ATI PEDIATRICS PROCTORED EXAM 2023 – RN
NURSING COMPREHENSIVE TEST BANK 350
MULTIPLECHOICE QUESTIONS WITH CORRECT
ANSWERS AND RATIONALES
Section 1: Growth and Development (Questions 1–35)
1. A nurse is assessing a 12monthold infant during a well child visit. Which
developmental milestone should the nurse expect the infant to have achieved?
A. Walking independently
B. Saying one or two words with meaning
C. Using a spoon independently
D. Building a tower of four blocks
Answer: B. At 12 months, infants typically say one or two words with meaning
(e.g., "mama," "dada"). Walking independently usually occurs around 15
months. Using a spoon independently occurs around 18–24 months. Building
a tower of four blocks is expected at 24–30 months.
2. A nurse is providing teaching about social development to the parents of a
preschooler. Which play activity should the nurse recommend?
A. Play patacake
B. Using a pushpull toy
C. Creating a scrapbook
,D. Playing dressup
Answer: D. At preschool age (3–6 years), play should focus on social, mental,
and physical development. Playing dressup encourages imagination, social
interaction, and roleplaying. Patacake and pushpull toys are appropriate for
infants and toddlers. Creating a scrapbook is more appropriate for schoolage
children.
3. A nurse is assessing a 2yearold toddler. According to Erikson's theory,
which developmental task should the nurse expect the toddler to be working
on?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: B. Toddlers (1–3 years) are in the Autonomy vs. Shame and Doubt
stage, where they develop a sense of personal control and independence.
Trust vs. Mistrust is for infancy (0–1 year). Initiative vs. Guilt is for preschool
(3–6 years). Industry vs. Inferiority is for schoolage (6–12 years).
4. A nurse is assessing a 5monthold infant. Which finding should the nurse
report to the provider?
A. Head lags when pulled from lying to sitting position
B. Absence of startle and crawl reflexes
C. Inability to pick up a rattle after dropping it
D. Rolls from back to side
,Answer: A. Head lag at 5 months is an abnormal finding and should be
reported. By 4 months, infants should have good head control. Absence of
startle and crawl reflexes at 5 months is expected as primitive reflexes
integrate. Inability to pick up a rattle and rolling from back to side are normal
for this age.
5. A nurse is teaching parents about hand preference development. At what
age should the nurse indicate that hand preference typically becomes
established?
A. 6 months
B. 12 months
C. 18 months
D. 24 months
Answer: B. Hand preference normally becomes established by 1 year of age.
6. A nurse is assessing a 4yearold child. Which fine motor skill should the
nurse expect the child to have achieved?
A. Using scissors to cut out shapes
B. Tying shoelaces
C. Drawing a circle
D. Building a tower of 10 blocks
Answer: C. At 4 years, children can draw a circle and a square. Using scissors
to cut out shapes typically occurs at 5 years. Tying shoelaces occurs at 6–7
years. Building a tower of 10 blocks is expected at 3–4 years, but drawing a
circle is a more specific fine motor milestone for this age.
, 7. A nurse is assessing a 7monthold infant. Which developmental milestone
should the nurse expect?
A. Sitting without support
B. Crawling
C. Pulling to stand
D. Walking with assistance
Answer: A. At 7 months, infants typically sit without support. Crawling usually
occurs around 8–10 months. Pulling to stand occurs around 9–12 months.
Walking with assistance occurs around 10–12 months.
8. A nurse is providing anticipatory guidance to parents of a 15monthold
toddler. Which statement indicates the parents understand toddler
development?
A. "We will use timeouts for discipline."
B. "Our child should be able to walk up stairs."
C. "We should expect our child to use a spoon."
D. "Our child should be able to say 20 words."
Answer: C. At 15 months, toddlers should be able to use a spoon
independently. Timeouts are appropriate for older toddlers (2–3 years).
Walking up stairs occurs around 18–24 months. Saying 20 words is expected
at 18 months.
9. A nurse is assessing a 3yearold child's language development. Which
finding indicates a delay requiring further evaluation?
