ATI Pediatrics Practice Exam
Questions And Correct
Answers (Verified Answers)
Plus Rationales 2026/2027
Q&A | Instant Download Pdf
1. A nurse is assessing a 6-month-old infant. Which finding indicates
appropriate development?
A. Sits without support
B. Rolls from back to abdomen
C. Walks independently
D. Uses two-word phrases
Answer: B. Rolls from back to abdomen
Rationale: At 6 months, infants typically roll from back to abdomen.
Sitting without support occurs around 8 months, walking around 12
months, and two-word phrases after 18 months.
2. A nurse is caring for a toddler with dehydration. Which finding is
an early indication of dehydration?
A. Sunken fontanel
B. Tachycardia
C. Decreased urine output
D. Hypotension
Answer: C. Decreased urine output
Rationale: Decreased urine output is one of the earliest signs of
,dehydration in children. Hypotension and sunken fontanel are late
signs.
3. A nurse is preparing to administer an IM injection to a toddler.
Which site should the nurse select?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal
Answer: C. Vastus lateralis
Rationale: The vastus lateralis muscle is the preferred site for IM
injections in infants and toddlers due to its muscle development and
safety.
4. A nurse is teaching parents about immunizations. Which vaccine
is contraindicated in an immunocompromised child?
A. Inactivated polio vaccine
B. Hepatitis B vaccine
C. MMR vaccine
D. Influenza (inactivated)
Answer: C. MMR vaccine
Rationale: MMR is a live vaccine and is contraindicated in
immunocompromised children.
5. A nurse is caring for a child with croup. Which finding requires
immediate intervention?
A. Barking cough
B. Hoarseness
,C. Stridor at rest
D. Low-grade fever
Answer: C. Stridor at rest
Rationale: Stridor at rest indicates severe airway obstruction and
requires immediate medical intervention.
6. A nurse is caring for a child receiving IV fluids. Which sign
indicates fluid overload?
A. Bradycardia
B. Weight loss
C. Crackles in lungs
D. Dry mucous membranes
Answer: C. Crackles in lungs
Rationale: Crackles indicate pulmonary edema, a sign of fluid
overload.
7. A nurse is assessing a 2-year-old child. Which behavior indicates
separation anxiety?
A. Plays quietly alone
B. Clings to parent
C. Shares toys
D. Uses imaginative play
Answer: B. Clings to parent
Rationale: Clinging to parents is a classic sign of separation anxiety
in toddlers.
8. A nurse is teaching about oral rehydration therapy. Which
statement indicates understanding?
, A. "I will give clear soda."
B. "I will use oral rehydration solution."
C. "I will give plain water only."
D. "I will stop fluids during vomiting."
Answer: B. "I will use oral rehydration solution."
Rationale: Oral rehydration solutions contain appropriate
electrolytes and glucose.
9. A nurse is caring for a child with asthma. Which medication is
used for acute symptoms?
A. Fluticasone
B. Montelukast
C. Albuterol
D. Prednisone
Answer: C. Albuterol
Rationale: Albuterol is a short-acting bronchodilator used for quick
relief during acute asthma attacks.
10. A nurse is assessing a newborn. Which reflex is expected at
birth?
A. Babinski reflex
B. Landau reflex
C. Parachute reflex
D. Righting reflex
Answer: A. Babinski reflex
Rationale: The Babinski reflex is present at birth and disappears
around 12 months.
Questions And Correct
Answers (Verified Answers)
Plus Rationales 2026/2027
Q&A | Instant Download Pdf
1. A nurse is assessing a 6-month-old infant. Which finding indicates
appropriate development?
A. Sits without support
B. Rolls from back to abdomen
C. Walks independently
D. Uses two-word phrases
Answer: B. Rolls from back to abdomen
Rationale: At 6 months, infants typically roll from back to abdomen.
Sitting without support occurs around 8 months, walking around 12
months, and two-word phrases after 18 months.
2. A nurse is caring for a toddler with dehydration. Which finding is
an early indication of dehydration?
A. Sunken fontanel
B. Tachycardia
C. Decreased urine output
D. Hypotension
Answer: C. Decreased urine output
Rationale: Decreased urine output is one of the earliest signs of
,dehydration in children. Hypotension and sunken fontanel are late
signs.
3. A nurse is preparing to administer an IM injection to a toddler.
Which site should the nurse select?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal
Answer: C. Vastus lateralis
Rationale: The vastus lateralis muscle is the preferred site for IM
injections in infants and toddlers due to its muscle development and
safety.
4. A nurse is teaching parents about immunizations. Which vaccine
is contraindicated in an immunocompromised child?
A. Inactivated polio vaccine
B. Hepatitis B vaccine
C. MMR vaccine
D. Influenza (inactivated)
Answer: C. MMR vaccine
Rationale: MMR is a live vaccine and is contraindicated in
immunocompromised children.
5. A nurse is caring for a child with croup. Which finding requires
immediate intervention?
A. Barking cough
B. Hoarseness
,C. Stridor at rest
D. Low-grade fever
Answer: C. Stridor at rest
Rationale: Stridor at rest indicates severe airway obstruction and
requires immediate medical intervention.
6. A nurse is caring for a child receiving IV fluids. Which sign
indicates fluid overload?
A. Bradycardia
B. Weight loss
C. Crackles in lungs
D. Dry mucous membranes
Answer: C. Crackles in lungs
Rationale: Crackles indicate pulmonary edema, a sign of fluid
overload.
7. A nurse is assessing a 2-year-old child. Which behavior indicates
separation anxiety?
A. Plays quietly alone
B. Clings to parent
C. Shares toys
D. Uses imaginative play
Answer: B. Clings to parent
Rationale: Clinging to parents is a classic sign of separation anxiety
in toddlers.
8. A nurse is teaching about oral rehydration therapy. Which
statement indicates understanding?
, A. "I will give clear soda."
B. "I will use oral rehydration solution."
C. "I will give plain water only."
D. "I will stop fluids during vomiting."
Answer: B. "I will use oral rehydration solution."
Rationale: Oral rehydration solutions contain appropriate
electrolytes and glucose.
9. A nurse is caring for a child with asthma. Which medication is
used for acute symptoms?
A. Fluticasone
B. Montelukast
C. Albuterol
D. Prednisone
Answer: C. Albuterol
Rationale: Albuterol is a short-acting bronchodilator used for quick
relief during acute asthma attacks.
10. A nurse is assessing a newborn. Which reflex is expected at
birth?
A. Babinski reflex
B. Landau reflex
C. Parachute reflex
D. Righting reflex
Answer: A. Babinski reflex
Rationale: The Babinski reflex is present at birth and disappears
around 12 months.
