ATI RN Pediatric Nursing Proctored Exam 2026 with
NGN: 70 Screenshot Questions and Answers |
Verified ATI RN Pediatrics Exam
Section 1: Growth and Development
1. A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider?
• A. The infant has a positive Moro reflex.
• B. The infant is unable to hold a bottle.
• C. The infant has a closed posterior fontanel.
• D. The infant's head lags when pulled to a sitting position.
Correct Answer: D
Rationale: A 4-month-old infant should have good head control. Head lag when pulled to a
sitting position is a sign of developmental delay and should be reported. The Moro reflex
typically disappears by 3-4 months, but its presence at 4 months can be a normal variation. A
closed posterior fontanel by 2-3 months is expected. Holding a bottle is a fine motor skill that
develops later, around 6 months.
2. A nurse is providing anticipatory guidance to the parents of a 2-year-old toddler. Which of
the following statements by the parent indicates a need for further teaching?
• A. "I will give my child a choice between two outfits to wear."
• B. "I will use a time-out for about 2 minutes when my child misbehaves."
• C. "I will expect my child to share their toys with others."
• D. "I will establish a consistent bedtime routine."
Correct Answer: C
Rationale: Toddlers are egocentric and do not have the developmental capacity to
understand sharing. Expecting a 2-year-old to share will lead to frustration for both the child
and the parent. Offering choices, using brief time-outs (1 minute per year of age), and
maintaining routines are all appropriate parenting strategies for this age group.
,3. A nurse is teaching a group of adolescents about expected growth and development. Which
of the following should the nurse include as a primary psychosocial task of adolescence?
• A. Developing a sense of trust.
• B. Establishing a sense of identity.
• C. Achieving a sense of industry.
• D. Developing autonomy.
Correct Answer: B
Rationale: According to Erikson's stages of psychosocial development, the primary task of
adolescence (12-18 years) is Identity vs. Role Confusion. The adolescent is trying to figure out
who they are and their place in the world. Trust vs. Mistrust is infancy, Industry vs. Inferiority is
school-age, and Autonomy vs. Shame and Doubt is toddlerhood.
4. A nurse is assessing a 6-month-old infant. Which of the following reflexes should the nurse
expect to be present?
• A. Stepping reflex
• B. Babinski reflex
• C. Palmar grasp reflex
• D. Tonic neck reflex
Correct Answer: B
Rationale: The Babinski reflex (dorsiflexion of the big toe and fanning of other toes) is
present at birth and can persist until 1 year of age. The stepping reflex disappears at 3-4 weeks.
The palmar grasp reflex disappears at 3-4 months. The tonic neck reflex disappears at 3-4
months.
5. A nurse is caring for a hospitalized 10-year-old child. According to Piaget, which of the
following is a characteristic of this child's cognitive development?
• A. Egocentric thinking.
• B. Concrete operational thought.
• C. Formal operational thought.
• D. Object permanence.
, Correct Answer: B
Rationale: A 10-year-old is in the concrete operational stage (7-11 years) of cognitive
development. They can think logically about concrete events but struggle with abstract
concepts. Egocentric thinking is characteristic of the preoperational stage. Formal operational
thought begins at age 11. Object permanence is developed in the sensorimotor stage.
6. Which of the following activities should a nurse suggest for a 4-year-old preschooler to help
develop fine motor skills?
• A. Playing with a large ball.
• B. Stringing large beads.
• C. Riding a tricycle.
• D. Hopping on one foot.
Correct Answer: B
Rationale: Stringing large beads requires the use of the pincer grasp and hand-eye
coordination, which are fine motor skills. Playing with a ball, riding a tricycle, and hopping are all
activities that primarily develop gross motor skills.
7. A nurse is assessing a 15-month-old toddler. Which of the following findings should the
nurse expect?
• A. The toddler can walk alone.
• B. The toddler can stack 6 blocks.
• C. The toddler can speak in 3-word sentences.
• D. The toddler can draw a circle.
