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# ATI NURSING CARE OF CHILDREN
(PEDIATRICS) 2026-2027
##300+ PREMIUM PRACTICE QUESTION
BANK
# SECTION I: GROWTH AND DEVELOPMENT
## A. Infant (Birth to 12 Months) (Questions 1-20)
**Question 1**
*Bloom's Level: Comprehension*
A nurse is assessing a 4-month-old infant during a well-child visit. Which of the
following developmental milestones should the nurse expect the infant to
demonstrate?
A. Sitting without support
B. Rolling from back to abdomen
C. Pincer grasp
D. Walking with assistance
**Correct Answer: B**
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**Rationale:** At 4 months, infants typically roll from back to abdomen and hold
their head up steadily . This is an expected developmental milestone for this age.
**Incorrect Answer Explanations:**
- **A:** Sitting without support typically occurs at 6-8 months. A 4-month-old
cannot sit independently.
- **C:** Pincer grasp typically develops at 9-10 months. A 4-month-old does not
have this fine motor skill.
- **D:** Walking with assistance typically occurs at 9-12 months. A 4-month-old
is not ready for walking.
---
**Question 2**
*Bloom's Level: Application*
A nurse is providing education to the parents of a 2-week-old infant about sudden
infant death syndrome (SIDS) prevention. Which of the following instructions
should the nurse include?
A. "Place your infant on their side to sleep."
B. "Place your infant on their back to sleep."
C. "Place your infant on their stomach to sleep."
D. "Use a soft mattress to promote comfort."
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**Correct Answer: B**
**Rationale:** The American Academy of Pediatrics recommends placing infants
on their backs to sleep to reduce the risk of SIDS . This position is the safest for
infants.
**Incorrect Answer Explanations:**
- **A:** Side sleeping is not as safe as back sleeping due to the risk of rolling to
the stomach.
- **C:** Stomach sleeping increases the risk of SIDS and is not recommended.
- **D:** A firm mattress is recommended; soft mattresses increase the risk of
SIDS.
---
**Question 3**
*Bloom's Level: Analysis*
A nurse is assessing a 6-month-old infant. Which of the following findings should
the nurse report to the provider?
A. Weight gain of 2 pounds since the last visit
B. Inability to sit without support
C. Absence of Moro reflex
D. Presence of social smile
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**Correct Answer: C**
**Rationale:** The Moro reflex typically disappears by 4 months of age . Its
persistence at 6 months is abnormal and should be reported to the provider.
**Incorrect Answer Explanations:**
- **A:** Weight gain of 2 pounds is appropriate for a 6-month-old.
- **B:** Sitting without support typically occurs at 6-8 months, so this is an
expected finding.
- **D:** Social smile typically appears at 2-3 months and is expected at 6 months.
---
**Question 4**
*Bloom's Level: Application*
A nurse is teaching the parents of an 8-month-old infant about safety. Which of the
following instructions should the nurse include?
A. "Install safety gates at the top and bottom of stairs."
B. "Keep small objects within the infant's reach."
C. "Use a walker to help the infant learn to walk."
D. "Place the infant's crib near a window for sunlight."
**Correct Answer: A**
# ATI NURSING CARE OF CHILDREN
(PEDIATRICS) 2026-2027
##300+ PREMIUM PRACTICE QUESTION
BANK
# SECTION I: GROWTH AND DEVELOPMENT
## A. Infant (Birth to 12 Months) (Questions 1-20)
**Question 1**
*Bloom's Level: Comprehension*
A nurse is assessing a 4-month-old infant during a well-child visit. Which of the
following developmental milestones should the nurse expect the infant to
demonstrate?
A. Sitting without support
B. Rolling from back to abdomen
C. Pincer grasp
D. Walking with assistance
**Correct Answer: B**
,2|Page
**Rationale:** At 4 months, infants typically roll from back to abdomen and hold
their head up steadily . This is an expected developmental milestone for this age.
**Incorrect Answer Explanations:**
- **A:** Sitting without support typically occurs at 6-8 months. A 4-month-old
cannot sit independently.
- **C:** Pincer grasp typically develops at 9-10 months. A 4-month-old does not
have this fine motor skill.
- **D:** Walking with assistance typically occurs at 9-12 months. A 4-month-old
is not ready for walking.
---
**Question 2**
*Bloom's Level: Application*
A nurse is providing education to the parents of a 2-week-old infant about sudden
infant death syndrome (SIDS) prevention. Which of the following instructions
should the nurse include?
A. "Place your infant on their side to sleep."
B. "Place your infant on their back to sleep."
C. "Place your infant on their stomach to sleep."
D. "Use a soft mattress to promote comfort."
,3|Page
**Correct Answer: B**
**Rationale:** The American Academy of Pediatrics recommends placing infants
on their backs to sleep to reduce the risk of SIDS . This position is the safest for
infants.
**Incorrect Answer Explanations:**
- **A:** Side sleeping is not as safe as back sleeping due to the risk of rolling to
the stomach.
- **C:** Stomach sleeping increases the risk of SIDS and is not recommended.
- **D:** A firm mattress is recommended; soft mattresses increase the risk of
SIDS.
---
**Question 3**
*Bloom's Level: Analysis*
A nurse is assessing a 6-month-old infant. Which of the following findings should
the nurse report to the provider?
A. Weight gain of 2 pounds since the last visit
B. Inability to sit without support
C. Absence of Moro reflex
D. Presence of social smile
, 4|Page
**Correct Answer: C**
**Rationale:** The Moro reflex typically disappears by 4 months of age . Its
persistence at 6 months is abnormal and should be reported to the provider.
**Incorrect Answer Explanations:**
- **A:** Weight gain of 2 pounds is appropriate for a 6-month-old.
- **B:** Sitting without support typically occurs at 6-8 months, so this is an
expected finding.
- **D:** Social smile typically appears at 2-3 months and is expected at 6 months.
---
**Question 4**
*Bloom's Level: Application*
A nurse is teaching the parents of an 8-month-old infant about safety. Which of the
following instructions should the nurse include?
A. "Install safety gates at the top and bottom of stairs."
B. "Keep small objects within the infant's reach."
C. "Use a walker to help the infant learn to walk."
D. "Place the infant's crib near a window for sunlight."
**Correct Answer: A**
