ATI PN Nursing Care of Children Proctored Exam
Comprehensive Questions with Answers & Detailed
Rationales
Assessment Overview
The ATI PN Nursing Care of Children Proctored Exam assesses practical
nursing students' knowledge and clinical judgment in caring for pediatric
patients from infancy through adolescence. The exam follows the ATI PN
blueprint with the following content distribution:
Approximate
Content Area
Percentage
Health Promotion & Maintenance (Growth & Development,
20–25%
Anticipatory Guidance)
Pediatric Conditions (Respiratory, Cardiovascular, Neurological,
40–45%
GI, Renal, Endocrine, Hematologic, Musculoskeletal)
Pharmacological Therapies (Pediatric Medication Administration,
10–15%
Dosage Calculations)
Reduction of Risk Potential (Safety, Injury Prevention, Screening) 10–15%
Psychosocial Integrity (Family Dynamics, Coping, Mental Health) 5–10%
Section 1: Growth & Development (Health Promotion & Maintenance)
— Q1–Q25
,Q1. A nurse is providing anticipatory guidance to the parents of a 1-
month-old infant. Which of the following safety measures should the
nurse include?
A. Place the infant on the stomach for sleep
B. Use a crib with slats no more than 2 3/8 inches apart
C. Introduce solid foods at 2 months of age
D. Place bumper pads in the crib for protection
Answer: B
Rationale: Crib slats should be no more than 2 3/8 inches apart to prevent
the infant's head from becoming trapped. Infants should be placed on their
back to sleep (supine position) to reduce the risk of SIDS. Solid foods are
introduced at 4–6 months of age. Bumper pads should not be used due to
suffocation risk.
Q2. A nurse is assessing a 4-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect to observe?
A. Sits without support
B. Rolls from front to back
C. Transfers objects from hand to hand
D. Walks independently
Answer: B
Rationale: Rolling from front to back is typically achieved by 4 months of
age. Sitting without support occurs at 6–8 months, transferring objects from
hand to hand occurs at approximately 7 months, and walking independently
is expected between 12 and 15 months.
Q3. A nurse is assessing a 9-month-old infant. Which finding should
the nurse report to the provider as a potential developmental delay?
A. The infant has a pincer grasp
B. The infant says "mama" and "dada"
C. The infant is unable to sit unsupported
D. The infant transfers objects from one hand to the other
,Answer: C
Rationale: By 9 months, infants should be able to sit without support.
Inability to sit unsupported at this age may indicate developmental delay
requiring further evaluation. Pincer grasp, babbling, and transferring objects
are all expected findings at 9 months.
Q4. A nurse is assessing a 12-month-old infant. Which finding
indicates a developmental delay that requires further evaluation?
A. The infant sits without support
B. The infant crawls on hands and knees
C. The infant has a vocabulary of 3 to 5 words
D. The infant does not respond to own name
Answer: D
Rationale: By 12 months, infants should respond to their own name
consistently. Lack of response may indicate hearing impairment or
developmental delay. Sitting without support, crawling, and having a small
vocabulary are all expected findings at this age.
Q5. A nurse is assessing a 15-month-old toddler. Which gross motor
milestone should the nurse expect the toddler to demonstrate?
A. Walks independently
B. Runs with coordination
C. Jumps with both feet
D. Stands on one foot
Answer: A
Rationale: Walking independently is typically achieved by 15 months.
Running occurs around 18–24 months, jumping with both feet occurs
around 2 years, and standing on one foot occurs around 3–4 years.
Q6. A nurse is assessing a 2-year-old toddler. Which fine motor skill
should the nurse expect the toddler to demonstrate?
, A. Draws a circle
B. Builds a tower of 6 blocks
C. Uses a spoon to feed self
D. Ties shoelaces
Answer: B
Rationale: By 2 years, toddlers can typically build a tower of 6 blocks.
Drawing a circle occurs around 3 years, using a spoon with some spilling
occurs around 18 months, and tying shoelaces occurs around 5–6 years.
Q7. A nurse is assessing a 6-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect the infant to
have achieved?
A. Sitting without support
B. Standing while holding onto furniture
C. Walking with assistance
D. Crawling on hands and knees
Answer: A
Rationale: At 6 months of age, an infant typically sits with support, and by
8–9 months can sit without support. Standing while holding onto furniture
(cruising) occurs around 9–10 months. Walking with assistance and
crawling typically occur later.
Q8. A nurse is providing education to parents about the
developmental milestones of a 5-year-old child. Which of the
following should the nurse include?
