other vital signs and weight are within normal limits for this age group .
5. A nurse is reviewing developmental milestones for a 4-month-old infant. Which
of the following findings should the nurse expect?
A. Sits unsupported
B. Rolls from back to side
C. Uses a pincer grasp
D. Walks with assistance
Correct Answer: B. Rolls from back to side
Rationale: At 4 months, infants typically roll from back to side, reach for objects, and
drool/place objects in their mouth. Sitting unsupported occurs around 6-8 months,
pincer grasp around 9-12 months, and walking with assistance around 9-12 months .
6. A nurse is teaching parents about age-appropriate activities for a 2-year-old
toddler. Which of the following activities should the nurse recommend?
A. Playing board games with rules
B. Completing a large-piece puzzle
C. Playing competitive sports
D. Reading chapter books
Correct Answer: B. Completing a large-piece puzzle
Rationale: Toddlers benefit from activities that develop fine motor skills and problem-
solving, such as large-piece puzzles, filling and emptying containers, push-pull toys, and
thick crayons. Board games with rules and competitive sports are more appropriate for
school-age children .
7. A nurse is discussing dental development with the parent of a 1-year-old child.
Which of the following statements indicates understanding?
A. "My child should have 6-8 teeth by now."
B. "All 20 baby teeth will erupt by 18 months."
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C. "Teething has no effect on my child's behavior."
D. "I should start brushing with toothpaste when all teeth come in."
Correct Answer: A. "My child should have 6-8 teeth by now."
Rationale: By 12 months of age, infants typically have 6-8 teeth. The full set of 20
primary teeth erupts by 2-3 years. Teething can cause irritability and drooling, and
dental hygiene should begin with the first tooth eruption .
8. A nurse is calculating the dosage of ibuprofen for an infant who weighs 17.6 lb.
The prescription reads 5 mg/kg PO every 6 hours PRN for fever. The infant's
temperature is 38.4°C (101.2°F). Available is 100 mg/5 mL. How many mL should
the nurse administer per dose? (Round to the nearest whole number)
Answer: 2 mL
Rationale: Convert pounds to kilograms: 17.6 lb ÷ 2.2 = 8 kg. Calculate dosage: 5
mg/kg × 8 kg = 40 mg. Using the available concentration (100 mg/5 mL = 20 mg/mL),
40 mg ÷ 20 mg/mL = 2 mL .
💊 MEDICATION ADMINISTRATION AND PAIN MANAGEMENT
9. A nurse is preparing to administer an immunization to a 4-year-old child. Which
of the following actions should the nurse plan to take?
A. Place the child in a prone position for the immunization
B. Request that the child's caregiver leave the room
C. Administer the immunization using a 24-gauge needle
D. Inject slowly after aspirating for 3 seconds
Correct Answer: C. Administer the immunization using a 24-gauge needle
Rationale: A 24-gauge needle is appropriate for a 4-year-old to minimize pain. The
child should be in a secure position (sitting on parent's lap is often recommended),
caregivers should be encouraged to stay for comfort, and aspiration is not
recommended for immunizations as it can increase pain .
ATI PEDIATRICS PROCTORED EXAM 2026
RETAKE EXAM WITH COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY
GRADED A+
GROWTH, DEVELOPMENT, AND HEALTH PROMOTION
1. A nurse is assessing a 9-month-old infant. Which of the following findings
requires further intervention?
A. Positive Babinski reflex
B. Positive Moro reflex
C. Negative Doll's eye reflex
D. Negative Crawl reflex
Correct Answer: B. Positive Moro reflex
Rationale: The Moro reflex typically disappears by 3-4 months of age. Its presence in a
9-month-old infant indicates a delay in neurological development and requires further
evaluation. The Babinski reflex can persist until 1 year of age, a negative Doll's eye reflex
,2
is normal, and the Crawl reflex disappears after 6 months, so a negative finding at 9
months is expected .
2. A nurse is providing teaching to the parents of a preschooler about social
development. Which of the following play activities should the nurse recommend?
A. Playing pat-a-cake
B. Using a push-pull toy
C. Creating a scrapbook
D. Playing dress-up
Correct Answer: D. Playing dress-up
Rationale: Preschoolers (ages 3-6 years) engage in associative play and enjoy imitating
adults. Dress-up allows for therapeutic play, imagination, and social interaction. Pat-a-
cake is appropriate for infants, push-pull toys for toddlers, and scrapbooking for school-
age children .
