NGN ATI Pediatric Proctored Exam 2025 – 210 Questions
Across 3 Versions with Verified Answers & Detailed Rationales
(2026 Update) Latest Update This Year Pdf
Growth & Development
1. A nurse is providing teaching about play activities for social
development to the guardians of a preschooler. Which play activity should
the nurse recommend?
A. Playing with building blocks
B. Playing dress-up
C. Playing video games
D. Playing with puzzles
Answer: B. Playing dress-up
Rationale: Preschool-aged children engage in imitative and imaginative play.
Dress-up allows them to imitate adult roles, which supports social
development and therapeutic expression .
2. A nurse is assessing a 6-month-old infant during a well-child visit. Which
finding should the nurse report to the provider?
A. Presence of Moro reflex
B. Presence of plantar grasp reflex
C. Presence of strabismus
D. Presence of tonic neck reflex
Answer: C. Presence of strabismus
Rationale: Strabismus (crossed eyes) should resolve by 4-6 months of age.
Persistence beyond this age requires evaluation. The Moro reflex typically
disappears by 5 months, tonic neck by 3-4 months, and plantar grasp
persists until about 8 months .
,3. An 18-month-old is being assessed for developmental milestones. Which
tasks should the child be able to perform?
A. Build a tower of 6 blocks and walk up stairs
B. Throw a ball overhand and use a spoon
C. Stand on one foot and build a 4-block tower
D. Walk independently and feed self with fingers
Answer: B. Throw a ball overhand and use a spoon
Rationale: By 18 months, children can throw a ball overhand and use a
spoon (though messily). Building a 6-block tower and walking stairs typically
occur at 24 months. Standing on one foot occurs around 2½ years .
4. A nurse assesses a 2½-year-old at a well-child visit. Which finding should
be reported to the provider?
A. Height increased by 7.5 cm this past year
B. Head circumference exceeds chest circumference
C. Anterior fontanel has closed
D. Current weight equals four times birth weight
Answer: B. Head circumference exceeds chest circumference
Rationale: By 1-2 years, head and chest circumference should be about
equal. Head circumference should NOT exceed chest circumference at 2½
years. This may indicate abnormal head growth .
5. A nurse is providing anticipatory guidance to the guardian of a toddler.
Which expected behavior characteristic should the nurse include?
A. Demonstrates fear of strangers
B. Expresses likes and dislikes
C. Engages in parallel play
D. Exhibits magical thinking
,Answer: B. Expresses likes and dislikes
Rationale: Toddlers (ages 1-3 years) begin expressing preferences and
asserting independence. This is a normal developmental characteristic of
this age group .
6. A nurse is preparing a 4-year-old preschooler for a health check-up.
Which action best helps reduce anxiety?
A. Using extensive medical terminology to explain actions
B. Allowing the child to role-play using miniature equipment
C. Keeping all medical equipment in full view on the exam table
D. Separating the child from the caregiver for cooperation
Answer: B. Allowing the child to role-play using miniature equipment
Rationale: Preschoolers learn through play and imitation. Using miniature
equipment for role-play helps the child feel comfortable and in control.
Keeping the caregiver present and minimizing visible scary equipment also
reduces fear .
7. A nurse assesses a school-age child's ears. Which finding is expected?
A. Light reflex at the 2 o'clock position
B. Red tympanic membrane
C. Inability to visualize bony landmarks
D. Presence of cerumen in both canals
Answer: D. Presence of cerumen in both canals
Rationale: Cerumen (earwax) is a normal finding. The light reflex should be
at 5 or 7 o'clock, the tympanic membrane should be pearly gray/pink, and
bony landmarks should be visible .
Respiratory & Asthma
, 8. A nurse is teaching the parent of a preschooler about ways to prevent
acute asthma attacks. Which statement indicates understanding?
A. "I should keep my child indoors when I mow the yard."
B. "I will use a humidifier in my child's room at night."
C. "I should avoid using a wet mop on my floors."
D. "I will give my child a cough suppressant every 6 hours."
Answer: A. "I should keep my child indoors when I mow the yard."
Rationale: Yard work like mowing stirs up grass and pollen allergens that can
trigger asthma attacks. Keeping the child indoors during lawn maintenance
reduces exposure to triggers .
9. A nurse is initiating a family assessment for a 6-year-old child admitted
with asthma. Which components should be part of a FAMILY assessment?
1. Medical history of parents and siblings
2. Parents' educational levels
3. Child's physical growth percentiles
4. Family support systems
5. Stressors impacting the family
A. 1 & 3
B. 1, 2 & 4
C. 1, 2, 4 & 5
D. 2, 3 & 5
Answer: C. 1, 2, 4 & 5
Rationale: A family assessment includes parents' medical history,
educational background, support systems, and stressors. The child's physical
growth percentiles are part of individual child assessment, not family
assessment .
