ATI Pediatrics Proctored Exam 2023
RN Nursing Comprehensive Test Bank
2026/ 2027
1. A nurse is assessing a 2-month-old infant during a
well-child visit. Which finding should the nurse report to
the provider?
• A) Head lag when pulled to sit
• B) Inability to roll over
• C) Closing of the posterior fontanel
• D) Grasp reflex present
Answer: A) Head lag when pulled to sit
Rationale: Head lag should disappear by 6 weeks; its
persistence at 2 months could indicate a
neuromuscular issue. Rolling over occurs at 4-6
months, posterior fontanel closes by 2 months, and
the grasp reflex is normal until 3-4 months.
2. A nurse is teaching parents about their 4-month-old's
development. Which statement indicates
understanding?
• A) "My baby should be able to sit unsupported."
, • B) "My baby will start teething this month."
• C) "My baby can hold a rattle briefly."
• D) "My baby should sleep through the night
consistently."
Answer: C) "My baby can hold a rattle briefly."
Rationale: At 4 months, infants can hold objects
voluntarily. Sitting unsupported occurs at 8 months;
teething typically starts at 6 months; sleep patterns
are still irregular.
3. The nurse expects a 9-month-old to be able to
perform which fine motor skill?
• A) Pincer grasp
• B) Palmar grasp
• C) Build a tower of 2 blocks
• D) Scribble with a crayon
Answer: A) Pincer grasp
Rationale: The pincer grasp (thumb and forefinger)
develops around 9 months. Palmar grasp is primitive
and fades by 4 months. Building blocks occurs at 15
months; scribbling at 18 months.
,4. A toddler is in Erikson's stage of "Autonomy vs.
Shame and Doubt." Which nursing action supports this
stage?
• A) Allow the child to choose between two types of
juice.
• B) Offer the child a pacifier for comfort.
• C) Hold the child firmly during procedures.
• D) Complete all care quickly to avoid tantrums.
Answer: A) Allow the child to choose between two
types of juice.
Rationale: Offering choices fosters independence
and autonomy. Pacifiers are for infancy; holding
firmly or rushing care does not support autonomy.
5. A preschooler (4 years) is hospitalized. To promote
psychosocial development, the nurse should:
• A) Provide a private room to encourage
independence.
• B) Use a doll to demonstrate a procedure.
• C) Encourage the child to write in a journal.
• D) Allow the child to perform self-care
independently.
, Answer: B) Use a doll to demonstrate a procedure.
Rationale: Preschoolers are in the "Initiative vs.
Guilt" stage and learn through magical thinking and
imaginative play. Dolls help them understand
procedures. Journaling is for older children.
6. A school-age child (7 years) is hospitalized. Which
activity is developmentally appropriate?
• A) Playing with a jack-in-the-box
• B) Participating in a board game
• C) Playing with a mobile
• D) Using a rocking horse
Answer: B) Participating in a board game
Rationale: School-age children are in the "Industry
vs. Inferiority" stage and enjoy rule-based games,
collections, and projects. The other options are for
infants and toddlers.
7. An adolescent client is concerned about body image
due to acne. The nurse should respond:
• A) "Most teenagers have acne; don't worry about it."
• B) "This is a normal part of puberty and can be
managed with a skin care routine."
RN Nursing Comprehensive Test Bank
2026/ 2027
1. A nurse is assessing a 2-month-old infant during a
well-child visit. Which finding should the nurse report to
the provider?
• A) Head lag when pulled to sit
• B) Inability to roll over
• C) Closing of the posterior fontanel
• D) Grasp reflex present
Answer: A) Head lag when pulled to sit
Rationale: Head lag should disappear by 6 weeks; its
persistence at 2 months could indicate a
neuromuscular issue. Rolling over occurs at 4-6
months, posterior fontanel closes by 2 months, and
the grasp reflex is normal until 3-4 months.
2. A nurse is teaching parents about their 4-month-old's
development. Which statement indicates
understanding?
• A) "My baby should be able to sit unsupported."
, • B) "My baby will start teething this month."
• C) "My baby can hold a rattle briefly."
• D) "My baby should sleep through the night
consistently."
Answer: C) "My baby can hold a rattle briefly."
Rationale: At 4 months, infants can hold objects
voluntarily. Sitting unsupported occurs at 8 months;
teething typically starts at 6 months; sleep patterns
are still irregular.
3. The nurse expects a 9-month-old to be able to
perform which fine motor skill?
• A) Pincer grasp
• B) Palmar grasp
• C) Build a tower of 2 blocks
• D) Scribble with a crayon
Answer: A) Pincer grasp
Rationale: The pincer grasp (thumb and forefinger)
develops around 9 months. Palmar grasp is primitive
and fades by 4 months. Building blocks occurs at 15
months; scribbling at 18 months.
,4. A toddler is in Erikson's stage of "Autonomy vs.
Shame and Doubt." Which nursing action supports this
stage?
• A) Allow the child to choose between two types of
juice.
• B) Offer the child a pacifier for comfort.
• C) Hold the child firmly during procedures.
• D) Complete all care quickly to avoid tantrums.
Answer: A) Allow the child to choose between two
types of juice.
Rationale: Offering choices fosters independence
and autonomy. Pacifiers are for infancy; holding
firmly or rushing care does not support autonomy.
5. A preschooler (4 years) is hospitalized. To promote
psychosocial development, the nurse should:
• A) Provide a private room to encourage
independence.
• B) Use a doll to demonstrate a procedure.
• C) Encourage the child to write in a journal.
• D) Allow the child to perform self-care
independently.
, Answer: B) Use a doll to demonstrate a procedure.
Rationale: Preschoolers are in the "Initiative vs.
Guilt" stage and learn through magical thinking and
imaginative play. Dolls help them understand
procedures. Journaling is for older children.
6. A school-age child (7 years) is hospitalized. Which
activity is developmentally appropriate?
• A) Playing with a jack-in-the-box
• B) Participating in a board game
• C) Playing with a mobile
• D) Using a rocking horse
Answer: B) Participating in a board game
Rationale: School-age children are in the "Industry
vs. Inferiority" stage and enjoy rule-based games,
collections, and projects. The other options are for
infants and toddlers.
7. An adolescent client is concerned about body image
due to acne. The nurse should respond:
• A) "Most teenagers have acne; don't worry about it."
• B) "This is a normal part of puberty and can be
managed with a skin care routine."
