ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with Rationale
2026
ATI Nursing Care of Children Proctored Exam
Practice Questions and Answers with
Rationale ATI Exam 2026
1. Growth & Development
1. A nurse is assessing a 6-month-old infant. Which finding is expected?
A. Birth weight has doubled
B. Posterior fontanel is open
C. Rolls from back to stomach
D. Has 20 teeth
Answer: C
Rationale: By 6 months, infants typically roll over. Birth weight doubles at ~5 months.
2. A 2-year-old child is in which stage of psychosocial development?
A. Trust vs mistrust
B. Autonomy vs shame and doubt
C. Initiative vs guilt
D. Industry vs inferiority
Answer: B
Rationale: Toddlers develop independence (Erikson).
3. Expected weight gain in infants is:
A. 5 g/day
B. 20–30 g/day
C. 50–60 g/day
D. 100 g/day
Answer: B
Rationale: Infants gain ~20–30 g/day in first months.
2. Respiratory Disorders
, ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with Rationale
2026
4. A child with epiglottitis presents with drooling and tripod positioning. What is priority?
A. Throat culture
B. Inspect throat
C. Prepare for intubation
D. Give oral fluids
Answer: C
Rationale: Airway emergency—avoid throat inspection.
5. A child with asthma is wheezing. First action?
A. Administer albuterol
B. Give steroids
C. Obtain chest X-ray
D. Encourage fluids
Answer: A
Rationale: Bronchodilator is first-line for acute attack.
6. Cystic fibrosis child care priority:
A. High-calorie diet
B. Airway clearance
C. Vitamin supplements
D. Genetic counseling
Answer: B
Rationale: Thick mucus causes airway obstruction.
3. Cardiovascular & Hematology
7. A child with iron deficiency anemia will likely show:
A. Jaundice
B. Bradycardia
C. Pallor and fatigue
D. Hypertension
Answer: C
, ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with Rationale
2026
8. Sickle cell crisis priority intervention:
A. Oxygen
B. High iron diet
C. Fluid restriction
D. Cold compress
Answer: A
Rationale: Hypoxia worsens sickling.
9. Kawasaki disease complication to monitor:
A. Liver failure
B. Coronary aneurysm
C. Kidney stones
D. Lung collapse
Answer: B
4. Gastrointestinal
10. Rotavirus main symptom:
A. Constipation
B. Severe diarrhea
C. Blood in urine
D. Dry cough
Answer: B
11. Appendicitis pain location:
A. RUQ
B. LUQ
C. RLQ
D. Epigastric
Answer: C
12. Priority in dehydration:
A. Oral antibiotics
2026
ATI Nursing Care of Children Proctored Exam
Practice Questions and Answers with
Rationale ATI Exam 2026
1. Growth & Development
1. A nurse is assessing a 6-month-old infant. Which finding is expected?
A. Birth weight has doubled
B. Posterior fontanel is open
C. Rolls from back to stomach
D. Has 20 teeth
Answer: C
Rationale: By 6 months, infants typically roll over. Birth weight doubles at ~5 months.
2. A 2-year-old child is in which stage of psychosocial development?
A. Trust vs mistrust
B. Autonomy vs shame and doubt
C. Initiative vs guilt
D. Industry vs inferiority
Answer: B
Rationale: Toddlers develop independence (Erikson).
3. Expected weight gain in infants is:
A. 5 g/day
B. 20–30 g/day
C. 50–60 g/day
D. 100 g/day
Answer: B
Rationale: Infants gain ~20–30 g/day in first months.
2. Respiratory Disorders
, ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with Rationale
2026
4. A child with epiglottitis presents with drooling and tripod positioning. What is priority?
A. Throat culture
B. Inspect throat
C. Prepare for intubation
D. Give oral fluids
Answer: C
Rationale: Airway emergency—avoid throat inspection.
5. A child with asthma is wheezing. First action?
A. Administer albuterol
B. Give steroids
C. Obtain chest X-ray
D. Encourage fluids
Answer: A
Rationale: Bronchodilator is first-line for acute attack.
6. Cystic fibrosis child care priority:
A. High-calorie diet
B. Airway clearance
C. Vitamin supplements
D. Genetic counseling
Answer: B
Rationale: Thick mucus causes airway obstruction.
3. Cardiovascular & Hematology
7. A child with iron deficiency anemia will likely show:
A. Jaundice
B. Bradycardia
C. Pallor and fatigue
D. Hypertension
Answer: C
, ATI Nursing Care of Children Proctored Exam Practice Questions and Answers with Rationale
2026
8. Sickle cell crisis priority intervention:
A. Oxygen
B. High iron diet
C. Fluid restriction
D. Cold compress
Answer: A
Rationale: Hypoxia worsens sickling.
9. Kawasaki disease complication to monitor:
A. Liver failure
B. Coronary aneurysm
C. Kidney stones
D. Lung collapse
Answer: B
4. Gastrointestinal
10. Rotavirus main symptom:
A. Constipation
B. Severe diarrhea
C. Blood in urine
D. Dry cough
Answer: B
11. Appendicitis pain location:
A. RUQ
B. LUQ
C. RLQ
D. Epigastric
Answer: C
12. Priority in dehydration:
A. Oral antibiotics
