ATI RN Pediatric Proctored Exam – 150
Practice Questions with Rationales/ATI
RN Pediatric Proctored Exam – (2023)
Actual Questions & Answers (ATI Pediatric
NGN Questions)
Based on available ATI Pediatric Proctored Exam materials, here is a
comprehensive set of 150 practice questions with verified answers
and detailed rationales. All hyperlinks and reference links have been
removed.
SECTION 1: GROWTH & DEVELOPMENT (Questions
1-20)
Question 1
A nurse is assessing a 4-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect?
A) Rolls from back to abdomen
B) Bears weight on legs when held standing
C) Sits unsupported
D) Pincer grasp present
,Answer: B
Rationale: By 4 months, infants can bear weight on legs when held in a
standing position. Rolling over typically occurs at 6 months, sitting
unsupported at 8 months, and pincer grasp at 9 months.
Question 2
A 2-year-old toddler is hospitalized. The nurse should expect the child
to display which behavior related to separation anxiety?
A) Crying and clinging to parents (Protest stage)
B) Attempting to bargain with the nurse (Despair stage)
C) Ignoring the parents upon their return (Detachment)
D) Showing interest in other children immediately
Answer: A
Rationale: Toddlers experience separation anxiety in three stages:
protest (crying, clinging), despair (withdrawal, sadness, bargaining),
and detachment (ignoring parents). Bargaining is part of the despair
stage.
Question 3
Which fine motor skill is expected in a 10-month-old infant?
A) Builds a tower of two cubes
B) Grasps a rattle by the handle
C) Uses a spoon without spilling
D) Stringing small beads
Answer: B
,Rationale: At 10 months, infants can grasp a rattle by the handle.
Building towers of cubes is a 12-15 month skill. Using a spoon without
spilling is an 18-24 month skill. Stringing beads is a preschool skill.
Question 4
Which pain assessment scale is most appropriate for a 3-year-old
child?
A) Numeric rating scale (0–10)
B) FACES Pain Rating Scale (Wong-Baker)
C) Visual analog scale
D) Verbal descriptor scale
Answer: B
Rationale: The FACES scale is ideal for children ages 3 and up who
can point to a face that represents their pain level. Numeric scales
require understanding of numbers (age 5+). Visual analog and verbal
descriptor scales are appropriate for older children.
Question 5
A nurse is assessing a 6-month-old infant. Which finding requires
further evaluation?
A) Moro reflex present
B) Inability to sit with support
C) Posterior fontanelle closed
D) Babinski reflex positive
Answer: A
, Rationale: The Moro reflex should disappear by 4 months; persistence
may indicate a neurological issue. By 6 months, an infant should sit
with support. Posterior fontanelle closes by 2 months. Babinski can
persist up to 12 months.
Question 6
Which play activity is most appropriate for a 2-year-old toddler?
A) Playing with a remote-control car
B) Push-pull toys and large blocks
C) Competitive board games
D) Stringing small beads
Answer: B
Rationale: Toddlers enjoy push-pull toys and large blocks for fine
motor development. Remote-control cars require more advanced
coordination (preschool). Board games are school-age. Small beads
are a choking hazard.
Question 7
A nurse is teaching a parenting class about safety in the toddler years.
Which topic is most important?
A) Using car booster seats until age 6
B) Preventing poisoning by locking cabinets
C) Teaching bicycle helmet use
D) Discussing stranger danger
Answer: B
Practice Questions with Rationales/ATI
RN Pediatric Proctored Exam – (2023)
Actual Questions & Answers (ATI Pediatric
NGN Questions)
Based on available ATI Pediatric Proctored Exam materials, here is a
comprehensive set of 150 practice questions with verified answers
and detailed rationales. All hyperlinks and reference links have been
removed.
SECTION 1: GROWTH & DEVELOPMENT (Questions
1-20)
Question 1
A nurse is assessing a 4-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect?
A) Rolls from back to abdomen
B) Bears weight on legs when held standing
C) Sits unsupported
D) Pincer grasp present
,Answer: B
Rationale: By 4 months, infants can bear weight on legs when held in a
standing position. Rolling over typically occurs at 6 months, sitting
unsupported at 8 months, and pincer grasp at 9 months.
Question 2
A 2-year-old toddler is hospitalized. The nurse should expect the child
to display which behavior related to separation anxiety?
A) Crying and clinging to parents (Protest stage)
B) Attempting to bargain with the nurse (Despair stage)
C) Ignoring the parents upon their return (Detachment)
D) Showing interest in other children immediately
Answer: A
Rationale: Toddlers experience separation anxiety in three stages:
protest (crying, clinging), despair (withdrawal, sadness, bargaining),
and detachment (ignoring parents). Bargaining is part of the despair
stage.
Question 3
Which fine motor skill is expected in a 10-month-old infant?
A) Builds a tower of two cubes
B) Grasps a rattle by the handle
C) Uses a spoon without spilling
D) Stringing small beads
Answer: B
,Rationale: At 10 months, infants can grasp a rattle by the handle.
Building towers of cubes is a 12-15 month skill. Using a spoon without
spilling is an 18-24 month skill. Stringing beads is a preschool skill.
Question 4
Which pain assessment scale is most appropriate for a 3-year-old
child?
A) Numeric rating scale (0–10)
B) FACES Pain Rating Scale (Wong-Baker)
C) Visual analog scale
D) Verbal descriptor scale
Answer: B
Rationale: The FACES scale is ideal for children ages 3 and up who
can point to a face that represents their pain level. Numeric scales
require understanding of numbers (age 5+). Visual analog and verbal
descriptor scales are appropriate for older children.
Question 5
A nurse is assessing a 6-month-old infant. Which finding requires
further evaluation?
A) Moro reflex present
B) Inability to sit with support
C) Posterior fontanelle closed
D) Babinski reflex positive
Answer: A
, Rationale: The Moro reflex should disappear by 4 months; persistence
may indicate a neurological issue. By 6 months, an infant should sit
with support. Posterior fontanelle closes by 2 months. Babinski can
persist up to 12 months.
Question 6
Which play activity is most appropriate for a 2-year-old toddler?
A) Playing with a remote-control car
B) Push-pull toys and large blocks
C) Competitive board games
D) Stringing small beads
Answer: B
Rationale: Toddlers enjoy push-pull toys and large blocks for fine
motor development. Remote-control cars require more advanced
coordination (preschool). Board games are school-age. Small beads
are a choking hazard.
Question 7
A nurse is teaching a parenting class about safety in the toddler years.
Which topic is most important?
A) Using car booster seats until age 6
B) Preventing poisoning by locking cabinets
C) Teaching bicycle helmet use
D) Discussing stranger danger
Answer: B