Correct Answer: A
Rationale: A 15-month-old toddler should be able to walk alone (often with a wide-based
gait). Stacking 6 blocks is a skill for a 2-year-old. Speaking in 3-word sentences is typical for a 3-
year-old. Drawing a circle is a skill for a 4-year-old.
8. A nurse is providing education to the parent of a school-age child. Which of the following
should the nurse identify as a sign of readiness for toilet training?
• A. The child is 12 months old.
• B. The child can undress themselves.
• C. The child has a dry diaper for 1 hour.
, • D. The child shows interest in the toilet.
Correct Answer: D
Rationale: A key sign of toilet training readiness is the child's interest in the process. Other
signs include staying dry for at least 2 hours, being able to pull pants up and down, and being
able to communicate the need to go. Twelve months is too young for most children. Being able
to undress is a skill that helps but interest is the primary indicator. A dry diaper for 1 hour is not
long enough.
9. A nurse is caring for an infant. Which of the following is the priority nursing action to
promote bonding between the infant and the parents?
• A. Encourage the parents to room-in with the infant.
• B. Teach the parents about infant feeding schedules.
• C. Provide the parents with educational pamphlets.
• D. Limit visitors to allow for rest.
Correct Answer: A
Rationale: Rooming-in, where the infant stays in the mother's room, is the most effective
way to promote bonding and attachment through frequent contact and interaction. While
education and rest are important, the priority is facilitating the parent-infant relationship.
10. A nurse is assessing a 5-year-old child. Which of the following findings is a common
characteristic of this age group?
• A. Engaging in cooperative play.
• B. Having an imaginary friend.
• C. Understanding the concept of death as final.
• D. Being able to tie their own shoes.
Correct Answer: B
Rationale: Preschoolers (3-5 years) often have imaginary friends as a part of their
developing imagination and social skills. Cooperative play is more characteristic of school-age
children. Understanding death as final is a concept that develops in school-age years. Tying
shoes is a fine motor skill usually mastered around age 5-6, but an imaginary friend is a more
universal psychosocial characteristic.
11. A nurse is providing safety teaching to the parents of a 9-month-old infant. Which of the
following instructions is the priority?
NGN: 70 Screenshot Questions and Answers |
Verified ATI RN Pediatrics Exam
Section 1: Growth and Development
1. A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider?
• A. The infant has a positive Moro reflex.
• B. The infant is unable to hold a bottle.
• C. The infant has a closed posterior fontanel.
• D. The infant's head lags when pulled to a sitting position.
Correct Answer: D
Rationale: A 4-month-old infant should have good head control. Head lag when pulled to a
sitting position is a sign of developmental delay and should be reported. The Moro reflex
typically disappears by 3-4 months, but its presence at 4 months can be a normal variation. A
closed posterior fontanel by 2-3 months is expected. Holding a bottle is a fine motor skill that
develops later, around 6 months.
2. A nurse is providing anticipatory guidance to the parents of a 2-year-old toddler. Which of
the following statements by the parent indicates a need for further teaching?
• A. "I will give my child a choice between two outfits to wear."
• B. "I will use a time-out for about 2 minutes when my child misbehaves."
• C. "I will expect my child to share their toys with others."
• D. "I will establish a consistent bedtime routine."
Correct Answer: C
Rationale: Toddlers are egocentric and do not have the developmental capacity to
understand sharing. Expecting a 2-year-old to share will lead to frustration for both the child
and the parent. Offering choices, using brief time-outs (1 minute per year of age), and
maintaining routines are all appropriate parenting strategies for this age group.
,3. A nurse is teaching a group of adolescents about expected growth and development. Which
of the following should the nurse include as a primary psychosocial task of adolescence?
• A. Developing a sense of trust.
• B. Establishing a sense of identity.
• C. Achieving a sense of industry.
• D. Developing autonomy.
Correct Answer: B
Rationale: According to Erikson's stages of psychosocial development, the primary task of
adolescence (12-18 years) is Identity vs. Role Confusion. The adolescent is trying to figure out
who they are and their place in the world. Trust vs. Mistrust is infancy, Industry vs. Inferiority is
school-age, and Autonomy vs. Shame and Doubt is toddlerhood.
