ATI PEDIATRICS PROCTORED EXAM
RN Questions and Answers| Latest Update| Pass Guaranteed
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse
expect?
A. Anterior fontanel closed
B. Birth weight tripled
C. Able to sit unsupported briefly
D. Says two-word sentences
Answer: C
Rationale: By 6 months, infants can typically sit with support and briefly without
support as trunk control develops. The anterior fontanel closes between 12-18
months, birth weight triples by 12 months (doubles by 6 months), and two-word
sentences appear around 18-24 months.
2. A nurse is teaching a parent of a 9-month-old about developmentally
appropriate toys. Which toy should the nurse recommend?
A. Small building blocks (1 cm)
B. Stuffed animal with button eyes
C. Large soft ball
D. Balloon
Answer: C
Rationale: A large soft ball is safe and appropriate; infants explore objects with
their mouths, so a large ball avoids choking risk. Small blocks, button eyes, and
balloons are choking hazards for infants.
3. A nurse is caring for a toddler who repeatedly says 'no' to every request. The
nurse should recognize this behavior as consistent with which developmental
task?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
, D. Industry vs. inferiority
Answer: B
Rationale: Toddlers (1-3 years) are working through Erikson's autonomy vs.
shame/doubt stage, exhibiting negativism and independence-seeking behavior
such as saying 'no.' Trust vs. mistrust is infancy; initiative vs. guilt is preschool;
industry vs. inferiority is school-age.
4. A nurse is planning care for a preschool-age child who believes their illness is
punishment for misbehaving. This is an example of which concept?
A. Animism
B. Magical thinking
C. Centration
D. Object permanence
Answer: B
Rationale: Magical thinking, common in preschoolers, is the belief that thoughts
or behaviors can cause events, such as illness being a punishment. Animism is
attributing life to inanimate objects; centration is focusing on one aspect of a
situation; object permanence develops in infancy.
5. A school-age child is hospitalized for an appendectomy. According to Erikson,
which nursing intervention best supports this child's developmental stage?
A. Allowing the child to help change the dressing
B. Encouraging parents to room-in at all times
C. Providing a stuffed animal for comfort
D. Allowing unrestricted use of electronics
Answer: A
Rationale: School-age children are in the industry vs. inferiority stage and benefit
from participating in their own care to build a sense of accomplishment and
competence. The other options do not specifically foster industry.
6. A nurse is assessing an adolescent client. Which statement by the adolescent
indicates a normal developmental concern for this age group?
A. 'I worry my parents will leave me.'
, B. 'I don't like sharing toys with my friends.'
C. 'I'm worried about how I look compared to my friends.'
D. 'I get upset when my routine changes.'
Answer: C
Rationale: Adolescents are focused on identity vs. role confusion, including body
image and peer comparison. Fear of abandonment is typical of toddlers/infants,
toy-sharing conflicts reflect preschool age, and routine disruption concerns are
typical of toddlers.
7. A nurse is teaching parents about expected motor development. At which age
should a child be able to walk alone?
A. 6 months
B. 9 months
C. 12-15 months
D. 24 months
Answer: C
Rationale: Independent walking typically develops between 12 and 15 months of
age. At 6-9 months infants are sitting and may begin crawling or cruising; by 24
months a child should be running.
8. A nurse is caring for a 2-year-old during a physical exam. Which approach best
minimizes the toddler's fear?
A. Explain the entire procedure in detail before starting
B. Examine the child on the parent's lap using a head-to-toe approach reversed
to toe-to-head
C. Separate the child from the parent to reduce distraction
D. Perform the most invasive parts of the exam first
Answer: B
Rationale: Toddlers fear body intrusion and separation; examining in a toe-to-
head sequence while on the parent's lap reduces anxiety. Lengthy explanations
exceed a toddler's comprehension, separation increases distress, and invasive
procedures should be saved for last.
, 9. An infant demonstrates stranger anxiety. The nurse recognizes this typically
begins around which age?
A. 1-2 months
B. 6-8 months
C. 12-18 months
D. 24 months
Answer: B
Rationale: Stranger anxiety typically emerges around 6-8 months as infants
develop object permanence and can distinguish familiar from unfamiliar people.
10. A nurse is assessing reflexes in a 2-month-old infant. Which reflex should
have already disappeared?
A. Rooting reflex
B. Moro reflex
C. Stepping reflex
D. Babinski reflex
Answer: C
Rationale: The stepping (dance) reflex typically disappears by 2 months of age.
Rooting persists to about 4 months, Moro to 4-6 months, and Babinski up to 12-24
months.
11. A nurse is preparing to administer immunizations to a 2-month-old. The
parent reports the infant had a mild cold with a low-grade fever yesterday but is
afebrile today. What should the nurse do?
A. Postpone all immunizations for 2 weeks
B. Administer the scheduled immunizations as planned
C. Withhold immunizations until the child has a well-child visit
D. Administer only oral vaccines, not injectable ones
Answer: B
Rationale: A mild illness without fever is not a contraindication to vaccination.
Immunizations should proceed as scheduled to maintain the recommended
schedule.
