ATI Pediatric Proctored Exam (25 Versions,
2022) / Pediatric ATI Proctored Exam / ATI
Peds Proctored Exam / Peds ATI Proctored
|Best Document for A.T.I Exam
Section 1: Growth & Development (Questions 1–15)
1. A nurse is assessing a 6-month-old infant. Which of the following findings should the nurse
expect?
A. Birth weight has doubled.
B. The infant can sit without support.
C. The infant has a pincer grasp.
D. The infant can roll from abdomen to back.
Correct Answer: A. Birth weight has doubled.
Rationale: Birth weight doubles by 5–6 months and triples by 12 months. Sitting without
support occurs at 8 months. Pincer grasp occurs at 9–10 months. Rolling from abdomen to back
occurs at 5–6 months, but doubling birth weight is the most definitive expected finding at 6
months.
2. A nurse is providing anticipatory guidance to the parents of a 2-year-old. Which of the
following statements by the parent indicates a need for further teaching?
A. "I will give my child a small toy to hold during diaper changes."
B. "I will use a car seat in the rear-facing position."
C. "I will offer my child a choice between two snacks."
D. "I will expect my child to share toys with others."
Correct Answer: D. "I will expect my child to share toys with others."
Rationale: Toddlers are egocentric and do not understand sharing. Sharing is a
developmental milestone for preschoolers (3–5 years). The other statements are appropriate.
3. A nurse is assessing a 4-year-old child. Which of the following gross motor skills should the
nurse expect?
A. Skipping on one foot
B. Riding a tricycle
,C. Hopping on one foot
D. Throwing a ball overhand
Correct Answer: C. Hopping on one foot.
Rationale: A 4-year-old can hop on one foot. Skipping is expected at 5 years. Riding a
tricycle is expected at 3 years. Throwing a ball overhand is expected at 2–3 years.
4. A nurse is teaching a parent about toilet training. Which of the following should the nurse
include?
A. Begin training at 12 months of age.
B. Use punishment for accidents.
C. Assess for readiness signs such as staying dry for 2 hours.
D. Start training during a stressful life event.
Correct Answer: C. Assess for readiness signs such as staying dry for 2 hours.
Rationale: Toilet training readiness includes staying dry for at least 2 hours, showing interest
in the toilet, and being able to pull pants up/down. Training typically begins at 18–24 months.
Punishment is harmful. Stressful events delay readiness.
5. A nurse is assessing a 9-month-old infant. Which of the following findings indicates a
developmental delay?
A. The infant can sit without support.
B. The infant cannot roll over.
C. The infant has a pincer grasp.
D. The infant says "mama" and "dada."
Correct Answer: B. The infant cannot roll over.
Rationale: Rolling over is expected by 5–6 months. Inability to roll at 9 months indicates a
delay. Sitting without support (8 months), pincer grasp (9–10 months), and saying "mama/dada"
(9–10 months) are all expected.
6. A nurse is providing education to the parents of a 5-year-old. Which of the following is the
leading cause of death in this age group?
A. Drowning
B. Motor vehicle accidents
C. Burns
D. Poisoning
Correct Answer: B. Motor vehicle accidents.
Rationale: Motor vehicle accidents are the leading cause of death in children over 1 year of
,age. Drowning is the leading cause of death in children 1–4 years. Burns and poisoning are
common but not the leading cause.
7. A nurse is assessing a 12-month-old infant. Which of the following findings should the
nurse report to the provider?
A. The infant has a positive Babinski reflex.
B. The infant has a negative Moro reflex.
C. The infant has a positive tonic neck reflex.
D. The infant has a positive rooting reflex.
Correct Answer: C. The infant has a positive tonic neck reflex.
Rationale: The tonic neck reflex (fencing reflex) should disappear by 3–4 months.
Persistence at 12 months indicates neurological abnormality. Babinski is normal until 12
months. Moro disappears by 4 months. Rooting disappears by 4 months.
8. A nurse is teaching a parent about sleep patterns for a 3-month-old infant. Which of the
following should the nurse include?
A. The infant should sleep 8–10 hours per night.
B. The infant should sleep in the prone position.
C. The infant should have 2–3 naps per day.
D. The infant should sleep with a pillow.
Correct Answer: C. The infant should have 2–3 naps per day.
Rationale: A 3-month-old typically sleeps 14–16 hours per day, including 2–3 naps. Infants
should sleep supine (back) to prevent SIDS. Pillows are not recommended in cribs.
