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QUESTIONS WITH CORRECT DETAILED
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Title: ATI Pediatrics Proctored Exam Versions 1–5 | Complete Questions & Correct
Answers | 2026
Description: This comprehensive revision resource contains 100 multiple-choice
questions (MCQs) covering the full spectrum of pediatric nursing content tested on the
ATI Pediatrics Proctored Exam. Questions span growth and development, pediatric
assessment, health promotion, acute and chronic illness management,
pharmacology, immunizations, safety, and family-centered care. Each question
includes the correct answer with a rationale to reinforce clinical judgment and exam
readiness. Updated for the 2026/2027 NGN-aligned format .
Keywords: ATI Pediatrics, Proctored Exam, NGN, Pediatric Nursing, Growth and
Development, Pediatric Pharmacology, Immunizations, Family-Centered Care, Clinical
Judgment, NCLEX, Care of Children, 2026
Section 1: Growth & Development (Questions 1–20)
Q1. A nurse is assessing a 12-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to demonstrate?
A. Uses a pincer grasp to pick up small objects ✅
,B. Buttons and unbuttons their own clothing
C. Draws a complete circle on paper
D. Cuts along a line with scissors
Rationale: The pincer grasp (thumb and forefinger) develops around 9–12 months.
Buttoning clothing, drawing circles, and cutting with scissors are skills expected in older
children (3–5 years) .
Q2. A nurse is teaching the parent of a 12-month-old about development during
the toddler years. Which statement should the nurse include?
A. “Your child should be referring to himself using the appropriate pronoun by 18
months.”
B. “A toddler’s interest in looking at pictures occurs at 20 months.”
C. “A toddler should have daytime control of bowel and bladder by 24 months.”
D. “Your child should be able to scribble spontaneously using a crayon at 15 months.” ✅
Rationale: A 15-month-old should be able to scribble spontaneously. Pronoun use and
bowel/bladder control typically develop later (18–24+ months) .
Q3. A nurse is performing a developmental screening on a 4-year-old child. Which
milestone is appropriate for the nurse to expect?
A. Ties shoelaces
B. Draws a circle ✅
C. Uses a fork to eat independently
D. Rides a tricycle
,Rationale: By age 4, a child should be able to copy a circle and draw a person with 2–4
body parts. Tying shoelaces is a 5–6 year skill .
Q4. A nurse is assessing a 2-year-old toddler. Which finding should the nurse
report to the provider?
A. Head circumference of 48 cm ✅
B. Height increase of 3 inches since last visit
C. The toddler says approximately 20 words
D. Blood pressure of 90/60 mm Hg
Rationale: A head circumference of 48 cm is above the expected range for a 2-year-
old (typically 47–48 cm at the 90th percentile). The other findings are within normal
limits .
Q5. A nurse is assessing a 6-month-old infant. Which finding should the nurse
expect?
A. Rolls from back to front ✅
B. Sits without support
C. Walks with assistance
D. Says “mama” and “dada” specifically
Rationale: Rolling from back to front typically occurs around 6 months. Sitting
without support develops around 8 months .
Q6. Which of the following statements by a parent indicates understanding of
appropriate safety measures for a school-age child?
A. “We will introduce solid foods at 6 months of age.”
, B. “We can expect our baby to start teething soon.”
C. “Our baby will start rolling from back to front.”
D. “We should begin using a forward-facing car seat.” ✅
Rationale: Infants should remain in a rear-facing car seat until at least age 2. Solid
foods are introduced at 6 months, teething begins around 6 months, and rolling back-
to-front occurs around 6 months .
Q7. A nurse is assessing a 15-month-old toddler. Which fine motor milestone
should the nurse expect?
A. Scribbles spontaneously ✅
B. Draws a stick figure
C. Builds a tower of 6 blocks
D. Uses scissors to cut paper
Rationale: Scribbling spontaneously is expected at 15 months. Building a tower of 6
blocks occurs around 2 years .
Q8. A nurse is providing anticipatory guidance to the parent of a 4-month-old
infant. Which statement by the parent indicates a need for further teaching?
A. “I will place my baby on the back to sleep.”
B. “I will introduce solid foods now to help my baby sleep through the night.” ✅
C. “I will avoid giving my baby honey.”
D. “I will use a rear-facing car seat.”
Rationale: Solid foods should be introduced around 6 months, not 4 months. Early
introduction can increase the risk of allergies and choking .