ATI RN Pediatrics Proctored Exam Bundle | 2025/2026 Edition
Includes Proctored, NGN Practice, and Real Exam Screenshot
Versions | 200+ Verified Questions | Pediatric Nursing Mastery
| Graded A+
Section 1: Growth & Development (Q1–Q15)
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse report to the
provider?
A. Birth weight has doubled
B. Positive Babinski reflex
C. Inability to sit without support
D. Moro reflex present
Correct Answer: D
The Moro reflex should disappear by 4 months of age. Persistence at 6 months suggests
neurological abnormality. Birth weight doubles by 5–6 months (A is expected), the Babinski
reflex may persist until 12–24 months (B is expected), and sitting without support is not
expected until 8–9 months (C is not yet a concern).
2. A nurse is teaching parents about expected development in a 2-year-old. Which statement
indicates understanding?
A. "My child should be able to ride a tricycle."
B. "My child should use two- to three-word sentences."
C. "My child should know their full name and address."
D. "My child should be able to hop on one foot."
Correct Answer: B
Two- to three-word sentences are expected at 2 years. Tricycle riding and hopping on one
foot are expected at 3–4 years. Knowing full name and address is expected at 4–5 years.
3. A nurse is assessing a 4-month-old. Which milestone should the nurse expect?
A. Rolling from back to side
B. Transferring objects hand to hand
C. Sitting with a round back
D. Pincer grasp
, Correct Answer: A
Rolling from back to side is expected at 4 months. Hand-to-hand transfer is expected at 6–7
months, sitting with a round back at 4–6 months (but rolling is the earliest classic 4-month
milestone), and pincer grasp at 9–10 months.
4. Which of the following are expected findings in a 5-year-old? (SATA)
A. Can tie shoelaces
B. Vocabulary of 2,000+ words
C. Understands conservation of volume
D. Can skip on alternating feet
E. Imaginary play is uncommon
Correct Answers: A, B, D
Five-year-olds can tie shoelaces, have vocabularies around 2,000+ words, and can skip.
Conservation of volume is a Piagetian milestone of concrete operations (7–11 years). Imaginary
play is very common in preschoolers.
5. A nurse is assessing a 9-month-old. Which finding requires further evaluation?
A. Pulling to stand
B. Pincer grasp present
C. Absent stranger anxiety
D. Babbling in single syllables
Correct Answer: C
Stranger anxiety normally appears at 6–8 months. Its absence at 9 months may indicate a
developmental or attachment concern. Pulling to stand, pincer grasp, and babbling are all
expected at 9 months.
6. A nurse is teaching about toilet training. Which statement by the parent indicates correct
understanding?
A. "I should start when my child is 12 months old."
B. "I should look for signs of readiness like dry diapers for 2 hours."
C. "I should punish accidents to speed up learning."
D. "I should expect complete nighttime control by age 2."
, Correct Answer: B
Signs of readiness include staying dry for 2 hours, showing interest, and being able to
communicate needs—usually around 18–24 months. Starting at 12 months is too early,
punishment is harmful, and nighttime control may take until age 3–5.
7. A nurse is assessing an adolescent. Which finding is most concerning?
A. Declining interest in parental activities
B. Sleeping 9 hours per night
C. Rapid weight loss with normal appetite
D. Occasional mood swings
Correct Answer: C
Rapid weight loss with normal appetite may indicate type 1 diabetes, hyperthyroidism, or an
eating disorder and requires immediate evaluation. The other findings are normal adolescent
development.
8. A nurse is providing anticipatory guidance for a 15-month-old. Which should the nurse
include?
A. "Your child should have 20 primary teeth."
B. "Your child should be able to run well."
C. "Your child should use a spoon without spilling."
D. "Your child should speak in 4- to 5-word sentences."
Correct Answer: A
By 15 months, most children have 12–14 teeth, but 20 primary teeth are typically present
by 2.5–3 years. Running well is a 2-year milestone, using a spoon without spilling is 18–24
months, and 4–5 word sentences are 4 years.
9. A nurse is assessing a 3-year-old. Which behavior indicates a need for further assessment?
A. Parallel play with peers
B. Vocabulary of 900 words
C. Inability to pedal a tricycle
D. Frequent temper tantrums
, Correct Answer: C
Pedaling a tricycle is expected by 3 years. Inability may indicate gross motor delay. Parallel
play, 900-word vocabulary, and tantrums are all normal for a 3-year-old.
10. Which of the following are expected in a 7-year-old? (SATA)
A. Understands conservation of mass
B. Can read simple sentences
C. Engages in cooperative play
D. Magical thinking is prominent
E. Can perform simple chores
Correct Answers: A, B, C, E
Seven-year-olds are in concrete operations and understand conservation, read simple
sentences, engage in cooperative play, and can do chores. Magical thinking is characteristic of
preschoolers (3–5 years).
11. A nurse is teaching parents about car seat safety for a 2-year-old. Which statement
indicates correct understanding?
A. "My child can use a booster seat now."
B. "My child should remain rear-facing until age 2 or until they reach the seat's height/weight
limit."
C. "My child can sit in the front seat if the airbag is off."
D. "My child should use a seat belt alone."
Correct Answer: B
The AAP recommends rear-facing until at least age 2 or until the child reaches the seat's
height/weight limit. Booster seats are for children 4–8 years and 40–80 lbs. Children under 13
should ride in the back seat. Seat belts alone are not safe until the child fits properly (usually 8–
12 years).
