ATI PEDIATRICS 2026 COMPLETE STUDY
REVIEW | CHAPTER PRACTICE FRAMEWORK &
LEARNING GUIDE || UPDATED VERSION
(Questions Covering Growth & Development, Health Promotion, Acute & Chronic Conditions,
and Nursing Care)
Module 1: Growth, Development, & Health Promotion (Questions 1-25)
1. According to Piaget, a preschooler who engages in magical thinking and animism is in which
cognitive stage?
A) Sensorimotor
B) Preoperational
C) Concrete Operational
D) Formal Operational
2. The primary psychosocial conflict for an infant (0-18 months) according to Erikson is:
A) Autonomy vs. Shame/Doubt
B) Initiative vs. Guilt
C) Trust vs. Mistrust
D) Industry vs. Inferiority
3. A nurse is teaching parents about injury prevention for a 9-month-old. Which instruction is
the MOST priority?
A) Lock away all cleaning products.
B) Use a rear-facing car seat in the back seat.
C) Place gates at the top and bottom of stairs.
D) Keep small objects and balloons out of reach.
4. The recommended schedule for the first Hepatitis B vaccine for a newborn is:
A) Within 12 hours of birth.
B) At 2 months of age.
C) At the 1-week well-child visit.
D) At 1 month of age.
5. A 5-year-old is scheduled for a kindergarten physical. Which developmental milestone
should the nurse expect the child to demonstrate?
A) Ties shoelaces.
,B) Hops on one foot.
C) Rides a two-wheel bicycle.
D) Copies a triangle.
6. According to the AAP, what is the recommended sleeping position for a healthy term infant
to reduce the risk of SIDS?
A) Prone
B) Side-lying
C) Supine
D) Elevated head of bed
7. A mother asks when she should introduce solid foods to her infant. The nurse's best
response is based on the indication that the infant:
A) Is 3 months old.
B) Has doubled the birth weight and shows interest, around 6 months.
C) Weighs 12 pounds.
D) Can hold a bottle.
8. The Denver II Developmental Screening Test assesses a child's performance in which four
areas?
A) Personal-social, fine motor-adaptive, language, gross motor
B) Cognitive, psychosocial, physical, emotional
C) Vision, hearing, speech, coordination
D) Growth, nutrition, immunization status, behavior
9. A 2-year-old is in the clinic. Which behavior best exemplifies the typical psychosocial
development of this age?
A) Separates easily from parents.
B) Engages in cooperative play.
C) Frequently says "No" and asserts independence.
D) Shows intense sibling rivalry.
10. A nurse is assessing a 6-month-old infant. Which finding requires immediate follow-up?
A) Presence of the Moro reflex.
B) Failure to track objects with eyes.
C) Weight gain of 1.5 lbs since last month.
D) Babbles and coos.
11. The leading cause of death in adolescents is:
A) Cancer
,B) Congenital conditions
C) Unintentional injuries (including motor vehicle accidents)
D) Homicide
12. A nurse is teaching a class on nutrition to parents of school-aged children (6-12 years). The
primary focus should be on:
A) Introducing skim milk only.
B) Establishing healthy eating patterns and balanced diets.
C) Limiting calories to prevent obesity.
D) High-protein supplements for growth.
13. Which immunization is recommended annually for all children 6 months and older?
A) Tdap
B) IPV
C) Influenza
D) MMR
14. A 14-year-old is likely in which stage of Piaget's cognitive development?
A) Preoperational
B) Concrete Operational
C) Formal Operational
D) Post-Formal
15. Which of the following is a recommended screening for an adolescent during a routine
physical?
A) Denver II
B) HEADS (Home, Education, Activities, Drugs, Sexuality, Suicide/Depression) assessment
C) Mini-Mental State Exam
D) Glasgow Coma Scale
16. A 3-month-old infant should be able to perform which gross motor skill?
A) Roll from back to front.
B) Sit without support.
C) Hold head steady when upright.
D) Bear weight on legs.
17. The first sign of puberty in females is usually:
A) Menarche
B) Development of pubic hair
, C) Breast bud development (thelarche)
D) Growth spurt
18. A parent is concerned about their toddler's "flat feet." The nurse's best response is:
A) "Your child will need orthopedic inserts."
B) "This is a normal finding due to the fat pad, and the arch will develop later."
C) "We need to refer you to a specialist immediately."
D) "Limit walking until the arches form."
19. Which toy is most developmentally appropriate for a 10-month-old infant?
A) A 12-piece puzzle.
B) A push-pull toy.
C) A large, brightly colored ring stack.
D) A video game.
20. A nurse is counseling parents about discipline for a 4-year-old. The most effective strategy
is:
A) Time-out for misbehavior.
B) Detailed, lengthy explanations.
C) Spanking as a last resort.
D) Withholding privileges for a week.
21. The best method to assess for pain in a preverbal infant is:
A) Ask the parent.
B) Use a numeric scale (0-10).
C) Use a validated behavioral tool like the FLACC or CRIES scale.
D) Assess vital signs only.
22. When teaching a school-aged child about a planned procedure, the nurse should:
A) Explain only to the parents to avoid frightening the child.
B) Use simple, concrete terms and allow handling of equipment.
C) Provide a detailed, scientific explanation.
D) Wait until just before the procedure to tell the child.
23. The best way to assess dietary intake in a pediatric patient is to:
A) Ask the child what they like to eat.
B) Request a 24-hour dietary recall from the parent/child.
C) Weigh the child only.
