1
ATI RN Pediatrics Practice Questions 2025–2026 |
NCLEX-Style Q&A with Rationales | 150 Fully
Solved Pediatric Questions
Question 1
A nurse is caring for a 2-month-old infant brought to the clinic for a
routine checkup. The parent expresses concern that the baby has not
yet rolled over. Which of the following is the most appropriate
response by the nurse?
A. “Rolling over typically occurs at around 2 months of age.”
B. “Your baby should have already started crawling by now.”
C. “It is normal for babies to start rolling over between 4 and 6
months.”
, 2
D. “This is a concern; we need to refer you to a neurologist.”
Correct Answer: C
Rationale: Rolling over typically develops between 4–6 months. At
2 months, infants may lift their heads while prone, but rolling is not
expected yet. This is a normal developmental pattern. (ATI Nursing
Care of Children, 2023)
Question 2
A nurse is reinforcing teaching to a parent of a child diagnosed with
otitis media. Which of the following statements by the parent
indicates understanding of the teaching?
A. “I will give my child aspirin for fever control.”
B. “I will place my child to sleep with a bottle to comfort him.”
C. “I will avoid smoking in the house to help prevent future ear
infections.”
D. “My child can return to school the next day even if he has a
fever.”
Correct Answer: C
, 3
Rationale: Avoiding exposure to tobacco smoke reduces the risk of
recurrent otitis media. Aspirin is contraindicated in children, and
bottle propping increases infection risk. A child with a fever should
not attend school. (ATI Pediatrics, 2023)
Question 3
A nurse is assessing a child with suspected epiglottitis. Which of the
following is the priority action?
A. Obtain a throat culture
B. Start oxygen via nasal cannula
C. Notify the rapid response team and prepare for intubation
D. Administer an antipyretic for fever
Correct Answer: C
Rationale: Epiglottitis can cause sudden airway obstruction. The
priority is airway management. Inserting anything into the mouth
(e.g., throat culture) may worsen obstruction. (ATI Pediatrics, 2023)
Question 4
, 4
A nurse is reviewing the vaccination record of a 6-month-old infant.
Which vaccines should the infant have received?
A. MMR, varicella, and polio
B. Hepatitis B, DTaP, rotavirus, Hib, polio, and pneumococcal
C. Influenza, Hepatitis A, and MMR
D. HPV, MMR, and DTaP
Correct Answer: B
Rationale: The standard vaccine schedule includes Hep B, DTaP,
Hib, IPV, PCV, and rotavirus by 6 months. MMR and varicella are
not given until 12 months. (CDC, 2023; ATI Pediatrics)
Question 5
A nurse is caring for a toddler newly diagnosed with celiac disease.
Which food should be removed from the child’s diet?
A. Mashed potatoes with butter
B. Steamed carrots and applesauce
C. Toast with jelly
D. Rice cereal with banana
ATI RN Pediatrics Practice Questions 2025–2026 |
NCLEX-Style Q&A with Rationales | 150 Fully
Solved Pediatric Questions
Question 1
A nurse is caring for a 2-month-old infant brought to the clinic for a
routine checkup. The parent expresses concern that the baby has not
yet rolled over. Which of the following is the most appropriate
response by the nurse?
A. “Rolling over typically occurs at around 2 months of age.”
B. “Your baby should have already started crawling by now.”
C. “It is normal for babies to start rolling over between 4 and 6
months.”
, 2
D. “This is a concern; we need to refer you to a neurologist.”
Correct Answer: C
Rationale: Rolling over typically develops between 4–6 months. At
2 months, infants may lift their heads while prone, but rolling is not
expected yet. This is a normal developmental pattern. (ATI Nursing
Care of Children, 2023)
Question 2
A nurse is reinforcing teaching to a parent of a child diagnosed with
otitis media. Which of the following statements by the parent
indicates understanding of the teaching?
A. “I will give my child aspirin for fever control.”
B. “I will place my child to sleep with a bottle to comfort him.”
C. “I will avoid smoking in the house to help prevent future ear
infections.”
D. “My child can return to school the next day even if he has a
fever.”
Correct Answer: C
, 3
Rationale: Avoiding exposure to tobacco smoke reduces the risk of
recurrent otitis media. Aspirin is contraindicated in children, and
bottle propping increases infection risk. A child with a fever should
not attend school. (ATI Pediatrics, 2023)
Question 3
A nurse is assessing a child with suspected epiglottitis. Which of the
following is the priority action?
A. Obtain a throat culture
B. Start oxygen via nasal cannula
C. Notify the rapid response team and prepare for intubation
D. Administer an antipyretic for fever
Correct Answer: C
Rationale: Epiglottitis can cause sudden airway obstruction. The
priority is airway management. Inserting anything into the mouth
(e.g., throat culture) may worsen obstruction. (ATI Pediatrics, 2023)
Question 4
, 4
A nurse is reviewing the vaccination record of a 6-month-old infant.
Which vaccines should the infant have received?
A. MMR, varicella, and polio
B. Hepatitis B, DTaP, rotavirus, Hib, polio, and pneumococcal
C. Influenza, Hepatitis A, and MMR
D. HPV, MMR, and DTaP
Correct Answer: B
Rationale: The standard vaccine schedule includes Hep B, DTaP,
Hib, IPV, PCV, and rotavirus by 6 months. MMR and varicella are
not given until 12 months. (CDC, 2023; ATI Pediatrics)
Question 5
A nurse is caring for a toddler newly diagnosed with celiac disease.
Which food should be removed from the child’s diet?
A. Mashed potatoes with butter
B. Steamed carrots and applesauce
C. Toast with jelly
D. Rice cereal with banana
