ATI Pediatrics Proctored Exam
Test Bank (Latest-2021)
1. A nurse is assessing a 6-month-old infant. Which of the following findings should the nurse
expect?
A. Birth weight doubled
B. Able to sit without support
C. Moro reflex present
D. Pincer grasp present
Correct: A Birth weight doubles by 5–6 months; it triples by 12 months. Sitting without
support occurs at 8 months, Moro reflex disappears by 4 months, and pincer grasp develops at
9–10 months.
2. A nurse is teaching parents about expected developmental milestones. Which statement by
a parent indicates understanding of a 2-year-old's language development?
A. "She should speak in 3- to 4-word sentences."
B. "She should have a 300-word vocabulary."
C. "She should be able to tell a short story."
D. "She should use pronouns correctly."
Correct: A A 2-year-old uses 2- to 3-word (up to 3–4 word) sentences and has a
vocabulary of about 300 words by age 2, but storytelling and correct pronoun use are later skills
(preschool).
3. A nurse is assessing a 4-month-old infant. Which reflex should have disappeared by this
age?
A. Sucking
B. Rooting
C. Moro
D. Palmar grasp
Correct: C The Moro reflex disappears by 4 months. Rooting disappears by 4 months as
well in many texts, but the Moro is the classic "should be gone by 4 months" reflex. Sucking and
palmar grasp persist longer (palmar grasp disappears ~4–6 months).
,4. Which of the following is an expected finding in a 5-year-old child?
A. Can tie shoelaces
B. Can skip and hop on one foot
C. Has a 2,000-word vocabulary
D. Can write full sentences
Correct: B Skipping and hopping on one foot are expected gross motor skills at age 4–5.
Tying shoelaces is typically age 6, vocabulary ~2,100 words by age 5, and writing full sentences
is age 6–7.
5. A nurse is providing anticipatory guidance to the parent of a 9-month-old. Which safety
measure is priority?
A. Installing stair gates
B. Removing small objects from the floor
C. Using a rear-facing car seat
D. Placing the infant in a forward-facing car seat
Correct: B At 9 months, the infant has a pincer grasp and puts everything in the mouth,
so choking prevention is priority. Stair gates are important but choking is the highest risk at this
age. Rear-facing car seat until age 2.
6. SATA: A nurse is assessing a 15-month-old. Which findings are expected? (Select all that
apply.)
A. Walks independently
B. Stacks 2 blocks
C. Says 3–5 words
D. Uses a spoon with some spilling
E. Has a 50-word vocabulary
Correct: A, B, C, D At 15 months the toddler walks alone, stacks 2 blocks, says 3–5 words
(some sources 4–6), and uses a spoon with spilling. A 50-word vocabulary is expected at 18–24
months.
7. A nurse is assessing a 3-year-old. Which behavior indicates a need for further evaluation?
A. Parallel play
B. Unable to pedal a tricycle
C. Frequent temper tantrums
D. Toilet training completed
Correct: B Pedaling a tricycle is expected by age 3. Inability suggests gross motor delay.
Parallel play, tantrums, and toilet training are all normal at age 3.
, 8. According to Erikson, which psychosocial task is the priority for a 6-year-old?
A. Trust vs. mistrust
B. Autonomy vs. shame
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct: D Industry vs. inferiority is the school-age task (6–12 years). Initiative vs. guilt is
preschool (3–6). Trust is infancy, autonomy is toddler.
9. A nurse is teaching a parent about Piaget's stages. A 10-year-old is in which stage?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Correct: C Concrete operational (7–11 years) involves logical thought about concrete
objects. Formal operational begins at 11–12 years.
10. A nurse is assessing a 2-month-old. Which finding requires immediate follow-up?
A. Posterior fontanel closed
B. Moro reflex present
C. Head lag when pulled to sit
D. Inability to track past midline
Correct: D Tracking past midline is expected by 2–3 months; inability at 2 months may
be normal but is a red flag if absent. The posterior fontanel closes by 2–3 months (normal),
Moro present at 2 months (normal), and head lag is expected until 4 months.
11. A nurse is providing discharge teaching to the parents of a 6-month-old. Which statement
indicates a need for further teaching?
A. "I will give her iron-fortified cereal."
B. "I will introduce one new food at a time."
C. "I will give her whole milk now."
D. "I will avoid honey until she is 1 year old."
Correct: C Whole milk is not given until 12 months. Iron-fortified cereal, one food at a
time, and avoiding honey are all correct.
