ATI Nursing Care of Children Exam Practice Questions and Answers with Rationale 2026
ATI Nursing Care of Children Exam Practice
Questions and Answers with Rationale ATI
Exam 2026
1. An infant with pyloric stenosis is expected to have which symptom?
A. Projectile vomiting after feeding
B. Diarrhea with fever
C. Bilious vomiting
D. Constipation only
Answer: A
Rationale: Pyloric stenosis causes projectile, non-bilious vomiting due to gastric outlet
obstruction.
2. Priority action for a child with epiglottitis?
A. Inspect throat with tongue depressor
B. Obtain throat culture
C. Prepare for emergency airway support
D. Give oral fluids
Answer: C
Rationale: Epiglottitis is a life-threatening airway obstruction; avoid throat examination.
3. A child with sickle cell crisis should receive:
A. Oxygen and hydration
B. Diuretics
C. Iron supplements
D. Fluid restriction
Answer: A
Rationale: Crisis requires oxygen + hydration to reduce sickling.
, ATI Nursing Care of Children Exam Practice Questions and Answers with Rationale 2026
4. Which is a sign of dehydration in an infant?
A. Bulging fontanel
B. Moist mucous membranes
C. Sunken fontanel
D. Increased tears
Answer: C
Rationale: Sunken fontanel indicates fluid loss.
5. A child with asthma should use which medication for acute attack?
A. Montelukast
B. Albuterol
C. Fluticasone
D. Cromolyn
Answer: B
Rationale: Albuterol is a short-acting bronchodilator for rescue.
6. Which toy is appropriate for a 6-month-old?
A. Puzzle
B. Soft rattle
C. Video game
D. Building blocks
Answer: B
Rationale: Infants need safe, graspable objects.
7. A toddler’s normal behavior includes:
A. Cooperative play
B. Parallel play
C. Competitive play
D. Team sports
Answer: B
Rationale: Toddlers play side-by-side (parallel play).
, ATI Nursing Care of Children Exam Practice Questions and Answers with Rationale 2026
8. Expected finding in a newborn?
A. Head control
B. Moro reflex
C. Walking reflex
D. Pincer grasp
Answer: B
Rationale: Moro reflex is present at birth.
9. Which is a sign of increased intracranial pressure (ICP)?
A. Bradycardia
B. Increased appetite
C. Hypotension early
D. Hyperactivity
Answer: A
Rationale: ICP causes Cushing triad: bradycardia, hypertension, irregular breathing.
10. Priority nursing action for meningitis?
A. Low-stimulation environment
B. Encourage walking
C. Restrict fluids completely
D. Warm compresses only
Answer: A
Rationale: Decreases ICP and neurologic stress.
11. Which finding suggests iron deficiency anemia?
A. Pallor and fatigue
B. Cyanosis
C. Jaundice
D. Hypertension
Answer: A
ATI Nursing Care of Children Exam Practice
Questions and Answers with Rationale ATI
Exam 2026
1. An infant with pyloric stenosis is expected to have which symptom?
A. Projectile vomiting after feeding
B. Diarrhea with fever
C. Bilious vomiting
D. Constipation only
Answer: A
Rationale: Pyloric stenosis causes projectile, non-bilious vomiting due to gastric outlet
obstruction.
2. Priority action for a child with epiglottitis?
A. Inspect throat with tongue depressor
B. Obtain throat culture
C. Prepare for emergency airway support
D. Give oral fluids
Answer: C
Rationale: Epiglottitis is a life-threatening airway obstruction; avoid throat examination.
3. A child with sickle cell crisis should receive:
A. Oxygen and hydration
B. Diuretics
C. Iron supplements
D. Fluid restriction
Answer: A
Rationale: Crisis requires oxygen + hydration to reduce sickling.
, ATI Nursing Care of Children Exam Practice Questions and Answers with Rationale 2026
4. Which is a sign of dehydration in an infant?
A. Bulging fontanel
B. Moist mucous membranes
C. Sunken fontanel
D. Increased tears
Answer: C
Rationale: Sunken fontanel indicates fluid loss.
5. A child with asthma should use which medication for acute attack?
A. Montelukast
B. Albuterol
C. Fluticasone
D. Cromolyn
Answer: B
Rationale: Albuterol is a short-acting bronchodilator for rescue.
6. Which toy is appropriate for a 6-month-old?
A. Puzzle
B. Soft rattle
C. Video game
D. Building blocks
Answer: B
Rationale: Infants need safe, graspable objects.
7. A toddler’s normal behavior includes:
A. Cooperative play
B. Parallel play
C. Competitive play
D. Team sports
Answer: B
Rationale: Toddlers play side-by-side (parallel play).
, ATI Nursing Care of Children Exam Practice Questions and Answers with Rationale 2026
8. Expected finding in a newborn?
A. Head control
B. Moro reflex
C. Walking reflex
D. Pincer grasp
Answer: B
Rationale: Moro reflex is present at birth.
9. Which is a sign of increased intracranial pressure (ICP)?
A. Bradycardia
B. Increased appetite
C. Hypotension early
D. Hyperactivity
Answer: A
Rationale: ICP causes Cushing triad: bradycardia, hypertension, irregular breathing.
10. Priority nursing action for meningitis?
A. Low-stimulation environment
B. Encourage walking
C. Restrict fluids completely
D. Warm compresses only
Answer: A
Rationale: Decreases ICP and neurologic stress.
11. Which finding suggests iron deficiency anemia?
A. Pallor and fatigue
B. Cyanosis
C. Jaundice
D. Hypertension
Answer: A
