ATI Pediatrics Final Exam | ATI RN Pediatrics Final Exam Study
Guide & Exam Prep 2026–2027 | ATI Pediatric Nursing
Comprehensive Final Exam Review | Growth & Development,
Pediatric Assessment, Newborn & Infant Care, Respiratory
Disorders, Cardiovascular Disorders, Gastrointestinal
Disorders, Neurological Disorders, Endocrine Disorders,
Renal & Genitourinary Disorders, Musculoskeletal Disorders,
Hematologic & Immune Disorders, Infectious Diseases,
Pediatric Emergencies, Pharmacology, Immunizations, Safety,
Nutrition, Family-Centered Care, Clinical Judgment & Nursing
Interventions | Practice Questions, NGN-Style Case Studies &
Detailed Rationales
Question 1: A nurse is assessing a 6-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect to observe?
A. Sitting without support
B. Rolling from back to front
C. Transferring objects from hand to hand
D. Walking independently
CORRECT ANSWER: B. Rolling from back to front
Rationale: Rolling from back to front is typically achieved by 5 to 6 months of age.
Sitting without support occurs at 6 to 8 months, transferring objects from hand to
hand occurs at approximately 7 months, and walking independently is expected
between 12 and 15 months. Rolling is the milestone most consistent with a 6-
month-old infant's gross motor development.
Question 2: A nurse is assessing a 10-month-old infant. Which finding should the
nurse report to the provider as a potential developmental delay?
A. The infant has a pincer grasp
B. The infant says "mama" and "dada"
,C. The infant is unable to sit unsupported
D. The infant transfers objects from one hand to the other
CORRECT ANSWER: C. The infant is unable to sit unsupported
Rationale: By 9 months, infants should be able to sit without support. Inability to
sit unsupported at 10 months may indicate developmental delay requiring further
evaluation. Pincer grasp, babbling, and transferring objects are all expected
findings at this age.
Question 3: A nurse is assessing a 12-month-old infant. Which finding indicates a
developmental delay that requires further evaluation?
A. The infant sits without support
B. The infant crawls on hands and knees
C. The infant has a vocabulary of 3 to 5 words
D. The infant does not respond to own name
CORRECT ANSWER: D. The infant does not respond to own name
Rationale: By 12 months, infants should respond to their own name consistently.
Lack of response may indicate hearing impairment or developmental delay. Sitting
without support, crawling, and having a small vocabulary are all expected findings
at this age.
Question 4: A nurse is assessing a 15-month-old toddler. Which gross motor
milestone should the nurse expect the toddler to demonstrate?
A. Walking independently
B. Running with coordination
C. Jumping with both feet
D. Standing on one foot
CORRECT ANSWER: A. Walking independently
Rationale: Walking independently is typically achieved by 15 months. Running
occurs around 18 to 24 months, jumping with both feet occurs around 2 years,
and standing on one foot occurs around 3 to 4 years.
Question 5: A nurse is assessing a 2-year-old toddler. Which fine motor skill
should the nurse expect the toddler to demonstrate?
,A. Drawing a circle
B. Building a tower of 6 blocks
C. Using a spoon to feed self
D. Tying shoelaces
CORRECT ANSWER: B. Building a tower of 6 blocks
Rationale: By 2 years, toddlers can typically build a tower of 6 blocks. Drawing a
circle occurs around 3 years, using a spoon with some spilling occurs around 18
months, and tying shoelaces occurs around 5 to 6 years.
Question 6: A nurse is assessing a 3-year-old preschooler. Which gross motor
milestone should the nurse expect the child to have achieved?
A. Hopping on one foot
B. Pedaling a tricycle
C. Skipping
D. Jumping rope
CORRECT ANSWER: B. Pedaling a tricycle
Rationale: At 3 years, children can typically pedal a tricycle. Hopping on one foot
is usually achieved around 4 years, skipping at 5 years, and jumping rope at 6 to 7
years.
