Legit ATI RN Pediatric Nursing 2026 (Peds) Level 3
Proctored Assessment Exam: All Detailed 70 NGN
Screenshot Questions and Answers Per ATI
Marking Scheme
Question 1
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following
findings should the nurse expect?
A. Birth weight has doubled
B. Pincer grasp is present
C. Sits independently without support
D. Has a social smile
Correct Answer: A. Birth weight has doubled
Rationale: By 6 months, an infant's birth weight should double (it typically doubles by 5–6
months and triples by 12 months). Pincer grasp develops around 9–10 months. Sitting
independently without support occurs around 8 months. A social smile develops at 2 months.
Therefore, A is the expected finding at 6 months.
Question 2
A nurse is evaluating the developmental milestones of a 15-month-old toddler. Which of the
following should the nurse expect the toddler to demonstrate? Select all that apply.
A. Walks independently
B. Says 2–3 words
C. Stacks 2 blocks
D. Uses a spoon with some spilling
E. Draws a circle
F. Runs smoothly
Correct Answers: A, B, C, D
, Rationale: A 15-month-old can walk independently (A), say 2–3 words (B), stack 2 blocks (C),
and use a spoon with some spilling (D). Drawing a circle (E) is expected around 3 years. Running
smoothly (F) is expected around 18–24 months. Therefore, A, B, C, and D are correct.
Question 3
A nurse is teaching the parents of a 4-year-old about expected developmental milestones.
Which statement by the parent indicates understanding?
A. "My child should be able to tie shoelaces."
B. "My child should be able to hop on one foot."
C. "My child should be able to read simple words."
D. "My child should be able to write their full name."
Correct Answer: B. "My child should be able to hop on one foot."
Rationale: A 4-year-old can hop on one foot, catch a ball, and use scissors. Tying shoelaces is
expected around 5–6 years. Reading simple words is expected around 5–6 years. Writing a full
name is expected around 5–6 years. Therefore, B is correct.
Question 4
A nurse is assessing a 9-month-old infant. Which of the following findings would indicate a need
for further evaluation?
A. Infant can sit without support
B. Infant has a pincer grasp
C. Infant does not respond to their own name
D. Infant can pull to a standing position
Correct Answer: C. Infant does not respond to their own name
Rationale: By 9 months, an infant should respond to their own name. Failure to do so may
indicate a hearing deficit or developmental delay. Sitting without support, pincer grasp, and
pulling to stand are all expected at 9 months. Therefore, C indicates a need for further
evaluation.
Question 5
,A nurse is providing anticipatory guidance to the parents of a 2-year-old. Which of the following
behaviors should the nurse identify as typical for this age?
A. Cooperative play with peers
B. Parallel play alongside other children
C. Sharing toys willingly
D. Understanding the concept of sharing
Correct Answer: B. Parallel play alongside other children
Rationale: Toddlers engage in parallel play, playing alongside but not with other children.
Cooperative play develops around 4–5 years. Sharing willingly and understanding sharing are
not expected at 2 years. Therefore, B is correct.
Question 6
A nurse is assessing a 5-year-old child's language development. Which of the following should
the nurse expect?
A. Uses 2–3 word sentences
B. Can tell a short story
C. Speech is understandable to strangers
D. Can name 4 colors
Correct Answer: C. Speech is understandable to strangers
Rationale: By 5 years, a child's speech should be fully understandable to strangers. Using 2–
3 word sentences is expected at 2 years. Telling a short story is expected at 4–5 years but is less
specific than speech intelligibility. Naming 4 colors is expected at 4 years. Therefore, C is the
best answer.
Question 7
A nurse is evaluating a 12-month-old infant's growth. The infant's birth weight was 7 lb (3.2 kg).
Which of the following weights should the nurse expect?
A. 14 lb (6.4 kg)
B. 21 lb (9.5 kg)
C. 28 lb (12.7 kg)
D. 10.5 lb (4.8 kg)
, Correct Answer: B. 21 lb (9.5 kg)
Rationale: Birth weight triples by 12 months. 7 lb × 3 = 21 lb. Therefore, B is correct.
Question 8
A nurse is assessing a 3-year-old child. Which of the following fine motor skills should the nurse
expect?
A. Uses scissors to cut a straight line
B. Draws a person with 6 parts
C. Builds a tower of 9–10 blocks
D. Buttons and unbuttons large buttons
Correct Answer: C. Builds a tower of 9–10 blocks
Rationale: A 3-year-old can build a tower of 9–10 blocks. Using scissors to cut a straight line
is expected at 4 years. Drawing a person with 6 parts is expected at 5–6 years. Buttoning and
unbuttoning large buttons is expected at 4 years. Therefore, C is correct.
Question 9
A nurse is teaching parents about toilet training. At which age should the nurse indicate that
most children are ready for toilet training?
A. 12–15 months
B. 18–24 months
C. 30–36 months
D. 4 years
Correct Answer: B. 18–24 months
Rationale: Most children are developmentally ready for toilet training between 18 and 24
months, when they can recognize the urge to eliminate and have sufficient sphincter control.
Therefore, B is correct.
Question 10
A nurse is assessing a 7-month-old infant. Which of the following findings should the nurse
report to the provider?