9. A nurse is assessing a 15-month-old toddler. Which of the following fine motor skills should
the nurse expect?
A. Building a tower of 6 blocks
B. Scribbling with a crayon
C. Drawing a circle
D. Using a spoon independently
Correct Answer: B. Scribbling with a crayon.
Rationale: Scribbling is expected at 15 months. Building a tower of 6 blocks is expected at 2
years. Drawing a circle is expected at 3 years. Using a spoon independently is expected at 18–24
months.
10. A nurse is providing anticipatory guidance to the parents of a 6-year-old. Which of the
following should the nurse include about injury prevention?
A. "Your child should wear a helmet when riding a bicycle."
, B. "Your child can safely cross the street alone."
C. "Your child should use a booster seat in the car."
D. "Your child can swim unsupervised."
Correct Answer: A. "Your child should wear a helmet when riding a bicycle."
Rationale: Helmet use is essential for bike safety. Children under 10 should not cross the
street alone. Booster seats are typically used until 8–12 years or 4'9" tall. Unsupervised
swimming is unsafe.
11. A nurse is assessing a 2-month-old infant during a well-child visit. Which of the following
findings should the nurse expect?
A. Social smile
B. Head control
C. Rolling over
D. Sitting with support
Correct Answer: A. Social smile.
Rationale: Social smile is expected at 2 months. Head control is expected at 4 months.
Rolling over is expected at 5–6 months. Sitting with support is expected at 6–8 months.
12. A nurse is teaching a parent about the introduction of solid foods. Which of the following
should the nurse recommend as the first food?
A. Iron-fortified cereal
B. Pureed fruits
C. Whole milk
D. Eggs
Correct Answer: A. Iron-fortified cereal.
Rationale: Iron-fortified cereal is typically the first solid food introduced at 6 months. Fruits
and vegetables are introduced after cereal. Whole milk is not recommended until 12 months.
Eggs are introduced after 6 months but are not the first food.
13. A nurse is assessing a 3-year-old child. Which of the following language milestones should
the nurse expect?
A. Using 2–3 word sentences
B. Using 4–5 word sentences
C. Speaking in full sentences with correct grammar
D. Using 10–20 words
2022) / Pediatric ATI Proctored Exam / ATI
Peds Proctored Exam / Peds ATI Proctored
|Best Document for A.T.I Exam
Section 1: Growth & Development (Questions 1–15)
1. A nurse is assessing a 6-month-old infant. Which of the following findings should the nurse
expect?
A. Birth weight has doubled.
B. The infant can sit without support.
C. The infant has a pincer grasp.
D. The infant can roll from abdomen to back.
Correct Answer: A. Birth weight has doubled.
Rationale: Birth weight doubles by 5–6 months and triples by 12 months. Sitting without
support occurs at 8 months. Pincer grasp occurs at 9–10 months. Rolling from abdomen to back
occurs at 5–6 months, but doubling birth weight is the most definitive expected finding at 6
months.
2. A nurse is providing anticipatory guidance to the parents of a 2-year-old. Which of the
following statements by the parent indicates a need for further teaching?
A. "I will give my child a small toy to hold during diaper changes."
B. "I will use a car seat in the rear-facing position."
C. "I will offer my child a choice between two snacks."
D. "I will expect my child to share toys with others."
Correct Answer: D. "I will expect my child to share toys with others."
Rationale: Toddlers are egocentric and do not understand sharing. Sharing is a
developmental milestone for preschoolers (3–5 years). The other statements are appropriate.
3. A nurse is assessing a 4-year-old child. Which of the following gross motor skills should the
nurse expect?
A. Skipping on one foot
B. Riding a tricycle
,C. Hopping on one foot
D. Throwing a ball overhand
Correct Answer: C. Hopping on one foot.
Rationale: A 4-year-old can hop on one foot. Skipping is expected at 5 years. Riding a
tricycle is expected at 3 years. Throwing a ball overhand is expected at 2–3 years.
4. A nurse is teaching a parent about toilet training. Which of the following should the nurse
include?
A. Begin training at 12 months of age.
B. Use punishment for accidents.
C. Assess for readiness signs such as staying dry for 2 hours.
D. Start training during a stressful life event.
Correct Answer: C. Assess for readiness signs such as staying dry for 2 hours.
