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ATI RN PEDIATRIC PROCTORED EXAM 2023
CARE OF CHILDREN COMPLETE (100)
CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
EXPLANATIONS|GUARANTEED PASS.
PEDIATRIC
Prepare for the ATI RN Pediatric Proctored Exam – Care of Children
with practice questions covering pediatric growth and development,
common childhood disorders, medication administration, family-
centered care, safety, and nursing interventions for infants, children,
and adolescents. This study guide helps reinforce essential pediatric
nursing concepts and supports effective ATI exam preparation.
Designed to improve clinical understanding and boost confidence in
caring for pediatric patients. Suitable for nursing and healthcare
students.
MULTIPLE CHOICE.
📋 Section 1: Priority Setting & Emergency Nursing (ABCs)
1. A nurse in an emergency department is caring for a 2-year-old child who was
found holding a container of toilet bowl cleaner. The child's lips are edematous
and inflamed, and he is drooling. What is the priority action?
A. Remove the child's contaminated clothing.
B. Check the child's respiratory status.
C. Administer an antidote.
D. Establish IV access.
Correct Answer: B. Check the child's respiratory status.
Rationale: The priority is always the airway (ABCs). Edematous lips and drooling indicate
potential airway compromise from a caustic ingestion. Checking respiratory status
comes before removing clothing, administering antidotes, or establishing IV access .
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2. A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action
by the nurse?
A. Elevate the head of the child's bed.
B. Insert a large-bore IV catheter.
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C. Determine the allergen that caused the reaction.
D. Administer IM epinephrine.
Correct Answer: D. Administer IM epinephrine.
Rationale: Anaphylaxis causes bronchoconstriction and vasodilation, leading to airway
compromise and shock. IM epinephrine is the first-line, life-saving treatment. Airway
and breathing take priority over IV access or identifying the trigger .
3. A nurse is caring for a child with suspected bacterial meningitis. Which finding
is most concerning?
A. Positive Brudzinski sign.
B. Bulging anterior fontanel.
C. Petechial rash on the trunk and extremities.
D. Fever of 102°F (38.9°C).
Correct Answer: C. Petechial rash on the trunk and extremities.
Rationale: A petechial or purpuric rash suggests Neisseria
meningitidis (meningococcemia). This indicates rapid deterioration, septic shock, and
DIC, requiring emergent intervention. While the other findings are expected, the rash
signals a higher urgency for treatment .
4. A nurse is assessing a child who has epiglottitis. Which of the following clinical
findings should the nurse expect?
A. Drooling and stridor.
B. Slow onset of a barking cough.
C. Tachycardia and a slow, shallow breathing pattern.
D. Hoarseness and a low-grade fever.
Correct Answer: A. Drooling and stridor.
Rationale: Epiglottitis is a medical emergency characterized by a sudden onset of high
fever, drooling, dysphagia, and inspiratory stridor. The child often assumes a tripod
position to maintain airway patency.
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5. A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse assess first?
A. A toddler who has a concussion and an episode of forceful vomiting.
B. A school-age child who has diabetes mellitus and a blood glucose of 150 mg/dL.
C. An adolescent who has appendicitis and reports pain of 6 on a scale of 0 to 10.
D. A preschooler who has a new cast on the lower leg and is crying.
Correct Answer: A. A toddler who has a concussion and an episode of forceful
vomiting.
Rationale: Forceful vomiting is a sign of increased intracranial pressure (ICP) in a child
with a head injury. This is a life-threatening complication and requires immediate
assessment and intervention .
👶 Section 2: Growth & Development Milestones
6. A nurse is assessing a 9-month-old infant. The parent is concerned the child is
not walking independently. What is the best response?
A. "This is a sign of developmental delay."
B. "Most infants walk by 9 months."
C. "You should start physical therapy."
D. "It is normal for walking to start between 12 and 15 months."
Correct Answer: D. "It is normal for walking to start between 12 and 15 months."
Rationale: While an infant may pull to stand at 9 months, independent walking typically
occurs between 12 and 15 months. Not walking at 9 months is within normal limits .
7. A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child
visit. Which of the following findings should the nurse report to the provider?
A. The infant is unable to roll over.
B. The infant has a closed posterior fontanel.
C. Head lagging when the infant is pulled from a lying to a sitting position.
D. The infant is able to hold a rattle.
ATI RN PEDIATRIC PROCTORED EXAM 2023
CARE OF CHILDREN COMPLETE (100)
CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
EXPLANATIONS|GUARANTEED PASS.
