NGN ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with
Rationale 2026
NGN ATI Nursing Care of Children Proctored
Exam Practice Questions and Answers with
Rationale ATI Exam 2026
1. Infant dehydration
A nurse is assessing a 6-month-old with diarrhea. Which finding is most concerning?
A. Sunken fontanel
B. Mild irritability
C. Slightly dry lips
D. Increased urination
Answer: A
Rationale: Sunken fontanel indicates moderate to severe dehydration in infants.
2. Developmental milestone
A 10-month-old should be able to:
A. Walk independently
B. Sit without support
C. Speak 3 words
D. Draw circles
Answer: B
Rationale: Sitting without support occurs around 6–8 months.
3. Immunization teaching
Which vaccine prevents measles, mumps, and rubella?
A. DTaP
B. IPV
C. MMR
D. Hib
, NGN ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with
Rationale 2026
Answer: C
Rationale: MMR protects against measles, mumps, and rubella.
4. Priority in epiglottitis
Child with drooling, tripod position, stridor. First action?
A. Throat culture
B. Prepare intubation equipment
C. Place supine
D. Encourage fluids
Answer: B
Rationale: Airway emergency—prepare for intubation.
5. Pediatric pain scale
A 4-year-old should use:
A. Numeric scale
B. FACES scale
C. Glasgow scale
D. Wong-Baker only for adults
Answer: B
Rationale: Preschoolers use FACES scale.
6. Cystic fibrosis
Which symptom is expected?
A. Watery stool
B. Thick, sticky mucus
C. Bradycardia
D. Hypotension
Answer: B
, NGN ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with
Rationale 2026
7. Seizure precaution
Best nursing action:
A. Restrain child
B. Place tongue blade in mouth
C. Pad side rails
D. Give water during seizure
Answer: C
8. Kawasaki disease
Priority treatment:
A. Antibiotics
B. IV immunoglobulin
C. Insulin
D. Diuretics
Answer: B
9. Toddler nutrition
Best recommendation:
A. High sugar diet
B. Small frequent meals
C. Low fat only
D. No snacks
Answer: B
10. Autism behavior
, NGN ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with
Rationale 2026
Expected finding:
A. Excess eye contact
B. Social interaction
C. Repetitive behaviors
D. High verbal communication
Answer: C
11. Lead poisoning
Most common symptom:
A. Weight gain
B. Abdominal pain
C. Hypertension
D. Bradycardia
Answer: B
12. Asthma attack
First-line medication:
A. Albuterol
B. Prednisone
C. Antibiotics
D. Oxygen only
Answer: A
13. Neonatal reflex
Present at birth:
A. Babinski
B. Patellar
Rationale 2026
NGN ATI Nursing Care of Children Proctored
Exam Practice Questions and Answers with
Rationale ATI Exam 2026
1. Infant dehydration
A nurse is assessing a 6-month-old with diarrhea. Which finding is most concerning?
A. Sunken fontanel
B. Mild irritability
C. Slightly dry lips
D. Increased urination
Answer: A
Rationale: Sunken fontanel indicates moderate to severe dehydration in infants.
2. Developmental milestone
A 10-month-old should be able to:
A. Walk independently
B. Sit without support
C. Speak 3 words
D. Draw circles
Answer: B
Rationale: Sitting without support occurs around 6–8 months.
3. Immunization teaching
Which vaccine prevents measles, mumps, and rubella?
A. DTaP
B. IPV
C. MMR
D. Hib
, NGN ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with
Rationale 2026
Answer: C
Rationale: MMR protects against measles, mumps, and rubella.
4. Priority in epiglottitis
Child with drooling, tripod position, stridor. First action?
A. Throat culture
B. Prepare intubation equipment
C. Place supine
D. Encourage fluids
Answer: B
Rationale: Airway emergency—prepare for intubation.
5. Pediatric pain scale
A 4-year-old should use:
A. Numeric scale
B. FACES scale
C. Glasgow scale
D. Wong-Baker only for adults
Answer: B
Rationale: Preschoolers use FACES scale.
6. Cystic fibrosis
Which symptom is expected?
A. Watery stool
B. Thick, sticky mucus
C. Bradycardia
D. Hypotension
Answer: B
, NGN ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with
Rationale 2026
7. Seizure precaution
Best nursing action:
A. Restrain child
B. Place tongue blade in mouth
C. Pad side rails
D. Give water during seizure
Answer: C
8. Kawasaki disease
Priority treatment:
A. Antibiotics
B. IV immunoglobulin
C. Insulin
D. Diuretics
Answer: B
9. Toddler nutrition
Best recommendation:
A. High sugar diet
B. Small frequent meals
C. Low fat only
D. No snacks
Answer: B
10. Autism behavior
, NGN ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with
Rationale 2026
Expected finding:
A. Excess eye contact
B. Social interaction
C. Repetitive behaviors
D. High verbal communication
Answer: C
11. Lead poisoning
Most common symptom:
A. Weight gain
B. Abdominal pain
C. Hypertension
D. Bradycardia
Answer: B
12. Asthma attack
First-line medication:
A. Albuterol
B. Prednisone
C. Antibiotics
D. Oxygen only
Answer: A
13. Neonatal reflex
Present at birth:
A. Babinski
B. Patellar
