Page 1 of 228
ATI PEDIATRICS CMS (NURSING CARE
OF CHILDREN) PROCTORED EXAM
QUESTION BANK
Table of Contents
1. Questions 1–200
- Section 1: Growth & Development (Q1–Q40)
- Section 2: Health Promotion & Disease Prevention (Q41–Q70)
- Section 3: Pediatric Assessment (Q71–Q90)
- Section 4: Respiratory Disorders (Q91–Q110)
- Section 5: Cardiovascular Disorders (Q111–Q126)
- Section 6: Gastrointestinal & Fluid/Electrolyte Disorders (Q127–Q142)
- Section 7: Neurological & Sensory Disorders (Q143–Q156)
- Section 8: Endocrine & Metabolic Disorders (Q157–Q166)
- Section 9: Hematologic & Oncologic Disorders (Q167–Q176)
- Section 10: Musculoskeletal & Integumentary Disorders (Q177–Q184)
- Section 11: Pediatric Pharmacology & Medication Safety (Q185–Q194)
- Section 12: Infectious Diseases & Immunizations (Q195–Q200)
,Page 2 of 228
Questions 1–200
SECTION 1: GROWTH & DEVELOPMENT (Q1–Q40)
Question 1
Topic: Infant developmental milestones
Learning Objective: Identify expected gross motor milestone for a 6-month-old infant.
Difficulty: Easy
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following gross
motor milestones should the nurse expect the infant to have achieved?
A. Sits without support
B. Walks with assistance
C. Uses a pincer grasp
D. Says two-word phrases
Correct answer: A. Sits without support
Detailed rationale: By 6 months of age, infants typically achieve the milestone of sitting without
support (often with a rounded back initially, progressing to steady sitting by 8 months). This
reflects adequate trunk and neck muscle development.
Why the other options are incorrect:
- B: Walking with assistance is typically achieved around 9–12 months.
- C: A pincer grasp (thumb and forefinger) develops around 9–10 months.
- D: Two-word phrases are expected around 18–24 months.
,Page 3 of 228
Exam tip: Remember the cephalocaudal principle: head control (2–3 months) → rolling (4–5
months) → sitting (6 months) → crawling (9 months) → standing (10–12 months) → walking
(12–15 months).
---
**Question 2**
**Topic:** Toddler developmental milestones
**Learning Objective:** Identify expected language milestone for a 2-year-old.
**Difficulty:** Easy
A nurse is evaluating a 2-year-old toddler during a health maintenance visit. Which language
milestone should the nurse expect this child to demonstrate?
A. Vocabulary of approximately 50 words and two- to three-word phrases
B. Use of complete sentences with correct grammar
C. Ability to tell a short story
D. Vocabulary of approximately 300 words
**Correct answer:** A. Vocabulary of approximately 50 words and two- to three-word phrases
**Detailed rationale:** By 24 months, a toddler typically has a vocabulary of approximately 50
words and begins combining two to three words (e.g., "Mama go," "Want milk"). This
represents the normal emergence of telegraphic speech.
, Page 4 of 228
**Why the other options are incorrect:**
- B: Complete sentences with grammar emerge around 3–4 years.
- C: Telling a short story is a 4–5-year milestone.
- D: A 300-word vocabulary is typical for a 3-year-old.
**Exam tip:** Think "2 by 2": at age 2, children use 2-word phrases and have roughly 50 words
(about 2 words for every month of life after 12 months).
---
**Question 3**
**Topic:** Preschool developmental milestones
**Learning Objective:** Identify expected fine motor milestone for a 4-year-old.
**Difficulty:** Easy
A nurse is observing a 4-year-old child in the clinic play area. Which fine motor activity should
the nurse expect this child to perform?
A. Drawing a circle
B. Tying shoelaces independently
C. Printing their full name
D. Using a fork and knife to cut food
**Correct answer:** A. Drawing a circle
ATI PEDIATRICS CMS (NURSING CARE
OF CHILDREN) PROCTORED EXAM
QUESTION BANK
Table of Contents
1. Questions 1–200
- Section 1: Growth & Development (Q1–Q40)
- Section 2: Health Promotion & Disease Prevention (Q41–Q70)
- Section 3: Pediatric Assessment (Q71–Q90)
- Section 4: Respiratory Disorders (Q91–Q110)
- Section 5: Cardiovascular Disorders (Q111–Q126)
- Section 6: Gastrointestinal & Fluid/Electrolyte Disorders (Q127–Q142)
- Section 7: Neurological & Sensory Disorders (Q143–Q156)
- Section 8: Endocrine & Metabolic Disorders (Q157–Q166)
- Section 9: Hematologic & Oncologic Disorders (Q167–Q176)
- Section 10: Musculoskeletal & Integumentary Disorders (Q177–Q184)
- Section 11: Pediatric Pharmacology & Medication Safety (Q185–Q194)
- Section 12: Infectious Diseases & Immunizations (Q195–Q200)
,Page 2 of 228
Questions 1–200
SECTION 1: GROWTH & DEVELOPMENT (Q1–Q40)
Question 1
Topic: Infant developmental milestones
Learning Objective: Identify expected gross motor milestone for a 6-month-old infant.
Difficulty: Easy
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following gross
motor milestones should the nurse expect the infant to have achieved?
A. Sits without support
B. Walks with assistance
C. Uses a pincer grasp
D. Says two-word phrases
Correct answer: A. Sits without support
Detailed rationale: By 6 months of age, infants typically achieve the milestone of sitting without
support (often with a rounded back initially, progressing to steady sitting by 8 months). This
reflects adequate trunk and neck muscle development.
Why the other options are incorrect:
- B: Walking with assistance is typically achieved around 9–12 months.
- C: A pincer grasp (thumb and forefinger) develops around 9–10 months.
- D: Two-word phrases are expected around 18–24 months.
,Page 3 of 228
Exam tip: Remember the cephalocaudal principle: head control (2–3 months) → rolling (4–5
months) → sitting (6 months) → crawling (9 months) → standing (10–12 months) → walking
(12–15 months).
---
**Question 2**
**Topic:** Toddler developmental milestones
**Learning Objective:** Identify expected language milestone for a 2-year-old.
**Difficulty:** Easy
A nurse is evaluating a 2-year-old toddler during a health maintenance visit. Which language
milestone should the nurse expect this child to demonstrate?
A. Vocabulary of approximately 50 words and two- to three-word phrases
B. Use of complete sentences with correct grammar
C. Ability to tell a short story
D. Vocabulary of approximately 300 words
**Correct answer:** A. Vocabulary of approximately 50 words and two- to three-word phrases
**Detailed rationale:** By 24 months, a toddler typically has a vocabulary of approximately 50
words and begins combining two to three words (e.g., "Mama go," "Want milk"). This
represents the normal emergence of telegraphic speech.
, Page 4 of 228
**Why the other options are incorrect:**
- B: Complete sentences with grammar emerge around 3–4 years.
- C: Telling a short story is a 4–5-year milestone.
- D: A 300-word vocabulary is typical for a 3-year-old.
**Exam tip:** Think "2 by 2": at age 2, children use 2-word phrases and have roughly 50 words
(about 2 words for every month of life after 12 months).
---
**Question 3**
**Topic:** Preschool developmental milestones
**Learning Objective:** Identify expected fine motor milestone for a 4-year-old.
**Difficulty:** Easy
A nurse is observing a 4-year-old child in the clinic play area. Which fine motor activity should
the nurse expect this child to perform?
A. Drawing a circle
B. Tying shoelaces independently
C. Printing their full name
D. Using a fork and knife to cut food
**Correct answer:** A. Drawing a circle
