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ATI PN PEDIATRIC PROCTORED EXAM 2026QUESTIONS WITH VERIFIED ANSWERS
DETAILED RATIONALES GRADED A+
Section 1: Growth & Development (Questions 1–25)
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following
findings should the nurse expect?
A. Rolls from back to stomach
B. Sits without support
C. Walks with assistance
D. Says "mama" and "dada" specifically
Rationale: B. A 6-month-old infant should be able to sit without support. Rolling from back to
stomach occurs at 5-6 months, walking with assistance at 12 months, and specific
"mama/dada" at 10-12 months.
2. A nurse is assessing a 2-year-old toddler. Which of the following developmental milestones
should the nurse expect the toddler to achieve?
A. Uses a spoon with little spilling
B. Draws a circle
C. Knows full name and address
D. Ties shoelaces
Rationale: A. A 2-year-old should be able to use a spoon with little spilling. Drawing a circle
occurs at 3 years, knowing full name and address at 5 years, and tying shoelaces at 6 years.
3. According to Erikson's theory, which psychosocial stage is a 4-year-old child in?
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A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Rationale: C. A 4-year-old is in the initiative vs. guilt stage (ages 3-6 years), where children
develop a sense of purpose through exploration and play.
4. A nurse is assessing a 9-month-old infant. Which of the following findings would indicate a
need for further evaluation?
A. Pincer grasp is present
B. Infant can sit without support
C. Infant does not respond to name
D. Infant babbles with repetitive sounds
Rationale: C. A 9-month-old should respond to their name. Lack of response may indicate
hearing impairment or developmental delay and requires further evaluation.
5. A nurse is providing anticipatory guidance to the parents of a 15-month-old toddler. Which
of the following should the nurse include?
A. "Your child should be able to run well."
B. "Your child may have temper tantrums."
C. "Your child should speak in full sentences."
D. "Your child should be able to dress independently."
Rationale: B. Temper tantrums are common in toddlers as they seek autonomy. Running well
occurs at 18-24 months, full sentences at 3 years, and independent dressing at 4-5 years.
6. A nurse is assessing a 5-year-old child. Which of the following findings should the nurse
expect?
A. Ability to count 10 or more objects
B. Ability to read a simple book
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C. Ability to write a complete sentence
D. Ability to perform multiplication
Rationale: A. A 5-year-old should be able to count 10 or more objects. Reading simple books
occurs at 6-7 years, writing sentences at 7-8 years, and multiplication at 8-9 years.
7. According to Piaget, a 10-year-old child is in which stage of cognitive development?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Rationale: C. A 10-year-old is in the concrete operational stage (ages 7-11 years), characterized
by logical thinking about concrete events.
8. A nurse is assessing a 12-month-old infant. Which of the following findings should the
nurse expect?
A. Says 3-5 words
B. Uses a fork and spoon
C. Knows colors
D. Counts to 10
Rationale: A. A 12-month-old should say 3-5 words. Using a fork and spoon occurs at 18
months, knowing colors at 3 years, and counting to 10 at 4 years.
9. A nurse is assessing a 3-month-old infant. Which of the following reflexes should the nurse
expect to be present?
A. Moro reflex
B. Plantar grasp
C. Stepping reflex
D. Babinski reflex
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Rationale: A. The Moro reflex is present at birth and should disappear by 4 months. Plantar
grasp and stepping reflex disappear by 3-4 months, and Babinski disappears by 12 months.
10. A nurse is assessing a 7-year-old child. Which of the following findings would indicate a
need for further evaluation?
A. Child can tie shoelaces
B. Child can read age-appropriate books
C. Child cannot hop on one foot
D. Child can count to 100
Rationale: C. A 7-year-old should be able to hop on one foot. Inability to do so may indicate
motor delay and requires further evaluation.
11. A nurse is providing anticipatory guidance to the parents of a 4-month-old infant. Which
of the following should the nurse include?
A. "Your baby should be able to sit without support."
B. "Your baby will begin to show interest in solid foods."
C. "Your baby should be able to crawl."
D. "Your baby should be able to say two-word phrases."
Rationale: B. At 4 months, infants show interest in solid foods and are ready to begin
introducing solids. Sitting without support occurs at 8 months, crawling at 9 months, and two-
word phrases at 2 years.
12. A nurse is assessing a 6-year-old child. Which of the following findings should the nurse
expect?
