ATI RN Pediatrics Proctored – Assessment Technologies
Institute (ATI) – 2026/2027
SECTION I: GROWTH AND DEVELOPMENT (Questions 1-25)
Question 1
A nurse is assessing a 4-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect to observe?
A) Sitting independently without support
B) Grasping a rattle briefly and bringing it to the mouth
C) Crawling on hands and knees
D) Transferring objects from hand to hand
Correct Answer: B
Rationale: At 4 months, infants typically demonstrate the ability to grasp
objects briefly and bring them to the mouth. This represents progression in fine
motor development and hand-eye coordination. Sitting independently occurs at
approximately 6-8 months, crawling at 8-10 months, and transferring objects
between hands at 6-7 months of age .
Question 2
A nurse is assessing a 7-year-old child. According to Erikson's theory of
psychosocial development, which stage should the nurse expect this child to be
in?
A) Trust vs. Mistrust
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Identity vs. Role Confusion
Correct Answer: C
, Rationale: According to Erikson's psychosocial stages, school-age children
(ages 6-12 years) are in the Industry vs. Inferiority stage. During this period,
children develop a sense of competence and achievement through mastering new
skills and completing tasks. Trust vs. Mistrust occurs in infancy (birth-1 year),
Initiative vs. Guilt occurs in preschool years (3-6 years), and Identity vs. Role
Confusion occurs in adolescence (12-18 years) .
Question 3
A nurse is assessing a 4-year-old child at a well-child visit. Which fine motor
milestone should the nurse expect to observe?
A) Copies a circle
B) Ties shoelaces independently
C) Uses 2-word sentences
D) Counts backward from 20
Correct Answer: A
Rationale: At 4 years of age, children can typically copy simple shapes such as
circles and squares. Tying shoelaces independently develops around 5-6 years of
age. Two-word sentences are expected at 18-24 months of age. Counting
backward from 20 is a skill typically seen in school-age children .
Question 4
A nurse is teaching parents about expected developmental milestones for a 9-
month-old infant. Which statement by the parent indicates understanding?
A) "My baby should walk independently by now."
B) "My baby should sit unsupported."
C) "My baby should stack two blocks."
D) "My baby should say 3-5 words."
Correct Answer: B
, Rationale: By 9 months of age, infants are expected to sit unsupported.
Walking independently typically occurs around 12 months of age. Stacking blocks
is a milestone achieved around 15-18 months. Speaking 3-5 words is typically
expected around 18-24 months .
Question 5
A nurse is providing anticipatory guidance to the parents of a 12-month-old
infant. Which statement should the nurse include?
A) "Your child should be transitioned to whole milk."
B) "Your child should be drinking from a bottle exclusively."
C) "Your child should begin eating honey."
D) "Your child should be sleeping with a pillow."
Correct Answer: A
Rationale: At 12 months of age, infants can be transitioned from formula or
breast milk to whole milk. Honey should be avoided until after 12 months due to
the risk of infant botulism. Bottle use should be discouraged to prevent dental
caries, and pillows should not be used to reduce the risk of SIDS.
Question 6
A nurse is assessing a 2-year-old toddler. Which fine motor skill should the nurse
expect to observe?
A) Building a tower of 6-7 blocks
B) Drawing a circle
C) Using scissors to cut paper
D) Tying shoelaces
Correct Answer: A
Rationale: At 2 years of age, toddlers can typically build a tower of 6-7 blocks.
Drawing a circle is a skill expected at 3 years of age. Using scissors to cut paper
typically develops at 4-5 years. Tying shoelaces is a skill expected at 5-6 years .
, Question 7
A nurse is assessing the language development of a 15-month-old toddler. Which
finding should the nurse expect?
A) Uses 1-2 words
B) Speaks in 2-3 word sentences
C) Uses 4-6 words
D) Speaks in complete sentences
Correct Answer: C
Rationale: A 15-month-old toddler typically uses 4-6 words in their
vocabulary. Speaking in 2-3 word sentences is expected at 18-24 months.
Complete sentences are typical for preschool-aged children.
Question 8
A nurse is teaching parents about expected developmental milestones for a 2-
year-old. Which gross motor skill should the nurse include?