D) Assume the parent is providing a balanced diet.
REVIEW | CHAPTER PRACTICE FRAMEWORK &
LEARNING GUIDE || UPDATED VERSION
(Questions Covering Growth & Development, Health Promotion, Acute & Chronic Conditions,
and Nursing Care)
Module 1: Growth, Development, & Health Promotion (Questions 1-25)
1. According to Piaget, a preschooler who engages in magical thinking and animism is in which
cognitive stage?
A) Sensorimotor
B) Preoperational
C) Concrete Operational
D) Formal Operational
2. The primary psychosocial conflict for an infant (0-18 months) according to Erikson is:
A) Autonomy vs. Shame/Doubt
B) Initiative vs. Guilt
C) Trust vs. Mistrust
D) Industry vs. Inferiority
3. A nurse is teaching parents about injury prevention for a 9-month-old. Which instruction is
the MOST priority?
A) Lock away all cleaning products.
B) Use a rear-facing car seat in the back seat.
C) Place gates at the top and bottom of stairs.
D) Keep small objects and balloons out of reach.
4. The recommended schedule for the first Hepatitis B vaccine for a newborn is:
A) Within 12 hours of birth.
B) At 2 months of age.
C) At the 1-week well-child visit.
D) At 1 month of age.
5. A 5-year-old is scheduled for a kindergarten physical. Which developmental milestone
should the nurse expect the child to demonstrate?
A) Ties shoelaces.
,B) Hops on one foot.
C) Rides a two-wheel bicycle.
D) Copies a triangle.
6. According to the AAP, what is the recommended sleeping position for a healthy term infant
to reduce the risk of SIDS?
A) Prone
B) Side-lying
C) Supine
D) Elevated head of bed
7. A mother asks when she should introduce solid foods to her infant. The nurse's best
response is based on the indication that the infant:
A) Is 3 months old.
B) Has doubled the birth weight and shows interest, around 6 months.
C) Weighs 12 pounds.
D) Can hold a bottle.
8. The Denver II Developmental Screening Test assesses a child's performance in which four
areas?
A) Personal-social, fine motor-adaptive, language, gross motor
B) Cognitive, psychosocial, physical, emotional
C) Vision, hearing, speech, coordination
D) Growth, nutrition, immunization status, behavior
9. A 2-year-old is in the clinic. Which behavior best exemplifies the typical psychosocial
development of this age?
A) Separates easily from parents.
B) Engages in cooperative play.
C) Frequently says "No" and asserts independence.
D) Shows intense sibling rivalry.
10. A nurse is assessing a 6-month-old infant. Which finding requires immediate follow-up?
A) Presence of the Moro reflex.
B) Failure to track objects with eyes.
C) Weight gain of 1.5 lbs since last month.
D) Babbles and coos.
11. The leading cause of death in adolescents is:
A) Cancer
,B) Congenital conditions
C) Unintentional injuries (including motor vehicle accidents)
D) Homicide
12. A nurse is teaching a class on nutrition to parents of school-aged children (6-12 years). The
primary focus should be on:
A) Introducing skim milk only.
B) Establishing healthy eating patterns and balanced diets.
C) Limiting calories to prevent obesity.
D) High-protein supplements for growth.
13. Which immunization is recommended annually for all children 6 months and older?
A) Tdap
B) IPV
C) Influenza
D) MMR
14. A 14-year-old is likely in which stage of Piaget's cognitive development?
A) Preoperational
B) Concrete Operational
C) Formal Operational
D) Post-Formal
15. Which of the following is a recommended screening for an adolescent during a routine
physical?
A) Denver II
B) HEADS (Home, Education, Activities, Drugs, Sexuality, Suicide/Depression) assessment
C) Mini-Mental State Exam
D) Glasgow Coma Scale
16. A 3-month-old infant should be able to perform which gross motor skill?
A) Roll from back to front.
B) Sit without support.
C) Hold head steady when upright.
D) Bear weight on legs.
17. The first sign of puberty in females is usually:
A) Menarche
B) Development of pubic hair
, C) Breast bud development (thelarche)
D) Growth spurt
18. A parent is concerned about their toddler's "flat feet." The nurse's best response is:
A) "Your child will need orthopedic inserts."
B) "This is a normal finding due to the fat pad, and the arch will develop later."
C) "We need to refer you to a specialist immediately."
D) "Limit walking until the arches form."
19. Which toy is most developmentally appropriate for a 10-month-old infant?
A) A 12-piece puzzle.
B) A push-pull toy.
C) A large, brightly colored ring stack.
D) A video game.
20. A nurse is counseling parents about discipline for a 4-year-old. The most effective strategy
is:
A) Time-out for misbehavior.
B) Detailed, lengthy explanations.
C) Spanking as a last resort.
D) Withholding privileges for a week.
21. The best method to assess for pain in a preverbal infant is:
A) Ask the parent.
B) Use a numeric scale (0-10).
C) Use a validated behavioral tool like the FLACC or CRIES scale.
D) Assess vital signs only.
22. When teaching a school-aged child about a planned procedure, the nurse should:
A) Explain only to the parents to avoid frightening the child.
B) Use simple, concrete terms and allow handling of equipment.
C) Provide a detailed, scientific explanation.
D) Wait until just before the procedure to tell the child.
23. The best way to assess dietary intake in a pediatric patient is to:
A) Ask the child what they like to eat.
B) Request a 24-hour dietary recall from the parent/child.
C) Weigh the child only.
D) Assume the parent is providing a balanced diet.
