ATI PEDIATRICS PROCTORED EXAM
COMPREHENSIVE PRACTICE (2026/2027 EDITION)
150 Multiple-Choice Questions - Complete Practice Exam
Independent-Study Disclaimer
This practice examination is an independent study aid and is not affiliated with, endorsed by, or sponsored by ATI
Nursing Education or any other testing organization. It is provided for educational and self-assessment purposes
only and is not a substitute for official nursing curricula, the NCLEX test plan, or professional guidance.
Guidelines and immunization schedules are subject to change; always consult current AAP recommendations,
ATI materials, and clinical best practices.
, Section 1: Growth & Development – Infancy, Toddler, Preschool,
School-Age, and Adolescence (25 questions)
Q1: Which gross motor milestone is typically expected by 12 months of age?
A. Sitting without support
B. Rolling over
C. Running
D. Walking with support or independently [CORRECT]
Correct Answer: D
Rationale: Most infants walk with support or independently by 12 months. Sitting without support occurs
around 6-8 months, rolling over at 4-6 months, and running later.
Q2: According to Erikson, the primary psychosocial task of the toddler (ages 1-3) is:
A. Trust versus mistrust
B. Industry versus inferiority
C. Autonomy versus shame and doubt [CORRECT]
D. Identity versus role confusion
Correct Answer: C
Rationale: Toddlers work on autonomy versus shame and doubt. Trust versus mistrust is infancy, industry is
school-age, and identity is adolescence.
Q3: The primary psychosocial task of infancy, per Erikson, is:
A. Autonomy versus shame
B. Trust versus mistrust [CORRECT]
C. Initiative versus guilt
D. Intimacy versus isolation
Correct Answer: B
Rationale: Infants develop trust versus mistrust based on consistent care. The others correspond to later
stages.
Q4: According to Piaget, the sensorimotor stage spans:
A. 2 to 7 years
B. Birth to 2 years [CORRECT]
C. 7 to 11 years
D. 11 years and older
Correct Answer: B
Rationale: Piaget's sensorimotor stage spans birth to 2 years. Preoperational is 2-7, concrete operational
7-11, and formal operational 11+.
ATI Pediatrics Proctored Exam - 2026/2027 Edition Page 2
, Q5: A preschooler (ages 3-5) is in which of Erikson's stages?
A. Initiative versus guilt [CORRECT]
B. Autonomy versus shame
C. Industry versus inferiority
D. Identity versus confusion
Correct Answer: A
Rationale: Preschoolers are in initiative versus guilt. The others correspond to different ages.
Q6: Which fine motor skill is typically expected in a 2-year-old?
A. Writing sentences
B. Using a spoon and building a tower of blocks [CORRECT]
C. Tying shoelaces
D. Using scissors neatly
Correct Answer: B
Rationale: A 2-year-old can use a spoon and build block towers. Writing, tying shoes, and neat scissor use
are later milestones.
Q7: Which of the following is a normal language milestone for an 18-month-old?
A. Using several single words and understanding simple commands [CORRECT]
B. Speaking in full sentences
C. Reciting the alphabet
D. Reading simple words
Correct Answer: A
Rationale: An 18-month-old typically uses several single words and follows simple commands. Sentences,
the alphabet, and reading are much later.
Q8: The nurse should teach parents that the leading cause of death in toddlers is:
A. Cancer
B. Infectious disease
C. Congenital anomalies
D. Unintentional injury (accidents) [CORRECT]
Correct Answer: D
Rationale: Unintentional injury is the leading cause of death in toddlers and children in the U.S. The others
are not the leading cause.
Q9: Which play activity is most appropriate for a preschooler?
A. Solitary play only
B. Competitive organized sports
C. Dramatic/pretend play and group games [CORRECT]
D. Electronic gambling
Correct Answer: C
Rationale: Preschoolers engage in dramatic and group play, developing imagination and social skills.
Solitary play is more typical of infants.
ATI Pediatrics Proctored Exam - 2026/2027 Edition Page 3
, Q10: Which of the following is a typical cognitive development of the school-age child (6-12 years)?
A. Abstract reasoning about philosophy
B. Egocentric thinking
C. Understanding conservation and logical thinking [CORRECT]
D. Sensorimotor exploration
Correct Answer: C
Rationale: School-age children achieve conservation and concrete logical thinking (Piaget's concrete
operational stage). Abstract reasoning comes in adolescence.
Q11: Which gross motor skill is typically mastered by a 4-year-old?
A. Hopping on one foot and going up/down stairs [CORRECT]
B. Running but falling often
C. Rolling over
D. Crawling
Correct Answer: A
Rationale: A 4-year-old can hop on one foot and use stairs. Running, rolling, and crawling are earlier
milestones.
Q12: According to Erikson, the adolescent is working on:
A. Identity versus role confusion [CORRECT]
B. Initiative versus guilt
C. Trust versus mistrust
D. Integrity versus despair
Correct Answer: A
Rationale: Adolescents work on identity versus role confusion. The others correspond to different life stages.
Q13: Which of the following is a typical characteristic of adolescent development?
A. Complete dependence on parents
B. Inability to form peer relationships
C. Increasing independence and formation of identity [CORRECT]
D. Concrete thinking only
Correct Answer: C
Rationale: Adolescents develop independence and identity and value peer relationships. The others
describe earlier stages.
Q14: A 3-year-old who insists on doing tasks 'by myself' is exhibiting:
A. A developmental delay
B. Regression
C. Failure to thrive
D. Autonomy and independence typical of the toddler/preschool stage [CORRECT]
Correct Answer: D
Rationale: Insisting on independence reflects autonomy, normal at this age. It is not a delay, regression, or
failure to thrive.
