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ATI RN Pediatrics Proctored Exam 2026/2027
Actual Exam | Newest Version Real Exam-Based
Questions Verified Answers | 100% Accuracy &
NCLEX-RN Pediatric Nursing Mastery | Pass
Guaranteed - A+ Graded
Section 1: Growth and Development (25 questions)
Q1: A nurse is assessing a 6-month-old infant during a well-child visit. Which of the
following developmental milestones should the nurse expect the infant to demonstrate?
A. Sitting without support
B. Rolling from back to abdomen [CORRECT]
C. Crawling on hands and knees
D. Standing with support
Correct Answer: B
Rationale: At 6 months, infants typically roll from back to abdomen and may begin to sit with
support. Option A (sitting without support) is expected around 7-8 months. Option C (crawling)
is expected around 9-10 months. Option D (standing with support) is expected around 9-12
months.
Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q2: According to Erikson's theory of psychosocial development, which of the following is
the primary developmental task for a 3-year-old child?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt [CORRECT]
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B
Rationale: Erikson's stage of Autonomy vs. Shame and Doubt occurs during toddlerhood (1-3
years), when children assert independence. Option A (Trust vs. Mistrust) occurs during infancy
(0-1 year). Option C (Initiative vs. Guilt) occurs during preschool (3-6 years). Option D
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(Industry vs. Inferiority) occurs during school age (6-12 years).
Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q3: A parent of a 9-month-old infant asks the nurse about appropriate play activities.
Which of the following should the nurse recommend?
A. Building blocks with large pieces
B. Peek-a-boo games [CORRECT]
C. Push-pull toys
D. Simple puzzles
Correct Answer: B
Rationale: Peek-a-boo games are appropriate for 9-month-olds as they help develop object
permanence and social interaction. Option A (blocks) is appropriate for toddlers. Option C (push-
pull toys) is for toddlers learning to walk. Option D (puzzles) is for older toddlers and
preschoolers.
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Q4: A nurse is teaching a parent about expected developmental changes for their 15-year-
old adolescent. Which of the following statements by the parent indicates understanding?
A. "My child will likely be more dependent on me during this stage."
B. "Peer relationships become increasingly important during adolescence." [CORRECT]
C. "Concrete thinking is the primary cognitive ability at this age."
D. "Physical growth slows significantly during adolescence."
Correct Answer: B
Rationale: Peer relationships and peer acceptance become increasingly important during
adolescence. Option A is incorrect—adolescents strive for independence. Option C is incorrect—
adolescents develop abstract thinking (Piaget's formal operational stage). Option D is incorrect—
adolescents experience rapid growth spurts.
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Q5: A nurse is assessing a 2-year-old child during a well-child visit. Which of the following
behaviors is expected for this age?
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A. Parallel play [CORRECT]
B. Cooperative play
C. Solitary play
D. Associative play
Correct Answer: A
Rationale: Parallel play, where children play alongside each other without interaction, is typical
for toddlers (2-3 years). Option B (cooperative play) is expected in preschoolers (4-5 years).
Option C (solitary play) is typical for infants. Option D (associative play) is expected in
preschoolers.
Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q6: A nurse is providing anticipatory guidance to the parents of a 4-year-old child. Which
of the following statements by the parent indicates a need for further teaching?
A. "I will encourage my child to dress themselves."
B. "I will allow my child to choose their clothes for the day."
C. "I will expect my child to share toys with friends." [CORRECT]
D. "I will set limits on my child's behavior."
Correct Answer: C
Rationale: While sharing is a social skill, expecting a 4-year-old to consistently share toys may
be unrealistic due to egocentrism at this age. Options A, B, and D are appropriate for fostering
independence and setting boundaries.
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Q7: A nurse is assessing a 12-month-old infant. Which of the following developmental
milestones should the nurse expect?
A. Walking independently [CORRECT]
B. Speaking in 2-word phrases
C. Using a spoon to feed self
D. Stacking 3 blocks
Correct Answer: A
Rationale: Most infants begin walking independently around 12 months. Option B (2-word
phrases) is expected around 18-24 months. Option C (using a spoon) is expected around 15-18
months. Option D (stacking 3 blocks) is expected around 18-24 months.
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Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q8: A nurse is teaching a parent about expected developmental milestones for their 18-
month-old toddler. Which of the following milestones should the nurse include?
A. Riding a tricycle
B. Using 10 or more words [CORRECT]
C. Drawing a circle
D. Jumping with both feet
Correct Answer: B
Rationale: By 18 months, toddlers typically use 10 or more words and follow simple commands.
Option A (riding a tricycle) is expected around 3 years. Option C (drawing a circle) is expected
around 3 years. Option D (jumping) is expected around 2-3 years.
Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q9: A nurse is assessing a 3-year-old child. Which of the following findings is expected for
this age?
A. Height increases by 2 inches per year
B. Weight triples since birth
C. Head circumference equals chest circumference [CORRECT]
D. Permanent teeth begin to erupt
Correct Answer: C
Rationale: By 2-3 years, head circumference equals chest circumference. Option A (height
increase) is expected during school age. Option B (weight triples) occurs by 12 months. Option
D (permanent teeth) begins around 6 years.
Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q10: A nurse is providing anticipatory guidance to the parents of a 9-month-old infant.
Which of the following instructions should the nurse include?
