ATI PEDS PROCTORED EXAM 2026/2027 | NEWEST 3
Versions with 100% Correct Answers & Detailed Rationales |
Nursing Care of Children | Pass Guaranteed - A+ Graded
VERSION 1: Pediatric Proctored Exam
Growth & Development (Questions 1-15)
Q1: A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone would the nurse expect to observe?
A. Walking independently along furniture
B. Transferring objects from hand to hand
C. Building a tower of two cubes
D. Using a pincer grasp to pick up small objects
Correct Answer: B
Rationale: [CORRECT] By 6 months, infants typically can transfer objects from one hand
to the other, demonstrating bilateral coordination and developing fine motor skills. This
milestone indicates normal neurological development and hand-eye coordination.
Option A (cruising/walking) typically occurs at 9-12 months. Option C (building towers)
is a 15-18 month milestone. Option D (pincer grasp) develops around 9-10 months.
These incorrect options represent common confusion about developmental timelines,
with each option being approximately 3-6 months advanced from the 6-month mark.
,Q2: A nurse is teaching parents about Piaget's cognitive development theory. Which
statement by the parents indicates understanding of the preoperational stage (2-7
years)?
A. "My child will begin to think abstractly about hypothetical situations"
B. "My child will understand that volume remains constant even when container shape
changes"
C. "My child will engage in symbolic play and believe that others see the world as they
do"
D. "My child will be able to systematically test hypotheses and draw conclusions"
Correct Answer: C
Rationale: [CORRECT] The preoperational stage is characterized by symbolic thinking,
egocentrism (inability to see others' perspectives), and magical thinking. Children
engage in pretend play and believe that inanimate objects have feelings. Option A
describes formal operational stage (12+ years). Option B describes concrete
operational stage (7-11 years) and conservation concepts. Option D describes formal
operational thought. Parents often confuse these stages, particularly overestimating
younger children's cognitive abilities.
Q3: A nurse is assessing language development in a 2-year-old toddler. Which finding
requires further evaluation?
A. Using two-word phrases consistently
B. Having a vocabulary of approximately 200 words
C. Speaking in three- to four-word sentences
,D. Understanding simple commands and questions
Correct Answer: C
Rationale: [CORRECT] Three- to four-word sentences typically develop by age 3, not age
2. A 2-year-old using complex sentences may indicate precocious development or, more
concerning, assessment error. At 24 months, children should use 2-word phrases
(telegraphic speech), have 50-200 word vocabularies, and follow simple commands.
Option A is expected at 18-24 months. Option B represents normal vocabulary range.
Option D is appropriate receptive language for this age. The incorrect options represent
either delayed milestones (not applicable here) or normal findings that might be
confused with the abnormal finding.
Q4: According to Erikson's psychosocial theory, which behavior indicates successful
resolution of the "Autonomy vs. Shame and Doubt" stage?
A. A 4-year-old who initiates games with other children
B. An 18-month-old who insists on feeding herself
C. A school-age child who takes pride in academic achievements
D. An adolescent who experiments with different identities
Correct Answer: B
Rationale: [CORRECT] Autonomy vs. Shame and Doubt (1-3 years) is successfully
resolved when toddlers assert independence through self-care activities like feeding,
dressing, and toileting. The 18-month-old insisting on self-feeding demonstrates
autonomy. Option A represents Initiative vs. Guilt (3-6 years). Option C represents
Industry vs. Inferiority (6-12 years). Option D represents Identity vs. Role Confusion
, (12-18 years). These distractors test knowledge of Erikson's sequential stages and their
characteristic behaviors.
Q5: A nurse is evaluating gross motor development in a 9-month-old infant. Which
observation indicates a need for referral?
A. Sitting without support for several minutes
B. Crawling on hands and knees
C. Pulling to stand and cruising along furniture
D. Walking independently without support
Correct Answer: D
Rationale: [CORRECT] Independent walking typically develops between 12-15 months. A
9-month-old walking independently is extremely unusual and may indicate precocious
development or, more likely, assessment error or underlying neurological condition
requiring evaluation. Option A (sitting without support) is a 6-8 month milestone. Option
B (crawling) develops at 7-9 months. Option C (pulling to stand/cruising) is appropriate
for 9-12 months. These normal milestones help identify the abnormal finding in option
D.
Q6: A school nurse is assessing a 7-year-old child's understanding of death following
the death of a classmate. Which statement reflects the cognitive development typical of
this age?
