ATI Pediatrics Proctored Exam (35 Versions,
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ATI Peds Proctored Exam / Peds ATI Proctored
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Section 1: Growth and Development
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following
findings should the nurse expect?
A. The infant has a pincer grasp.
B. The infant can sit without support.
C. The infant has a positive Babinski reflex.
D. The infant can roll from abdomen to back.
Correct Answer: D
Rationale: Rolling from abdomen to back is a major gross motor milestone typically
achieved at 5-6 months. A pincer grasp (A) develops at 9-10 months. Sitting without support (B)
is achieved at 8 months. A positive Babinski reflex (C) is normal until 1 year of age, but rolling is
a more specific 6-month milestone.
2. A nurse is teaching the parents of a 2-year-old toddler about toilet training. Which of the
following statements by the parent indicates an understanding of the teaching?
A. "I should start training as soon as he can walk."
B. "I will punish him for accidents to make him learn faster."
C. "I should look for signs of readiness, like staying dry for 2 hours."
D. "I will start training at night before daytime training."
Correct Answer: C
Rationale: Signs of readiness for toilet training include staying dry for at least 2 hours,
showing interest in the toilet, and being able to pull pants up and down. Starting too early (A) or
punishing accidents (B) can cause regression. Nighttime training (D) usually comes after daytime
success.
3. A nurse is assessing a 4-year-old child. Which of the following behaviors should the nurse
expect?
A. Engaging in cooperative play.
B. Having a vocabulary of 1,500 words.
C. Being able to hop on one foot.
,D. Understanding the concept of death as final.
Correct Answer: C
Rationale: Hopping on one foot is a gross motor milestone for a 4-year-old. Cooperative
play (A) is typical of a 5-year-old. A vocabulary of 1,500 words (B) is more typical of a 4-5 year
old, but hopping is a classic 4-year milestone. Understanding death as final (D) is a concept for
school-age children (7-10 years).
4. A nurse is caring for an adolescent. According to Erikson, which of the following is the
primary developmental task of this stage?
A. Trust vs. Mistrust
B. Industry vs. Inferiority
C. Identity vs. Role Confusion
D. Intimacy vs. Isolation
Correct Answer: C
Rationale: The psychosocial crisis of adolescence (12-18 years) is Identity vs. Role
Confusion. Trust vs. Mistrust (A) is infancy. Industry vs. Inferiority (B) is school-age. Intimacy vs.
Isolation (D) is young adulthood.
5. A nurse is performing a developmental screening on a 9-month-old infant. Which of the
following findings should the nurse report to the provider?
A. The infant sits steadily without support.
B. The infant does not respond to their own name.
C. The infant has a crude pincer grasp.
D. The infant can pull themselves to a standing position.
Correct Answer: B
Rationale: By 9 months, an infant should respond to their name. Failure to do so is a red flag
for developmental delay or hearing impairment. Sitting steadily (A) and a crude pincer grasp (C)
are expected at 8-9 months. Pulling to stand (D) is a 9-month milestone.
6. A nurse is providing anticipatory guidance to the parent of a 15-month-old toddler. Which
of the following should the nurse include?
A. "Your child should be able to build a tower of 6 blocks."
B. "You can begin using a forward-facing car seat."
C. "Expect your child to have a vocabulary of 10-20 words."
D. "Your child should be able to draw a circle."
Correct Answer: C
Rationale: A 15-month-old typically has a vocabulary of 10-20 words. Building a tower of 6
blocks (A) is a 2-year milestone. A forward-facing car seat (B) is recommended when the child
,reaches the maximum height/weight for the rear-facing seat, usually around age 2-4. Drawing a
circle (D) is a 3-year milestone.
7. A nurse is assessing a 5-year-old child. Which of the following findings indicates a potential
delay in fine motor skills?
A. The child can button their own clothes.
B. The child can use scissors to cut a straight line.
C. The child cannot draw a person with 6 parts.
D. The child can tie their own shoelaces.
Correct Answer: C
Rationale: A 5-year-old should be able to draw a person with at least 6 body parts. Inability
to do so may indicate a fine motor or cognitive delay. Buttoning (A), cutting with scissors (B),
and tying shoelaces (D) are all expected for a 5-year-old.
8. A nurse is discussing the concept of object permanence with a parent. At which age should
the nurse expect a child to have developed this concept?
A. 2 months
B. 4 months
C. 8 months
D. 12 months
Correct Answer: C
Rationale: Object permanence, the understanding that objects continue to exist even when
they cannot be seen, typically develops around 8 months of age. This is why peek-a-boo
becomes a fun game at this age.
9. A nurse is caring for a 3-year-old child. Which of the following play activities is most
appropriate for this child?
