NGN ATI RN Pediatrics 2026 Retake:
The Complete 180-Question QBank
with In-Depth Rationales
Growth and Development (Questions 1-30)
1. A nurse is assessing a 4-month-old infant during a well-
child visit. Which developmental milestone should the nurse
expect to observe?
A) Sitting without support
B) Rolling from back to abdomen
C) Pincer grasp
D) Walking with assistance
Answer: B) Rolling from back to abdomen
Rationale: At 4 months, infants typically can roll from back to
abdomen. Sitting without support occurs around 6-8 months,
pincer grasp develops around 9-10 months, and walking with
assistance occurs around 10-12 months. Milestone assessment is
crucial for identifying developmental delays.
,2. A nurse is teaching parents about Piaget's cognitive
development stages. The nurse should identify that a child in
the preoperational stage (2-7 years) exhibits which
characteristic?
A) Abstract reasoning
B) Object permanence
C) Egocentrism
D) Conservation of mass
Answer: C) Egocentrism
Rationale: The preoperational stage is characterized by
egocentrism—the inability to see things from another's
perspective. Abstract reasoning develops in the formal
operational stage (12+ years), object permanence in the
sensorimotor stage (0-2 years), and conservation in the concrete
operational stage (7-11 years).
3. According to Erikson's psychosocial theory, an adolescent is
in which stage of development?
A) Trust vs. Mistrust
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Identity vs. Role Confusion
Answer: D) Identity vs. Role Confusion
,Rationale: Adolescence (12-20 years) corresponds to Erikson's
Identity vs. Role Confusion stage, where teens explore their
identity and sense of self. Trust vs. Mistrust is infancy, Initiative vs.
Guilt is preschool age (3-6 years), and Industry vs. Inferiority is
school-age (6-12 years).
4. A nurse is assessing a 2-year-old toddler. Which finding
indicates appropriate fine motor development?
A) Building a tower of 6-7 blocks
B) Drawing a circle
C) Using a spoon without spilling
D) Turning pages of a book one at a time
Answer: A) Building a tower of 6-7 blocks
Rationale: By age 2, toddlers can build a tower of 6-7 blocks.
Drawing a circle (age 3), using a spoon without spilling (age 4),
and turning pages one at a time (age 3) are later milestones.
5. A nurse is providing anticipatory guidance to the parents of
a 1-year-old. Which statement by the parent indicates a need
for further teaching?
A) "I will place my child in a forward-facing car seat now."
B) "I will keep small objects out of my child's reach."
C) "I will use a rear-facing car seat until age 2."
, D) "I will childproof my home by covering electrical outlets."
Answer: A) "I will place my child in a forward-facing car seat
now."
Rationale: The American Academy of Pediatrics recommends
rear-facing car seats until age 2 or until the child reaches the
maximum height/weight for the seat. The other statements reflect
appropriate safety practices.
6. A nurse is assessing a 6-month-old infant. Which reflex
should no longer be present?
A) Moro reflex
B) Rooting reflex
C) Tonic neck reflex
D) Stepping reflex
Answer: C) Tonic neck reflex
Rationale: The tonic neck reflex (fencing position) disappears
around 4-6 months. The Moro reflex disappears by 4-6 months,
rooting by 3-4 months, and stepping by 2 months. Persistent
reflexes beyond these ages may indicate neurological concerns.
7. A nurse is teaching parents of a preschooler about
language development. The nurse should explain that by age
4, a child typically can:
The Complete 180-Question QBank
with In-Depth Rationales
Growth and Development (Questions 1-30)
1. A nurse is assessing a 4-month-old infant during a well-
child visit. Which developmental milestone should the nurse
expect to observe?
A) Sitting without support
B) Rolling from back to abdomen
C) Pincer grasp
D) Walking with assistance
Answer: B) Rolling from back to abdomen
Rationale: At 4 months, infants typically can roll from back to
abdomen. Sitting without support occurs around 6-8 months,
pincer grasp develops around 9-10 months, and walking with
assistance occurs around 10-12 months. Milestone assessment is
crucial for identifying developmental delays.
,2. A nurse is teaching parents about Piaget's cognitive
development stages. The nurse should identify that a child in
the preoperational stage (2-7 years) exhibits which
characteristic?
A) Abstract reasoning
B) Object permanence
C) Egocentrism
D) Conservation of mass
Answer: C) Egocentrism
Rationale: The preoperational stage is characterized by
egocentrism—the inability to see things from another's
perspective. Abstract reasoning develops in the formal
operational stage (12+ years), object permanence in the
sensorimotor stage (0-2 years), and conservation in the concrete
operational stage (7-11 years).
3. According to Erikson's psychosocial theory, an adolescent is
in which stage of development?
A) Trust vs. Mistrust
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Identity vs. Role Confusion
Answer: D) Identity vs. Role Confusion
,Rationale: Adolescence (12-20 years) corresponds to Erikson's
Identity vs. Role Confusion stage, where teens explore their
identity and sense of self. Trust vs. Mistrust is infancy, Initiative vs.
Guilt is preschool age (3-6 years), and Industry vs. Inferiority is
school-age (6-12 years).
4. A nurse is assessing a 2-year-old toddler. Which finding
indicates appropriate fine motor development?
A) Building a tower of 6-7 blocks
B) Drawing a circle
C) Using a spoon without spilling
D) Turning pages of a book one at a time
Answer: A) Building a tower of 6-7 blocks
Rationale: By age 2, toddlers can build a tower of 6-7 blocks.
Drawing a circle (age 3), using a spoon without spilling (age 4),
and turning pages one at a time (age 3) are later milestones.
5. A nurse is providing anticipatory guidance to the parents of
a 1-year-old. Which statement by the parent indicates a need
for further teaching?
A) "I will place my child in a forward-facing car seat now."
B) "I will keep small objects out of my child's reach."
C) "I will use a rear-facing car seat until age 2."
, D) "I will childproof my home by covering electrical outlets."
Answer: A) "I will place my child in a forward-facing car seat
now."
Rationale: The American Academy of Pediatrics recommends
rear-facing car seats until age 2 or until the child reaches the
maximum height/weight for the seat. The other statements reflect
appropriate safety practices.
6. A nurse is assessing a 6-month-old infant. Which reflex
should no longer be present?
A) Moro reflex
B) Rooting reflex
C) Tonic neck reflex
D) Stepping reflex
Answer: C) Tonic neck reflex
Rationale: The tonic neck reflex (fencing position) disappears
around 4-6 months. The Moro reflex disappears by 4-6 months,
rooting by 3-4 months, and stepping by 2 months. Persistent
reflexes beyond these ages may indicate neurological concerns.
7. A nurse is teaching parents of a preschooler about
language development. The nurse should explain that by age
4, a child typically can:
