The definitive ATI RN Pediatric Nursing 2023 through
2026 Proctored Exam resource featuring fully two
hundred original NGN-style questions with clear
rationales, covering growth, development, disorders,
pharmacology, safety, emergencies, child maltreatment,
and comprehensive updated case studies for ultimate
test success.
SECTION 1: GROWTH & DEVELOPMENTAL
MILESTONES (Q1–10)
Q1. A nurse is assessing a 4-month-old
infant. Which finding indicates a
developmental delay requiring further
evaluation?
A) The infant rolls from abdomen to back
B) The infant has a strong Moro reflex
,C) The infant coos and gurgles
D) The infant holds a rattle briefly
☑VERIFIED ANSWERS: B
Rationale: The Moro (startle) reflex
should disappear by 4 months of age. Its
persistence indicates a possible neurologic
delay. Rolling over, cooing, and holding a
rattle are all expected at 4 months.
Q2. A parent asks when their toddler will
likely be ready for toilet training. Which
response by the nurse is most appropriate?
A) "Most children are ready by 12 months"
B) "Readiness typically occurs between 18
and 24 months"
C) "You should start at 30 months regardless
of readiness"
,D) "Toilet training is usually complete by 15
months"
☑VERIFIED ANSWERS: B
Rationale: Physiologic and psychological
readiness for toilet training usually occurs
between 18 and 24 months. Signs include
staying dry for 2 hours, awareness of the
urge, and the ability to pull pants up/down.
Starting before readiness leads to
frustration.
Q3. A nurse is educating parents of a 2-
year-old about expected fine motor skills.
Which skill should the nurse include?
A) Drawing a circle
B) Building a tower of 6 to 7 blocks
, C) Scribbling spontaneously
D) Using a fork independently
☑VERIFIED ANSWERS: C
Rationale: At 2 years, a toddler can scribble
spontaneously and build a tower of 4 blocks
(not 6–7). Drawing a circle (3 years) and
using a fork (4 years) occur later.
Q4. The nurse is assessing a 15-month-old
toddler. Which gross motor skill should the
nurse expect to observe?
A) Walking independently
B) Walking up stairs with alternating feet
C) Pedaling a tricycle
D) Jumping with both feet
2026 Proctored Exam resource featuring fully two
hundred original NGN-style questions with clear
rationales, covering growth, development, disorders,
pharmacology, safety, emergencies, child maltreatment,
and comprehensive updated case studies for ultimate
test success.
SECTION 1: GROWTH & DEVELOPMENTAL
MILESTONES (Q1–10)
Q1. A nurse is assessing a 4-month-old
infant. Which finding indicates a
developmental delay requiring further
evaluation?
A) The infant rolls from abdomen to back
B) The infant has a strong Moro reflex
,C) The infant coos and gurgles
D) The infant holds a rattle briefly
☑VERIFIED ANSWERS: B
Rationale: The Moro (startle) reflex
should disappear by 4 months of age. Its
persistence indicates a possible neurologic
delay. Rolling over, cooing, and holding a
rattle are all expected at 4 months.
Q2. A parent asks when their toddler will
likely be ready for toilet training. Which
response by the nurse is most appropriate?
A) "Most children are ready by 12 months"
B) "Readiness typically occurs between 18
and 24 months"
C) "You should start at 30 months regardless
of readiness"
,D) "Toilet training is usually complete by 15
months"
☑VERIFIED ANSWERS: B
Rationale: Physiologic and psychological
readiness for toilet training usually occurs
between 18 and 24 months. Signs include
staying dry for 2 hours, awareness of the
urge, and the ability to pull pants up/down.
Starting before readiness leads to
frustration.
Q3. A nurse is educating parents of a 2-
year-old about expected fine motor skills.
Which skill should the nurse include?
A) Drawing a circle
B) Building a tower of 6 to 7 blocks
, C) Scribbling spontaneously
D) Using a fork independently
☑VERIFIED ANSWERS: C
Rationale: At 2 years, a toddler can scribble
spontaneously and build a tower of 4 blocks
(not 6–7). Drawing a circle (3 years) and
using a fork (4 years) occur later.
Q4. The nurse is assessing a 15-month-old
toddler. Which gross motor skill should the
nurse expect to observe?
A) Walking independently
B) Walking up stairs with alternating feet
C) Pedaling a tricycle
D) Jumping with both feet
