NGN ATI PEDS PROCTORED EXAM NEWEST 2026 FORM A AND B
COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
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,NGN ATI PEDS PROCTORED EXAM — NEWEST 2026 FORM A AND B
2026/2027 Examination
Total Questions: 200
Instructions:
• Answer all questions.
• Select the single best answer.
• Each question has four answer choices: A, B, C, and D.
• Select only ONE answer for each question.
SECTION 1: Pediatric Growth and Development
Questions 1–25
Q1. A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to demonstrate?
A. Rolling from abdomen to back
B. Sitting without support
C. Transferring objects from hand to hand
D. Pulling to a standing position
Correct Answer: A. Rolling from abdomen to back
Rationale: Rolling from abdomen to back is typically achieved by 5–6 months of age. Sitting
without support occurs around 8 months, transferring objects from hand to hand around 7 months,
and pulling to stand around 9–10 months. This milestone reflects appropriate gross motor
development for a 6-month-old.
Q2. A nurse is evaluating a 4-year-old child's language development. Which statement by the
child indicates expected development?
A. "I goed to the park yesterday."
B. "Me want cookie."
C. "I don't never want to go."
D. "Them are mine."
Correct Answer: A. "I goed to the park yesterday."
Rationale: Overgeneralization of grammatical rules (e.g., "goed" instead of "went") is a normal
developmental pattern in preschoolers as they learn language rules. By age 4, children should be
speaking in complete sentences. Options B, C, and D represent language errors that may indicate
delays or are less typical for a 4-year-old.
Q3. A nurse is assessing a 9-month-old infant. Which reflex should the nurse recognize as
abnormal if still present?
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,A. Moro reflex
B. Plantar grasp reflex
C. Babinski reflex
D. Stepping reflex
Correct Answer: A. Moro reflex
Rationale: The Moro reflex typically disappears by 4–6 months of age. If still present at 9
months, it suggests neurological immaturity or damage. The Babinski reflex may persist until 12–24
months, plantar grasp disappears by 9 months, and stepping disappears by 2–4 months.
Q4. A nurse is providing anticipatory guidance to the parents of a 15-month-old toddler. Which
instruction should the nurse prioritize?
A. Begin toilet training immediately
B. Childproof the home environment
C. Introduce whole milk into the diet
D. Schedule a vision screening
Correct Answer: B. Childproof the home environment
Rationale: At 15 months, toddlers are mobile and curious, making injury prevention through
childproofing the priority. Toilet training is not typically successful until 18–24 months. Whole milk
should be introduced at 12 months. Vision screening is recommended at 3–5 years unless concerns
exist.
Q5. A nurse is assessing a 2-year-old child. Which behavior should the nurse identify as
characteristic of this developmental stage?
A. Parallel play
B. Cooperative play
C. Associative play
D. Solitary play
Correct Answer: A. Parallel play
Rationale: Toddlers (2–3 years) engage in parallel play, playing alongside but not with other
children. Solitary play is typical of infants. Associative play emerges in preschoolers (3–4 years), and
cooperative play develops in school-age children (5+ years).
Q6. A nurse is evaluating a 5-year-old child's fine motor skills. Which activity should the nurse
expect the child to perform?
A. Tying shoelaces
B. Drawing a person with 6 parts
C. Using scissors to cut a straight line
D. Buttoning small buttons
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, Correct Answer: C. Using scissors to cut a straight line
Rationale: Cutting a straight line with scissors is an expected fine motor skill for a 5-year-old.
Tying shoelaces and buttoning small buttons are typically achieved at 6 years. Drawing a person with
6 parts is expected at 5–6 years but is a gross indicator of cognitive, not purely fine motor,
development.
Q7. A nurse is assessing a 12-month-old infant. Which finding should the nurse report as a
concern?
A. Birth weight has tripled
B. Infant can say 2–3 words
C. Infant cannot sit independently
D. Infant has 6 teeth
Correct Answer: C. Infant cannot sit independently
Rationale: Independent sitting is expected by 8 months. Inability to sit at 12 months indicates a
significant gross motor delay requiring further evaluation. Tripled birth weight, 2–3 words, and 6
teeth are all normal findings at 12 months.
Q8. A nurse is teaching parents about the developmental stage of a 3-year-old. Which behavior
should the nurse describe as typical?
A. Sharing toys willingly
B. Engaging in magical thinking
C. Understanding conservation of volume
D. Following multi-step commands consistently
Correct Answer: B. Engaging in magical thinking
Rationale: Magical thinking is characteristic of Piaget's preoperational stage (2–7 years). Three-
year-olds do not share willingly (egocentric), do not understand conservation (preoperational), and
cannot consistently follow multi-step commands until later in development.
Q9. A nurse is assessing an 18-month-old toddler. Which gross motor milestone should the nurse
expect?
A. Hopping on one foot
B. Walking up stairs with alternating feet
C. Running clumsily
D. Riding a tricycle
Correct Answer: C. Running clumsily
Rationale: Running clumsily is expected at 18 months. Hopping on one foot is expected at 4
years, walking up stairs with alternating feet at 3 years, and riding a tricycle at 3 years.