A. Child can follow three-step commands
B. Child can write full paragraphs
C. Child can perform algebraic equations
D. Child can drive a car
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ATI PN PEDIATRIC PROCTORED EXAM 2026QUESTIONS WITH VERIFIED ANSWERS
DETAILED RATIONALES GRADED A+
Section 1: Growth & Development (Questions 1–25)
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following
findings should the nurse expect?
A. Rolls from back to stomach
B. Sits without support
C. Walks with assistance
D. Says "mama" and "dada" specifically
Rationale: B. A 6-month-old infant should be able to sit without support. Rolling from back to
stomach occurs at 5-6 months, walking with assistance at 12 months, and specific
"mama/dada" at 10-12 months.
2. A nurse is assessing a 2-year-old toddler. Which of the following developmental milestones
should the nurse expect the toddler to achieve?
A. Uses a spoon with little spilling
B. Draws a circle
C. Knows full name and address
D. Ties shoelaces
Rationale: A. A 2-year-old should be able to use a spoon with little spilling. Drawing a circle
occurs at 3 years, knowing full name and address at 5 years, and tying shoelaces at 6 years.
3. According to Erikson's theory, which psychosocial stage is a 4-year-old child in?
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A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Rationale: C. A 4-year-old is in the initiative vs. guilt stage (ages 3-6 years), where children
develop a sense of purpose through exploration and play.
4. A nurse is assessing a 9-month-old infant. Which of the following findings would indicate a
need for further evaluation?
A. Pincer grasp is present
B. Infant can sit without support
C. Infant does not respond to name
D. Infant babbles with repetitive sounds
Rationale: C. A 9-month-old should respond to their name. Lack of response may indicate
hearing impairment or developmental delay and requires further evaluation.
5. A nurse is providing anticipatory guidance to the parents of a 15-month-old toddler. Which
of the following should the nurse include?
A. "Your child should be able to run well."
B. "Your child may have temper tantrums."
C. "Your child should speak in full sentences."
D. "Your child should be able to dress independently."
Rationale: B. Temper tantrums are common in toddlers as they seek autonomy. Running well
occurs at 18-24 months, full sentences at 3 years, and independent dressing at 4-5 years.
6. A nurse is assessing a 5-year-old child. Which of the following findings should the nurse
expect?
A. Ability to count 10 or more objects
B. Ability to read a simple book
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C. Ability to write a complete sentence
D. Ability to perform multiplication
Rationale: A. A 5-year-old should be able to count 10 or more objects. Reading simple books
occurs at 6-7 years, writing sentences at 7-8 years, and multiplication at 8-9 years.
7. According to Piaget, a 10-year-old child is in which stage of cognitive development?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Rationale: C. A 10-year-old is in the concrete operational stage (ages 7-11 years), characterized
by logical thinking about concrete events.
8. A nurse is assessing a 12-month-old infant. Which of the following findings should the
nurse expect?
A. Says 3-5 words
B. Uses a fork and spoon
C. Knows colors
D. Counts to 10
Rationale: A. A 12-month-old should say 3-5 words. Using a fork and spoon occurs at 18
months, knowing colors at 3 years, and counting to 10 at 4 years.
9. A nurse is assessing a 3-month-old infant. Which of the following reflexes should the nurse
expect to be present?
A. Moro reflex
B. Plantar grasp
C. Stepping reflex
D. Babinski reflex
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Rationale: A. The Moro reflex is present at birth and should disappear by 4 months. Plantar
grasp and stepping reflex disappear by 3-4 months, and Babinski disappears by 12 months.
10. A nurse is assessing a 7-year-old child. Which of the following findings would indicate a
need for further evaluation?
A. Child can tie shoelaces
B. Child can read age-appropriate books
C. Child cannot hop on one foot
D. Child can count to 100
Rationale: C. A 7-year-old should be able to hop on one foot. Inability to do so may indicate
motor delay and requires further evaluation.
11. A nurse is providing anticipatory guidance to the parents of a 4-month-old infant. Which
of the following should the nurse include?
A. "Your baby should be able to sit without support."
B. "Your baby will begin to show interest in solid foods."
C. "Your baby should be able to crawl."
D. "Your baby should be able to say two-word phrases."
Rationale: B. At 4 months, infants show interest in solid foods and are ready to begin
introducing solids. Sitting without support occurs at 8 months, crawling at 9 months, and two-
word phrases at 2 years.
12. A nurse is assessing a 6-year-old child. Which of the following findings should the nurse
expect?
A. Child can follow three-step commands
B. Child can write full paragraphs
C. Child can perform algebraic equations
D. Child can drive a car
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