12. A nurse is assessing a 5-month-old. Which finding should be reported?
A. Head lag when pulled to sit
B. Rolling from front to back
C. Reaching for objects
D. Laughing out loud
Includes Proctored, NGN Practice, and Real Exam Screenshot
Versions | 200+ Verified Questions | Pediatric Nursing Mastery
| Graded A+
Section 1: Growth & Development (Q1–Q15)
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse report to the
provider?
A. Birth weight has doubled
B. Positive Babinski reflex
C. Inability to sit without support
D. Moro reflex present
Correct Answer: D
The Moro reflex should disappear by 4 months of age. Persistence at 6 months suggests
neurological abnormality. Birth weight doubles by 5–6 months (A is expected), the Babinski
reflex may persist until 12–24 months (B is expected), and sitting without support is not
expected until 8–9 months (C is not yet a concern).
2. A nurse is teaching parents about expected development in a 2-year-old. Which statement
indicates understanding?
A. "My child should be able to ride a tricycle."
B. "My child should use two- to three-word sentences."
C. "My child should know their full name and address."
D. "My child should be able to hop on one foot."
Correct Answer: B
Two- to three-word sentences are expected at 2 years. Tricycle riding and hopping on one
foot are expected at 3–4 years. Knowing full name and address is expected at 4–5 years.
3. A nurse is assessing a 4-month-old. Which milestone should the nurse expect?
A. Rolling from back to side
B. Transferring objects hand to hand
C. Sitting with a round back
D. Pincer grasp
, Correct Answer: A
Rolling from back to side is expected at 4 months. Hand-to-hand transfer is expected at 6–7
months, sitting with a round back at 4–6 months (but rolling is the earliest classic 4-month
milestone), and pincer grasp at 9–10 months.
4. Which of the following are expected findings in a 5-year-old? (SATA)
A. Can tie shoelaces
B. Vocabulary of 2,000+ words
C. Understands conservation of volume
D. Can skip on alternating feet
E. Imaginary play is uncommon
Correct Answers: A, B, D
Five-year-olds can tie shoelaces, have vocabularies around 2,000+ words, and can skip.
Conservation of volume is a Piagetian milestone of concrete operations (7–11 years). Imaginary
play is very common in preschoolers.
5. A nurse is assessing a 9-month-old. Which finding requires further evaluation?
A. Pulling to stand
B. Pincer grasp present
C. Absent stranger anxiety
D. Babbling in single syllables
Correct Answer: C
Stranger anxiety normally appears at 6–8 months. Its absence at 9 months may indicate a
developmental or attachment concern. Pulling to stand, pincer grasp, and babbling are all
expected at 9 months.
6. A nurse is teaching about toilet training. Which statement by the parent indicates correct
understanding?
A. "I should start when my child is 12 months old."
B. "I should look for signs of readiness like dry diapers for 2 hours."
C. "I should punish accidents to speed up learning."
D. "I should expect complete nighttime control by age 2."
, Correct Answer: B
Signs of readiness include staying dry for 2 hours, showing interest, and being able to
communicate needs—usually around 18–24 months. Starting at 12 months is too early,
punishment is harmful, and nighttime control may take until age 3–5.
7. A nurse is assessing an adolescent. Which finding is most concerning?
A. Declining interest in parental activities
B. Sleeping 9 hours per night
C. Rapid weight loss with normal appetite
D. Occasional mood swings
Correct Answer: C
Rapid weight loss with normal appetite may indicate type 1 diabetes, hyperthyroidism, or an
eating disorder and requires immediate evaluation. The other findings are normal adolescent
development.
8. A nurse is providing anticipatory guidance for a 15-month-old. Which should the nurse
include?
A. "Your child should have 20 primary teeth."
B. "Your child should be able to run well."
C. "Your child should use a spoon without spilling."
D. "Your child should speak in 4- to 5-word sentences."
Correct Answer: A
By 15 months, most children have 12–14 teeth, but 20 primary teeth are typically present
by 2.5–3 years. Running well is a 2-year milestone, using a spoon without spilling is 18–24
months, and 4–5 word sentences are 4 years.
9. A nurse is assessing a 3-year-old. Which behavior indicates a need for further assessment?
A. Parallel play with peers
B. Vocabulary of 900 words
C. Inability to pedal a tricycle
D. Frequent temper tantrums
, Correct Answer: C
Pedaling a tricycle is expected by 3 years. Inability may indicate gross motor delay. Parallel
play, 900-word vocabulary, and tantrums are all normal for a 3-year-old.
10. Which of the following are expected in a 7-year-old? (SATA)
A. Understands conservation of mass
B. Can read simple sentences
C. Engages in cooperative play
D. Magical thinking is prominent
E. Can perform simple chores
Correct Answers: A, B, C, E
Seven-year-olds are in concrete operations and understand conservation, read simple
sentences, engage in cooperative play, and can do chores. Magical thinking is characteristic of
preschoolers (3–5 years).
11. A nurse is teaching parents about car seat safety for a 2-year-old. Which statement
indicates correct understanding?
A. "My child can use a booster seat now."
B. "My child should remain rear-facing until age 2 or until they reach the seat's height/weight
limit."
C. "My child can sit in the front seat if the airbag is off."
D. "My child should use a seat belt alone."
Correct Answer: B
The AAP recommends rear-facing until at least age 2 or until the child reaches the seat's
height/weight limit. Booster seats are for children 4–8 years and 40–80 lbs. Children under 13
should ride in the back seat. Seat belts alone are not safe until the child fits properly (usually 8–
12 years).
12. A nurse is assessing a 5-month-old. Which finding should be reported?
A. Head lag when pulled to sit
B. Rolling from front to back
C. Reaching for objects
D. Laughing out loud