A. The child can copy a square
B. The child can ride a bicycle
C. The child can tie shoelaces
D. The child can write in cursive
Answer: A
Rationale: A 5-year-old can copy a square, draw a person with six parts,
Comprehensive Questions with Answers & Detailed
Rationales
Assessment Overview
The ATI PN Nursing Care of Children Proctored Exam assesses practical
nursing students' knowledge and clinical judgment in caring for pediatric
patients from infancy through adolescence. The exam follows the ATI PN
blueprint with the following content distribution:
Approximate
Content Area
Percentage
Health Promotion & Maintenance (Growth & Development,
20–25%
Anticipatory Guidance)
Pediatric Conditions (Respiratory, Cardiovascular, Neurological,
40–45%
GI, Renal, Endocrine, Hematologic, Musculoskeletal)
Pharmacological Therapies (Pediatric Medication Administration,
10–15%
Dosage Calculations)
Reduction of Risk Potential (Safety, Injury Prevention, Screening) 10–15%
Psychosocial Integrity (Family Dynamics, Coping, Mental Health) 5–10%
Section 1: Growth & Development (Health Promotion & Maintenance)
— Q1–Q25
,Q1. A nurse is providing anticipatory guidance to the parents of a 1-
month-old infant. Which of the following safety measures should the
nurse include?
A. Place the infant on the stomach for sleep
B. Use a crib with slats no more than 2 3/8 inches apart
C. Introduce solid foods at 2 months of age
D. Place bumper pads in the crib for protection
Answer: B
Rationale: Crib slats should be no more than 2 3/8 inches apart to prevent
the infant's head from becoming trapped. Infants should be placed on their
back to sleep (supine position) to reduce the risk of SIDS. Solid foods are
introduced at 4–6 months of age. Bumper pads should not be used due to
suffocation risk.
Q2. A nurse is assessing a 4-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect to observe?
A. Sits without support
B. Rolls from front to back
C. Transfers objects from hand to hand
D. Walks independently
Answer: B
Rationale: Rolling from front to back is typically achieved by 4 months of
age. Sitting without support occurs at 6–8 months, transferring objects from
hand to hand occurs at approximately 7 months, and walking independently
is expected between 12 and 15 months.
Q3. A nurse is assessing a 9-month-old infant. Which finding should
the nurse report to the provider as a potential developmental delay?
A. The infant has a pincer grasp
B. The infant says "mama" and "dada"
C. The infant is unable to sit unsupported
D. The infant transfers objects from one hand to the other
,Answer: C
Rationale: By 9 months, infants should be able to sit without support.
Inability to sit unsupported at this age may indicate developmental delay
requiring further evaluation. Pincer grasp, babbling, and transferring objects
are all expected findings at 9 months.
Q4. A nurse is assessing a 12-month-old infant. Which finding
indicates a developmental delay that requires further evaluation?
A. The infant sits without support
B. The infant crawls on hands and knees
C. The infant has a vocabulary of 3 to 5 words
D. The infant does not respond to own name
Answer: D
Rationale: By 12 months, infants should respond to their own name
consistently. Lack of response may indicate hearing impairment or
developmental delay. Sitting without support, crawling, and having a small
vocabulary are all expected findings at this age.
Q5. A nurse is assessing a 15-month-old toddler. Which gross motor
milestone should the nurse expect the toddler to demonstrate?
A. Walks independently
B. Runs with coordination
C. Jumps with both feet
D. Stands on one foot
Answer: A
Rationale: Walking independently is typically achieved by 15 months.
Running occurs around 18–24 months, jumping with both feet occurs
around 2 years, and standing on one foot occurs around 3–4 years.
Q6. A nurse is assessing a 2-year-old toddler. Which fine motor skill
should the nurse expect the toddler to demonstrate?
, A. Draws a circle
B. Builds a tower of 6 blocks
C. Uses a spoon to feed self
D. Ties shoelaces
Answer: B
Rationale: By 2 years, toddlers can typically build a tower of 6 blocks.
Drawing a circle occurs around 3 years, using a spoon with some spilling
occurs around 18 months, and tying shoelaces occurs around 5–6 years.
Q7. A nurse is assessing a 6-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect the infant to
have achieved?
A. Sitting without support
B. Standing while holding onto furniture
C. Walking with assistance
D. Crawling on hands and knees
Answer: A
Rationale: At 6 months of age, an infant typically sits with support, and by
8–9 months can sit without support. Standing while holding onto furniture
(cruising) occurs around 9–10 months. Walking with assistance and
crawling typically occur later.
Q8. A nurse is providing education to parents about the
developmental milestones of a 5-year-old child. Which of the
following should the nurse include?
A. The child can copy a square
B. The child can ride a bicycle
C. The child can tie shoelaces
D. The child can write in cursive
Answer: A
Rationale: A 5-year-old can copy a square, draw a person with six parts,
