ATI RN Nursing Care of Children Exam Practice
Questions and Answers with Rationale ATI
Exam 2026
1. A child with croup is admitted. What is the priority
intervention?
A. Chest physiotherapy
B. Keep child calm
C. Encourage fluids only
D. Place in supine position
Answer: B
Rationale: Crying worsens airway obstruction in croup.
2. Which finding is most concerning in an infant with
dehydration?
A. Dry lips
B. Sunken fontanel
C. Decreased tears
D. Weight loss 2%
Answer: B
Rationale: Sunken fontanel = severe dehydration.
3. A child has Kawasaki disease. What complication is
priority?
A. Renal failure
B. Coronary artery aneurysm
C. Liver failure
D. Pulmonary edema
Answer: B
Rationale: Kawasaki affects coronary arteries.
, ATI RN Nursing Care of Children Exam Practice Questions and Answers with Rationale 2026
4. Which vaccine is live attenuated?
A. Hepatitis B
B. IPV
C. MMR
D. DTaP
Answer: C
Rationale: MMR is a live vaccine.
5. Priority action for epiglottitis?
A. Throat culture
B. Immediate intubation readiness
C. Oral fluids
D. Supine positioning
Answer: B
Rationale: Risk of sudden airway obstruction.
6. A child with iron deficiency anemia is expected to have:
A. Jaundice
B. Pallor and fatigue
C. Cyanosis
D. Edema
Answer: B
7. Which toy is appropriate for a 6-month-old?
A. Puzzle
B. Rattle
C. Bicycle
D. Board game
Answer: B
8. A toddler refuses to share toys. This is:
, ATI RN Nursing Care of Children Exam Practice Questions and Answers with Rationale 2026
A. Abnormal behavior
B. Normal egocentrism
C. Developmental delay
D. Autism sign
Answer: B
9. Priority action for sickle cell crisis:
A. Warm compress
B. Cold compress
C. Encourage dehydration
D. Restrict oxygen
Answer: A
Rationale: Heat improves circulation.
10. Best indicator of pain in infant:
A. Crying only
B. Vital signs + facial expression
C. Blood pressure only
D. Fever
Answer: B
11. Which sign indicates meningitis?
A. Bradycardia
B. Nuchal rigidity
C. Hyperactivity
D. Hypothermia
Answer: B
12. Lead poisoning causes:
A. Hearing loss
B. Cognitive delay
C. Blindness