12. A nurse is assessing a 12-month-old. Which milestone should the nurse expect?
A. Says 2–3 words
B. Walks backward
Test Bank (Latest-2021)
1. A nurse is assessing a 6-month-old infant. Which of the following findings should the nurse
expect?
A. Birth weight doubled
B. Able to sit without support
C. Moro reflex present
D. Pincer grasp present
Correct: A Birth weight doubles by 5–6 months; it triples by 12 months. Sitting without
support occurs at 8 months, Moro reflex disappears by 4 months, and pincer grasp develops at
9–10 months.
2. A nurse is teaching parents about expected developmental milestones. Which statement by
a parent indicates understanding of a 2-year-old's language development?
A. "She should speak in 3- to 4-word sentences."
B. "She should have a 300-word vocabulary."
C. "She should be able to tell a short story."
D. "She should use pronouns correctly."
Correct: A A 2-year-old uses 2- to 3-word (up to 3–4 word) sentences and has a
vocabulary of about 300 words by age 2, but storytelling and correct pronoun use are later skills
(preschool).
3. A nurse is assessing a 4-month-old infant. Which reflex should have disappeared by this
age?
A. Sucking
B. Rooting
C. Moro
D. Palmar grasp
Correct: C The Moro reflex disappears by 4 months. Rooting disappears by 4 months as
well in many texts, but the Moro is the classic "should be gone by 4 months" reflex. Sucking and
palmar grasp persist longer (palmar grasp disappears ~4–6 months).
,4. Which of the following is an expected finding in a 5-year-old child?
A. Can tie shoelaces
B. Can skip and hop on one foot
C. Has a 2,000-word vocabulary
D. Can write full sentences
Correct: B Skipping and hopping on one foot are expected gross motor skills at age 4–5.
Tying shoelaces is typically age 6, vocabulary ~2,100 words by age 5, and writing full sentences
is age 6–7.
5. A nurse is providing anticipatory guidance to the parent of a 9-month-old. Which safety
measure is priority?
A. Installing stair gates
B. Removing small objects from the floor
C. Using a rear-facing car seat
D. Placing the infant in a forward-facing car seat
Correct: B At 9 months, the infant has a pincer grasp and puts everything in the mouth,
so choking prevention is priority. Stair gates are important but choking is the highest risk at this
age. Rear-facing car seat until age 2.
6. SATA: A nurse is assessing a 15-month-old. Which findings are expected? (Select all that
apply.)
A. Walks independently
B. Stacks 2 blocks
C. Says 3–5 words
D. Uses a spoon with some spilling
E. Has a 50-word vocabulary
Correct: A, B, C, D At 15 months the toddler walks alone, stacks 2 blocks, says 3–5 words
(some sources 4–6), and uses a spoon with spilling. A 50-word vocabulary is expected at 18–24
months.
7. A nurse is assessing a 3-year-old. Which behavior indicates a need for further evaluation?
A. Parallel play
B. Unable to pedal a tricycle
C. Frequent temper tantrums
D. Toilet training completed
Correct: B Pedaling a tricycle is expected by age 3. Inability suggests gross motor delay.
Parallel play, tantrums, and toilet training are all normal at age 3.
, 8. According to Erikson, which psychosocial task is the priority for a 6-year-old?
A. Trust vs. mistrust
B. Autonomy vs. shame
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct: D Industry vs. inferiority is the school-age task (6–12 years). Initiative vs. guilt is
preschool (3–6). Trust is infancy, autonomy is toddler.
9. A nurse is teaching a parent about Piaget's stages. A 10-year-old is in which stage?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Correct: C Concrete operational (7–11 years) involves logical thought about concrete
objects. Formal operational begins at 11–12 years.
10. A nurse is assessing a 2-month-old. Which finding requires immediate follow-up?
A. Posterior fontanel closed
B. Moro reflex present
C. Head lag when pulled to sit
D. Inability to track past midline
Correct: D Tracking past midline is expected by 2–3 months; inability at 2 months may
be normal but is a red flag if absent. The posterior fontanel closes by 2–3 months (normal),
Moro present at 2 months (normal), and head lag is expected until 4 months.
11. A nurse is providing discharge teaching to the parents of a 6-month-old. Which statement
indicates a need for further teaching?
A. "I will give her iron-fortified cereal."
B. "I will introduce one new food at a time."
C. "I will give her whole milk now."
D. "I will avoid honey until she is 1 year old."
Correct: C Whole milk is not given until 12 months. Iron-fortified cereal, one food at a
time, and avoiding honey are all correct.
12. A nurse is assessing a 12-month-old. Which milestone should the nurse expect?
A. Says 2–3 words
B. Walks backward