Question 7: A nurse is assessing a 4-year-old preschooler. Which fine motor
milestone should the nurse expect the child to demonstrate?
A. Cutting out pictures with scissors
B. Drawing a person with 8 parts
C. Writing full name
D. Tying shoelaces
CORRECT ANSWER: A. Cutting out pictures with scissors
Rationale: At 4 years, children can typically cut out pictures with scissors. Drawing
a person with 8 parts occurs around 5 years, writing full name occurs around 5 to
6 years, and tying shoelaces occurs around 5 to 6 years.
Question 8: A nurse is assessing a 5-year-old child. Which language milestone
should the nurse expect the child to demonstrate?
, A. Speaking in 2- to 3-word sentences
B. Using 50 words
C. Telling a simple story
D. Using future tense correctly
CORRECT ANSWER: C. Telling a simple story
Rationale: By 5 years, children can tell a simple story. Speaking in 2- to 3-word
sentences and using 50 words occur around 2 years. Using future tense correctly
typically develops around 4 to 5 years but telling a coherent simple story is the
more advanced milestone expected at 5 years.
Question 9: A nurse is assessing a 6-month-old infant's feeding readiness. Which
finding should the nurse expect?
A. Tongue extrusion reflex present
B. Ability to sit with support
C. Pincer grasp present
D. Drinking from a cup independently
CORRECT ANSWER: B. Ability to sit with support
Rationale: At 6 months, infants should be able to sit with support, which is a
readiness sign for introducing solid foods. Tongue extrusion reflex typically
disappears by 4 to 6 months. Pincer grasp develops around 9 months. Drinking
from a cup independently occurs later.
Question 10: A nurse is teaching parents about age-appropriate toys for a 4-
month-old infant. Which toy should the nurse recommend?
A. Building blocks
B. Musical mobile
C. Push-pull toys
D. Board games
CORRECT ANSWER: B. Musical mobile
Rationale: A musical mobile is appropriate for a 4-month-old infant who is
developing visual tracking and auditory skills. Building blocks are appropriate for
Guide & Exam Prep 2026–2027 | ATI Pediatric Nursing
Comprehensive Final Exam Review | Growth & Development,
Pediatric Assessment, Newborn & Infant Care, Respiratory
Disorders, Cardiovascular Disorders, Gastrointestinal
Disorders, Neurological Disorders, Endocrine Disorders,
Renal & Genitourinary Disorders, Musculoskeletal Disorders,
Hematologic & Immune Disorders, Infectious Diseases,
Pediatric Emergencies, Pharmacology, Immunizations, Safety,
Nutrition, Family-Centered Care, Clinical Judgment & Nursing
Interventions | Practice Questions, NGN-Style Case Studies &
Detailed Rationales
Question 1: A nurse is assessing a 6-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect to observe?
A. Sitting without support
B. Rolling from back to front
C. Transferring objects from hand to hand
D. Walking independently
CORRECT ANSWER: B. Rolling from back to front
Rationale: Rolling from back to front is typically achieved by 5 to 6 months of age.
Sitting without support occurs at 6 to 8 months, transferring objects from hand to
hand occurs at approximately 7 months, and walking independently is expected
between 12 and 15 months. Rolling is the milestone most consistent with a 6-
month-old infant's gross motor development.
Question 2: A nurse is assessing a 10-month-old infant. Which finding should the
nurse report to the provider as a potential developmental delay?
A. The infant has a pincer grasp
B. The infant says "mama" and "dada"
,C. The infant is unable to sit unsupported
D. The infant transfers objects from one hand to the other
CORRECT ANSWER: C. The infant is unable to sit unsupported
Rationale: By 9 months, infants should be able to sit without support. Inability to
sit unsupported at 10 months may indicate developmental delay requiring further
evaluation. Pincer grasp, babbling, and transferring objects are all expected
findings at this age.
Question 3: A nurse is assessing a 12-month-old infant. Which finding indicates a
developmental delay that requires further evaluation?