Rationale: Toilet training readiness includes staying dry for at least 2 hours, showing interest
in the toilet, and being able to pull pants up/down. Training typically begins at 18–24 months.
Punishment is harmful. Stressful events delay readiness.
5. A nurse is assessing a 9-month-old infant. Which of the following findings indicates a
developmental delay?
A. The infant can sit without support.
B. The infant cannot roll over.
C. The infant has a pincer grasp.
D. The infant says "mama" and "dada."
Correct Answer: B. The infant cannot roll over.
Rationale: Rolling over is expected by 5–6 months. Inability to roll at 9 months indicates a
delay. Sitting without support (8 months), pincer grasp (9–10 months), and saying "mama/dada"
(9–10 months) are all expected.
6. A nurse is providing education to the parents of a 5-year-old. Which of the following is the
leading cause of death in this age group?
A. Drowning
B. Motor vehicle accidents
C. Burns
D. Poisoning
Correct Answer: B. Motor vehicle accidents.
Rationale: Motor vehicle accidents are the leading cause of death in children over 1 year of
,age. Drowning is the leading cause of death in children 1–4 years. Burns and poisoning are
common but not the leading cause.
7. A nurse is assessing a 12-month-old infant. Which of the following findings should the
nurse report to the provider?
A. The infant has a positive Babinski reflex.
B. The infant has a negative Moro reflex.
C. The infant has a positive tonic neck reflex.
D. The infant has a positive rooting reflex.
Correct Answer: C. The infant has a positive tonic neck reflex.
Rationale: The tonic neck reflex (fencing reflex) should disappear by 3–4 months.
Persistence at 12 months indicates neurological abnormality. Babinski is normal until 12
months. Moro disappears by 4 months. Rooting disappears by 4 months.
8. A nurse is teaching a parent about sleep patterns for a 3-month-old infant. Which of the
following should the nurse include?
A. The infant should sleep 8–10 hours per night.
B. The infant should sleep in the prone position.
C. The infant should have 2–3 naps per day.
D. The infant should sleep with a pillow.
Correct Answer: C. The infant should have 2–3 naps per day.
Rationale: A 3-month-old typically sleeps 14–16 hours per day, including 2–3 naps. Infants
should sleep supine (back) to prevent SIDS. Pillows are not recommended in cribs.
9. A nurse is assessing a 15-month-old toddler. Which of the following fine motor skills should
the nurse expect?
A. Building a tower of 6 blocks
B. Scribbling with a crayon
C. Drawing a circle
D. Using a spoon independently
Correct Answer: B. Scribbling with a crayon.
Rationale: Scribbling is expected at 15 months. Building a tower of 6 blocks is expected at 2
years. Drawing a circle is expected at 3 years. Using a spoon independently is expected at 18–24
months.
10. A nurse is providing anticipatory guidance to the parents of a 6-year-old. Which of the
following should the nurse include about injury prevention?
A. "Your child should wear a helmet when riding a bicycle."
, B. "Your child can safely cross the street alone."
C. "Your child should use a booster seat in the car."
D. "Your child can swim unsupervised."
Correct Answer: A. "Your child should wear a helmet when riding a bicycle."
Rationale: Helmet use is essential for bike safety. Children under 10 should not cross the
street alone. Booster seats are typically used until 8–12 years or 4'9" tall. Unsupervised
swimming is unsafe.
11. A nurse is assessing a 2-month-old infant during a well-child visit. Which of the following
findings should the nurse expect?
A. Social smile
B. Head control
C. Rolling over
D. Sitting with support
Correct Answer: A. Social smile.
Rationale: Social smile is expected at 2 months. Head control is expected at 4 months.
Rolling over is expected at 5–6 months. Sitting with support is expected at 6–8 months.
12. A nurse is teaching a parent about the introduction of solid foods. Which of the following
should the nurse recommend as the first food?
A. Iron-fortified cereal
B. Pureed fruits
C. Whole milk
D. Eggs
Correct Answer: A. Iron-fortified cereal.
Rationale: Iron-fortified cereal is typically the first solid food introduced at 6 months. Fruits
and vegetables are introduced after cereal. Whole milk is not recommended until 12 months.
Eggs are introduced after 6 months but are not the first food.
13. A nurse is assessing a 3-year-old child. Which of the following language milestones should
the nurse expect?
A. Using 2–3 word sentences
B. Using 4–5 word sentences
C. Speaking in full sentences with correct grammar
D. Using 10–20 words
