ATI PEDIATRIC PROCTORED EXAM Assessments
A & B EXAM LATEST 350 QUESTIONS AND 100-
Verified ANSWERS JUST RELEASED
Section 1: Growth & Development
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to have achieved?
A. Playing peek-a-boo
B. Saying "mama" or "dada" with meaning
C. Sitting unsupported
D. Rolling from back to front
Answer: D. Rolling from back to front
Rationale: Rolling from back to front is typically achieved by 6 months of age.
Playing peek-a-boo and saying "mama" or "dada" with meaning are usually seen
around 9 months to 1 year. Sitting unsupported is achieved between 6 to 8
months, but rolling is a more consistent 6-month milestone .
2. According to Erikson, a 7-year-old child is in which stage of psychosocial
development?
A. Trust vs. Mistrust
B. Autonomy vs. Shame/Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: D. Industry vs. Inferiority
,Rationale: School-age children (6-12 years) are in Erikson's Industry vs. Inferiority
stage. They develop a sense of competence through mastery of skills and tasks.
Trust vs. Mistrust is infancy, Autonomy vs. Shame/Doubt is toddlerhood, and
Initiative vs. Guilt is preschool age .
3. A nurse is providing anticipatory guidance to the parents of an 18-month-old
toddler. Which statement by the parents indicates an understanding of the
toddler's developmental stage?
A. "We expect our child to share toys willingly with other children now."
B. "We are preparing for our child to start asking 'why' all the time."
C. "We understand that temper tantrums are normal as our child tries to
communicate."
D. "We are focusing on teaching our child to count to ten."
Answer: C. "We understand that temper tantrums are normal as our child tries
to communicate."
Rationale: Temper tantrums are a common and normal part of toddler
development, stemming from their desire for independence and limited verbal
skills to express frustration. Sharing is a skill that develops later in the preschool
years. Asking "why" all the time is typical for a 3-year-old. Counting to ten is a
milestone for preschoolers (4-5 years) .
4. A 4-year-old child is hospitalized for several days. Which activity should the
nurse provide to help the child cope with hospitalization?
A. Reading age-appropriate books about hospital stays
B. Providing a consistent routine and allowing choices when possible
C. Encouraging independent play with building blocks
D. Allowing the child to watch television without restrictions
Answer: B. Providing a consistent routine and allowing choices when possible
,Rationale: Preschoolers cope better with hospitalization when they have a
consistent routine and are given choices to maintain a sense of control. Reading
books about hospital stays can help, but routine and choices are more directly
therapeutic for coping. Independent play is less effective than structured activities
with caregivers .
5. A nurse is assessing the fine motor skills of a 5-year-old child. Which of the
following should the nurse expect the child to be able to do? (Select all that
apply)
A. Tie shoelaces
B. Draw a circle
C. Draw a square
D. Cut with scissors
E. Draw a triangle
Answer: B, C, D, E
Rationale: By age 5, children can draw a circle, square, and triangle, and use
scissors. Tying shoelaces is not expected until 6-7 years of age .
6. What is the normal heart rate range for a 2-year-old child?
A. 80-130 beats per minute
B. 60-100 beats per minute
C. 100-160 beats per minute
D. 40-80 beats per minute
Answer: A. 80-130 beats per minute
Rationale: The normal resting heart rate for a 2-year-old child is 80-130 beats per
minute. This is higher than the adult normal range due to the child's smaller size
and higher metabolic rate. Heart rate decreases as the child grows older .
, 7. A nurse is assessing a toddler during a well-child visit. Which of the following
findings should the nurse report to the provider?
A. The toddler's weight has tripled from birth weight
B. The toddler's weight has quadrupled from birth weight
C. The toddler's height has increased by 50% from birth
D. The toddler's head circumference has increased by 10 cm from birth
Answer: B. The toddler's weight has quadrupled from birth weight
Rationale: By 2-3 years of age, a toddler's weight should have quadrupled from
birth weight. Weight tripling occurs by 12 months. Quadrupling by toddler age is a
normal finding, not a concern .
8. A nurse is performing a developmental screening on a 12-month-old infant.
Which finding is a typical milestone for this age?
A. Walks independently
B. Builds a tower of 2 cubes
C. Says 2-3 words besides "mama" and "dada"
D. Uses a pincer grasp
Answer: D. Uses a pincer grasp
Rationale: At 12 months, the pincer grasp is well-established. Walking
independently typically occurs around 15 months. Building a tower of 2 cubes is a
15-month milestone. Saying 2-3 words besides "mama" and "dada" is a 15- to 18-
month milestone .
9. The nurse is assessing a 4-month-old infant. Which of the following
developmental milestones should the nurse expect to observe?