A. The infant sits without support
B. The infant crawls on hands and knees
C. The infant has a vocabulary of 3 to 5 words
D. The infant does not respond to own name
CORRECT ANSWER: D. The infant does not respond to own name
Rationale: By 12 months, infants should respond to their own name consistently.
Lack of response may indicate hearing impairment or developmental delay. Sitting
without support, crawling, and having a small vocabulary are all expected findings
at this age.
Question 4: A nurse is assessing a 15-month-old toddler. Which gross motor
milestone should the nurse expect the toddler to demonstrate?
A. Walking independently
B. Running with coordination
C. Jumping with both feet
D. Standing on one foot
CORRECT ANSWER: A. Walking independently
Rationale: Walking independently is typically achieved by 15 months. Running
occurs around 18 to 24 months, jumping with both feet occurs around 2 years,
and standing on one foot occurs around 3 to 4 years.
Question 5: A nurse is assessing a 2-year-old toddler. Which fine motor skill
should the nurse expect the toddler to demonstrate?
,A. Drawing a circle
B. Building a tower of 6 blocks
C. Using a spoon to feed self
D. Tying shoelaces
CORRECT ANSWER: B. Building a tower of 6 blocks
Rationale: By 2 years, toddlers can typically build a tower of 6 blocks. Drawing a
circle occurs around 3 years, using a spoon with some spilling occurs around 18
months, and tying shoelaces occurs around 5 to 6 years.
Question 6: A nurse is assessing a 3-year-old preschooler. Which gross motor
milestone should the nurse expect the child to have achieved?
A. Hopping on one foot
B. Pedaling a tricycle
C. Skipping
D. Jumping rope
CORRECT ANSWER: B. Pedaling a tricycle
Rationale: At 3 years, children can typically pedal a tricycle. Hopping on one foot
is usually achieved around 4 years, skipping at 5 years, and jumping rope at 6 to 7
years.
Question 7: A nurse is assessing a 4-year-old preschooler. Which fine motor
milestone should the nurse expect the child to demonstrate?
A. Cutting out pictures with scissors
B. Drawing a person with 8 parts
C. Writing full name
D. Tying shoelaces
CORRECT ANSWER: A. Cutting out pictures with scissors
Rationale: At 4 years, children can typically cut out pictures with scissors. Drawing
a person with 8 parts occurs around 5 years, writing full name occurs around 5 to
6 years, and tying shoelaces occurs around 5 to 6 years.
Question 8: A nurse is assessing a 5-year-old child. Which language milestone
should the nurse expect the child to demonstrate?
, A. Speaking in 2- to 3-word sentences
B. Using 50 words
C. Telling a simple story
D. Using future tense correctly
CORRECT ANSWER: C. Telling a simple story
Rationale: By 5 years, children can tell a simple story. Speaking in 2- to 3-word
sentences and using 50 words occur around 2 years. Using future tense correctly
typically develops around 4 to 5 years but telling a coherent simple story is the
more advanced milestone expected at 5 years.
Question 9: A nurse is assessing a 6-month-old infant's feeding readiness. Which
finding should the nurse expect?
A. Tongue extrusion reflex present
B. Ability to sit with support
C. Pincer grasp present
D. Drinking from a cup independently
CORRECT ANSWER: B. Ability to sit with support
Rationale: At 6 months, infants should be able to sit with support, which is a
readiness sign for introducing solid foods. Tongue extrusion reflex typically
disappears by 4 to 6 months. Pincer grasp develops around 9 months. Drinking
from a cup independently occurs later.
Question 10: A nurse is teaching parents about age-appropriate toys for a 4-
month-old infant. Which toy should the nurse recommend?
A. Building blocks
B. Musical mobile
C. Push-pull toys
D. Board games
CORRECT ANSWER: B. Musical mobile
Rationale: A musical mobile is appropriate for a 4-month-old infant who is
developing visual tracking and auditory skills. Building blocks are appropriate for