PEDIATRIC
Prepare for the ATI RN Pediatric Proctored Exam – Care of Children
with practice questions covering pediatric growth and development,
common childhood disorders, medication administration, family-
centered care, safety, and nursing interventions for infants, children,
and adolescents. This study guide helps reinforce essential pediatric
nursing concepts and supports effective ATI exam preparation.
Designed to improve clinical understanding and boost confidence in
caring for pediatric patients. Suitable for nursing and healthcare
students.
MULTIPLE CHOICE.
📋 Section 1: Priority Setting & Emergency Nursing (ABCs)
1. A nurse in an emergency department is caring for a 2-year-old child who was
found holding a container of toilet bowl cleaner. The child's lips are edematous
and inflamed, and he is drooling. What is the priority action?
A. Remove the child's contaminated clothing.
B. Check the child's respiratory status.
C. Administer an antidote.
D. Establish IV access.
Correct Answer: B. Check the child's respiratory status.
Rationale: The priority is always the airway (ABCs). Edematous lips and drooling indicate
potential airway compromise from a caustic ingestion. Checking respiratory status
comes before removing clothing, administering antidotes, or establishing IV access .
, Page 2 of 43
2. A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action
by the nurse?
A. Elevate the head of the child's bed.
B. Insert a large-bore IV catheter.
, Page 3 of 43
C. Determine the allergen that caused the reaction.
D. Administer IM epinephrine.
Correct Answer: D. Administer IM epinephrine.
Rationale: Anaphylaxis causes bronchoconstriction and vasodilation, leading to airway
compromise and shock. IM epinephrine is the first-line, life-saving treatment. Airway
and breathing take priority over IV access or identifying the trigger .
3. A nurse is caring for a child with suspected bacterial meningitis. Which finding
is most concerning?
A. Positive Brudzinski sign.
B. Bulging anterior fontanel.
C. Petechial rash on the trunk and extremities.
D. Fever of 102°F (38.9°C).
Correct Answer: C. Petechial rash on the trunk and extremities.
Rationale: A petechial or purpuric rash suggests Neisseria
meningitidis (meningococcemia). This indicates rapid deterioration, septic shock, and
DIC, requiring emergent intervention. While the other findings are expected, the rash
signals a higher urgency for treatment .
4. A nurse is assessing a child who has epiglottitis. Which of the following clinical
findings should the nurse expect?
A. Drooling and stridor.
B. Slow onset of a barking cough.
C. Tachycardia and a slow, shallow breathing pattern.
D. Hoarseness and a low-grade fever.
Correct Answer: A. Drooling and stridor.
Rationale: Epiglottitis is a medical emergency characterized by a sudden onset of high
fever, drooling, dysphagia, and inspiratory stridor. The child often assumes a tripod
position to maintain airway patency.
, Page 4 of 43
5. A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse assess first?
A. A toddler who has a concussion and an episode of forceful vomiting.
B. A school-age child who has diabetes mellitus and a blood glucose of 150 mg/dL.
C. An adolescent who has appendicitis and reports pain of 6 on a scale of 0 to 10.
D. A preschooler who has a new cast on the lower leg and is crying.
Correct Answer: A. A toddler who has a concussion and an episode of forceful
vomiting.
Rationale: Forceful vomiting is a sign of increased intracranial pressure (ICP) in a child
with a head injury. This is a life-threatening complication and requires immediate
assessment and intervention .
👶 Section 2: Growth & Development Milestones
6. A nurse is assessing a 9-month-old infant. The parent is concerned the child is
not walking independently. What is the best response?
A. "This is a sign of developmental delay."
B. "Most infants walk by 9 months."
C. "You should start physical therapy."
D. "It is normal for walking to start between 12 and 15 months."
Correct Answer: D. "It is normal for walking to start between 12 and 15 months."
Rationale: While an infant may pull to stand at 9 months, independent walking typically
occurs between 12 and 15 months. Not walking at 9 months is within normal limits .
7. A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child
visit. Which of the following findings should the nurse report to the provider?
A. The infant is unable to roll over.
B. The infant has a closed posterior fontanel.
C. Head lagging when the infant is pulled from a lying to a sitting position.
D. The infant is able to hold a rattle.
