2025 ATI RN Pediatric Nursing Proctored
Exam NGN-Style Practice (70 Questions
& Answers)
Unit 1: Growth & Development / Family-Centered Care (Questions 1-15)
1. *A nurse is assessing a 2-month-old infant during a well-child visit.
Which reflex should the nurse expect to elicit?*
A. Stepping
B. Moro
C. Babinski
D. Tonic neck
*Answer: B*
*Rationale*: The Moro reflex (startle) is present from birth to 3-4
months, assessing neurological integrity. Stepping fades by 2 months;
Babinski and tonic neck persist longer (ATI Ch. 3).
2. *NGN Case Study: A 12-month-old toddler presents with delayed
walking. Cues: No independent steps, pulls to stand, says 2-3 words.
Prioritize hypothesis.*
*Priority Hypothesis*: Normal developmental variation (may walk by
15 months).
, *Rationale*: Independent walking emerges at 9-15 months; monitor
but no immediate concern (CDC milestones).
3. *A nurse is teaching parents of a 1-year-old about car seat safety.
Which instruction is correct?*
A. Front seat placement
B. Rear-facing until age 2
C. Forward-facing at 1 year
D. Booster at 2 years
*Answer: B*
*Rationale*: AAP 2025 guidelines: Rear-facing in back seat until age 2
or max height/weight for optimal head/neck protection.
4. *Select all that apply: Developmental milestones for a 6-month-old
infant.*
A. Rolls over
B. Sits unsupported
C. Says "mama/dada" specifically
D. Transfers objects hand-to-hand
E. Walks with support
*Answers: A, D*
, *Rationale*: Rolls and transfers at 6 months; sitting at 7-8 months,
words at 12 months, walking at 9-12 months.
5. *A nurse is providing anticipatory guidance to parents of a newborn.
Which immunization series starts first?*
A. Varicella
B. MMR
C. IPV
D. DTaP
*Answer: D*
*Rationale*: DTaP begins at 2 months (CDC 2025 schedule); others
later.
6. *A 4-year-old child refuses immunizations due to fear. What is the
best atraumatic care strategy?*
A. Force administration
B. Use distraction with a toy
C. Delay until older
D. Explain in adult terms
*Answer: B*
*Rationale*: Distraction minimizes trauma; explain age-appropriately.
Exam NGN-Style Practice (70 Questions
& Answers)
Unit 1: Growth & Development / Family-Centered Care (Questions 1-15)
1. *A nurse is assessing a 2-month-old infant during a well-child visit.
Which reflex should the nurse expect to elicit?*
A. Stepping
B. Moro
C. Babinski
D. Tonic neck
*Answer: B*
*Rationale*: The Moro reflex (startle) is present from birth to 3-4
months, assessing neurological integrity. Stepping fades by 2 months;
Babinski and tonic neck persist longer (ATI Ch. 3).
2. *NGN Case Study: A 12-month-old toddler presents with delayed
walking. Cues: No independent steps, pulls to stand, says 2-3 words.
Prioritize hypothesis.*
*Priority Hypothesis*: Normal developmental variation (may walk by
15 months).
, *Rationale*: Independent walking emerges at 9-15 months; monitor
but no immediate concern (CDC milestones).
3. *A nurse is teaching parents of a 1-year-old about car seat safety.
Which instruction is correct?*
A. Front seat placement
B. Rear-facing until age 2
C. Forward-facing at 1 year
D. Booster at 2 years
*Answer: B*
*Rationale*: AAP 2025 guidelines: Rear-facing in back seat until age 2
or max height/weight for optimal head/neck protection.
4. *Select all that apply: Developmental milestones for a 6-month-old
infant.*
A. Rolls over
B. Sits unsupported
C. Says "mama/dada" specifically
D. Transfers objects hand-to-hand
E. Walks with support
*Answers: A, D*
, *Rationale*: Rolls and transfers at 6 months; sitting at 7-8 months,
words at 12 months, walking at 9-12 months.
5. *A nurse is providing anticipatory guidance to parents of a newborn.
Which immunization series starts first?*
A. Varicella
B. MMR
C. IPV
D. DTaP
*Answer: D*
*Rationale*: DTaP begins at 2 months (CDC 2025 schedule); others
later.
6. *A 4-year-old child refuses immunizations due to fear. What is the
best atraumatic care strategy?*
A. Force administration
B. Use distraction with a toy
C. Delay until older
D. Explain in adult terms
*Answer: B*
*Rationale*: Distraction minimizes trauma; explain age-appropriately.
