3 Sets ATI RN Pediatric Nursing (Peds) 2026 Level 3
Proctored Exam | Assessment with NGN Screenshots,
Each Version 70 Questions and Correct Answers
Section 1: Growth & Development
1. A nurse is assessing a 10-month-old infant during a well-child visit. Which
fine motor skill should the nurse expect the infant to demonstrate?
A. Building a tower of two cubes
B. Using a crude pincer grasp
C. Turning pages in a book
D. Scribbling spontaneously
B. Using a crude pincer grasp
Rationale: A 10-month-old typically develops a crude pincer grasp, using
the thumb and index finger to pick up small objects. Building a tower of two cubes
is expected at 12–15 months. Turning pages and scribbling are skills of a toddler
(12–18 months).
2. A nurse is providing anticipatory guidance to the parents of a 4-year-old
child. Which disciplinary strategy is appropriate for this age group?
A. Using time-out for 4 minutes following misbehavior
B. Encouraging the child to take a nap when misbehaving
C. Implementing a reward system for good behavior
D. Using physical guidance to correct a behavior
A. Using time-out for 4 minutes following misbehavior
Rationale: The general rule for time-out is 1 minute per year of age; thus, 4
minutes is appropriate for a 4-year-old. This allows the child to understand the
consequence of their behavior. Rewards are effective positive reinforcement but do
not address misbehavior.
,3. A nurse is assessing a 12-month-old infant. Which finding should the nurse
report to the provider?
A. Closed anterior fontanel
B. Birth weight tripled
C. Unable to walk independently
D. Hand preference established
D. Hand preference established
Rationale: Hand preference is not expected until approximately 2 years of
age. In a 12-month-old, it can be an early indicator of a motor or developmental
delay and should be reported. The anterior fontanel closes by 12–18 months,
weight triples by 12 months, and most infants begin walking between 12–15
months.
4. A nurse is assessing a 6-month-old infant. Which developmental milestone
should the nurse expect the infant to demonstrate?
A. Sitting without support
B. Rolling from abdomen to back
C. Transferring objects from hand to hand
D. Pincer grasp
B. Rolling from abdomen to back
Rationale: Rolling from abdomen to back is typically achieved by 6 months.
Sitting without support is achieved by 8 months. Transferring objects is achieved
by 7 months. Pincer grasp is achieved by 9–10 months.
5. A nurse is observing an 8-month-old infant. Which behavior regarding
object permanence should the nurse expect?
A. Searching for a toy hidden under a cup
B. Looking for a toy that has rolled under the crib
,C. Playing peek-a-boo by covering and uncovering the face
D. Saying "mama" when the mother leaves the room
A. Searching for a toy hidden under a cup
Rationale: Object permanence—the cognitive skill of knowing an object
still exists even when out of sight—develops around 8–10 months. Searching for a
hidden object demonstrates this emerging skill.
6. A nurse is teaching a parent about age-appropriate toys for a 3-year-old.
Which toy is most appropriate?
A. Small building blocks
B. Video game console
C. Large puzzle with knobs
D. Balloon
C. Large puzzle with knobs
Rationale: A 3-year-old needs toys that are safe (no small parts) and
promote fine motor and cognitive development. Large puzzles with knobs are
appropriate. Small blocks pose a choking hazard. Balloons also pose a suffocation
risk.
7. According to Piaget, a 4-year-old child is in which stage of cognitive
development?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
B. Preoperational
, Rationale: The preoperational stage (2–7 years) is characterized by
egocentrism, magical thinking, and symbolic play. Sensorimotor is birth to 2 years.
Concrete operational is 7–11 years. Formal operational begins at 11 years.
8. A nurse is assessing a 15-month-old toddler's language development. Which
finding should the nurse expect?
A. Saying 2–3 words
B. Saying 10–20 words
C. Speaking in two-word phrases
D. Speaking in complete sentences
B. Saying 10–20 words
Rationale: By 18 months, toddlers typically have a vocabulary of 10–20
words. By 12 months, vocabulary is 2–3 words. Two-word phrases typically emerge
around 18–24 months. Complete sentences occur around 3–4 years.
9. A nurse is assessing a 6-month-old infant's motor development. Which
finding indicates the need for further evaluation?
A. The infant can roll from back to abdomen.
B. The infant can sit with support.
C. The infant has a persistent Moro reflex.
D. The infant can transfer objects between hands.
C. The infant has a persistent Moro reflex.
Rationale: The Moro reflex should disappear by 3–4 months of age. Its
persistence at 6 months requires further neurological evaluation. Rolling, sitting
with support, and transferring objects are appropriate milestones for this age.
10. A nurse is teaching a parent about injury prevention for a toddler. Which
statement indicates understanding?
