ATI PN PEDIATRICS PROCTORED EXAM
2026| ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS | GRADED A+
1. A nurse is teaching the parent of an infant about food allergens. Which of
the following foods should the nurse include as being the most common
food allergy in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg
ANSWER>> A
Rationale: According to evidence-based practice, cow's milk is the most common
food allergy in children. Some children are sensitive to the protein casein found in
cow's milk and have difficulty metabolizing it.
2. A nurse is teaching the parent of a toddler about home safety. Which of the
following statements by the parent indicates an understanding of the
teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something
poisonous."
ANSWER>> A
Rationale: Locking medications prevents access to potential poisons. Toddlers
have improved motor skills that allow further exploration and possible access to
hazardous substances.
3. A nurse is performing a physical assessment on a 6-month-old infant. Which
of the following reflexes should the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro
,ANSWER>> B
Rationale: The Babinski reflex (toes fan and big toe dorsiflexes when the sole is
stroked) should be present until about 1 year of age. Persistence of neonatal
reflexes may indicate neurological deficits.
4. A nurse is preparing to administer recommended immunizations to a
2-month-old infant. Which of the following immunizations should the nurse
plan to administer?
a. Human papillomavirus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular
pertussis (TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV)
ANSWER>> C
Rationale: Recommended immunizations for a 2-month-old infant include Hib
and IPV. Hib is given at 2, 4, and 12-15 months; IPV at 2, 4, 6-18 months, and 4-6
years.
5. A nurse is developing a plan of care for a school-age child who underwent a
surgical procedure that resulted in temporary loss of vision. Which of the
following interventions should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child.
ANSWER>> B
Rationale: Noises in a facility can be frightening to a child with sensory
loss. Explaining sounds helps allay the child's fears.
6. A nurse is evaluating a 3-year-old child one day after a tonsillectomy. Which
method should be used to assess the child's pain level?
a. Consult the child's parents.
b. Utilize the FACES pain scale.
c. Apply a numeric rating scale.
d. Measure the child's temperature.
ANSWER>> B
Rationale: The FACES pain scale is a reliable tool for evaluating pain in children
,as young as 3 years old because it uses pictures rather than numbers or abstract
concepts.
7. A nurse is assessing a 6-month-old infant at a routine check-up. Which of
the following findings warrants further investigation?
a. Pulling feet toward the mouth.
b. Closure of the posterior fontanel.
c. Extended and crossed legs while lying down.
d. Birth weight has doubled.
ANSWER>> C
Rationale: At 6 months, an infant should demonstrate knee flexion when lying on
the back. Extended and crossed legs could be a sign of cerebral palsy and require
further evaluation.
8. A nurse observes a mother playing peek-a-boo with her 8-month-old and is
asked if the game has developmental importance. What concept does this
activity help the child develop?
a. Hand-eye coordination.
b. Sense of trust.
c. Object permanence.
d. Egocentrism.
ANSWER>> C
Rationale: Object permanence – the understanding that objects exist even when
out of sight – is reinforced by peek-a-boo. This cognitive skill develops around
8-12 months.
9. A nurse is caring for a 15-month-old requiring droplet precautions. What
action should the nurse take?
a. Wear an N95 respirator when entering the room.
b. Place the child in a negative-airflow room.
c. Wear a surgical mask when within 3 feet of the child.
d. Keep the door open to improve ventilation.
ANSWER>> C
Rationale: Droplet precautions require wearing a surgical mask when within 3
feet of the client. Negative-airflow rooms are for airborne precautions. N95
respirators are for airborne diseases like TB.
, 10.A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which
of the following actions should the nurse take?
a. Perform the assessment in a head-to-toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative.
ANSWER>> B
Rationale: The nurse should minimize physical contact initially and progress
from least traumatic to most traumatic procedures to build trust and cooperation
with the toddler.
11.A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is planning to attend college. The nurse should inform
the client that he should receive which of the following immunizations prior
to moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster
ANSWER>> B
Rationale: College freshmen living in dormitories are at increased risk for
meningococcal disease. The meningococcal polysaccharide vaccine is
recommended to prevent life-threatening meningitis and meningococcemia.
12.A nurse is assessing a 4-year-old child for developmental milestones. Which
of the following findings indicates a potential delay?
a. Can hop on one foot.
b. Draws a circle.
c. Uses scissors to cut along a line.
d. Is unable to dress independently.
ANSWER>> D
Rationale: By age 4, most children can dress themselves with minimal
help. Inability to dress independently at this age may indicate a developmental
delay.