A. Uses 3 to 4word sentences
B. Asks "why" questions
NURSING COMPREHENSIVE TEST BANK 350
MULTIPLECHOICE QUESTIONS WITH CORRECT
ANSWERS AND RATIONALES
Section 1: Growth and Development (Questions 1–35)
1. A nurse is assessing a 12monthold infant during a well child visit. Which
developmental milestone should the nurse expect the infant to have achieved?
A. Walking independently
B. Saying one or two words with meaning
C. Using a spoon independently
D. Building a tower of four blocks
Answer: B. At 12 months, infants typically say one or two words with meaning
(e.g., "mama," "dada"). Walking independently usually occurs around 15
months. Using a spoon independently occurs around 18–24 months. Building
a tower of four blocks is expected at 24–30 months.
2. A nurse is providing teaching about social development to the parents of a
preschooler. Which play activity should the nurse recommend?
A. Play patacake
B. Using a pushpull toy
C. Creating a scrapbook
,D. Playing dressup
Answer: D. At preschool age (3–6 years), play should focus on social, mental,
and physical development. Playing dressup encourages imagination, social
interaction, and roleplaying. Patacake and pushpull toys are appropriate for
infants and toddlers. Creating a scrapbook is more appropriate for schoolage
children.
3. A nurse is assessing a 2yearold toddler. According to Erikson's theory,
which developmental task should the nurse expect the toddler to be working
on?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: B. Toddlers (1–3 years) are in the Autonomy vs. Shame and Doubt
stage, where they develop a sense of personal control and independence.
Trust vs. Mistrust is for infancy (0–1 year). Initiative vs. Guilt is for preschool
(3–6 years). Industry vs. Inferiority is for schoolage (6–12 years).
4. A nurse is assessing a 5monthold infant. Which finding should the nurse
report to the provider?
A. Head lags when pulled from lying to sitting position
B. Absence of startle and crawl reflexes
C. Inability to pick up a rattle after dropping it
D. Rolls from back to side
,Answer: A. Head lag at 5 months is an abnormal finding and should be
reported. By 4 months, infants should have good head control. Absence of
startle and crawl reflexes at 5 months is expected as primitive reflexes
integrate. Inability to pick up a rattle and rolling from back to side are normal
for this age.
5. A nurse is teaching parents about hand preference development. At what
age should the nurse indicate that hand preference typically becomes
established?
A. 6 months
B. 12 months
C. 18 months
D. 24 months
Answer: B. Hand preference normally becomes established by 1 year of age.
6. A nurse is assessing a 4yearold child. Which fine motor skill should the
nurse expect the child to have achieved?
A. Using scissors to cut out shapes
B. Tying shoelaces
C. Drawing a circle
D. Building a tower of 10 blocks
Answer: C. At 4 years, children can draw a circle and a square. Using scissors
to cut out shapes typically occurs at 5 years. Tying shoelaces occurs at 6–7
years. Building a tower of 10 blocks is expected at 3–4 years, but drawing a
circle is a more specific fine motor milestone for this age.
, 7. A nurse is assessing a 7monthold infant. Which developmental milestone
should the nurse expect?
A. Sitting without support
B. Crawling
C. Pulling to stand
D. Walking with assistance
Answer: A. At 7 months, infants typically sit without support. Crawling usually
occurs around 8–10 months. Pulling to stand occurs around 9–12 months.
Walking with assistance occurs around 10–12 months.
8. A nurse is providing anticipatory guidance to parents of a 15monthold
toddler. Which statement indicates the parents understand toddler
development?
A. "We will use timeouts for discipline."
B. "Our child should be able to walk up stairs."
C. "We should expect our child to use a spoon."
D. "Our child should be able to say 20 words."
Answer: C. At 15 months, toddlers should be able to use a spoon
independently. Timeouts are appropriate for older toddlers (2–3 years).
Walking up stairs occurs around 18–24 months. Saying 20 words is expected
at 18 months.
9. A nurse is assessing a 3yearold child's language development. Which
finding indicates a delay requiring further evaluation?
A. Uses 3 to 4word sentences
B. Asks "why" questions