ATI Pediatrics Proctored Exam - 2026/2027 Edition Page 4
COMPREHENSIVE PRACTICE (2026/2027 EDITION)
150 Multiple-Choice Questions - Complete Practice Exam
Independent-Study Disclaimer
This practice examination is an independent study aid and is not affiliated with, endorsed by, or sponsored by ATI
Nursing Education or any other testing organization. It is provided for educational and self-assessment purposes
only and is not a substitute for official nursing curricula, the NCLEX test plan, or professional guidance.
Guidelines and immunization schedules are subject to change; always consult current AAP recommendations,
ATI materials, and clinical best practices.
, Section 1: Growth & Development – Infancy, Toddler, Preschool,
School-Age, and Adolescence (25 questions)
Q1: Which gross motor milestone is typically expected by 12 months of age?
A. Sitting without support
B. Rolling over
C. Running
D. Walking with support or independently [CORRECT]
Correct Answer: D
Rationale: Most infants walk with support or independently by 12 months. Sitting without support occurs
around 6-8 months, rolling over at 4-6 months, and running later.
Q2: According to Erikson, the primary psychosocial task of the toddler (ages 1-3) is:
A. Trust versus mistrust
B. Industry versus inferiority
C. Autonomy versus shame and doubt [CORRECT]
D. Identity versus role confusion
Correct Answer: C
Rationale: Toddlers work on autonomy versus shame and doubt. Trust versus mistrust is infancy, industry is
school-age, and identity is adolescence.
Q3: The primary psychosocial task of infancy, per Erikson, is:
A. Autonomy versus shame
B. Trust versus mistrust [CORRECT]
C. Initiative versus guilt
D. Intimacy versus isolation
Correct Answer: B
Rationale: Infants develop trust versus mistrust based on consistent care. The others correspond to later
stages.
Q4: According to Piaget, the sensorimotor stage spans:
A. 2 to 7 years
B. Birth to 2 years [CORRECT]
C. 7 to 11 years
D. 11 years and older
Correct Answer: B
Rationale: Piaget's sensorimotor stage spans birth to 2 years. Preoperational is 2-7, concrete operational
7-11, and formal operational 11+.
ATI Pediatrics Proctored Exam - 2026/2027 Edition Page 2
, Q5: A preschooler (ages 3-5) is in which of Erikson's stages?
A. Initiative versus guilt [CORRECT]
B. Autonomy versus shame
C. Industry versus inferiority
D. Identity versus confusion
Correct Answer: A
Rationale: Preschoolers are in initiative versus guilt. The others correspond to different ages.
Q6: Which fine motor skill is typically expected in a 2-year-old?
A. Writing sentences
B. Using a spoon and building a tower of blocks [CORRECT]
C. Tying shoelaces
D. Using scissors neatly
Correct Answer: B
Rationale: A 2-year-old can use a spoon and build block towers. Writing, tying shoes, and neat scissor use
are later milestones.
Q7: Which of the following is a normal language milestone for an 18-month-old?
A. Using several single words and understanding simple commands [CORRECT]
B. Speaking in full sentences
C. Reciting the alphabet
D. Reading simple words
Correct Answer: A
Rationale: An 18-month-old typically uses several single words and follows simple commands. Sentences,
the alphabet, and reading are much later.
Q8: The nurse should teach parents that the leading cause of death in toddlers is:
A. Cancer
B. Infectious disease
C. Congenital anomalies
D. Unintentional injury (accidents) [CORRECT]
Correct Answer: D
Rationale: Unintentional injury is the leading cause of death in toddlers and children in the U.S. The others
are not the leading cause.
Q9: Which play activity is most appropriate for a preschooler?
A. Solitary play only
B. Competitive organized sports
C. Dramatic/pretend play and group games [CORRECT]
D. Electronic gambling
Correct Answer: C
Rationale: Preschoolers engage in dramatic and group play, developing imagination and social skills.
Solitary play is more typical of infants.
ATI Pediatrics Proctored Exam - 2026/2027 Edition Page 3
, Q10: Which of the following is a typical cognitive development of the school-age child (6-12 years)?
A. Abstract reasoning about philosophy
B. Egocentric thinking
C. Understanding conservation and logical thinking [CORRECT]
D. Sensorimotor exploration
Correct Answer: C
Rationale: School-age children achieve conservation and concrete logical thinking (Piaget's concrete
operational stage). Abstract reasoning comes in adolescence.
Q11: Which gross motor skill is typically mastered by a 4-year-old?
A. Hopping on one foot and going up/down stairs [CORRECT]
B. Running but falling often
C. Rolling over
D. Crawling
Correct Answer: A
Rationale: A 4-year-old can hop on one foot and use stairs. Running, rolling, and crawling are earlier
milestones.
Q12: According to Erikson, the adolescent is working on:
A. Identity versus role confusion [CORRECT]
B. Initiative versus guilt
C. Trust versus mistrust
D. Integrity versus despair
Correct Answer: A
Rationale: Adolescents work on identity versus role confusion. The others correspond to different life stages.
Q13: Which of the following is a typical characteristic of adolescent development?
A. Complete dependence on parents
B. Inability to form peer relationships
C. Increasing independence and formation of identity [CORRECT]
D. Concrete thinking only
Correct Answer: C
Rationale: Adolescents develop independence and identity and value peer relationships. The others
describe earlier stages.
Q14: A 3-year-old who insists on doing tasks 'by myself' is exhibiting:
A. A developmental delay
B. Regression
C. Failure to thrive
D. Autonomy and independence typical of the toddler/preschool stage [CORRECT]
Correct Answer: D
Rationale: Insisting on independence reflects autonomy, normal at this age. It is not a delay, regression, or
failure to thrive.
ATI Pediatrics Proctored Exam - 2026/2027 Edition Page 4