A. "My friend is sleeping and will wake up soon"
B. "My friend died because I was mad at him yesterday"
Versions with 100% Correct Answers & Detailed Rationales |
Nursing Care of Children | Pass Guaranteed - A+ Graded
VERSION 1: Pediatric Proctored Exam
Growth & Development (Questions 1-15)
Q1: A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone would the nurse expect to observe?
A. Walking independently along furniture
B. Transferring objects from hand to hand
C. Building a tower of two cubes
D. Using a pincer grasp to pick up small objects
Correct Answer: B
Rationale: [CORRECT] By 6 months, infants typically can transfer objects from one hand
to the other, demonstrating bilateral coordination and developing fine motor skills. This
milestone indicates normal neurological development and hand-eye coordination.
Option A (cruising/walking) typically occurs at 9-12 months. Option C (building towers)
is a 15-18 month milestone. Option D (pincer grasp) develops around 9-10 months.
These incorrect options represent common confusion about developmental timelines,
with each option being approximately 3-6 months advanced from the 6-month mark.
,Q2: A nurse is teaching parents about Piaget's cognitive development theory. Which
statement by the parents indicates understanding of the preoperational stage (2-7
years)?
A. "My child will begin to think abstractly about hypothetical situations"
B. "My child will understand that volume remains constant even when container shape
changes"
C. "My child will engage in symbolic play and believe that others see the world as they
do"
D. "My child will be able to systematically test hypotheses and draw conclusions"
Correct Answer: C
Rationale: [CORRECT] The preoperational stage is characterized by symbolic thinking,
egocentrism (inability to see others' perspectives), and magical thinking. Children
engage in pretend play and believe that inanimate objects have feelings. Option A
describes formal operational stage (12+ years). Option B describes concrete
operational stage (7-11 years) and conservation concepts. Option D describes formal
operational thought. Parents often confuse these stages, particularly overestimating
younger children's cognitive abilities.
Q3: A nurse is assessing language development in a 2-year-old toddler. Which finding
requires further evaluation?
A. Using two-word phrases consistently
B. Having a vocabulary of approximately 200 words
C. Speaking in three- to four-word sentences
,D. Understanding simple commands and questions
Correct Answer: C
Rationale: [CORRECT] Three- to four-word sentences typically develop by age 3, not age
2. A 2-year-old using complex sentences may indicate precocious development or, more
concerning, assessment error. At 24 months, children should use 2-word phrases
(telegraphic speech), have 50-200 word vocabularies, and follow simple commands.
Option A is expected at 18-24 months. Option B represents normal vocabulary range.
Option D is appropriate receptive language for this age. The incorrect options represent
either delayed milestones (not applicable here) or normal findings that might be
confused with the abnormal finding.
Q4: According to Erikson's psychosocial theory, which behavior indicates successful
resolution of the "Autonomy vs. Shame and Doubt" stage?
A. A 4-year-old who initiates games with other children
B. An 18-month-old who insists on feeding herself
C. A school-age child who takes pride in academic achievements
D. An adolescent who experiments with different identities
Correct Answer: B
Rationale: [CORRECT] Autonomy vs. Shame and Doubt (1-3 years) is successfully
resolved when toddlers assert independence through self-care activities like feeding,
dressing, and toileting. The 18-month-old insisting on self-feeding demonstrates
autonomy. Option A represents Initiative vs. Guilt (3-6 years). Option C represents
Industry vs. Inferiority (6-12 years). Option D represents Identity vs. Role Confusion
, (12-18 years). These distractors test knowledge of Erikson's sequential stages and their
characteristic behaviors.
Q5: A nurse is evaluating gross motor development in a 9-month-old infant. Which
observation indicates a need for referral?
A. Sitting without support for several minutes
B. Crawling on hands and knees
C. Pulling to stand and cruising along furniture
D. Walking independently without support
Correct Answer: D
Rationale: [CORRECT] Independent walking typically develops between 12-15 months. A
9-month-old walking independently is extremely unusual and may indicate precocious
development or, more likely, assessment error or underlying neurological condition
requiring evaluation. Option A (sitting without support) is a 6-8 month milestone. Option
B (crawling) develops at 7-9 months. Option C (pulling to stand/cruising) is appropriate
for 9-12 months. These normal milestones help identify the abnormal finding in option
D.
Q6: A school nurse is assessing a 7-year-old child's understanding of death following
the death of a classmate. Which statement reflects the cognitive development typical of
this age?
A. "My friend is sleeping and will wake up soon"
B. "My friend died because I was mad at him yesterday"
