ATI PEDS PROCTORED EXAM 2026/2027 | Newest 3 Versions
| 70 Questions Each Version | 100% Correct Answers | Pass
Guaranteed - A+ Graded
[VERSION 1 - 70 QUESTIONS - 100% CORRECT]
[V1.1: Growth & Developmental Milestones (Birth through Adolescence) (Q1-15)]
Q1. A nurse is assessing a 4-month-old infant at a well-child visit. The infant's birth
weight was 3.5 kg. What is the expected weight of this infant?
A. 5.0 kg
B. 7.0 kg [CORRECT]
C. 10.5 kg
D. 14.0 kg
Rationale: Birth weight typically doubles by 4-5 months (3.5 kg x 2 = 7.0 kg) and triples
by 12 months. Option A represents inadequate weight gain, while C and D represent
weights expected at 12 and 24 months, respectively. (ATI Ch 1: Growth & Development;
CJMM: Recognize Cues)
Correct Answer: B
Q2. The parent of a 12-month-old child asks the nurse how much the child should have
grown since birth. The birth length was 50 cm. Which response by the nurse is
accurate?
A. "The child's length should have increased by 25%."
B. "The child's length should have increased by 50%." [CORRECT]
C. "The child's length should have doubled."
D. "The child's length should have tripled."
Rationale: Length increases by 50% at 12 months (50 cm + 25 cm = 75 cm). Length
doubles by 4 years of age. Confusing these two milestones is a common ATI proctored
exam pitfall. (ATI Ch 1: Growth & Development; CJMM: Generate Solutions)
Correct Answer: B
Q3. A nurse is assessing the anterior fontanel of a 7-month-old infant. Which finding
should the nurse expect?
A. Closed
,B. Sunken and small
C. Open, flat, and approximately 2.5 x 2.5 cm [CORRECT]
D. Bulging and tense
Rationale: The anterior fontanel closes at 12-18 months (range 9-24 months), so it
should be open and flat at 7 months. A sunken fontanel indicates dehydration, while a
bulging fontanel indicates increased intracranial pressure. (ATI Ch 1: Physical Growth
Parameters; CJMM: Recognize Cues)
Correct Answer: C
Q4. A nurse observes a 10-month-old infant picking up a small piece of cereal using the
tip of the thumb and index finger. How should the nurse document this finding?
A. Inferior pincer grasp
B. Superior pincer grasp [CORRECT]
C. Palmar grasp
D. Transverse palmar grasp
Rationale: The superior pincer grasp (distal fingertip to fingertip) develops between 9-12
months. The inferior pincer grasp (proximal thumb pad to index finger) develops at 7-8
months, and palmar grasps are typical of younger infants. (ATI Ch 1: Fine Motor
Development; CJMM: Recognize Cues)
Correct Answer: B
Q5. During a developmental assessment of an 14-month-old toddler, the nurse notes
the child consistently uses only the left hand to reach for toys. What is the nurse's best
action?
A. Document the finding as a normal developmental variation.
B. Refer the child to an early intervention specialist due to suspected contralateral motor
deficit. [CORRECT]
C. Encourage the parents to place toys on the right side to promote right-hand use.
D. Reassure the parent that hand dominance is typically established by 12 months.
Rationale: Hand dominance is not established until 3-4 years of age. Early hand
dominance before 18 months is a red flag that may indicate a contralateral motor deficit
(e.g., cerebral palsy) requiring referral. (ATI Ch 1: Developmental Surveillance; CJMM:
Analyze Cues)
Correct Answer: B
Q6. A nurse is evaluating the fine motor skills of a 4-year-old preschooler. Which task
should the nurse expect the child to be able to perform?
A. Copy a circle
,B. Copy a cross [CORRECT]
C. Copy a square
D. Copy a triangle
Rationale: A 4-year-old can copy a cross and a circle (which develops at 3 years).
Copying a square is expected at 5 years, and copying a triangle is expected at 6 years.
(ATI Ch 1: Fine Motor Development; CJMM: Recognize Cues)
Correct Answer: B
Q7. A nurse is playing peek-a-boo with an 8-month-old infant. The infant laughs when
the nurse hides her face with a blanket and then reveals it. Which cognitive concept
does this behavior demonstrate?
A. Tertiary circular reactions
B. Object permanence [CORRECT]
C. Mental representation
D. Transductive reasoning
Rationale: Object permanence develops between 8-12 months during the sensorimotor
stage. Before this, "out of sight is out of mind." Tertiary circular reactions (12-18 mo)
involve experimentation, and mental representation (18-24 mo) involves symbolization.
(ATI Ch 1: Piaget Cognitive Stages; CJMM: Analyze Cues)
Correct Answer: B
Q8. A 10-month-old infant watches a nurse hide a toy under blanket A, then watches
the nurse move it to blanket B. The infant immediately searches under blanket A. Which
cognitive phenomenon is this?
