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ATI RN PEDIATRIC NURSING PROCTORED EXAM
2026/2027 COMPLETE (150) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES.
PEDIATRIC
Prepare effectively for the ATI RN Pediatric Nursing Proctored Exam with this focused
study resource. It supports review of pediatric growth and development, common
childhood conditions, nursing assessments, medication safety, family-centered care,
and clinical interventions. Use the material to reinforce your knowledge, review high-
yield topics, and identify areas that may require additional study. This resource is
suited for RN nursing students, pediatric nursing learners, and candidates preparing
for ATI pediatric nursing assessments.
MULTIPLE CHOICE.
SECTION 1: GROWTH AND DEVELOPMENT (Questions 1–30)
Question 1:
A nurse is assessing a 4-month-old infant during a well-child visit. Which of
the following developmental milestones should the nurse expect the infant to
have achieved?
A) Sitting without support
B) Rolling from back to abdomen
C) Pincer grasp
D) Transferring objects from one hand to the other
Answer: B
Rationale: Rolling from back to abdomen typically occurs around 4 to 6
months of age. Sitting without support usually occurs around 8 months.
Pincer grasp develops around 9 to 10 months. Transferring objects
between hands typically occurs around 7 months. Therefore, rolling from
back to abdomen is the only milestone expected at 4 months.
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Question 2:
A nurse is providing anticipatory guidance to the parents of a 2-year-old
toddler. Which of the following developmental tasks is characteristic of this
age group?
A) Engaging in parallel play
B) Understanding the concept of time
C) Developing a conscience
D) Exhibiting stranger anxiety
Answer: A
Rationale: Parallel play, where children play alongside but not with
others, is characteristic of toddlers aged 2 to 3 years. Understanding time
concepts develops in school-age children. Conscience development
occurs during the preschool years (ages 3–6). Stranger anxiety is seen in
infants around 6 to 8 months of age.
Question 3:
A nurse is assessing a 15-month-old toddler. Which of the following findings
should the nurse report to the provider?
A) The toddler walks independently
B) The toddler uses a spoon with assistance
C) The toddler has a vocabulary of 3 words
D) The toddler cannot stack two blocks
Answer: D
Rationale: By 15 months, a toddler should be able to stack two blocks.
Inability to do so may indicate a developmental delay and should be
reported. Walking independently, using a spoon with assistance, and
having a vocabulary of 3 words are all expected milestones at 15 months.
Question 4:
A nurse is assessing a 6-year-old child. Which of the following findings
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indicates that the child is meeting the expected developmental milestones for
this age?
A) The child can tie shoelaces
B) The child can draw a circle
C) The child can hop on one foot
D) The child can count to 100
Answer: C
Rationale: Hopping on one foot is a developmental milestone expected in
a 6-year-old. Tying shoelaces typically occurs around age 7. Drawing a
circle is expected by age 3. Counting to 100 is beyond typical expectations
for a 6-year-old.
Question 5:
A nurse is educating the parents of an 8-year-old child about expected growth
and development. Which of the following statements by the parents indicates
an understanding of the teaching?
A) "My child's vision should be 20/20 by this age."
B) "My child should have all permanent teeth by now."
C) "My child's height will increase by about 2 inches per year."
D) "My child will gain about 5 to 7 pounds per year."
Answer: C
Rationale: School-age children (ages 6–12) grow approximately 2 inches (5
cm) per year and gain about 4.4 to 6.6 pounds (2–3 kg) per year. Vision
reaches 20/20 by age 6 to 7. Permanent teeth erupt between ages 6 and
12, but not all are present by age 8.
Question 6:
A nurse is assessing a 12-month-old infant. Which of the following gross
motor milestones should the nurse expect the infant to have achieved?
A) Crawling
B) Standing independently
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C) Walking with assistance
D) Running
Answer: C
Rationale: By 12 months, most infants can walk with assistance or take
their first independent steps. Crawling typically occurs around 8 to 10
months. Standing independently occurs around 11 months. Running is
not expected until approximately 18 months.
Question 7:
A nurse is providing teaching to the parents of a 4-year-old child about
expected developmental milestones. Which of the following statements by
the parents indicates the child is meeting developmental expectations?
A) "My child can hop on one foot."
B) "My child can skip using alternating feet."
C) "My child can balance on one foot for 10 seconds."
D) "My child can catch a ball with two hands."
Answer: A
Rationale: Hopping on one foot is a milestone expected in a 4-year-old.
Skipping using alternating feet and balancing on one foot for 10 seconds
are expected at age 5. Catching a ball with two hands is expected at age 4,
but using the hands to catch is less specific; hopping is the classic 4-year-
old gross motor milestone.
Question 8:
A nurse is assessing a 2-month-old infant during a well-child visit. Which of
the following findings should the nurse report to the provider?
A) The infant's anterior fontanel is open
B) The infant's head lags when pulled to a sitting position
C) The infant tracks objects with their eyes
D) The infant's posterior fontanel is closed
ATI RN PEDIATRIC NURSING PROCTORED EXAM
2026/2027 COMPLETE (150) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES.
