,ATI Pediatrics Nursing Assessment - RN Exam Questions And
Answers 2026/2027
SECTION 1: GROWTH & DEVELOPMENT (20 Questions)
**1.** A nurse is assessing a 4-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect the infant to
demonstrate?
A) Sitting independently without support
B) Grasping a rattle briefly
C) Crawling on hands and knees
D) Transferring objects from hand to hand
**Correct Answer:** B) Grasping a rattle briefly
**Rationale:** At 4 months, infants typically can grasp objects briefly, hold a
rattle, and bring objects to their mouth. Sitting independently occurs around
6-8 months. Crawling occurs at 8-10 months. Transferring objects occurs
around 6-7 months.
**2.** A nurse is providing anticipatory guidance to the parents of a 12-
month-old. Which statement indicates an understanding of injury prevention?
A) "We will place crib bumper pads to prevent the baby from hitting their
head."
B) "We will turn the water heater temperature to 140°F (60°C)."
C) "We will keep the car seat rear-facing until at least age 2."
D) "We will give whole milk in a sippy cup at bedtime to help them sleep."
,**Correct Answer:** C) "We will keep the car seat rear-facing until at least
age 2."
**Rationale:** The AAP recommends rear-facing car seats until age 2 or until
the child reaches the maximum height/weight limit. Bumper pads are a
suffocation/SIDS risk. Water heaters should be set to 120°F (49°C) to prevent
burns. Bedtime bottles/sippy cups cause "bottle mouth caries".
**3.** A school nurse is teaching a class about psychosocial development.
According to Erikson, a 7-year-old child is in which psychosocial stage?
A) Trust vs. Mistrust
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Identity vs. Role Confusion
**Correct Answer:** C) Industry vs. Inferiority
**Rationale:** Erikson's Industry vs. Inferiority corresponds to school-age
children (6-12 years) who focus on mastering skills and receiving recognition.
Initiative vs. Guilt is preschool age (3-5). Trust vs. Mistrust is infancy; Identity
vs. Role Confusion is adolescence.
**4.** A nurse is assessing a 2-year-old toddler. Which finding is consistent
with expected growth and development?
A) The child can hop on one foot
B) The child has a vocabulary of approximately 50 words
C) The child can ride a tricycle
D) The child can draw a circle
, **Correct Answer:** B) The child has a vocabulary of approximately 50 words
**Rationale:** A 2-year-old typically has a vocabulary of 50-100 words and
can combine two words into simple phrases. Hopping and tricycle riding are
4-5 year milestones. Drawing a circle is a 3-year milestone.
**5.** A nurse is providing anticipatory guidance to the parents of a 15-
month-old. Which statement by the parents indicates a need for further
teaching?
A) "We will use a forward-facing car seat now that our child is 15 months
old."
B) "We will keep small objects out of reach to prevent choking."
C) "We will childproof the cabinets with safety latches."
D) "We will supervise our child during bath time."
**Correct Answer:** A) "We will use a forward-facing car seat now that our
child is 15 months old."
**Rationale:** The AAP recommends rear-facing car seats until age 2 or until
the child reaches the maximum height/weight limit. A 15-month-old should
still be in a rear-facing seat. The other statements demonstrate appropriate
safety awareness.
**6.** A nurse is assessing a 6-month-old infant. Which finding should the
nurse report to the healthcare provider?
A) The infant can roll from back to abdomen
B) The infant can sit with support
Answers 2026/2027
SECTION 1: GROWTH & DEVELOPMENT (20 Questions)
**1.** A nurse is assessing a 4-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect the infant to
demonstrate?
A) Sitting independently without support
B) Grasping a rattle briefly
C) Crawling on hands and knees
D) Transferring objects from hand to hand
**Correct Answer:** B) Grasping a rattle briefly
**Rationale:** At 4 months, infants typically can grasp objects briefly, hold a
rattle, and bring objects to their mouth. Sitting independently occurs around
6-8 months. Crawling occurs at 8-10 months. Transferring objects occurs
around 6-7 months.
**2.** A nurse is providing anticipatory guidance to the parents of a 12-
month-old. Which statement indicates an understanding of injury prevention?
A) "We will place crib bumper pads to prevent the baby from hitting their
head."
B) "We will turn the water heater temperature to 140°F (60°C)."
C) "We will keep the car seat rear-facing until at least age 2."
D) "We will give whole milk in a sippy cup at bedtime to help them sleep."
,**Correct Answer:** C) "We will keep the car seat rear-facing until at least
age 2."
**Rationale:** The AAP recommends rear-facing car seats until age 2 or until
the child reaches the maximum height/weight limit. Bumper pads are a
suffocation/SIDS risk. Water heaters should be set to 120°F (49°C) to prevent
burns. Bedtime bottles/sippy cups cause "bottle mouth caries".
**3.** A school nurse is teaching a class about psychosocial development.
According to Erikson, a 7-year-old child is in which psychosocial stage?
A) Trust vs. Mistrust
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Identity vs. Role Confusion
**Correct Answer:** C) Industry vs. Inferiority
**Rationale:** Erikson's Industry vs. Inferiority corresponds to school-age
children (6-12 years) who focus on mastering skills and receiving recognition.
Initiative vs. Guilt is preschool age (3-5). Trust vs. Mistrust is infancy; Identity
vs. Role Confusion is adolescence.
**4.** A nurse is assessing a 2-year-old toddler. Which finding is consistent
with expected growth and development?
A) The child can hop on one foot
B) The child has a vocabulary of approximately 50 words
C) The child can ride a tricycle
D) The child can draw a circle
, **Correct Answer:** B) The child has a vocabulary of approximately 50 words
**Rationale:** A 2-year-old typically has a vocabulary of 50-100 words and
can combine two words into simple phrases. Hopping and tricycle riding are
4-5 year milestones. Drawing a circle is a 3-year milestone.
**5.** A nurse is providing anticipatory guidance to the parents of a 15-
month-old. Which statement by the parents indicates a need for further
teaching?
A) "We will use a forward-facing car seat now that our child is 15 months
old."
B) "We will keep small objects out of reach to prevent choking."
C) "We will childproof the cabinets with safety latches."
D) "We will supervise our child during bath time."
**Correct Answer:** A) "We will use a forward-facing car seat now that our
child is 15 months old."
**Rationale:** The AAP recommends rear-facing car seats until age 2 or until
the child reaches the maximum height/weight limit. A 15-month-old should
still be in a rear-facing seat. The other statements demonstrate appropriate
safety awareness.
**6.** A nurse is assessing a 6-month-old infant. Which finding should the
nurse report to the healthcare provider?
A) The infant can roll from back to abdomen
B) The infant can sit with support
