ATI PEDIATRICS PROCTORED EXAM RN
Questions and Answers| Latest Update| Pass
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ATI Pediatrics Proctored Exam RN Practice Test
Verified Questions & Answers with Detailed Rationales (2026/2027 Update)
SECTION 1: GROWTH & DEVELOPMENT
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which of
the following findings should the nurse report to the provider as a potential
developmental delay?
A. The infant rolls from back to abdomen
B. The infant has a social smile
C. The infant bears weight on the legs when held upright
D. The infant has poor head control when pulled to a sitting position
Correct Answer: D. The infant has poor head control when pulled to a sitting
position. Rationale: By 6 months, an infant should have strong head control and
be able to sit with support. Poor head control at this age is a red flag for a
neuromuscular or developmental delay. Rolling over (A), social smile (B), and
bearing weight on legs (C) are all appropriate milestones for this age .
2. A nurse is performing a developmental screening on a 4-year-old child. Which
of the following milestones is appropriate for the nurse to expect the child to
achieve?
A. Ties shoelaces
B. Draws a circle
,C. Uses a fork to eat independently
D. Rides a tricycle
Correct Answer: B. Draws a circle. Rationale: By age 4, a child should be able to
copy a circle and draw a person with 2-4 body parts. Tying shoelaces (A) is a fine
motor skill expected around age 5-6. Using a fork independently (C) is typically
seen by age 3-4, but drawing a circle is a more specific and expected milestone for
age 4. Riding a tricycle (D) is typically achieved by age 3 .
3. A nurse is teaching a parent of a 12-month-old child about development
during the toddler years. Which of the following statements should the nurse
include?
A. "Your child should be referring to himself using the appropriate pronoun by 18
months of age."
B. "A toddler's interest in looking at pictures occurs at 20 months of age."
C. "A toddler should have daytime control of his bowel and bladder by 24 months
of age."
D. "Your child should be able to scribble spontaneously using a crayon at the age
of 15 months."
Correct Answer: D. "Your child should be able to scribble spontaneously using a
crayon at the age of 15 months." Rationale: A 15-month-old toddler should be
able to scribble spontaneously with a crayon. Appropriate pronoun use typically
occurs around 2-3 years. Interest in pictures occurs earlier. Daytime bowel and
bladder control is typically achieved around 2.5-3 years .
4. A nurse is assessing a 2-year-old child. Which of the following findings should
the nurse expect?
A. The child can say 2-3 word sentences
B. The child can hop on one foot
,C. The child can build a tower of 6 blocks
D. The child can draw a person with 2 body parts
Correct Answer: A. The child can say 2-3 word sentences. Rationale: By age 2, a
child should be able to speak in 2-3 word sentences. Hopping on one foot is a 4-
year milestone. Building a tower of 6 blocks is a 3-year milestone. Drawing a
person with 2 body parts is a 4-year milestone .
5. A nurse is collecting data from a 10-month-old infant. Which of the following
findings should the nurse report to the provider?
A. Pulls self to standing position
B. Moves by creeping on hands and knees
C. Takes intentional steps when standing
D. Sits with support by leaning on hands
Correct Answer: C. Takes intentional steps when standing. Rationale: Taking
intentional steps when standing is a milestone expected around 12 months, not 10
months. Pulling to stand, creeping on hands and knees, and sitting with support
are all appropriate for a 10-month-old .
6. A nurse is assessing a 12-month-old infant. Which of the following findings
should the nurse expect?
A. Walks independently
B. Builds a tower of 2 cubes
C. Says 2-3 words besides "mama" and "dada"
D. Uses a pincer grasp
Correct 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 .
, 7. The nurse is assessing a preschooler's development. Which of the following
findings indicates the child is meeting expected milestones?
A. The child engages in parallel play
B. The child engages in cooperative play
C. The child engages in solitary play
D. The child engages in onlooker play
Correct Answer: B. The child engages in cooperative play. Rationale:
Preschoolers (ages 3-6) engage in cooperative play, where they play together and
share. Parallel play is typical of toddlers. Solitary play is typical of infants/toddlers.
Onlooker play is typical of toddlers .
8. A nurse is assessing a 5-year-old child. Which of the following findings should
the nurse expect regarding language development?
A. The child uses 2-3 word phrases
B. The child has a vocabulary of 50 words
C. The child can tell a simple story
D. The child cannot follow simple commands
Correct Answer: C. The child can tell a simple story. Rationale: By age 5, a child
should be able to tell a simple story and speak in complete sentences. A 2-year-old
uses 2-3 word phrases. A 2-year-old has a vocabulary of 50 words. A 5-year-old
can follow simple commands .
9. A nurse is providing teaching about play activities for social development to
the guardians of a preschooler. Which of the following play activities should the
nurse recommend for the child?