PEDIATRIC
Prepare effectively for the ATI RN Pediatric Nursing Proctored Exam with this focused
study resource. It supports review of pediatric growth and development, common
childhood conditions, nursing assessments, medication safety, family-centered care,
and clinical interventions. Use the material to reinforce your knowledge, review high-
yield topics, and identify areas that may require additional study. This resource is
suited for RN nursing students, pediatric nursing learners, and candidates preparing
for ATI pediatric nursing assessments.
MULTIPLE CHOICE.
SECTION 1: GROWTH AND DEVELOPMENT (Questions 1–30)
Question 1:
A nurse is assessing a 4-month-old infant during a well-child visit. Which of
the following developmental milestones should the nurse expect the infant to
have achieved?
A) Sitting without support
B) Rolling from back to abdomen
C) Pincer grasp
D) Transferring objects from one hand to the other
Answer: B
Rationale: Rolling from back to abdomen typically occurs around 4 to 6
months of age. Sitting without support usually occurs around 8 months.
Pincer grasp develops around 9 to 10 months. Transferring objects
between hands typically occurs around 7 months. Therefore, rolling from
back to abdomen is the only milestone expected at 4 months.
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Question 2:
A nurse is providing anticipatory guidance to the parents of a 2-year-old
toddler. Which of the following developmental tasks is characteristic of this
age group?
A) Engaging in parallel play
B) Understanding the concept of time
C) Developing a conscience
D) Exhibiting stranger anxiety
Answer: A
Rationale: Parallel play, where children play alongside but not with
others, is characteristic of toddlers aged 2 to 3 years. Understanding time
concepts develops in school-age children. Conscience development
occurs during the preschool years (ages 3–6). Stranger anxiety is seen in
infants around 6 to 8 months of age.
Question 3:
A nurse is assessing a 15-month-old toddler. Which of the following findings
should the nurse report to the provider?
A) The toddler walks independently
B) The toddler uses a spoon with assistance
C) The toddler has a vocabulary of 3 words
D) The toddler cannot stack two blocks
Answer: D
Rationale: By 15 months, a toddler should be able to stack two blocks.
Inability to do so may indicate a developmental delay and should be
reported. Walking independently, using a spoon with assistance, and
having a vocabulary of 3 words are all expected milestones at 15 months.
Question 4:
A nurse is assessing a 6-year-old child. Which of the following findings
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indicates that the child is meeting the expected developmental milestones for
this age?
A) The child can tie shoelaces
B) The child can draw a circle
C) The child can hop on one foot
D) The child can count to 100
Answer: C
Rationale: Hopping on one foot is a developmental milestone expected in
a 6-year-old. Tying shoelaces typically occurs around age 7. Drawing a
circle is expected by age 3. Counting to 100 is beyond typical expectations
for a 6-year-old.
Question 5:
A nurse is educating the parents of an 8-year-old child about expected growth
and development. Which of the following statements by the parents indicates
an understanding of the teaching?
A) "My child's vision should be 20/20 by this age."
B) "My child should have all permanent teeth by now."
C) "My child's height will increase by about 2 inches per year."
D) "My child will gain about 5 to 7 pounds per year."
Answer: C
Rationale: School-age children (ages 6–12) grow approximately 2 inches (5
cm) per year and gain about 4.4 to 6.6 pounds (2–3 kg) per year. Vision
reaches 20/20 by age 6 to 7. Permanent teeth erupt between ages 6 and
12, but not all are present by age 8.
Question 6:
A nurse is assessing a 12-month-old infant. Which of the following gross
motor milestones should the nurse expect the infant to have achieved?
A) Crawling
B) Standing independently
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C) Walking with assistance
D) Running
Answer: C
Rationale: By 12 months, most infants can walk with assistance or take
their first independent steps. Crawling typically occurs around 8 to 10
months. Standing independently occurs around 11 months. Running is
not expected until approximately 18 months.
Question 7:
A nurse is providing teaching to the parents of a 4-year-old child about
expected developmental milestones. Which of the following statements by
the parents indicates the child is meeting developmental expectations?
A) "My child can hop on one foot."
B) "My child can skip using alternating feet."
C) "My child can balance on one foot for 10 seconds."
D) "My child can catch a ball with two hands."
Answer: A
Rationale: Hopping on one foot is a milestone expected in a 4-year-old.
Skipping using alternating feet and balancing on one foot for 10 seconds
are expected at age 5. Catching a ball with two hands is expected at age 4,
but using the hands to catch is less specific; hopping is the classic 4-year-
old gross motor milestone.
Question 8:
A nurse is assessing a 2-month-old infant during a well-child visit. Which of
the following findings should the nurse report to the provider?
A) The infant's anterior fontanel is open
B) The infant's head lags when pulled to a sitting position
C) The infant tracks objects with their eyes
D) The infant's posterior fontanel is closed
