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ATI Pediatrics Proctored Exam 2026/2027: 280+ Questions, Answers & Rationales | RN Care of Children

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Master the ATI Pediatrics RN Proctored Exam with this comprehensive 146-page guide. Updated for , this resource features over 280 high-yield practice questions with detailed rationales, covering every key section including Growth & Development, Health Promotion, Respiratory & Cardiovascular Disorders, GI, Neuro, Renal, Hematology/Oncology, Endocrine, Infectious Diseases, Immunizations, Emergencies, and NGN case scenarios. Designed to help you pass on your first attempt, it includes critical topics like SIDS prevention, vaccination schedules (HepB, MMR, HPV), diabetic ketoacidosis, status epilepticus, and child abuse reporting. Perfect for last-minute review or comprehensive content mastery

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ATI PEDIATRICS CARE OF CHILDREN RN
PROCTORED EXAM 2026-2027 | 200+ PRACTICE
QUESTIONS & RATIONALES | HIGH-YIELD
CONTENT | PASS FIRST ATTEMPT

Table of Contents
1. **Growth & Development** (Q1–Q30)
2. **Health Promotion & Disease Prevention** (Q31–Q50)
3. **Pediatric Physical Assessment** (Q51–Q70)
4. **Respiratory Disorders** (Q71–Q90)
5. **Cardiovascular Disorders** (Q91–Q110)
6. **Gastrointestinal Disorders** (Q111–Q130)
7. **Neurological Disorders** (Q131–Q150)
8. **Renal & Genitourinary Disorders** (Q151–Q165)
9. **Hematological & Oncological Disorders** (Q166–Q180)
10. **Endocrine & Metabolic Disorders** (Q181–Q195)
11. **Musculoskeletal & Integumentary Disorders** (Q196–Q210)
12. **Infectious Diseases & Immunizations** (Q211–Q230)
13. **Pediatric Emergencies & Safety** (Q231–Q245)
14. **Psychosocial & Mental Health** (Q246–Q255)
15. **Medication Administration & Calculations** (Q256–Q270)
16. **High-Yield NGN Case Scenarios** (Q271–Q280)

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Section 1: Growth & Development (Q1–Q30)


**Q1.** A nurse is assessing a 4-month-old infant. Which
developmental milestone should the nurse expect?
A. Rolls from back to side
B. Sits without support
C. Crawls
D. Walks with assistance


**Correct Answer: A – Rolls from back to side**
*Rationale: At 4 months, infants typically roll from back to side. Sitting
without support occurs at 6–8 months, crawling at 6–10 months, and
walking with assistance at 9–12 months.*


**Q2.** A nurse is teaching parents about infant teething. At what age
do primary teeth typically begin to erupt?
A. 4–7 months
B. 8–12 months
C. 12–16 months
D. 16–20 months


**Correct Answer: A – 4–7 months**

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*Rationale: The first primary teeth (usually lower central incisors)
typically erupt between 4 and 7 months of age.*


**Q3.** A nurse is assessing a 2-year-old toddler. Which behavior is
developmentally appropriate?
A. Parallel play
B. Cooperative play
C. Solitary play
D. Associative play


**Correct Answer: A – Parallel play**
*Rationale: Toddlers engage in parallel play (playing alongside but not
with other children). Cooperative play is typical for older preschoolers
and school-age children.*


**Q4.** A nurse is educating parents of a 9-month-old infant about
infant development. Which statement by the parent indicates
understanding?
A. “My baby should be able to sit unsupported.”
B. “My baby should be able to walk alone.”
C. “My baby should be able to stack blocks.”
D. “My baby should be able to say 10 words.”


**Correct Answer: A – “My baby should be able to sit unsupported.”**

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*Rationale: By 9 months, most infants can sit unsupported. Walking
alone occurs around 12–15 months, stacking blocks around 12–15
months, and saying 10 words around 18 months.*


**Q5.** According to Erikson, the primary psychosocial task of the
preschooler (ages 3–6) is:
A. Initiative vs. guilt
B. Trust vs. mistrust
C. Autonomy vs. shame/doubt
D. Industry vs. inferiority


**Correct Answer: A – Initiative vs. guilt**
*Rationale: Preschoolers develop initiative by planning activities. Trust
vs. mistrust is infancy (0–12 months), autonomy vs. shame/doubt is
toddlerhood (1–3 years), and industry vs. inferiority is school age (6–12
years).*


**Q6.** A nurse is assessing a 15-month-old toddler. Which fine motor
skill should the nurse expect?
A. Uses a cup well
B. Builds a tower of 6 blocks
C. Draws a circle
D. Uses scissors

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