Proctored Assessment Exam: All Detailed 70 NGN
Screenshot Questions and Answers Per ATI
Marking Scheme
Question 1
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following
findings should the nurse expect?
A. Birth weight has doubled
B. Pincer grasp is present
C. Sits independently without support
D. Has a social smile
Correct Answer: A. Birth weight has doubled
Rationale: By 6 months, an infant's birth weight should double (it typically doubles by 5–6
months and triples by 12 months). Pincer grasp develops around 9–10 months. Sitting
independently without support occurs around 8 months. A social smile develops at 2 months.
Therefore, A is the expected finding at 6 months.
Question 2
A nurse is evaluating the developmental milestones of a 15-month-old toddler. Which of the
following should the nurse expect the toddler to demonstrate? Select all that apply.
A. Walks independently
B. Says 2–3 words
C. Stacks 2 blocks
D. Uses a spoon with some spilling
E. Draws a circle
F. Runs smoothly
Correct Answers: A, B, C, D
, Rationale: A 15-month-old can walk independently (A), say 2–3 words (B), stack 2 blocks (C),
and use a spoon with some spilling (D). Drawing a circle (E) is expected around 3 years. Running
smoothly (F) is expected around 18–24 months. Therefore, A, B, C, and D are correct.
Question 3
A nurse is teaching the parents of a 4-year-old about expected developmental milestones.
Which statement by the parent indicates understanding?
A. "My child should be able to tie shoelaces."
B. "My child should be able to hop on one foot."
C. "My child should be able to read simple words."
D. "My child should be able to write their full name."
Correct Answer: B. "My child should be able to hop on one foot."
Rationale: A 4-year-old can hop on one foot, catch a ball, and use scissors. Tying shoelaces is
expected around 5–6 years. Reading simple words is expected around 5–6 years. Writing a full
name is expected around 5–6 years. Therefore, B is correct.
Question 4
A nurse is assessing a 9-month-old infant. Which of the following findings would indicate a need
for further evaluation?
A. Infant can sit without support
B. Infant has a pincer grasp
C. Infant does not respond to their own name
D. Infant can pull to a standing position
Correct Answer: C. Infant does not respond to their own name
Rationale: By 9 months, an infant should respond to their own name. Failure to do so may
indicate a hearing deficit or developmental delay. Sitting without support, pincer grasp, and
pulling to stand are all expected at 9 months. Therefore, C indicates a need for further
evaluation.
Question 5
,A nurse is providing anticipatory guidance to the parents of a 2-year-old. Which of the following
behaviors should the nurse identify as typical for this age?
A. Cooperative play with peers
B. Parallel play alongside other children
C. Sharing toys willingly
D. Understanding the concept of sharing
Correct Answer: B. Parallel play alongside other children
Rationale: Toddlers engage in parallel play, playing alongside but not with other children.
Cooperative play develops around 4–5 years. Sharing willingly and understanding sharing are
not expected at 2 years. Therefore, B is correct.
Question 6
A nurse is assessing a 5-year-old child's language development. Which of the following should
the nurse expect?
A. Uses 2–3 word sentences
B. Can tell a short story
C. Speech is understandable to strangers
D. Can name 4 colors
Correct Answer: C. Speech is understandable to strangers
Rationale: By 5 years, a child's speech should be fully understandable to strangers. Using 2–
3 word sentences is expected at 2 years. Telling a short story is expected at 4–5 years but is less
specific than speech intelligibility. Naming 4 colors is expected at 4 years. Therefore, C is the
best answer.
Question 7
A nurse is evaluating a 12-month-old infant's growth. The infant's birth weight was 7 lb (3.2 kg).
Which of the following weights should the nurse expect?
A. 14 lb (6.4 kg)
B. 21 lb (9.5 kg)
C. 28 lb (12.7 kg)
D. 10.5 lb (4.8 kg)
, Correct Answer: B. 21 lb (9.5 kg)
Rationale: Birth weight triples by 12 months. 7 lb × 3 = 21 lb. Therefore, B is correct.
Question 8
A nurse is assessing a 3-year-old child. Which of the following fine motor skills should the nurse
expect?
A. Uses scissors to cut a straight line
B. Draws a person with 6 parts
C. Builds a tower of 9–10 blocks
D. Buttons and unbuttons large buttons
Correct Answer: C. Builds a tower of 9–10 blocks
Rationale: A 3-year-old can build a tower of 9–10 blocks. Using scissors to cut a straight line
is expected at 4 years. Drawing a person with 6 parts is expected at 5–6 years. Buttoning and
unbuttoning large buttons is expected at 4 years. Therefore, C is correct.
Question 9
A nurse is teaching parents about toilet training. At which age should the nurse indicate that
most children are ready for toilet training?
A. 12–15 months
B. 18–24 months
C. 30–36 months
D. 4 years
Correct Answer: B. 18–24 months
Rationale: Most children are developmentally ready for toilet training between 18 and 24
months, when they can recognize the urge to eliminate and have sufficient sphincter control.
Therefore, B is correct.
Question 10
A nurse is assessing a 7-month-old infant. Which of the following findings should the nurse
report to the provider?
