ATI RN PEDIATRIC NURSING-STYLE
ORIGINAL PRACTICE QUESTIONS —
PART 1 (1–250)
Domain 1: Growth & Development (Questions 1–15)
1. A nurse is assessing a 4-month-old infant during a well-child
visit. Which milestone should the nurse expect?
A. Sits without support
B. Rolls from front to back
C. Transfers objects from hand to hand
D. Walks independently
Answer: B
Rationale: Rolling from front to back typically occurs at 4 months.
Sitting without support is expected at 6–8 months, transferring
objects at 7 months, and walking independently at 12–15 months
.
2. A mother brings her 4-month-old infant to the clinic. Which
milestone should the nurse expect the infant to have achieved?
A. Rolls from abdomen to back
B. Sits without support
C. Creeps on hands and knees
D. Uses pincer grasp
Answer: A
Rationale: By 4 months, infants typically roll from abdomen to
,back and grasp objects with the whole hand. Sitting without
support is expected around 6 months, creeping around 9 months,
and the pincer grasp matures by 9–10 months .
3. According to Erikson, which developmental task is central to the
toddler (1–3 years) stage?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Answer: B
Rationale: Toddlers (1–3 years) are in Erikson's stage of autonomy
vs. shame and doubt; they assert independence through choices
and self-feeding. Trust develops in infancy; Initiative vs. guilt is
preschool; Industry vs. inferiority is school-age .
4. A nurse is performing a developmental screening on a 4-year-
old child. Which milestone is appropriate for the nurse to expect?
A. Ties shoelaces
B. Draws a circle
C. Uses a fork to eat independently
D. Rides a tricycle
Answer: B
Rationale: By age 4, a child should be able to copy a circle and
draw a person with 2–4 body parts. Tying shoelaces is expected
around age 5–6. Rides a tricycle is typically achieved by age 3 .
5. A nurse is assessing a 12-month-old infant. Which finding
requires further intervention?
, A. Birth weight tripled
B. Anterior fontanel closed
C. Inability to sit unsupported
D. Presence of Moro reflex
Answer: C
Rationale: By 12 months, a child should be able to sit unsupported
independently. The Moro reflex disappears by 4–6 months.
Anterior fontanel typically closes between 12–18 months .
6. According to Erikson, a preschooler (3–6 years) is in which
psychosocial stage?
A. Trust vs. mistrust
B. Autonomy vs. shame/doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Answer: C
Rationale: Initiative vs. guilt is the stage for preschoolers,
characterized by asserting control over the environment and
exploring. Autonomy vs. shame/doubt is toddlerhood (1–3 years);
Industry vs. inferiority is school-age (6–12 years) .
7. A nurse is observing a mother playing peek-a-boo with her 8-
month-old child. The nurse should inform the mother that peek-
a-boo helps develop which concept?
A. Hand-eye coordination
B. Sense of trust
C. Object permanence
D. Egocentrism
ORIGINAL PRACTICE QUESTIONS —
PART 1 (1–250)
Domain 1: Growth & Development (Questions 1–15)
1. A nurse is assessing a 4-month-old infant during a well-child
visit. Which milestone should the nurse expect?
A. Sits without support
B. Rolls from front to back
C. Transfers objects from hand to hand
D. Walks independently
Answer: B
Rationale: Rolling from front to back typically occurs at 4 months.
Sitting without support is expected at 6–8 months, transferring
objects at 7 months, and walking independently at 12–15 months
.
2. A mother brings her 4-month-old infant to the clinic. Which
milestone should the nurse expect the infant to have achieved?
A. Rolls from abdomen to back
B. Sits without support
C. Creeps on hands and knees
D. Uses pincer grasp
Answer: A
Rationale: By 4 months, infants typically roll from abdomen to
,back and grasp objects with the whole hand. Sitting without
support is expected around 6 months, creeping around 9 months,
and the pincer grasp matures by 9–10 months .
3. According to Erikson, which developmental task is central to the
toddler (1–3 years) stage?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Answer: B
Rationale: Toddlers (1–3 years) are in Erikson's stage of autonomy
vs. shame and doubt; they assert independence through choices
and self-feeding. Trust develops in infancy; Initiative vs. guilt is
preschool; Industry vs. inferiority is school-age .
4. A nurse is performing a developmental screening on a 4-year-
old child. Which milestone is appropriate for the nurse to expect?
A. Ties shoelaces
B. Draws a circle
C. Uses a fork to eat independently
D. Rides a tricycle
Answer: B
Rationale: By age 4, a child should be able to copy a circle and
draw a person with 2–4 body parts. Tying shoelaces is expected
around age 5–6. Rides a tricycle is typically achieved by age 3 .
5. A nurse is assessing a 12-month-old infant. Which finding
requires further intervention?
, A. Birth weight tripled
B. Anterior fontanel closed
C. Inability to sit unsupported
D. Presence of Moro reflex
Answer: C
Rationale: By 12 months, a child should be able to sit unsupported
independently. The Moro reflex disappears by 4–6 months.
Anterior fontanel typically closes between 12–18 months .
6. According to Erikson, a preschooler (3–6 years) is in which
psychosocial stage?
A. Trust vs. mistrust
B. Autonomy vs. shame/doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Answer: C
Rationale: Initiative vs. guilt is the stage for preschoolers,
characterized by asserting control over the environment and
exploring. Autonomy vs. shame/doubt is toddlerhood (1–3 years);
Industry vs. inferiority is school-age (6–12 years) .
7. A nurse is observing a mother playing peek-a-boo with her 8-
month-old child. The nurse should inform the mother that peek-
a-boo helps develop which concept?
A. Hand-eye coordination
B. Sense of trust
C. Object permanence
D. Egocentrism