A. Playing a board game with rules.
B. Riding a tricycle.
C. Playing video games.
D. Building a complex Lego model.
Correct Answer: B
Rationale: A 3-year-old is in the associative play stage and has the gross motor skills to ride
a tricycle. Board games with rules (A) are for school-age children. Video games (C) and complex
Lego models (D) require fine motor and cognitive skills beyond a typical 3-year-old.
10. A nurse is assessing a 12-month-old infant. Which of the following reflexes should the
nurse expect to be present?
A. Moro reflex
, B. Rooting reflex
C. Babinski reflex
D. Palmar grasp reflex
Correct Answer: C
Rationale: The Babinski reflex is present until about 1 year of age. The Moro (A), rooting (B),
and palmar grasp (D) reflexes should have disappeared by 4-6 months.
11. A nurse is teaching a parent about the sleep patterns of a 6-month-old infant. Which of
the following statements by the parent indicates a need for further teaching?
A. "My baby should sleep about 14 hours a day, including naps."
B. "I should put my baby to sleep on their back."
C. "My baby should be able to sleep through the night without a feeding."
D. "I should place a pillow in the crib to prevent flat head."
Correct Answer: D
Rationale: Pillows should never be placed in an infant's crib due to the risk of suffocation
and SIDS. Sleeping 14 hours a day (A), putting the baby on their back (B), and sleeping through
the night (C) are all appropriate for a 6-month-old.
12. A nurse is assessing a 2-year-old child's language development. Which of the following
should the nurse expect?
A. The child can speak in full sentences.
B. The child uses two- to three-word phrases.
C. The child can tell a short story.
D. The child's speech is 100% understandable.
Correct Answer: B
Rationale: A 2-year-old typically uses two- to three-word phrases (e.g., "more milk"). Full
sentences (A) and telling stories (C) are for older preschoolers. Speech is usually only about 50%
understandable to strangers at age 2 (D).
13. A nurse is providing education to the parents of a 6-year-old child. According to Piaget,
which stage of cognitive development is this child in?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Correct Answer: C
Rationale: The concrete operational stage (7-11 years) is characterized by logical thinking
about concrete events. A 6-year-old is transitioning from the preoperational stage (B) to
concrete operational, but for the purpose of this question, concrete operational is the expected
New-2022) / Pediatrics ATI Proctored Exam /
ATI Peds Proctored Exam / Peds ATI Proctored
|Best Document to Secure HIGHSCORE
Section 1: Growth and Development
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following
findings should the nurse expect?
A. The infant has a pincer grasp.
B. The infant can sit without support.
C. The infant has a positive Babinski reflex.
D. The infant can roll from abdomen to back.
Correct Answer: D
Rationale: Rolling from abdomen to back is a major gross motor milestone typically
achieved at 5-6 months. A pincer grasp (A) develops at 9-10 months. Sitting without support (B)
is achieved at 8 months. A positive Babinski reflex (C) is normal until 1 year of age, but rolling is
a more specific 6-month milestone.
2. A nurse is teaching the parents of a 2-year-old toddler about toilet training. Which of the
following statements by the parent indicates an understanding of the teaching?
A. "I should start training as soon as he can walk."
B. "I will punish him for accidents to make him learn faster."
C. "I should look for signs of readiness, like staying dry for 2 hours."
D. "I will start training at night before daytime training."
Correct Answer: C
Rationale: Signs of readiness for toilet training include staying dry for at least 2 hours,
showing interest in the toilet, and being able to pull pants up and down. Starting too early (A) or
punishing accidents (B) can cause regression. Nighttime training (D) usually comes after daytime
success.
3. A nurse is assessing a 4-year-old child. Which of the following behaviors should the nurse
expect?
A. Engaging in cooperative play.
B. Having a vocabulary of 1,500 words.
C. Being able to hop on one foot.
,D. Understanding the concept of death as final.
Correct Answer: C
Rationale: Hopping on one foot is a gross motor milestone for a 4-year-old. Cooperative
play (A) is typical of a 5-year-old. A vocabulary of 1,500 words (B) is more typical of a 4-5 year
old, but hopping is a classic 4-year milestone. Understanding death as final (D) is a concept for
school-age children (7-10 years).
4. A nurse is caring for an adolescent. According to Erikson, which of the following is the
primary developmental task of this stage?
A. Trust vs. Mistrust
B. Industry vs. Inferiority
C. Identity vs. Role Confusion
D. Intimacy vs. Isolation
Correct Answer: C
Rationale: The psychosocial crisis of adolescence (12-18 years) is Identity vs. Role
Confusion. Trust vs. Mistrust (A) is infancy. Industry vs. Inferiority (B) is school-age. Intimacy vs.