A. "Introduce cow's milk as the primary beverage."
B. "Begin toilet training."
C. "Encourage self-feeding with finger foods." [CORRECT]
D. "Expect your child to sleep through the night without waking."
ATI RN Pediatrics Proctored Exam 2026/2027
Actual Exam | Newest Version Real Exam-Based
Questions Verified Answers | 100% Accuracy &
NCLEX-RN Pediatric Nursing Mastery | Pass
Guaranteed - A+ Graded
Section 1: Growth and Development (25 questions)
Q1: A nurse is assessing a 6-month-old infant during a well-child visit. Which of the
following developmental milestones should the nurse expect the infant to demonstrate?
A. Sitting without support
B. Rolling from back to abdomen [CORRECT]
C. Crawling on hands and knees
D. Standing with support
Correct Answer: B
Rationale: At 6 months, infants typically roll from back to abdomen and may begin to sit with
support. Option A (sitting without support) is expected around 7-8 months. Option C (crawling)
is expected around 9-10 months. Option D (standing with support) is expected around 9-12
months.
Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q2: According to Erikson's theory of psychosocial development, which of the following is
the primary developmental task for a 3-year-old child?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt [CORRECT]
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B
Rationale: Erikson's stage of Autonomy vs. Shame and Doubt occurs during toddlerhood (1-3
years), when children assert independence. Option A (Trust vs. Mistrust) occurs during infancy
(0-1 year). Option C (Initiative vs. Guilt) occurs during preschool (3-6 years). Option D
,2
(Industry vs. Inferiority) occurs during school age (6-12 years).
Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q3: A parent of a 9-month-old infant asks the nurse about appropriate play activities.
Which of the following should the nurse recommend?
A. Building blocks with large pieces
B. Peek-a-boo games [CORRECT]
C. Push-pull toys
D. Simple puzzles
Correct Answer: B
Rationale: Peek-a-boo games are appropriate for 9-month-olds as they help develop object
permanence and social interaction. Option A (blocks) is appropriate for toddlers. Option C (push-
pull toys) is for toddlers learning to walk. Option D (puzzles) is for older toddlers and
preschoolers.
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Q4: A nurse is teaching a parent about expected developmental changes for their 15-year-
old adolescent. Which of the following statements by the parent indicates understanding?
A. "My child will likely be more dependent on me during this stage."
B. "Peer relationships become increasingly important during adolescence." [CORRECT]
C. "Concrete thinking is the primary cognitive ability at this age."
D. "Physical growth slows significantly during adolescence."
Correct Answer: B
Rationale: Peer relationships and peer acceptance become increasingly important during
adolescence. Option A is incorrect—adolescents strive for independence. Option C is incorrect—
adolescents develop abstract thinking (Piaget's formal operational stage). Option D is incorrect—
adolescents experience rapid growth spurts.
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Q5: A nurse is assessing a 2-year-old child during a well-child visit. Which of the following
behaviors is expected for this age?
,3
A. Parallel play [CORRECT]
B. Cooperative play
C. Solitary play
D. Associative play
Correct Answer: A
Rationale: Parallel play, where children play alongside each other without interaction, is typical
for toddlers (2-3 years). Option B (cooperative play) is expected in preschoolers (4-5 years).
Option C (solitary play) is typical for infants. Option D (associative play) is expected in
preschoolers.
Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q6: A nurse is providing anticipatory guidance to the parents of a 4-year-old child. Which
of the following statements by the parent indicates a need for further teaching?
A. "I will encourage my child to dress themselves."
B. "I will allow my child to choose their clothes for the day."
C. "I will expect my child to share toys with friends." [CORRECT]
D. "I will set limits on my child's behavior."
Correct Answer: C
Rationale: While sharing is a social skill, expecting a 4-year-old to consistently share toys may
be unrealistic due to egocentrism at this age. Options A, B, and D are appropriate for fostering
independence and setting boundaries.
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Q7: A nurse is assessing a 12-month-old infant. Which of the following developmental
milestones should the nurse expect?
A. Walking independently [CORRECT]
B. Speaking in 2-word phrases
C. Using a spoon to feed self
D. Stacking 3 blocks
Correct Answer: A
Rationale: Most infants begin walking independently around 12 months. Option B (2-word
phrases) is expected around 18-24 months. Option C (using a spoon) is expected around 15-18
months. Option D (stacking 3 blocks) is expected around 18-24 months.
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Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q8: A nurse is teaching a parent about expected developmental milestones for their 18-
month-old toddler. Which of the following milestones should the nurse include?
A. Riding a tricycle
B. Using 10 or more words [CORRECT]
C. Drawing a circle
D. Jumping with both feet
Correct Answer: B
Rationale: By 18 months, toddlers typically use 10 or more words and follow simple commands.
Option A (riding a tricycle) is expected around 3 years. Option C (drawing a circle) is expected
around 3 years. Option D (jumping) is expected around 2-3 years.
Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q9: A nurse is assessing a 3-year-old child. Which of the following findings is expected for
this age?
A. Height increases by 2 inches per year
B. Weight triples since birth
C. Head circumference equals chest circumference [CORRECT]
D. Permanent teeth begin to erupt
Correct Answer: C
Rationale: By 2-3 years, head circumference equals chest circumference. Option A (height
increase) is expected during school age. Option B (weight triples) occurs by 12 months. Option
D (permanent teeth) begins around 6 years.
Client Need: Health Promotion and Maintenance
Cognitive Level: Recall
Q10: A nurse is providing anticipatory guidance to the parents of a 9-month-old infant.
Which of the following instructions should the nurse include?
A. "Introduce cow's milk as the primary beverage."
B. "Begin toilet training."
C. "Encourage self-feeding with finger foods." [CORRECT]
D. "Expect your child to sleep through the night without waking."