A. Playing dress-up
B. Playing with blocks alone
Questions and Answers| Latest Update| Pass
Guaranteed
ATI Pediatrics Proctored Exam RN Practice Test
Verified Questions & Answers with Detailed Rationales (2026/2027 Update)
SECTION 1: GROWTH & DEVELOPMENT
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which of
the following findings should the nurse report to the provider as a potential
developmental delay?
A. The infant rolls from back to abdomen
B. The infant has a social smile
C. The infant bears weight on the legs when held upright
D. The infant has poor head control when pulled to a sitting position
Correct Answer: D. The infant has poor head control when pulled to a sitting
position. Rationale: By 6 months, an infant should have strong head control and
be able to sit with support. Poor head control at this age is a red flag for a
neuromuscular or developmental delay. Rolling over (A), social smile (B), and
bearing weight on legs (C) are all appropriate milestones for this age .
2. A nurse is performing a developmental screening on a 4-year-old child. Which
of the following milestones is appropriate for the nurse to expect the child to
achieve?
A. Ties shoelaces
B. Draws a circle
,C. Uses a fork to eat independently
D. Rides a tricycle
Correct Answer: B. Draws a circle. Rationale: By age 4, a child should be able to
copy a circle and draw a person with 2-4 body parts. Tying shoelaces (A) is a fine
motor skill expected around age 5-6. Using a fork independently (C) is typically
seen by age 3-4, but drawing a circle is a more specific and expected milestone for
age 4. Riding a tricycle (D) is typically achieved by age 3 .
3. A nurse is teaching a parent of a 12-month-old child about development
during the toddler years. Which of the following statements should the nurse
include?
A. "Your child should be referring to himself using the appropriate pronoun by 18
months of age."
B. "A toddler's interest in looking at pictures occurs at 20 months of age."
C. "A toddler should have daytime control of his bowel and bladder by 24 months
of age."
D. "Your child should be able to scribble spontaneously using a crayon at the age
of 15 months."
Correct Answer: D. "Your child should be able to scribble spontaneously using a
crayon at the age of 15 months." Rationale: A 15-month-old toddler should be
able to scribble spontaneously with a crayon. Appropriate pronoun use typically
occurs around 2-3 years. Interest in pictures occurs earlier. Daytime bowel and
bladder control is typically achieved around 2.5-3 years .
4. A nurse is assessing a 2-year-old child. Which of the following findings should
the nurse expect?
A. The child can say 2-3 word sentences
B. The child can hop on one foot
,C. The child can build a tower of 6 blocks
D. The child can draw a person with 2 body parts
Correct Answer: A. The child can say 2-3 word sentences. Rationale: By age 2, a
child should be able to speak in 2-3 word sentences. Hopping on one foot is a 4-
year milestone. Building a tower of 6 blocks is a 3-year milestone. Drawing a
person with 2 body parts is a 4-year milestone .
5. A nurse is collecting data from a 10-month-old infant. Which of the following
findings should the nurse report to the provider?
A. Pulls self to standing position
B. Moves by creeping on hands and knees
C. Takes intentional steps when standing
D. Sits with support by leaning on hands
Correct Answer: C. Takes intentional steps when standing. Rationale: Taking
intentional steps when standing is a milestone expected around 12 months, not 10
months. Pulling to stand, creeping on hands and knees, and sitting with support
are all appropriate for a 10-month-old .
6. A nurse is assessing a 12-month-old infant. Which of the following findings
should the nurse expect?
A. Walks independently
B. Builds a tower of 2 cubes
C. Says 2-3 words besides "mama" and "dada"
D. Uses a pincer grasp
Correct 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 .
, 7. The nurse is assessing a preschooler's development. Which of the following
findings indicates the child is meeting expected milestones?
A. The child engages in parallel play
B. The child engages in cooperative play
C. The child engages in solitary play
D. The child engages in onlooker play
Correct Answer: B. The child engages in cooperative play. Rationale:
Preschoolers (ages 3-6) engage in cooperative play, where they play together and
share. Parallel play is typical of toddlers. Solitary play is typical of infants/toddlers.
Onlooker play is typical of toddlers .
8. A nurse is assessing a 5-year-old child. Which of the following findings should
the nurse expect regarding language development?
A. The child uses 2-3 word phrases
B. The child has a vocabulary of 50 words
C. The child can tell a simple story
D. The child cannot follow simple commands
Correct Answer: C. The child can tell a simple story. Rationale: By age 5, a child
should be able to tell a simple story and speak in complete sentences. A 2-year-old
uses 2-3 word phrases. A 2-year-old has a vocabulary of 50 words. A 5-year-old
can follow simple commands .
9. A nurse is providing teaching about play activities for social development to
the guardians of a preschooler. Which of the following play activities should the
nurse recommend for the child?
A. Playing dress-up
B. Playing with blocks alone
