ATI NURSING EDUCATION
ATI Pediatric Nursing Proctored Exam Study Guide 2026/2027
Growth & Development, Common Pediatric Conditions & Nursing
Interventions Review | A+
2026/2027 Edition -- Official Exam 2026/2027
85 P/F N/A
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Growth and Development Milestones Q1-15
Section 2 Common Pediatric Conditions Q16-30
Section 3 Pediatric Respiratory and Cardiovascular Disorders Q31-45
Section 4 Pediatric Infectious Diseases and Immunizations Q46-60
Section 5 Pediatric Medication Administration Q61-75
Section 6 Child Abuse, Safety, and Family-Centered Care Q76-85
Instructions: Select the single best answer for each question. This exam is designed for ATI Pediatric Nursing Proctored Exam
certification preparation. Passing score determined by ATI standard.
ATI Pediatric Nursing -- 2026/2027 | Passing Score: Pass/Fail | Page 1 of 46
, SECTION 1 | Growth and Development Milestones | Q1-Q15 | ATI Pediatric Nursing 2026/2027
Q1 Question 1 of 85
A 6-month-old infant is brought to the well-child clinic by the mother for a routine check-up. The nurse assesses
the infant and notes that the baby can sit with support and reaches for objects. Which developmental milestone
should the nurse expect to be present at this age?
A. Crawling on hands and knees
B. Transferring objects from one hand to the other
C. Standing while holding onto furniture
D. Walking with one hand held
Correct Answer: B
Rationale:
At 6 months, infants typically transfer objects from one hand to the other and sit with support. Crawling usually emerges
around 8-9 months, pulling to stand occurs around 9-10 months, and walking with assistance is expected around 10-12
months.
Q2 Question 2 of 85
A parent expresses concern that their 2-year-old toddler frequently says 'no' and insists on doing things
independently. The nurse should explain that this behavior is characteristic of which developmental concept?
A. Separation anxiety
B. Egocentrism
C. Autonomy
D. Initiative
Correct Answer: C
Rationale:
According to Erikson, toddlers (1-3 years) are in the autonomy vs. shame and doubt stage. Saying 'no' and wanting
independence reflects the development of autonomy. Egocentrism is a Piaget concept, and initiative relates to preschoolers.
ATI Pediatric Nursing -- 2026/2027 | Passing Score: Pass/Fail | Page 2 of 46
,Q3 Question 3 of 85
A 4-year-old preschooler is hospitalized and tells the nurse that the medical equipment 'is mad at me' and 'made
me sick.' The nurse recognizes this as characteristic of which cognitive stage of development?
A. Concrete operational thinking
B. Formal operational thinking
C. Preoperational thought with animism
D. Sensorimotor stage with object permanence
Correct Answer: C
Rationale:
Preschoolers in Piaget's preoperational stage exhibit animism, attributing lifelike qualities to inanimate objects. Concrete
operations begin around age 7, formal operations in adolescence, and sensorimotor stage ends at age 2.
Q4 Question 4 of 85
The school nurse is assessing a 10-year-old child and notes the child enjoys collecting trading cards and
participating in team sports. The nurse identifies these activities as consistent with which of Erikson's
developmental stages?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct Answer: D
Rationale:
School-age children (6-12 years) are in the industry vs. inferiority stage, characterized by a need to feel competent and
productive. Collecting and team sports reflect industry. Initiative vs. guilt applies to preschoolers.
ATI Pediatric Nursing -- 2026/2027 | Passing Score: Pass/Fail | Page 3 of 46
, Q5 Question 5 of 85
A nurse is teaching a parenting class about expected growth patterns. The nurse explains that a child typically
triples their birth weight by what age?
A. 6 months
B. 9 months
C. 12 months
D. 24 months
Correct Answer: C
Rationale:
Infants typically triple their birth weight by 12 months (1 year). Birth weight doubles by approximately 4-6 months. By 2 years, a
child typically quadruples their birth weight, making 12 months the correct answer.
Q6 Question 6 of 85
A 15-month-old toddler is seen in the clinic and the nurse is assessing gross motor development. The child is
observed walking independently but occasionally falls. The nurse determines this finding is consistent with
expected development because independent walking typically begins at what age range?
A. 6 to 9 months
B. 9 to 12 months
C. 12 to 15 months
D. 18 to 24 months
Correct Answer: C
Rationale:
Independent walking typically begins between 12 and 15 months of age. Walking at 6-9 months would be early, and not
walking by 18 months may warrant further evaluation. Occasional falls at 15 months are normal.
ATI Pediatric Nursing -- 2026/2027 | Passing Score: Pass/Fail | Page 4 of 46