13.A nurse is providing education to the parents of a child with a new diagnosis
of autism spectrum disorder. Which of the following interventions should
2026| ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS | GRADED A+
1. A nurse is teaching the parent of an infant about food allergens. Which of
the following foods should the nurse include as being the most common
food allergy in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg
ANSWER>> A
Rationale: According to evidence-based practice, cow's milk is the most common
food allergy in children. Some children are sensitive to the protein casein found in
cow's milk and have difficulty metabolizing it.
2. A nurse is teaching the parent of a toddler about home safety. Which of the
following statements by the parent indicates an understanding of the
teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something
poisonous."
ANSWER>> A
Rationale: Locking medications prevents access to potential poisons. Toddlers
have improved motor skills that allow further exploration and possible access to
hazardous substances.
3. A nurse is performing a physical assessment on a 6-month-old infant. Which
of the following reflexes should the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro
,ANSWER>> B
Rationale: The Babinski reflex (toes fan and big toe dorsiflexes when the sole is
stroked) should be present until about 1 year of age. Persistence of neonatal
reflexes may indicate neurological deficits.
4. A nurse is preparing to administer recommended immunizations to a
2-month-old infant. Which of the following immunizations should the nurse
plan to administer?
a. Human papillomavirus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular
pertussis (TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV)
ANSWER>> C
Rationale: Recommended immunizations for a 2-month-old infant include Hib
and IPV. Hib is given at 2, 4, and 12-15 months; IPV at 2, 4, 6-18 months, and 4-6
years.
5. A nurse is developing a plan of care for a school-age child who underwent a
surgical procedure that resulted in temporary loss of vision. Which of the
following interventions should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
d. Rotate nurses caring for the child.
ANSWER>> B
Rationale: Noises in a facility can be frightening to a child with sensory
loss. Explaining sounds helps allay the child's fears.
6. A nurse is evaluating a 3-year-old child one day after a tonsillectomy. Which
method should be used to assess the child's pain level?
a. Consult the child's parents.
b. Utilize the FACES pain scale.
c. Apply a numeric rating scale.
d. Measure the child's temperature.
ANSWER>> B
Rationale: The FACES pain scale is a reliable tool for evaluating pain in children
,as young as 3 years old because it uses pictures rather than numbers or abstract
concepts.
7. A nurse is assessing a 6-month-old infant at a routine check-up. Which of
the following findings warrants further investigation?
a. Pulling feet toward the mouth.
b. Closure of the posterior fontanel.
c. Extended and crossed legs while lying down.
d. Birth weight has doubled.
ANSWER>> C
Rationale: At 6 months, an infant should demonstrate knee flexion when lying on
the back. Extended and crossed legs could be a sign of cerebral palsy and require
further evaluation.
8. A nurse observes a mother playing peek-a-boo with her 8-month-old and is
asked if the game has developmental importance. What concept does this
activity help the child develop?
a. Hand-eye coordination.
b. Sense of trust.
c. Object permanence.
d. Egocentrism.
ANSWER>> C
Rationale: Object permanence – the understanding that objects exist even when
out of sight – is reinforced by peek-a-boo. This cognitive skill develops around
8-12 months.
9. A nurse is caring for a 15-month-old requiring droplet precautions. What
action should the nurse take?
a. Wear an N95 respirator when entering the room.
b. Place the child in a negative-airflow room.
c. Wear a surgical mask when within 3 feet of the child.
d. Keep the door open to improve ventilation.
ANSWER>> C
Rationale: Droplet precautions require wearing a surgical mask when within 3
feet of the client. Negative-airflow rooms are for airborne precautions. N95
respirators are for airborne diseases like TB.
, 10.A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which
of the following actions should the nurse take?
a. Perform the assessment in a head-to-toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative.
ANSWER>> B
Rationale: The nurse should minimize physical contact initially and progress
from least traumatic to most traumatic procedures to build trust and cooperation
with the toddler.
11.A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is planning to attend college. The nurse should inform
the client that he should receive which of the following immunizations prior
to moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster
ANSWER>> B
Rationale: College freshmen living in dormitories are at increased risk for
meningococcal disease. The meningococcal polysaccharide vaccine is
recommended to prevent life-threatening meningitis and meningococcemia.
12.A nurse is assessing a 4-year-old child for developmental milestones. Which
of the following findings indicates a potential delay?
a. Can hop on one foot.
b. Draws a circle.
c. Uses scissors to cut along a line.
d. Is unable to dress independently.
ANSWER>> D
Rationale: By age 4, most children can dress themselves with minimal
help. Inability to dress independently at this age may indicate a developmental
delay.
13.A nurse is providing education to the parents of a child with a new diagnosis
of autism spectrum disorder. Which of the following interventions should
