RN ATI Capstone Nursing Care of Children
Proctored Exam 2025 – Versions 1 & 2:
NCLEX-Style Questions with 100% Verified
Answers and Rationales
Growth and Development (17 Questions)
Question 1: Multiple-Choice
A nurse is assessing a 3-year-old child during a well-child visit. Which developmental milestone
should the nurse expect?
A. Rides a tricycle
B. Reads simple sentences
C. Ties shoelaces
D. Uses scissors to cut shapes
Correct Answer: A
Rationale: A 3-year-old typically can ride a tricycle (A), reflecting gross motor development.
Reading sentences (B) and tying shoelaces (C) are expected by age 5–6, and cutting shapes (D)
is a 4-year-old milestone.
Question 2: Select-All-That-Apply
Which behaviors are expected in a 4-year-old preschooler? (Select all that apply.)
A. Engages in parallel play
B. Participates in imaginary play
C. Shares toys willingly
D. Counts to 20
Correct Answers: B, D
Rationale: A 4-year-old engages in imaginary play (B) and can count to 20 (D). Parallel play
(A) is typical of 2–3-year-olds, and sharing toys willingly (C) develops closer to age 5.
Question 3: Multiple-Choice
A nurse is teaching parents of a 6-month-old about developmental milestones. What should the
nurse include?
A. Sits without support
B. Walks independently
C. Uses a pincer grasp
, D. Speaks in two-word phrases
Correct Answer: A
Rationale: A 6-month-old typically sits without support (A). Walking (B) occurs around 12
months, pincer grasp (C) at 9–12 months, and two-word phrases (D) at 2 years.
Question 4: Multiple-Choice
A nurse assesses a 2-year-old who refuses to eat and throws tantrums. What should the nurse
recognize?
A. Developmental regression
B. Normal toddler behavior
C. Attention-deficit/hyperactivity disorder
D. Autism spectrum disorder
Correct Answer: B
Rationale: Refusal to eat and tantrums are normal toddler behaviors (B) reflecting autonomy
(Erikson’s autonomy vs. shame). Regression (A), ADHD (C), or autism (D) require additional
symptoms.
Question 5: Case Study (6 Questions)
Case Study: A 5-year-old child is admitted for observation after a minor head injury. The child
is alert and responsive.
Question 5.1: Multiple-Choice
What intervention should the nurse include in the plan of care?
A. Use bright fluorescent lighting
B. Initiate seizure precautions
C. Suction nares to check for fluid
D. Restrict all activity
Correct Answer: B
Rationale: Seizure precautions (B) are necessary post-head injury to ensure safety. Bright
lighting (A) may cause discomfort, suctioning (C) is invasive and unnecessary, and restricting all
activity (D) is excessive.
Question 5.2: Select-All-That-Apply
Which findings indicate potential neurological complications? (Select all that apply.)
A. Vomiting
B. Increased appetite
C. Lethargy
D. Clear nasal discharge
Correct Answers: A, C, D
Rationale: Vomiting (A), lethargy (C), and clear nasal discharge (D) may indicate increased
intracranial pressure or cerebrospinal fluid leak. Increased appetite (B) is not a concern.
Question 5.3: Multiple-Choice
What pain assessment tool is appropriate for this child?
A. FLACC scale
Proctored Exam 2025 – Versions 1 & 2:
NCLEX-Style Questions with 100% Verified
Answers and Rationales
Growth and Development (17 Questions)
Question 1: Multiple-Choice
A nurse is assessing a 3-year-old child during a well-child visit. Which developmental milestone
should the nurse expect?
A. Rides a tricycle
B. Reads simple sentences
C. Ties shoelaces
D. Uses scissors to cut shapes
Correct Answer: A
Rationale: A 3-year-old typically can ride a tricycle (A), reflecting gross motor development.
Reading sentences (B) and tying shoelaces (C) are expected by age 5–6, and cutting shapes (D)
is a 4-year-old milestone.
Question 2: Select-All-That-Apply
Which behaviors are expected in a 4-year-old preschooler? (Select all that apply.)
A. Engages in parallel play
B. Participates in imaginary play
C. Shares toys willingly
D. Counts to 20
Correct Answers: B, D
Rationale: A 4-year-old engages in imaginary play (B) and can count to 20 (D). Parallel play
(A) is typical of 2–3-year-olds, and sharing toys willingly (C) develops closer to age 5.
Question 3: Multiple-Choice
A nurse is teaching parents of a 6-month-old about developmental milestones. What should the
nurse include?
A. Sits without support
B. Walks independently
C. Uses a pincer grasp
, D. Speaks in two-word phrases
Correct Answer: A
Rationale: A 6-month-old typically sits without support (A). Walking (B) occurs around 12
months, pincer grasp (C) at 9–12 months, and two-word phrases (D) at 2 years.
Question 4: Multiple-Choice
A nurse assesses a 2-year-old who refuses to eat and throws tantrums. What should the nurse
recognize?
A. Developmental regression
B. Normal toddler behavior
C. Attention-deficit/hyperactivity disorder
D. Autism spectrum disorder
Correct Answer: B
Rationale: Refusal to eat and tantrums are normal toddler behaviors (B) reflecting autonomy
(Erikson’s autonomy vs. shame). Regression (A), ADHD (C), or autism (D) require additional
symptoms.
Question 5: Case Study (6 Questions)
Case Study: A 5-year-old child is admitted for observation after a minor head injury. The child
is alert and responsive.
Question 5.1: Multiple-Choice
What intervention should the nurse include in the plan of care?
A. Use bright fluorescent lighting
B. Initiate seizure precautions
C. Suction nares to check for fluid
D. Restrict all activity
Correct Answer: B
Rationale: Seizure precautions (B) are necessary post-head injury to ensure safety. Bright
lighting (A) may cause discomfort, suctioning (C) is invasive and unnecessary, and restricting all
activity (D) is excessive.
Question 5.2: Select-All-That-Apply
Which findings indicate potential neurological complications? (Select all that apply.)
A. Vomiting
B. Increased appetite
C. Lethargy
D. Clear nasal discharge
Correct Answers: A, C, D
Rationale: Vomiting (A), lethargy (C), and clear nasal discharge (D) may indicate increased
intracranial pressure or cerebrospinal fluid leak. Increased appetite (B) is not a concern.
Question 5.3: Multiple-Choice
What pain assessment tool is appropriate for this child?
A. FLACC scale
