ATI Pediatrics Proctored 2023 Retake Exam Questions and
Answers (Verified Answers by Expert) 2026/2027
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CATEGORIES
Growth and Development
Respiratory System Disorders
Cardiovascular and Hematologic Disorders
Gastrointestinal, Genitourinary, and Nutrition
Neurologic, Musculoskeletal, Endocrine, and Safety
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GROWTH AND DEVELOPMENT
Q1
A nurse is assessing a 4-month-old infant during a well-child visit. The parent reports that the infant can
roll from back to side and grasps objects with both hands. The infant does not yet sit without support.
Which finding should the nurse recognize as an expected developmental milestone for this age?
A. Sitting without support for short periods
B. Rolling from back to side and transferring objects between hands
C. Pulling to a standing position using furniture
D. Using a pincer grasp to pick up small objects
Correct Answer: B
At 4 months, infants typically roll from back to side and begin transferring objects between hands. Sitting without
support usually occurs around 6-8 months, pulling to stand near 9 months, and pincer grasp at 9-12 months.
Recognizing age-appropriate milestones prevents unnecessary referrals.
Q2
A 2-year-old toddler is brought to the clinic for a routine checkup. The nurse observes the child stacking
four blocks and saying two-word phrases such as 'more juice.' The parent expresses concern that the child
is not yet toilet trained. Which response by the nurse is most appropriate?
A. Toilet training is usually completed by 18 months; further evaluation is needed.
B. Most children achieve daytime continence between 2 and 3 years of age; continue encouragement.
C. Delay toilet training until the child can stack eight blocks to ensure readiness.
D. Nighttime continence should be established before daytime training begins.
Correct Answer: B
Daytime toilet training is typically achieved between 2 and 3 years of age. Stacking four blocks and using two-word
phrases are appropriate for a 2-year-old. Nighttime continence often lags behind daytime control and is not a
prerequisite for initiating training.
Q3
During a school screening, a nurse assesses a 6-year-old child who has lost the lower central incisors and
is beginning to lose the upper central incisors. The child weighs 45 lb (20.4 kg) and is 45 inches (114 cm)
tall. Which conclusion should the nurse draw regarding the child's physical growth?
A. Weight is below expected; nutritional counseling is indicated.
B. Height is advanced for age; endocrine evaluation may be warranted.
C. Dental eruption and growth parameters are within expected ranges for age.
D. Premature loss of deciduous teeth requires immediate dental referral.
Correct Answer: C
Loss of lower and upper central incisors around age 6-7 years is expected. Average weight for a 6-year-old is
approximately 45 lb and height near 45 inches. These findings indicate typical physical development without need for
further evaluation.
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Q4
A nurse is teaching the parents of a 9-month-old infant about expected language development. The infant
currently babbles and responds to their own name. Which statement by the parents indicates
understanding of upcoming milestones?
A. By 12 months our baby should say three to five words with meaning.
B. We should expect full sentences by the first birthday.
C. Pointing to objects and using gestures will not appear until 18 months.
D. Understanding simple commands typically begins after 15 months.
Correct Answer: A
By 12 months, most infants say three to five words with meaning and understand simple commands. Full sentences
develop later in the toddler years. Pointing and gestures typically emerge between 9 and 12 months, supporting
continued language acquisition.
Q5
A 15-month-old toddler is observed during a play session. The child walks independently, builds a tower of
two cubes, and scribbles spontaneously. Which additional fine-motor skill should the nurse expect to be
present at this age?
A. Using scissors to cut paper along a straight line
B. Copying a circle with a crayon
C. Turning pages in a book one at a time
D. Drawing a person with three body parts
Correct Answer: C
At 15 months, toddlers typically turn book pages one at a time and scribble spontaneously. Using scissors and copying
a circle emerge closer to 3 years, while drawing a person with multiple parts occurs around 4-5 years. Matching
observed skills confirms developmental progress.
Q6
Parents of a 3-year-old ask the nurse when they should expect their child to be able to hop on one foot
and ride a tricycle. The child currently jumps with both feet and can build a tower of nine cubes. Which
guidance should the nurse provide?
A. These skills usually appear between 4 and 5 years of age.
B. Hopping and tricycle riding are expected milestones by age 3 years.
C. The child is delayed; referral to early intervention is recommended.
D. These skills typically emerge after the child masters skipping.
Correct Answer: B
By 3 years of age, children commonly hop on one foot and ride a tricycle. Jumping with both feet and building a
nine-cube tower are consistent with this age. Recognizing timely achievement of gross-motor milestones supports
parental reassurance.
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