ATI PEDS PROCTORED EXAM NGN QUESTIONS
2023 LATEST VERSION EXAM 1-4 EACH SET
WITH 50 Q
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse expect?
A. Birth weight has doubled
B. Birth weight has tripled
C. Can sit without support
D. Has a pincer grasp
Correct Answer: A
Rationale: Birth weight doubles by 5–6 months and triples by 12 months. Sitting without
support occurs at ~8 months; pincer grasp at ~9–10 months.
2. Which developmental milestone should a nurse expect a 12-month-old to achieve?
A. Walks independently
B. Says 2–3 words with meaning
C. Stacks two blocks
D. All of the above
Correct Answer: D
Rationale: By 12 months, the toddler may walk alone or with support, says 2–3 words, and
can stack two blocks. These are all expected milestones.
3. A nurse is teaching parents about toilet training. Which statement indicates understanding?
A. "We should start at 12 months."
B. "We should start when our child shows readiness signs, usually 18–24 months."
C. "Punishment speeds up the process."
D. "Nighttime dryness comes before daytime dryness."
Correct Answer: B
Rationale: Readiness signs (staying dry 2 hrs, interest in toilet, pulling at diaper) usually
,appear at 18–24 months. Daytime control precedes nighttime control. Punishment is
counterproductive.
4. According to Erikson, the developmental task of a 4-year-old is:
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct Answer: C
Rationale: Initiative vs. guilt (ages 3–6) is the preschooler's task. Trust = infancy; Autonomy
= toddler; Industry = school-age.
5. A nurse is assessing a 9-month-old. Which finding requires further evaluation?
A. Pulls to standing
B. Uses pincer grasp
C. Does not respond to own name
D. Plays peek-a-boo
Correct Answer: C
Rationale: Responding to one's name is expected by 6–9 months. Lack of response may
indicate hearing or developmental delay and warrants evaluation.
6. SATA — Which are expected findings in a 3-year-old? (Select all that apply.)
A. Can ride a tricycle
B. Vocabulary of ~900 words
C. Can draw a circle
D. Knows gender
E. Can tie shoelaces
Correct Answers: A, B, C, D
Rationale: Tricycle riding, ~900 words, drawing a circle, and knowing gender are expected at
3 years. Tying shoelaces is expected at 5–6 years.
,7. The anterior fontanel normally closes by:
A. 2 months
B. 6 months
C. 12–18 months
D. 24 months
Correct Answer: C
Rationale: The anterior fontanel closes between 12 and 18 months. The posterior fontanel
closes by 6–8 weeks.
8. A nurse is assessing a 5-year-old's language. Which is expected?
A. Uses 2-word sentences
B. Speech is fully intelligible
C. Can tell a short story
D. B and C
Correct Answer: D
Rationale: By 5 years, speech should be fully intelligible, and the child can tell a short story.
Two-word sentences are expected at ~2 years.
9. Which is the leading cause of death in children ages 1–4?
A. Cancer
B. Unintentional injuries
C. Congenital anomalies
D. Infection
Correct Answer: B
Rationale: Unintentional injuries (motor vehicle crashes, drowning, burns, falls) are the
leading cause of death in young children.
10. A nurse is assessing a 2-month-old. Which reflexes should still be present?
A. Moro
B. Palmar grasp
, C. Rooting
D. All of the above
Correct Answer: D
Rationale: Moro, palmar grasp, and rooting are all present at birth and persist for several
months. Moro disappears ~4 months; palmar grasp ~3–4 months; rooting ~4 months.
11. A 15-month-old is expected to:
A. Walk well alone
B. Stack 3–4 blocks
C. Say 4–6 words
D. All of the above
Correct Answer: D
Rationale: At 15 months, the toddler walks well alone, stacks 3–4 blocks, and has a
vocabulary of 4–6 words.
12. SATA — Which are signs of readiness for solid foods in an infant?
A. Head control
B. Extrusion reflex present
C. Able to sit with support
D. Interest in food
E. Birth weight doubled
Correct Answers: A, C, D
Rationale: Readiness for solids (~6 months) includes head control, sitting with support, and
interest in food. The extrusion reflex should have disappeared. Doubled birth weight occurs ~5–
6 months but is not a readiness criterion.
13. A nurse is teaching about car seat safety. Which statement is correct?
A. Infants may face forward at 6 months
B. Rear-facing until at least 2 years or until outgrowing the seat
C. Booster seat at 4 years/40 lb
D. Seat belt alone at 6 years
2023 LATEST VERSION EXAM 1-4 EACH SET
WITH 50 Q
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse expect?