Across 3 Versions with Verified Answers & Detailed Rationales
(2026 Update) Latest Update This Year Pdf
Growth & Development
1. A nurse is providing teaching about play activities for social
development to the guardians of a preschooler. Which play activity should
the nurse recommend?
A. Playing with building blocks
B. Playing dress-up
C. Playing video games
D. Playing with puzzles
Answer: B. Playing dress-up
Rationale: Preschool-aged children engage in imitative and imaginative play.
Dress-up allows them to imitate adult roles, which supports social
development and therapeutic expression .
2. A nurse is assessing a 6-month-old infant during a well-child visit. Which
finding should the nurse report to the provider?
A. Presence of Moro reflex
B. Presence of plantar grasp reflex
C. Presence of strabismus
D. Presence of tonic neck reflex
Answer: C. Presence of strabismus
Rationale: Strabismus (crossed eyes) should resolve by 4-6 months of age.
Persistence beyond this age requires evaluation. The Moro reflex typically
disappears by 5 months, tonic neck by 3-4 months, and plantar grasp
persists until about 8 months .
,3. An 18-month-old is being assessed for developmental milestones. Which
tasks should the child be able to perform?
A. Build a tower of 6 blocks and walk up stairs
B. Throw a ball overhand and use a spoon
C. Stand on one foot and build a 4-block tower
D. Walk independently and feed self with fingers
Answer: B. Throw a ball overhand and use a spoon
Rationale: By 18 months, children can throw a ball overhand and use a
spoon (though messily). Building a 6-block tower and walking stairs typically
occur at 24 months. Standing on one foot occurs around 2½ years .
4. A nurse assesses a 2½-year-old at a well-child visit. Which finding should
be reported to the provider?
A. Height increased by 7.5 cm this past year
B. Head circumference exceeds chest circumference
C. Anterior fontanel has closed
D. Current weight equals four times birth weight
Answer: B. Head circumference exceeds chest circumference
Rationale: By 1-2 years, head and chest circumference should be about
equal. Head circumference should NOT exceed chest circumference at 2½
years. This may indicate abnormal head growth .
5. A nurse is providing anticipatory guidance to the guardian of a toddler.
Which expected behavior characteristic should the nurse include?
A. Demonstrates fear of strangers
B. Expresses likes and dislikes
C. Engages in parallel play
D. Exhibits magical thinking
,Answer: B. Expresses likes and dislikes
Rationale: Toddlers (ages 1-3 years) begin expressing preferences and
asserting independence. This is a normal developmental characteristic of
this age group .
6. A nurse is preparing a 4-year-old preschooler for a health check-up.
Which action best helps reduce anxiety?
A. Using extensive medical terminology to explain actions
B. Allowing the child to role-play using miniature equipment
C. Keeping all medical equipment in full view on the exam table
D. Separating the child from the caregiver for cooperation
Answer: B. Allowing the child to role-play using miniature equipment
Rationale: Preschoolers learn through play and imitation. Using miniature
equipment for role-play helps the child feel comfortable and in control.
Keeping the caregiver present and minimizing visible scary equipment also
reduces fear .
7. A nurse assesses a school-age child's ears. Which finding is expected?
A. Light reflex at the 2 o'clock position
B. Red tympanic membrane
C. Inability to visualize bony landmarks
D. Presence of cerumen in both canals
Answer: D. Presence of cerumen in both canals
Rationale: Cerumen (earwax) is a normal finding. The light reflex should be
at 5 or 7 o'clock, the tympanic membrane should be pearly gray/pink, and
bony landmarks should be visible .
Respiratory & Asthma
, 8. A nurse is teaching the parent of a preschooler about ways to prevent
acute asthma attacks. Which statement indicates understanding?
A. "I should keep my child indoors when I mow the yard."
B. "I will use a humidifier in my child's room at night."
C. "I should avoid using a wet mop on my floors."
D. "I will give my child a cough suppressant every 6 hours."
Answer: A. "I should keep my child indoors when I mow the yard."
Rationale: Yard work like mowing stirs up grass and pollen allergens that can
trigger asthma attacks. Keeping the child indoors during lawn maintenance
reduces exposure to triggers .
9. A nurse is initiating a family assessment for a 6-year-old child admitted
with asthma. Which components should be part of a FAMILY assessment?
1. Medical history of parents and siblings
2. Parents' educational levels
3. Child's physical growth percentiles
4. Family support systems
5. Stressors impacting the family
A. 1 & 3
B. 1, 2 & 4
C. 1, 2, 4 & 5
D. 2, 3 & 5
Answer: C. 1, 2, 4 & 5
Rationale: A family assessment includes parents' medical history,
educational background, support systems, and stressors. The child's physical
growth percentiles are part of individual child assessment, not family
assessment .