RN Questions and Answers| Latest Update| Pass Guaranteed
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse
expect?
A. Anterior fontanel closed
B. Birth weight tripled
C. Able to sit unsupported briefly
D. Says two-word sentences
Answer: C
Rationale: By 6 months, infants can typically sit with support and briefly without
support as trunk control develops. The anterior fontanel closes between 12-18
months, birth weight triples by 12 months (doubles by 6 months), and two-word
sentences appear around 18-24 months.
2. A nurse is teaching a parent of a 9-month-old about developmentally
appropriate toys. Which toy should the nurse recommend?
A. Small building blocks (1 cm)
B. Stuffed animal with button eyes
C. Large soft ball
D. Balloon
Answer: C
Rationale: A large soft ball is safe and appropriate; infants explore objects with
their mouths, so a large ball avoids choking risk. Small blocks, button eyes, and
balloons are choking hazards for infants.
3. A nurse is caring for a toddler who repeatedly says 'no' to every request. The
nurse should recognize this behavior as consistent with which developmental
task?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
, D. Industry vs. inferiority
Answer: B
Rationale: Toddlers (1-3 years) are working through Erikson's autonomy vs.
shame/doubt stage, exhibiting negativism and independence-seeking behavior
such as saying 'no.' Trust vs. mistrust is infancy; initiative vs. guilt is preschool;
industry vs. inferiority is school-age.
4. A nurse is planning care for a preschool-age child who believes their illness is
punishment for misbehaving. This is an example of which concept?
A. Animism
B. Magical thinking
C. Centration
D. Object permanence
Answer: B
Rationale: Magical thinking, common in preschoolers, is the belief that thoughts
or behaviors can cause events, such as illness being a punishment. Animism is
attributing life to inanimate objects; centration is focusing on one aspect of a
situation; object permanence develops in infancy.
5. A school-age child is hospitalized for an appendectomy. According to Erikson,
which nursing intervention best supports this child's developmental stage?
A. Allowing the child to help change the dressing
B. Encouraging parents to room-in at all times
C. Providing a stuffed animal for comfort
D. Allowing unrestricted use of electronics
Answer: A
Rationale: School-age children are in the industry vs. inferiority stage and benefit
from participating in their own care to build a sense of accomplishment and
competence. The other options do not specifically foster industry.
6. A nurse is assessing an adolescent client. Which statement by the adolescent
indicates a normal developmental concern for this age group?
A. 'I worry my parents will leave me.'
, B. 'I don't like sharing toys with my friends.'
C. 'I'm worried about how I look compared to my friends.'
D. 'I get upset when my routine changes.'
Answer: C
Rationale: Adolescents are focused on identity vs. role confusion, including body
image and peer comparison. Fear of abandonment is typical of toddlers/infants,
toy-sharing conflicts reflect preschool age, and routine disruption concerns are
typical of toddlers.
7. A nurse is teaching parents about expected motor development. At which age
should a child be able to walk alone?
A. 6 months
B. 9 months
C. 12-15 months
D. 24 months
Answer: C
Rationale: Independent walking typically develops between 12 and 15 months of
age. At 6-9 months infants are sitting and may begin crawling or cruising; by 24
months a child should be running.
8. A nurse is caring for a 2-year-old during a physical exam. Which approach best
minimizes the toddler's fear?
A. Explain the entire procedure in detail before starting
B. Examine the child on the parent's lap using a head-to-toe approach reversed
to toe-to-head
C. Separate the child from the parent to reduce distraction
D. Perform the most invasive parts of the exam first
Answer: B
Rationale: Toddlers fear body intrusion and separation; examining in a toe-to-
head sequence while on the parent's lap reduces anxiety. Lengthy explanations
exceed a toddler's comprehension, separation increases distress, and invasive
procedures should be saved for last.
, 9. An infant demonstrates stranger anxiety. The nurse recognizes this typically
begins around which age?
A. 1-2 months
B. 6-8 months
C. 12-18 months
D. 24 months
Answer: B
Rationale: Stranger anxiety typically emerges around 6-8 months as infants
develop object permanence and can distinguish familiar from unfamiliar people.
10. A nurse is assessing reflexes in a 2-month-old infant. Which reflex should
have already disappeared?
A. Rooting reflex
B. Moro reflex
C. Stepping reflex
D. Babinski reflex
Answer: C
Rationale: The stepping (dance) reflex typically disappears by 2 months of age.
Rooting persists to about 4 months, Moro to 4-6 months, and Babinski up to 12-24
months.
11. A nurse is preparing to administer immunizations to a 2-month-old. The
parent reports the infant had a mild cold with a low-grade fever yesterday but is
afebrile today. What should the nurse do?
A. Postpone all immunizations for 2 weeks
B. Administer the scheduled immunizations as planned
C. Withhold immunizations until the child has a well-child visit
D. Administer only oral vaccines, not injectable ones
Answer: B
Rationale: A mild illness without fever is not a contraindication to vaccination.
Immunizations should proceed as scheduled to maintain the recommended
schedule.