A. Animism
B. Centration
C. A-not-B error [CORRECT]
D. Egocentrism
Rationale: The A-not-B error occurs when an infant searches for an object in its
previous hiding place (A) after seeing it hidden in a new location (B). This resolves by
12 months. Animism, centration, and egocentrism are preoperational stage (2-7 years)
concepts. (ATI Ch 1: Piaget Sensorimotor Stage; CJMM: Analyze Cues)
Correct Answer: C
Q9. A 15-month-old toddler repeatedly drops a spoon from the highchair, watches it fall,
and looks for the parent to pick it up, varying the angle of the throw each time. Which
Piagetian concept does this represent?
A. Primary circular reactions
, B. Secondary circular reactions
C. Tertiary circular reactions [CORRECT]
D. Mental representation
Rationale: Tertiary circular reactions (12-18 months) are characterized by active
experimentation and novelty-seeking ("little scientist" phase). Primary circular reactions
(1-4 months) are self-body focused, and secondary (4-8 months) are object-focused but
repetitive without variation. (ATI Ch 1: Piaget Cognitive Stages; CJMM: Analyze Cues)
Correct Answer: C
Q10. A 3-year-old child is admitted to the pediatric unit. The child insists that the "moon
is following me" and believes the hospital equipment is alive. Which preoperational
substage and concept are demonstrated?
A. Intuitive thought; animism [CORRECT]
B. Symbolic function; egocentrism
C. Intuitive thought; centration
D. Symbolic function; transduction
Rationale: Animism (attributing lifelike qualities to inanimate objects) is prominent in the
intuitive thought substage (4-7 years), though it begins earlier. Egocentrism is the
hallmark of the symbolic function substage (2-4 years), like the three mountains task.
(ATI Ch 1: Preoperational Stage; CJMM: Analyze Cues)
Correct Answer: A
Q11. A 4-year-old child tells the nurse, "I didn't break the toy, the floor made me drop it!"
Which cognitive characteristic is the child demonstrating?
A. Transduction
B. Magical thinking [CORRECT]
C. Conservation of number
D. Reversibility
Rationale: Magical thinking, part of the preoperational stage (symbolic function
substage), is the belief that thoughts or unrelated events can cause real-world effects.
Transduction is reasoning without cause-and-effect; conservation and reversibility are
concrete operational concepts. (ATI Ch 1: Preoperational Stage; CJMM: Analyze Cues)
Correct Answer: B
Q12. A nurse pours the same amount of juice into a tall, thin glass and a short, wide
glass in front of a 5-year-old child. The child states that the tall glass has more juice.
Which concept does this illustrate?
A. Lack of conservation of liquid [CORRECT]
| 70 Questions Each Version | 100% Correct Answers | Pass
Guaranteed - A+ Graded
[VERSION 1 - 70 QUESTIONS - 100% CORRECT]
[V1.1: Growth & Developmental Milestones (Birth through Adolescence) (Q1-15)]
Q1. A nurse is assessing a 4-month-old infant at a well-child visit. The infant's birth
weight was 3.5 kg. What is the expected weight of this infant?
A. 5.0 kg
B. 7.0 kg [CORRECT]
C. 10.5 kg
D. 14.0 kg
Rationale: Birth weight typically doubles by 4-5 months (3.5 kg x 2 = 7.0 kg) and triples
by 12 months. Option A represents inadequate weight gain, while C and D represent
weights expected at 12 and 24 months, respectively. (ATI Ch 1: Growth & Development;
CJMM: Recognize Cues)
Correct Answer: B
Q2. The parent of a 12-month-old child asks the nurse how much the child should have
grown since birth. The birth length was 50 cm. Which response by the nurse is
accurate?
A. "The child's length should have increased by 25%."
B. "The child's length should have increased by 50%." [CORRECT]
C. "The child's length should have doubled."
D. "The child's length should have tripled."
Rationale: Length increases by 50% at 12 months (50 cm + 25 cm = 75 cm). Length
doubles by 4 years of age. Confusing these two milestones is a common ATI proctored
exam pitfall. (ATI Ch 1: Growth & Development; CJMM: Generate Solutions)
Correct Answer: B
Q3. A nurse is assessing the anterior fontanel of a 7-month-old infant. Which finding
should the nurse expect?
A. Closed
,B. Sunken and small
C. Open, flat, and approximately 2.5 x 2.5 cm [CORRECT]
D. Bulging and tense
Rationale: The anterior fontanel closes at 12-18 months (range 9-24 months), so it
should be open and flat at 7 months. A sunken fontanel indicates dehydration, while a
bulging fontanel indicates increased intracranial pressure. (ATI Ch 1: Physical Growth
Parameters; CJMM: Recognize Cues)
Correct Answer: C
Q4. A nurse observes a 10-month-old infant picking up a small piece of cereal using the
tip of the thumb and index finger. How should the nurse document this finding?
