ATI RN Pediatric Nursing Proctored Exam
with NGN 70 Questions and Answers #
RN Pediatric Nursing 2023/2026
Proctored Exam with NGN 70 Questions
and Rationales.
,
,SECTION 1: GROWTH AND DEVELOPMENT (Questions 1-10)
Q1. A nurse is assessing a 12-month-old infant during a well-child visit. Which
finding indicates normal growth and development?
• A) The infant can walk independently
• B) The infant has a pincer grasp
• C) The infant has a head circumference greater than chest circumference
, • D) The infant's anterior fontanel is closed
Correct Answer: B
Rationale: A pincer grasp (using thumb and forefinger) typically develops by 9-12
months and is a normal fine motor milestone. Walking independently usually occurs
around 15 months. Head and chest circumference are equal by 12 months. Anterior
fontanel closure occurs between 12-18 months, so it may not be closed at 12 months.
Q2. A nurse is providing anticipatory guidance to parents of a 4-year-old child.
Which developmental milestone should the nurse expect?
• A) Ties shoelaces independently
• B) Rides a tricycle
• C) Uses a fork and knife properly
• D) Writes name legibly
Correct Answer: B
Rationale: A 4-year-old typically can ride a tricycle, hop on one foot, and draw a person
with 3-4 body parts. Tying shoelaces and using a fork and knife properly are skills
expected at 5-6 years. Writing name legibly is a school-age milestone.
Q3. A nurse is assessing a 6-month-old infant during a well-child visit. Which
finding requires further evaluation?
• A) Head circumference increased by 0.5 cm since last visit
• B) Posterior fontanel is closed
• C) Able to roll from back to front
• D) Legs remain crossed and extended when supine
Correct Answer: D
Rationale: Legs that remain crossed and extended when supine ("scissoring") can be a
sign of increased muscle tone and may indicate a neurological issue like cerebral palsy.
with NGN 70 Questions and Answers #
RN Pediatric Nursing 2023/2026
Proctored Exam with NGN 70 Questions
and Rationales.
,
,SECTION 1: GROWTH AND DEVELOPMENT (Questions 1-10)
Q1. A nurse is assessing a 12-month-old infant during a well-child visit. Which
finding indicates normal growth and development?
• A) The infant can walk independently
• B) The infant has a pincer grasp
• C) The infant has a head circumference greater than chest circumference
, • D) The infant's anterior fontanel is closed
Correct Answer: B
Rationale: A pincer grasp (using thumb and forefinger) typically develops by 9-12
months and is a normal fine motor milestone. Walking independently usually occurs
around 15 months. Head and chest circumference are equal by 12 months. Anterior
fontanel closure occurs between 12-18 months, so it may not be closed at 12 months.
Q2. A nurse is providing anticipatory guidance to parents of a 4-year-old child.
Which developmental milestone should the nurse expect?
• A) Ties shoelaces independently
• B) Rides a tricycle
• C) Uses a fork and knife properly
• D) Writes name legibly
Correct Answer: B
Rationale: A 4-year-old typically can ride a tricycle, hop on one foot, and draw a person
with 3-4 body parts. Tying shoelaces and using a fork and knife properly are skills
expected at 5-6 years. Writing name legibly is a school-age milestone.
Q3. A nurse is assessing a 6-month-old infant during a well-child visit. Which
finding requires further evaluation?
• A) Head circumference increased by 0.5 cm since last visit
• B) Posterior fontanel is closed
• C) Able to roll from back to front
• D) Legs remain crossed and extended when supine
Correct Answer: D
Rationale: Legs that remain crossed and extended when supine ("scissoring") can be a
sign of increased muscle tone and may indicate a neurological issue like cerebral palsy.