4. A nurse is assessing a 6-month-old infant. Which of the following reflexes should the nurse
expect to be present?
• A. Stepping reflex
• B. Babinski reflex
• C. Palmar grasp reflex
• D. Tonic neck reflex
Correct Answer: B
Rationale: The Babinski reflex (dorsiflexion of the big toe and fanning of other toes) is
present at birth and can persist until 1 year of age. The stepping reflex disappears at 3-4 weeks.
The palmar grasp reflex disappears at 3-4 months. The tonic neck reflex disappears at 3-4
months.
5. A nurse is caring for a hospitalized 10-year-old child. According to Piaget, which of the
following is a characteristic of this child's cognitive development?
• A. Egocentric thinking.
• B. Concrete operational thought.
• C. Formal operational thought.
• D. Object permanence.
, Correct Answer: B
Rationale: A 10-year-old is in the concrete operational stage (7-11 years) of cognitive
development. They can think logically about concrete events but struggle with abstract
concepts. Egocentric thinking is characteristic of the preoperational stage. Formal operational
thought begins at age 11. Object permanence is developed in the sensorimotor stage.
6. Which of the following activities should a nurse suggest for a 4-year-old preschooler to help
develop fine motor skills?
• A. Playing with a large ball.
• B. Stringing large beads.
• C. Riding a tricycle.
• D. Hopping on one foot.
Correct Answer: B
Rationale: Stringing large beads requires the use of the pincer grasp and hand-eye
coordination, which are fine motor skills. Playing with a ball, riding a tricycle, and hopping are all
activities that primarily develop gross motor skills.
7. A nurse is assessing a 15-month-old toddler. Which of the following findings should the
nurse expect?
• A. The toddler can walk alone.
• B. The toddler can stack 6 blocks.
• C. The toddler can speak in 3-word sentences.
• D. The toddler can draw a circle.
Correct Answer: A
Rationale: A 15-month-old toddler should be able to walk alone (often with a wide-based
gait). Stacking 6 blocks is a skill for a 2-year-old. Speaking in 3-word sentences is typical for a 3-
year-old. Drawing a circle is a skill for a 4-year-old.
8. A nurse is providing education to the parent of a school-age child. Which of the following
should the nurse identify as a sign of readiness for toilet training?
• A. The child is 12 months old.
• B. The child can undress themselves.
• C. The child has a dry diaper for 1 hour.
, • D. The child shows interest in the toilet.
Correct Answer: D
Rationale: A key sign of toilet training readiness is the child's interest in the process. Other
signs include staying dry for at least 2 hours, being able to pull pants up and down, and being
able to communicate the need to go. Twelve months is too young for most children. Being able
to undress is a skill that helps but interest is the primary indicator. A dry diaper for 1 hour is not
long enough.
9. A nurse is caring for an infant. Which of the following is the priority nursing action to
promote bonding between the infant and the parents?
• A. Encourage the parents to room-in with the infant.
• B. Teach the parents about infant feeding schedules.
• C. Provide the parents with educational pamphlets.
• D. Limit visitors to allow for rest.
Correct Answer: A
Rationale: Rooming-in, where the infant stays in the mother's room, is the most effective
way to promote bonding and attachment through frequent contact and interaction. While
education and rest are important, the priority is facilitating the parent-infant relationship.
10. A nurse is assessing a 5-year-old child. Which of the following findings is a common
characteristic of this age group?
• A. Engaging in cooperative play.
• B. Having an imaginary friend.
• C. Understanding the concept of death as final.
• D. Being able to tie their own shoes.
Correct Answer: B
Rationale: Preschoolers (3-5 years) often have imaginary friends as a part of their
developing imagination and social skills. Cooperative play is more characteristic of school-age
children. Understanding death as final is a concept that develops in school-age years. Tying
shoes is a fine motor skill usually mastered around age 5-6, but an imaginary friend is a more
universal psychosocial characteristic.
11. A nurse is providing safety teaching to the parents of a 9-month-old infant. Which of the
following instructions is the priority?
