NGN ATI Pediatrics Proctored Exam
1. According to Piaget, what is the expected cognitive stage of a 3-year-old child?
• Answer: Preoperational Stage (ages 2-7 years). Characterized by egocentrism, magical
thinking, and the beginning of symbolic thought (e.g., pretend play).
2. What is the primary psychosocial conflict for an infant (0-1 year) according to Erikson?
• Answer: Trust vs. Mistrust. The infant learns to trust that their needs will be met by their
caregivers.
3. A nurse is assessing a 6-month-old infant. Which fine motor skill is expected at this age?
• Answer: The infant can grasp a rattle using a palmar grasp (holding objects in the entire
hand).
4. At what age should a child be able to walk up and down stairs independently, alternating
feet?
• Answer: Approximately 4-5 years old.
5. A 9-month-old is expected to exhibit which gross motor skill?
• Answer: Pulling to a standing position.
6. What is a key language milestone for a 2-year-old?
• Answer: Using 2- to 3-word phrases and having a vocabulary of about 50-300 words.
7. According to Erikson, what is the developmental task for a school-aged child (6-12
years)?
, • Answer: Industry vs. Inferiority. The child learns to complete tasks, work with others,
and develops a sense of competence.
8. Which immunization is contraindicated in a child with a severe anaphylactic allergy to
eggs?
• Answer: Influenza vaccine, as it is cultured in egg embryos. (Note: Always consult
current guidelines as some formulations have lower egg protein).
9. When should the first dose of the Hepatitis B vaccine be administered?
• Answer: At birth, before hospital discharge.
10. What is a primary health promotion teaching point for the parents of a 6-month-old?
• Answer: Infant safety (fall prevention, choking hazards, safe sleep practices (ABCs:
Alone, on their Back, in a bare Crib)), and introduction of solid foods (iron-fortified
cereals).
11. A 5-year-old is in the clinic for a well-child visit. Which visual acuity is considered
normal for this age?
• Answer: 20/30 or 20/25. 20/20 vision is typically achieved around age 6-7.
12. What is the leading cause of death for adolescents?
• Answer: Unintentional injuries (including motor vehicle accidents).
13. Which developmental milestone is most concerning if not achieved by 12 months?
• Answer: Failure to localize sound or respond to their own name, as this can indicate
potential hearing or developmental delays.
1. According to Piaget, what is the expected cognitive stage of a 3-year-old child?
• Answer: Preoperational Stage (ages 2-7 years). Characterized by egocentrism, magical
thinking, and the beginning of symbolic thought (e.g., pretend play).
2. What is the primary psychosocial conflict for an infant (0-1 year) according to Erikson?
• Answer: Trust vs. Mistrust. The infant learns to trust that their needs will be met by their
caregivers.
3. A nurse is assessing a 6-month-old infant. Which fine motor skill is expected at this age?
• Answer: The infant can grasp a rattle using a palmar grasp (holding objects in the entire
hand).
4. At what age should a child be able to walk up and down stairs independently, alternating
feet?
• Answer: Approximately 4-5 years old.
5. A 9-month-old is expected to exhibit which gross motor skill?
• Answer: Pulling to a standing position.
6. What is a key language milestone for a 2-year-old?
• Answer: Using 2- to 3-word phrases and having a vocabulary of about 50-300 words.
7. According to Erikson, what is the developmental task for a school-aged child (6-12
years)?
, • Answer: Industry vs. Inferiority. The child learns to complete tasks, work with others,
and develops a sense of competence.
8. Which immunization is contraindicated in a child with a severe anaphylactic allergy to
eggs?
• Answer: Influenza vaccine, as it is cultured in egg embryos. (Note: Always consult
current guidelines as some formulations have lower egg protein).
9. When should the first dose of the Hepatitis B vaccine be administered?
• Answer: At birth, before hospital discharge.
10. What is a primary health promotion teaching point for the parents of a 6-month-old?
• Answer: Infant safety (fall prevention, choking hazards, safe sleep practices (ABCs:
Alone, on their Back, in a bare Crib)), and introduction of solid foods (iron-fortified
cereals).
11. A 5-year-old is in the clinic for a well-child visit. Which visual acuity is considered
normal for this age?
• Answer: 20/30 or 20/25. 20/20 vision is typically achieved around age 6-7.
12. What is the leading cause of death for adolescents?
• Answer: Unintentional injuries (including motor vehicle accidents).
13. Which developmental milestone is most concerning if not achieved by 12 months?
• Answer: Failure to localize sound or respond to their own name, as this can indicate
potential hearing or developmental delays.