Proctored Exam | Assessment with NGN Screenshots,
Each Version 70 Questions and Correct Answers
Section 1: Growth & Development
1. A nurse is assessing a 10-month-old infant during a well-child visit. Which
fine motor skill should the nurse expect the infant to demonstrate?
A. Building a tower of two cubes
B. Using a crude pincer grasp
C. Turning pages in a book
D. Scribbling spontaneously
B. Using a crude pincer grasp
Rationale: A 10-month-old typically develops a crude pincer grasp, using
the thumb and index finger to pick up small objects. Building a tower of two cubes
is expected at 12–15 months. Turning pages and scribbling are skills of a toddler
(12–18 months).
2. A nurse is providing anticipatory guidance to the parents of a 4-year-old
child. Which disciplinary strategy is appropriate for this age group?
A. Using time-out for 4 minutes following misbehavior
B. Encouraging the child to take a nap when misbehaving
C. Implementing a reward system for good behavior
D. Using physical guidance to correct a behavior
A. Using time-out for 4 minutes following misbehavior
Rationale: The general rule for time-out is 1 minute per year of age; thus, 4
minutes is appropriate for a 4-year-old. This allows the child to understand the
consequence of their behavior. Rewards are effective positive reinforcement but do
not address misbehavior.
,3. A nurse is assessing a 12-month-old infant. Which finding should the nurse
report to the provider?
A. Closed anterior fontanel
B. Birth weight tripled
C. Unable to walk independently
D. Hand preference established
D. Hand preference established
Rationale: Hand preference is not expected until approximately 2 years of
age. In a 12-month-old, it can be an early indicator of a motor or developmental
delay and should be reported. The anterior fontanel closes by 12–18 months,
weight triples by 12 months, and most infants begin walking between 12–15
months.
4. A nurse is assessing a 6-month-old infant. Which developmental milestone
should the nurse expect the infant to demonstrate?
A. Sitting without support
B. Rolling from abdomen to back
C. Transferring objects from hand to hand
D. Pincer grasp
B. Rolling from abdomen to back
Rationale: Rolling from abdomen to back is typically achieved by 6 months.
Sitting without support is achieved by 8 months. Transferring objects is achieved
by 7 months. Pincer grasp is achieved by 9–10 months.
5. A nurse is observing an 8-month-old infant. Which behavior regarding
object permanence should the nurse expect?
A. Searching for a toy hidden under a cup
B. Looking for a toy that has rolled under the crib
,C. Playing peek-a-boo by covering and uncovering the face
D. Saying "mama" when the mother leaves the room
A. Searching for a toy hidden under a cup
Rationale: Object permanence—the cognitive skill of knowing an object
still exists even when out of sight—develops around 8–10 months. Searching for a
hidden object demonstrates this emerging skill.
6. A nurse is teaching a parent about age-appropriate toys for a 3-year-old.
Which toy is most appropriate?
A. Small building blocks
B. Video game console
C. Large puzzle with knobs
D. Balloon
C. Large puzzle with knobs
Rationale: A 3-year-old needs toys that are safe (no small parts) and
promote fine motor and cognitive development. Large puzzles with knobs are
appropriate. Small blocks pose a choking hazard. Balloons also pose a suffocation
risk.
7. According to Piaget, a 4-year-old child is in which stage of cognitive
development?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
B. Preoperational
, Rationale: The preoperational stage (2–7 years) is characterized by
egocentrism, magical thinking, and symbolic play. Sensorimotor is birth to 2 years.
Concrete operational is 7–11 years. Formal operational begins at 11 years.
8. A nurse is assessing a 15-month-old toddler's language development. Which
finding should the nurse expect?
A. Saying 2–3 words
B. Saying 10–20 words
C. Speaking in two-word phrases
D. Speaking in complete sentences
B. Saying 10–20 words
Rationale: By 18 months, toddlers typically have a vocabulary of 10–20
words. By 12 months, vocabulary is 2–3 words. Two-word phrases typically emerge
around 18–24 months. Complete sentences occur around 3–4 years.
9. A nurse is assessing a 6-month-old infant's motor development. Which
finding indicates the need for further evaluation?
A. The infant can roll from back to abdomen.
B. The infant can sit with support.
C. The infant has a persistent Moro reflex.
D. The infant can transfer objects between hands.
C. The infant has a persistent Moro reflex.
Rationale: The Moro reflex should disappear by 3–4 months of age. Its
persistence at 6 months requires further neurological evaluation. Rolling, sitting
with support, and transferring objects are appropriate milestones for this age.
10. A nurse is teaching a parent about injury prevention for a toddler. Which
statement indicates understanding?
