ATI PEDIATRIC NURSING FINAL
ASSESSMENT 2026 QUESTIONS
AND ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Section 1: Growth and Development (Questions 1–15)
1. A nurse is assessing a 4-month-old infant. Which milestone should the nurse
expect?
a) Sits unsupported
b) Rolls from back to side
c) Walks with assistance
d) Pincer grasp present
Rationale: Rolling from back to side typically occurs at 4 months. Sitting
unsupported is 6–8 months, pincer grasp is 9–10 months, walking with assistance is
10–12 months.
2. The parent of a 2-year-old toddler states, “My child says ‘no’ to everything
and has temper tantrums.” Which response by the nurse is best?
a) “This is abnormal behavior requiring evaluation.”
b) “This is typical for the autonomy vs. shame stage.”
c) “Try offering more choices to reduce tantrums.”
d) “Ignore the tantrums completely each time.”
,Rationale: Erikson’s autonomy vs. shame/doubt (18 months–3 years) includes
negativism. Limiting choices helps, but the behavior is normal.
3. A nurse is educating parents of a school-age child about expected cognitive
development. Which characteristic is consistent with Piaget’s concrete
operational stage?
a) Abstract reasoning
b) Understanding of conservation
c) Object permanence
d) Egocentrism
Rationale: Concrete operational stage (7–11 years) includes conservation (mass,
number, volume). Abstract reasoning is formal operational.
4. Which finding in a 15-month-old requires further evaluation?
a) Uses a spoon with spilling
b) Not walking independently
c) Says 3 words
d) Drinks from a cup
Rationale: Most walk by 12–15 months. Not walking by 18 months warrants
evaluation. Spoon use is messy but normal at 15 months.
5. A nurse is assessing a 6-year-old. Which fine motor skill is expected?
a) Ties shoelaces
b) Prints first name
c) Uses a knife to cut meat
d) Draws a 6-part person
Rationale: By age 6, most print first name. Tying laces is 7–8 years. Cutting meat is
later.
, 6. A parent asks when the infant’s anterior fontanelle should close. The nurse’s
best response is:
a) 2–3 months
b) 12–18 months
c) 6–8 months
d) 24–36 months
Rationale: Anterior fontanelle closes by 12–18 months; posterior closes by 2–3
months.
7. Which play activity is most appropriate for a 3-year-old hospitalized child?
a) Board games with peers
b) Parallel play with blocks
c) Competitive team sports
d) Reading a chapter book
Rationale: Preschoolers engage in parallel play. Cooperative play emerges later.
8. According to Erikson, the primary psychosocial task of adolescence is:
a) Industry vs. inferiority
b) Identity vs. role confusion
c) Intimacy vs. isolation
d) Autonomy vs. shame
Rationale: Identity vs. role confusion is the adolescent stage (12–18 years).
9. A nurse is assessing a newborn. Which primitive reflex should disappear by 4
months?
a) Babinski
b) Moro reflex
c) Rooting
d) Tonic neck
Rationale: Moro reflex disappears by 4–6 months; Babinski up to 12 months; rooting
by 4 months but variable. All are tested, but Moro is specifically highlighted for early
disappearance.
ASSESSMENT 2026 QUESTIONS
AND ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Section 1: Growth and Development (Questions 1–15)
1. A nurse is assessing a 4-month-old infant. Which milestone should the nurse
expect?
a) Sits unsupported
b) Rolls from back to side
c) Walks with assistance
d) Pincer grasp present
Rationale: Rolling from back to side typically occurs at 4 months. Sitting
unsupported is 6–8 months, pincer grasp is 9–10 months, walking with assistance is
10–12 months.
2. The parent of a 2-year-old toddler states, “My child says ‘no’ to everything
and has temper tantrums.” Which response by the nurse is best?
a) “This is abnormal behavior requiring evaluation.”
b) “This is typical for the autonomy vs. shame stage.”
c) “Try offering more choices to reduce tantrums.”
d) “Ignore the tantrums completely each time.”
,Rationale: Erikson’s autonomy vs. shame/doubt (18 months–3 years) includes
negativism. Limiting choices helps, but the behavior is normal.
3. A nurse is educating parents of a school-age child about expected cognitive
development. Which characteristic is consistent with Piaget’s concrete
operational stage?
a) Abstract reasoning
b) Understanding of conservation
c) Object permanence
d) Egocentrism
Rationale: Concrete operational stage (7–11 years) includes conservation (mass,
number, volume). Abstract reasoning is formal operational.
4. Which finding in a 15-month-old requires further evaluation?
a) Uses a spoon with spilling
b) Not walking independently
c) Says 3 words
d) Drinks from a cup
Rationale: Most walk by 12–15 months. Not walking by 18 months warrants
evaluation. Spoon use is messy but normal at 15 months.
5. A nurse is assessing a 6-year-old. Which fine motor skill is expected?
a) Ties shoelaces
b) Prints first name
c) Uses a knife to cut meat
d) Draws a 6-part person
Rationale: By age 6, most print first name. Tying laces is 7–8 years. Cutting meat is
later.
, 6. A parent asks when the infant’s anterior fontanelle should close. The nurse’s
best response is:
a) 2–3 months
b) 12–18 months
c) 6–8 months
d) 24–36 months
Rationale: Anterior fontanelle closes by 12–18 months; posterior closes by 2–3
months.
7. Which play activity is most appropriate for a 3-year-old hospitalized child?
a) Board games with peers
b) Parallel play with blocks
c) Competitive team sports
d) Reading a chapter book
Rationale: Preschoolers engage in parallel play. Cooperative play emerges later.
8. According to Erikson, the primary psychosocial task of adolescence is:
a) Industry vs. inferiority
b) Identity vs. role confusion
c) Intimacy vs. isolation
d) Autonomy vs. shame
Rationale: Identity vs. role confusion is the adolescent stage (12–18 years).
9. A nurse is assessing a newborn. Which primitive reflex should disappear by 4
months?
a) Babinski
b) Moro reflex
c) Rooting
d) Tonic neck
Rationale: Moro reflex disappears by 4–6 months; Babinski up to 12 months; rooting
by 4 months but variable. All are tested, but Moro is specifically highlighted for early
disappearance.