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COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
1|Page
,NGN ATI PEDS PROCTORED EXAM — NEWEST 2026 FORM A AND B
2026/2027 Examination
Total Questions: 200
Instructions:
• Answer all questions.
• Select the single best answer.
• Each question has four answer choices: A, B, C, and D.
• Select only ONE answer for each question.
SECTION 1: Pediatric Growth and Development
Questions 1–25
Q1. A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to demonstrate?
A. Rolling from abdomen to back
B. Sitting without support
C. Transferring objects from hand to hand
D. Pulling to a standing position
Correct Answer: A. Rolling from abdomen to back
Rationale: Rolling from abdomen to back is typically achieved by 5–6 months of age. Sitting
without support occurs around 8 months, transferring objects from hand to hand around 7 months,
and pulling to stand around 9–10 months. This milestone reflects appropriate gross motor
development for a 6-month-old.
Q2. A nurse is evaluating a 4-year-old child's language development. Which statement by the
child indicates expected development?
A. "I goed to the park yesterday."
B. "Me want cookie."
C. "I don't never want to go."
D. "Them are mine."
Correct Answer: A. "I goed to the park yesterday."
Rationale: Overgeneralization of grammatical rules (e.g., "goed" instead of "went") is a normal
developmental pattern in preschoolers as they learn language rules. By age 4, children should be
speaking in complete sentences. Options B, C, and D represent language errors that may indicate
delays or are less typical for a 4-year-old.
Q3. A nurse is assessing a 9-month-old infant. Which reflex should the nurse recognize as
abnormal if still present?
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,A. Moro reflex
B. Plantar grasp reflex
C. Babinski reflex
D. Stepping reflex
Correct Answer: A. Moro reflex
Rationale: The Moro reflex typically disappears by 4–6 months of age. If still present at 9
months, it suggests neurological immaturity or damage. The Babinski reflex may persist until 12–24
months, plantar grasp disappears by 9 months, and stepping disappears by 2–4 months.
Q4. A nurse is providing anticipatory guidance to the parents of a 15-month-old toddler. Which
instruction should the nurse prioritize?
A. Begin toilet training immediately
B. Childproof the home environment
C. Introduce whole milk into the diet
D. Schedule a vision screening
Correct Answer: B. Childproof the home environment
Rationale: At 15 months, toddlers are mobile and curious, making injury prevention through
childproofing the priority. Toilet training is not typically successful until 18–24 months. Whole milk
should be introduced at 12 months. Vision screening is recommended at 3–5 years unless concerns
exist.
Q5. A nurse is assessing a 2-year-old child. Which behavior should the nurse identify as
characteristic of this developmental stage?
A. Parallel play
B. Cooperative play
C. Associative play
D. Solitary play
Correct Answer: A. Parallel play
Rationale: Toddlers (2–3 years) engage in parallel play, playing alongside but not with other
children. Solitary play is typical of infants. Associative play emerges in preschoolers (3–4 years), and
cooperative play develops in school-age children (5+ years).
Q6. A nurse is evaluating a 5-year-old child's fine motor skills. Which activity should the nurse
expect the child to perform?
A. Tying shoelaces
B. Drawing a person with 6 parts
C. Using scissors to cut a straight line
D. Buttoning small buttons
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, Correct Answer: C. Using scissors to cut a straight line
Rationale: Cutting a straight line with scissors is an expected fine motor skill for a 5-year-old.
Tying shoelaces and buttoning small buttons are typically achieved at 6 years. Drawing a person with
6 parts is expected at 5–6 years but is a gross indicator of cognitive, not purely fine motor,
development.
Q7. A nurse is assessing a 12-month-old infant. Which finding should the nurse report as a
concern?
A. Birth weight has tripled
B. Infant can say 2–3 words
C. Infant cannot sit independently
D. Infant has 6 teeth
Correct Answer: C. Infant cannot sit independently
Rationale: Independent sitting is expected by 8 months. Inability to sit at 12 months indicates a
significant gross motor delay requiring further evaluation. Tripled birth weight, 2–3 words, and 6
teeth are all normal findings at 12 months.
Q8. A nurse is teaching parents about the developmental stage of a 3-year-old. Which behavior
should the nurse describe as typical?
A. Sharing toys willingly
B. Engaging in magical thinking
C. Understanding conservation of volume
D. Following multi-step commands consistently
Correct Answer: B. Engaging in magical thinking
Rationale: Magical thinking is characteristic of Piaget's preoperational stage (2–7 years). Three-
year-olds do not share willingly (egocentric), do not understand conservation (preoperational), and
cannot consistently follow multi-step commands until later in development.
Q9. A nurse is assessing an 18-month-old toddler. Which gross motor milestone should the nurse
expect?
A. Hopping on one foot
B. Walking up stairs with alternating feet
C. Running clumsily
D. Riding a tricycle
Correct Answer: C. Running clumsily
Rationale: Running clumsily is expected at 18 months. Hopping on one foot is expected at 4
years, walking up stairs with alternating feet at 3 years, and riding a tricycle at 3 years.
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