A. Birth weight has doubled
B. Birth weight has tripled
C. Can sit without support
D. Has a pincer grasp
Correct Answer: A
Rationale: Birth weight doubles by 5–6 months and triples by 12 months. Sitting without
support occurs at ~8 months; pincer grasp at ~9–10 months.
2. Which developmental milestone should a nurse expect a 12-month-old to achieve?
A. Walks independently
B. Says 2–3 words with meaning
C. Stacks two blocks
D. All of the above
Correct Answer: D
Rationale: By 12 months, the toddler may walk alone or with support, says 2–3 words, and
can stack two blocks. These are all expected milestones.
3. A nurse is teaching parents about toilet training. Which statement indicates understanding?
A. "We should start at 12 months."
B. "We should start when our child shows readiness signs, usually 18–24 months."
C. "Punishment speeds up the process."
D. "Nighttime dryness comes before daytime dryness."
Correct Answer: B
Rationale: Readiness signs (staying dry 2 hrs, interest in toilet, pulling at diaper) usually
,appear at 18–24 months. Daytime control precedes nighttime control. Punishment is
counterproductive.
4. According to Erikson, the developmental task of a 4-year-old is:
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct Answer: C
Rationale: Initiative vs. guilt (ages 3–6) is the preschooler's task. Trust = infancy; Autonomy
= toddler; Industry = school-age.
5. A nurse is assessing a 9-month-old. Which finding requires further evaluation?
A. Pulls to standing
B. Uses pincer grasp
C. Does not respond to own name
D. Plays peek-a-boo
Correct Answer: C
Rationale: Responding to one's name is expected by 6–9 months. Lack of response may
indicate hearing or developmental delay and warrants evaluation.
6. SATA — Which are expected findings in a 3-year-old? (Select all that apply.)
A. Can ride a tricycle
B. Vocabulary of ~900 words
C. Can draw a circle
D. Knows gender
E. Can tie shoelaces
Correct Answers: A, B, C, D
Rationale: Tricycle riding, ~900 words, drawing a circle, and knowing gender are expected at
3 years. Tying shoelaces is expected at 5–6 years.
,7. The anterior fontanel normally closes by:
A. 2 months
B. 6 months
C. 12–18 months
D. 24 months
Correct Answer: C
Rationale: The anterior fontanel closes between 12 and 18 months. The posterior fontanel
closes by 6–8 weeks.
8. A nurse is assessing a 5-year-old's language. Which is expected?
A. Uses 2-word sentences
B. Speech is fully intelligible
C. Can tell a short story
D. B and C
Correct Answer: D
Rationale: By 5 years, speech should be fully intelligible, and the child can tell a short story.
Two-word sentences are expected at ~2 years.
9. Which is the leading cause of death in children ages 1–4?
A. Cancer
B. Unintentional injuries
C. Congenital anomalies
D. Infection
Correct Answer: B
Rationale: Unintentional injuries (motor vehicle crashes, drowning, burns, falls) are the
leading cause of death in young children.
10. A nurse is assessing a 2-month-old. Which reflexes should still be present?
A. Moro
B. Palmar grasp
, C. Rooting
D. All of the above
Correct Answer: D
Rationale: Moro, palmar grasp, and rooting are all present at birth and persist for several
months. Moro disappears ~4 months; palmar grasp ~3–4 months; rooting ~4 months.
11. A 15-month-old is expected to:
A. Walk well alone
B. Stack 3–4 blocks
C. Say 4–6 words
D. All of the above
Correct Answer: D
Rationale: At 15 months, the toddler walks well alone, stacks 3–4 blocks, and has a
vocabulary of 4–6 words.
12. SATA — Which are signs of readiness for solid foods in an infant?
A. Head control
B. Extrusion reflex present
C. Able to sit with support
D. Interest in food
E. Birth weight doubled
Correct Answers: A, C, D
Rationale: Readiness for solids (~6 months) includes head control, sitting with support, and
interest in food. The extrusion reflex should have disappeared. Doubled birth weight occurs ~5–
6 months but is not a readiness criterion.
13. A nurse is teaching about car seat safety. Which statement is correct?
A. Infants may face forward at 6 months
B. Rear-facing until at least 2 years or until outgrowing the seat
C. Booster seat at 4 years/40 lb
D. Seat belt alone at 6 years