A. Sitting without support
B. Transferring objects from hand to hand
A & B EXAM LATEST 350 QUESTIONS AND 100-
Verified ANSWERS JUST RELEASED
Section 1: Growth & Development
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to have achieved?
A. Playing peek-a-boo
B. Saying "mama" or "dada" with meaning
C. Sitting unsupported
D. Rolling from back to front
Answer: D. Rolling from back to front
Rationale: Rolling from back to front is typically achieved by 6 months of age.
Playing peek-a-boo and saying "mama" or "dada" with meaning are usually seen
around 9 months to 1 year. Sitting unsupported is achieved between 6 to 8
months, but rolling is a more consistent 6-month milestone .
2. According to Erikson, a 7-year-old child is in which stage of psychosocial
development?
A. Trust vs. Mistrust
B. Autonomy vs. Shame/Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: D. Industry vs. Inferiority
,Rationale: School-age children (6-12 years) are in Erikson's Industry vs. Inferiority
stage. They develop a sense of competence through mastery of skills and tasks.
Trust vs. Mistrust is infancy, Autonomy vs. Shame/Doubt is toddlerhood, and
Initiative vs. Guilt is preschool age .
3. A nurse is providing anticipatory guidance to the parents of an 18-month-old
toddler. Which statement by the parents indicates an understanding of the
toddler's developmental stage?
A. "We expect our child to share toys willingly with other children now."
B. "We are preparing for our child to start asking 'why' all the time."
C. "We understand that temper tantrums are normal as our child tries to
communicate."
D. "We are focusing on teaching our child to count to ten."
Answer: C. "We understand that temper tantrums are normal as our child tries
to communicate."
Rationale: Temper tantrums are a common and normal part of toddler
development, stemming from their desire for independence and limited verbal
skills to express frustration. Sharing is a skill that develops later in the preschool
years. Asking "why" all the time is typical for a 3-year-old. Counting to ten is a
milestone for preschoolers (4-5 years) .
4. A 4-year-old child is hospitalized for several days. Which activity should the
nurse provide to help the child cope with hospitalization?
A. Reading age-appropriate books about hospital stays
B. Providing a consistent routine and allowing choices when possible
C. Encouraging independent play with building blocks
D. Allowing the child to watch television without restrictions
Answer: B. Providing a consistent routine and allowing choices when possible
,Rationale: Preschoolers cope better with hospitalization when they have a
consistent routine and are given choices to maintain a sense of control. Reading
books about hospital stays can help, but routine and choices are more directly
therapeutic for coping. Independent play is less effective than structured activities
with caregivers .
5. A nurse is assessing the fine motor skills of a 5-year-old child. Which of the
following should the nurse expect the child to be able to do? (Select all that
apply)
A. Tie shoelaces
B. Draw a circle
C. Draw a square
D. Cut with scissors
E. Draw a triangle
Answer: B, C, D, E
Rationale: By age 5, children can draw a circle, square, and triangle, and use
scissors. Tying shoelaces is not expected until 6-7 years of age .
6. What is the normal heart rate range for a 2-year-old child?
A. 80-130 beats per minute
B. 60-100 beats per minute
C. 100-160 beats per minute
D. 40-80 beats per minute
Answer: A. 80-130 beats per minute
Rationale: The normal resting heart rate for a 2-year-old child is 80-130 beats per
minute. This is higher than the adult normal range due to the child's smaller size
and higher metabolic rate. Heart rate decreases as the child grows older .
, 7. A nurse is assessing a toddler during a well-child visit. Which of the following
findings should the nurse report to the provider?
A. The toddler's weight has tripled from birth weight
B. The toddler's weight has quadrupled from birth weight
C. The toddler's height has increased by 50% from birth
D. The toddler's head circumference has increased by 10 cm from birth
Answer: B. The toddler's weight has quadrupled from birth weight
Rationale: By 2-3 years of age, a toddler's weight should have quadrupled from
birth weight. Weight tripling occurs by 12 months. Quadrupling by toddler age is a
normal finding, not a concern .
8. A nurse is performing a developmental screening on a 12-month-old infant.
Which finding is a typical milestone for this age?
A. Walks independently
B. Builds a tower of 2 cubes
C. Says 2-3 words besides "mama" and "dada"
D. Uses a pincer grasp
Answer: D. Uses a pincer grasp
Rationale: At 12 months, the pincer grasp is well-established. Walking
independently typically occurs around 15 months. Building a tower of 2 cubes is a
15-month milestone. Saying 2-3 words besides "mama" and "dada" is a 15- to 18-
month milestone .
9. The nurse is assessing a 4-month-old infant. Which of the following
developmental milestones should the nurse expect to observe?
A. Sitting without support
B. Transferring objects from hand to hand