Isolation (D) is young adulthood.
5. A nurse is performing a developmental screening on a 9-month-old infant. Which of the
following findings should the nurse report to the provider?
A. The infant sits steadily without support.
B. The infant does not respond to their own name.
C. The infant has a crude pincer grasp.
D. The infant can pull themselves to a standing position.
Correct Answer: B
Rationale: By 9 months, an infant should respond to their name. Failure to do so is a red flag
for developmental delay or hearing impairment. Sitting steadily (A) and a crude pincer grasp (C)
are expected at 8-9 months. Pulling to stand (D) is a 9-month milestone.
6. A nurse is providing anticipatory guidance to the parent of a 15-month-old toddler. Which
of the following should the nurse include?
A. "Your child should be able to build a tower of 6 blocks."
B. "You can begin using a forward-facing car seat."
C. "Expect your child to have a vocabulary of 10-20 words."
D. "Your child should be able to draw a circle."
Correct Answer: C
Rationale: A 15-month-old typically has a vocabulary of 10-20 words. Building a tower of 6
blocks (A) is a 2-year milestone. A forward-facing car seat (B) is recommended when the child
,reaches the maximum height/weight for the rear-facing seat, usually around age 2-4. Drawing a
circle (D) is a 3-year milestone.
7. A nurse is assessing a 5-year-old child. Which of the following findings indicates a potential
delay in fine motor skills?
A. The child can button their own clothes.
B. The child can use scissors to cut a straight line.
C. The child cannot draw a person with 6 parts.
D. The child can tie their own shoelaces.
Correct Answer: C
Rationale: A 5-year-old should be able to draw a person with at least 6 body parts. Inability
to do so may indicate a fine motor or cognitive delay. Buttoning (A), cutting with scissors (B),
and tying shoelaces (D) are all expected for a 5-year-old.
8. A nurse is discussing the concept of object permanence with a parent. At which age should
the nurse expect a child to have developed this concept?
A. 2 months
B. 4 months
C. 8 months
D. 12 months
Correct Answer: C
Rationale: Object permanence, the understanding that objects continue to exist even when
they cannot be seen, typically develops around 8 months of age. This is why peek-a-boo
becomes a fun game at this age.
9. A nurse is caring for a 3-year-old child. Which of the following play activities is most
appropriate for this child?
A. Playing a board game with rules.
B. Riding a tricycle.
C. Playing video games.
D. Building a complex Lego model.
Correct Answer: B
Rationale: A 3-year-old is in the associative play stage and has the gross motor skills to ride
a tricycle. Board games with rules (A) are for school-age children. Video games (C) and complex
Lego models (D) require fine motor and cognitive skills beyond a typical 3-year-old.
10. A nurse is assessing a 12-month-old infant. Which of the following reflexes should the
nurse expect to be present?
A. Moro reflex
, B. Rooting reflex
C. Babinski reflex
D. Palmar grasp reflex
Correct Answer: C
Rationale: The Babinski reflex is present until about 1 year of age. The Moro (A), rooting (B),
and palmar grasp (D) reflexes should have disappeared by 4-6 months.
11. A nurse is teaching a parent about the sleep patterns of a 6-month-old infant. Which of
the following statements by the parent indicates a need for further teaching?
A. "My baby should sleep about 14 hours a day, including naps."
B. "I should put my baby to sleep on their back."
C. "My baby should be able to sleep through the night without a feeding."
D. "I should place a pillow in the crib to prevent flat head."
Correct Answer: D
Rationale: Pillows should never be placed in an infant's crib due to the risk of suffocation
and SIDS. Sleeping 14 hours a day (A), putting the baby on their back (B), and sleeping through
the night (C) are all appropriate for a 6-month-old.
12. A nurse is assessing a 2-year-old child's language development. Which of the following
should the nurse expect?
A. The child can speak in full sentences.
B. The child uses two- to three-word phrases.
C. The child can tell a short story.
D. The child's speech is 100% understandable.
Correct Answer: B
Rationale: A 2-year-old typically uses two- to three-word phrases (e.g., "more milk"). Full
sentences (A) and telling stories (C) are for older preschoolers. Speech is usually only about 50%
understandable to strangers at age 2 (D).
13. A nurse is providing education to the parents of a 6-year-old child. According to Piaget,
which stage of cognitive development is this child in?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Correct Answer: C
Rationale: The concrete operational stage (7-11 years) is characterized by logical thinking
about concrete events. A 6-year-old is transitioning from the preoperational stage (B) to
concrete operational, but for the purpose of this question, concrete operational is the expected