A. Inferior pincer grasp
B. Superior pincer grasp [CORRECT]
C. Palmar grasp
D. Transverse palmar grasp
Rationale: The superior pincer grasp (distal fingertip to fingertip) develops between 9-12
months. The inferior pincer grasp (proximal thumb pad to index finger) develops at 7-8
months, and palmar grasps are typical of younger infants. (ATI Ch 1: Fine Motor
Development; CJMM: Recognize Cues)
Correct Answer: B
Q5. During a developmental assessment of an 14-month-old toddler, the nurse notes
the child consistently uses only the left hand to reach for toys. What is the nurse's best
action?
A. Document the finding as a normal developmental variation.
B. Refer the child to an early intervention specialist due to suspected contralateral motor
deficit. [CORRECT]
C. Encourage the parents to place toys on the right side to promote right-hand use.
D. Reassure the parent that hand dominance is typically established by 12 months.
Rationale: Hand dominance is not established until 3-4 years of age. Early hand
dominance before 18 months is a red flag that may indicate a contralateral motor deficit
(e.g., cerebral palsy) requiring referral. (ATI Ch 1: Developmental Surveillance; CJMM:
Analyze Cues)
Correct Answer: B
Q6. A nurse is evaluating the fine motor skills of a 4-year-old preschooler. Which task
should the nurse expect the child to be able to perform?
A. Copy a circle
,B. Copy a cross [CORRECT]
C. Copy a square
D. Copy a triangle
Rationale: A 4-year-old can copy a cross and a circle (which develops at 3 years).
Copying a square is expected at 5 years, and copying a triangle is expected at 6 years.
(ATI Ch 1: Fine Motor Development; CJMM: Recognize Cues)
Correct Answer: B
Q7. A nurse is playing peek-a-boo with an 8-month-old infant. The infant laughs when
the nurse hides her face with a blanket and then reveals it. Which cognitive concept
does this behavior demonstrate?
A. Tertiary circular reactions
B. Object permanence [CORRECT]
C. Mental representation
D. Transductive reasoning
Rationale: Object permanence develops between 8-12 months during the sensorimotor
stage. Before this, "out of sight is out of mind." Tertiary circular reactions (12-18 mo)
involve experimentation, and mental representation (18-24 mo) involves symbolization.
(ATI Ch 1: Piaget Cognitive Stages; CJMM: Analyze Cues)
Correct Answer: B
Q8. A 10-month-old infant watches a nurse hide a toy under blanket A, then watches
the nurse move it to blanket B. The infant immediately searches under blanket A. Which
cognitive phenomenon is this?
A. Animism
B. Centration
C. A-not-B error [CORRECT]
D. Egocentrism
Rationale: The A-not-B error occurs when an infant searches for an object in its
previous hiding place (A) after seeing it hidden in a new location (B). This resolves by
12 months. Animism, centration, and egocentrism are preoperational stage (2-7 years)
concepts. (ATI Ch 1: Piaget Sensorimotor Stage; CJMM: Analyze Cues)
Correct Answer: C
Q9. A 15-month-old toddler repeatedly drops a spoon from the highchair, watches it fall,
and looks for the parent to pick it up, varying the angle of the throw each time. Which
Piagetian concept does this represent?
A. Primary circular reactions
, B. Secondary circular reactions
C. Tertiary circular reactions [CORRECT]
D. Mental representation
Rationale: Tertiary circular reactions (12-18 months) are characterized by active
experimentation and novelty-seeking ("little scientist" phase). Primary circular reactions
(1-4 months) are self-body focused, and secondary (4-8 months) are object-focused but
repetitive without variation. (ATI Ch 1: Piaget Cognitive Stages; CJMM: Analyze Cues)
Correct Answer: C
Q10. A 3-year-old child is admitted to the pediatric unit. The child insists that the "moon
is following me" and believes the hospital equipment is alive. Which preoperational
substage and concept are demonstrated?
A. Intuitive thought; animism [CORRECT]
B. Symbolic function; egocentrism
C. Intuitive thought; centration
D. Symbolic function; transduction
Rationale: Animism (attributing lifelike qualities to inanimate objects) is prominent in the
intuitive thought substage (4-7 years), though it begins earlier. Egocentrism is the
hallmark of the symbolic function substage (2-4 years), like the three mountains task.
(ATI Ch 1: Preoperational Stage; CJMM: Analyze Cues)
Correct Answer: A
Q11. A 4-year-old child tells the nurse, "I didn't break the toy, the floor made me drop it!"
Which cognitive characteristic is the child demonstrating?
A. Transduction
B. Magical thinking [CORRECT]
C. Conservation of number
D. Reversibility
Rationale: Magical thinking, part of the preoperational stage (symbolic function
substage), is the belief that thoughts or unrelated events can cause real-world effects.
Transduction is reasoning without cause-and-effect; conservation and reversibility are
concrete operational concepts. (ATI Ch 1: Preoperational Stage; CJMM: Analyze Cues)
Correct Answer: B
Q12. A nurse pours the same amount of juice into a tall, thin glass and a short, wide
glass in front of a 5-year-old child. The child states that the tall glass has more juice.
Which concept does this illustrate?
A. Lack of conservation of liquid [CORRECT]
