ATI Nursing Care of Children (Pediatrics)
Proctored Assessment Questions And
Answers | Latest 2026 Update Verified
Questions | Verified Rationales Graded A+
Latest Edition - Comprehensive Review with 100
Questions & Rationales
This 100-question assessment covers the essential domains
tested on the ATI RN Nursing Care of Children Proctored
Exam: Growth & Development, Health Promotion,
Respiratory, Cardiovascular, Gastrointestinal, Neurological,
Endocrine, Hematology/Oncology, Infectious Diseases, and
Next Generation NCLEX (NGN) -style prioritization. Answers
are supported by clinical rationales derived from current
evidence-based practice.
,Section 1: Growth & Development (Questions 1-15)
1. A nurse is assessing a 4-month-old infant. Which
developmental milestone should the nurse expect to
observe?
A. Rolls from back to side
B. Sits without support
C. Pincer grasp
D. Walks with assistance
Answer: A
Rationale: Rolling from back to side typically emerges at 4–5
months. Sitting unsupported occurs around 8 months; pincer
grasp at 9–10 months; walking with assistance around 12
months.
2. According to Erikson, the primary psychosocial task of a
toddler is to develop:
A. Trust
B. Autonomy
C. Initiative
D. Industry
,Answer: B
Rationale: Toddlers (1–3 years) are in the Autonomy vs.
Shame and Doubt stage, focusing on independence. Trust is
for infancy; Initiative for preschool; Industry for school-age.
3. A nurse is evaluating the weight of a 12-month-old
infant. If the birth weight was 7 lb (3.2 kg), the nurse
should expect the current weight to be approximately:
A. 14 lb (6.4 kg)
B. 18 lb (8.2 kg)
C. 21 lb (9.5 kg)
D. 28 lb (12.7 kg)
Answer: C
Rationale: Infants triple their birth weight by 12 months. 7 lb
× 3 = 21 lb.
4. A nurse is teaching a parent about fine motor skills in a
9-month-old infant. Which skill would be expected?
A. Transferring a rattle from one hand to the other
B. Using a spoon effectively
C. Scribbling with a crayon
D. Building a tower of four blocks
, Answer: A
Rationale: Transferring objects between hands appears around
7–9 months. Spoon use is toddler; scribbling ~15 months; block
building ~18–24 months.
5. A nurse is educating the parents of a 2-year-old about
play activities. The nurse should recommend:
A. Playing with a large puzzle
B. Participating in board games
C. Engaging in parallel play with peers
D. Playing competitive sports
Answer: C
Rationale: Toddlers engage in parallel play (playing alongside
others without interaction). Cooperative play emerges later in
preschool and school-age years.
6. A nurse is providing anticipatory guidance to the parents
of a 15-month-old about language development. The nurse
should explain that by 18 months, the child will likely:
A. Speak in 3-4 word sentences
B. Use approximately 10 words
C. Recite the alphabet
D. Ask “why” questions
Proctored Assessment Questions And
Answers | Latest 2026 Update Verified
Questions | Verified Rationales Graded A+
Latest Edition - Comprehensive Review with 100
Questions & Rationales
This 100-question assessment covers the essential domains
tested on the ATI RN Nursing Care of Children Proctored
Exam: Growth & Development, Health Promotion,
Respiratory, Cardiovascular, Gastrointestinal, Neurological,
Endocrine, Hematology/Oncology, Infectious Diseases, and
Next Generation NCLEX (NGN) -style prioritization. Answers
are supported by clinical rationales derived from current
evidence-based practice.
,Section 1: Growth & Development (Questions 1-15)
1. A nurse is assessing a 4-month-old infant. Which
developmental milestone should the nurse expect to
observe?
A. Rolls from back to side
B. Sits without support
C. Pincer grasp
D. Walks with assistance
Answer: A
Rationale: Rolling from back to side typically emerges at 4–5
months. Sitting unsupported occurs around 8 months; pincer
grasp at 9–10 months; walking with assistance around 12
months.
2. According to Erikson, the primary psychosocial task of a
toddler is to develop:
A. Trust
B. Autonomy
C. Initiative
D. Industry
,Answer: B
Rationale: Toddlers (1–3 years) are in the Autonomy vs.
Shame and Doubt stage, focusing on independence. Trust is
for infancy; Initiative for preschool; Industry for school-age.
3. A nurse is evaluating the weight of a 12-month-old
infant. If the birth weight was 7 lb (3.2 kg), the nurse
should expect the current weight to be approximately:
A. 14 lb (6.4 kg)
B. 18 lb (8.2 kg)
C. 21 lb (9.5 kg)
D. 28 lb (12.7 kg)
Answer: C
Rationale: Infants triple their birth weight by 12 months. 7 lb
× 3 = 21 lb.
4. A nurse is teaching a parent about fine motor skills in a
9-month-old infant. Which skill would be expected?
A. Transferring a rattle from one hand to the other
B. Using a spoon effectively
C. Scribbling with a crayon
D. Building a tower of four blocks
, Answer: A
Rationale: Transferring objects between hands appears around
7–9 months. Spoon use is toddler; scribbling ~15 months; block
building ~18–24 months.
5. A nurse is educating the parents of a 2-year-old about
play activities. The nurse should recommend:
A. Playing with a large puzzle
B. Participating in board games
C. Engaging in parallel play with peers
D. Playing competitive sports
Answer: C
Rationale: Toddlers engage in parallel play (playing alongside
others without interaction). Cooperative play emerges later in
preschool and school-age years.
6. A nurse is providing anticipatory guidance to the parents
of a 15-month-old about language development. The nurse
should explain that by 18 months, the child will likely:
A. Speak in 3-4 word sentences
B. Use approximately 10 words
C. Recite the alphabet
D. Ask “why” questions