3. A nurse is teaching the parents of a newborn about preventing Sudden Infant
Death Syndrome (SIDS). Which of the following instructions should the nurse
include?
A. Place the infant in a prone position to sleep
B. Allow the infant to sleep on a large pillow
C. Use a soft mattress in the infant's crib
D. Give the infant a pacifier at bedtime
Correct Answer: D. Give the infant a pacifier at bedtime
Rationale: The use of a pacifier during sleep is a protective factor against SIDS. Other
important preventive measures include placing the infant on their back on a firm
mattress with no soft objects, pillows, or loose bedding in the crib .
4. A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the
following manifestations should the nurse report to the provider?
A. Blood pressure 90/50 mm Hg
B. Respiratory rate 45/min
C. Weight 14.5 kg (32 lb)
D. Heart rate 110/min
,3
Correct Answer: B. Respiratory rate 45/min
Rationale: A respiratory rate of 45/min is above the expected reference range for a 3-
year-old (typically 20-30 breaths per minute) and may indicate respiratory distress. The
other vital signs and weight are within normal limits for this age group .
5. A nurse is reviewing developmental milestones for a 4-month-old infant. Which
of the following findings should the nurse expect?
A. Sits unsupported
B. Rolls from back to side
C. Uses a pincer grasp
D. Walks with assistance
Correct Answer: B. Rolls from back to side
Rationale: At 4 months, infants typically roll from back to side, reach for objects, and
drool/place objects in their mouth. Sitting unsupported occurs around 6-8 months,
pincer grasp around 9-12 months, and walking with assistance around 9-12 months .
6. A nurse is teaching parents about age-appropriate activities for a 2-year-old
toddler. Which of the following activities should the nurse recommend?
A. Playing board games with rules
B. Completing a large-piece puzzle
C. Playing competitive sports
D. Reading chapter books
Correct Answer: B. Completing a large-piece puzzle
Rationale: Toddlers benefit from activities that develop fine motor skills and problem-
solving, such as large-piece puzzles, filling and emptying containers, push-pull toys, and
thick crayons. Board games with rules and competitive sports are more appropriate for
school-age children .
7. A nurse is discussing dental development with the parent of a 1-year-old child.
Which of the following statements indicates understanding?
A. "My child should have 6-8 teeth by now."
B. "All 20 baby teeth will erupt by 18 months."
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C. "Teething has no effect on my child's behavior."
D. "I should start brushing with toothpaste when all teeth come in."
Correct Answer: A. "My child should have 6-8 teeth by now."
Rationale: By 12 months of age, infants typically have 6-8 teeth. The full set of 20
primary teeth erupts by 2-3 years. Teething can cause irritability and drooling, and
dental hygiene should begin with the first tooth eruption .
8. A nurse is calculating the dosage of ibuprofen for an infant who weighs 17.6 lb.
The prescription reads 5 mg/kg PO every 6 hours PRN for fever. The infant's
temperature is 38.4°C (101.2°F). Available is 100 mg/5 mL. How many mL should
the nurse administer per dose? (Round to the nearest whole number)
Answer: 2 mL
Rationale: Convert pounds to kilograms: 17.6 lb ÷ 2.2 = 8 kg. Calculate dosage: 5
mg/kg × 8 kg = 40 mg. Using the available concentration (100 mg/5 mL = 20 mg/mL),
40 mg ÷ 20 mg/mL = 2 mL .
💊 MEDICATION ADMINISTRATION AND PAIN MANAGEMENT
9. A nurse is preparing to administer an immunization to a 4-year-old child. Which
of the following actions should the nurse plan to take?
A. Place the child in a prone position for the immunization
B. Request that the child's caregiver leave the room
C. Administer the immunization using a 24-gauge needle
D. Inject slowly after aspirating for 3 seconds
Correct Answer: C. Administer the immunization using a 24-gauge needle
Rationale: A 24-gauge needle is appropriate for a 4-year-old to minimize pain. The
child should be in a secure position (sitting on parent's lap is often recommended),
caregivers should be encouraged to stay for comfort, and aspiration is not
recommended for immunizations as it can increase pain .