A) Kicks a ball forward
B) Rides a tricycle
C) Walks upstairs with alternating feet
D) Hops on one foot
Correct Answer: A
Rationale: By 2 years of age, toddlers can typically kick a ball forward. Riding a
tricycle is a skill expected at 3 years of age. Walking upstairs with alternating feet
and hopping on one foot are skills expected at 4 years of age.
Question 9
A nurse is assessing a 3-year-old child. According to Piaget's cognitive
development theory, which stage should the nurse expect?
Institute (ATI) – 2026/2027
SECTION I: GROWTH AND DEVELOPMENT (Questions 1-25)
Question 1
A nurse is assessing a 4-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect to observe?
A) Sitting independently without support
B) Grasping a rattle briefly and bringing it to the mouth
C) Crawling on hands and knees
D) Transferring objects from hand to hand
Correct Answer: B
Rationale: At 4 months, infants typically demonstrate the ability to grasp
objects briefly and bring them to the mouth. This represents progression in fine
motor development and hand-eye coordination. Sitting independently occurs at
approximately 6-8 months, crawling at 8-10 months, and transferring objects
between hands at 6-7 months of age .
Question 2
A nurse is assessing a 7-year-old child. According to Erikson's theory of
psychosocial development, which stage should the nurse expect this child to be
in?
A) Trust vs. Mistrust
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Identity vs. Role Confusion
Correct Answer: C
, Rationale: According to Erikson's psychosocial stages, school-age children
(ages 6-12 years) are in the Industry vs. Inferiority stage. During this period,
children develop a sense of competence and achievement through mastering new
skills and completing tasks. Trust vs. Mistrust occurs in infancy (birth-1 year),
Initiative vs. Guilt occurs in preschool years (3-6 years), and Identity vs. Role
Confusion occurs in adolescence (12-18 years) .
Question 3
A nurse is assessing a 4-year-old child at a well-child visit. Which fine motor
milestone should the nurse expect to observe?
A) Copies a circle
B) Ties shoelaces independently
C) Uses 2-word sentences
D) Counts backward from 20
Correct Answer: A
Rationale: At 4 years of age, children can typically copy simple shapes such as
circles and squares. Tying shoelaces independently develops around 5-6 years of
age. Two-word sentences are expected at 18-24 months of age. Counting
backward from 20 is a skill typically seen in school-age children .
Question 4
A nurse is teaching parents about expected developmental milestones for a 9-
month-old infant. Which statement by the parent indicates understanding?
A) "My baby should walk independently by now."
B) "My baby should sit unsupported."
C) "My baby should stack two blocks."
D) "My baby should say 3-5 words."
Correct Answer: B
, Rationale: By 9 months of age, infants are expected to sit unsupported.
Walking independently typically occurs around 12 months of age. Stacking blocks
is a milestone achieved around 15-18 months. Speaking 3-5 words is typically
expected around 18-24 months .
Question 5
A nurse is providing anticipatory guidance to the parents of a 12-month-old
infant. Which statement should the nurse include?
A) "Your child should be transitioned to whole milk."
B) "Your child should be drinking from a bottle exclusively."
C) "Your child should begin eating honey."
D) "Your child should be sleeping with a pillow."
Correct Answer: A
Rationale: At 12 months of age, infants can be transitioned from formula or
breast milk to whole milk. Honey should be avoided until after 12 months due to
the risk of infant botulism. Bottle use should be discouraged to prevent dental
caries, and pillows should not be used to reduce the risk of SIDS.
Question 6
A nurse is assessing a 2-year-old toddler. Which fine motor skill should the nurse
expect to observe?
A) Building a tower of 6-7 blocks
B) Drawing a circle
C) Using scissors to cut paper
D) Tying shoelaces
Correct Answer: A
Rationale: At 2 years of age, toddlers can typically build a tower of 6-7 blocks.
Drawing a circle is a skill expected at 3 years of age. Using scissors to cut paper
typically develops at 4-5 years. Tying shoelaces is a skill expected at 5-6 years .
, Question 7
A nurse is assessing the language development of a 15-month-old toddler. Which
finding should the nurse expect?
A) Uses 1-2 words
B) Speaks in 2-3 word sentences
C) Uses 4-6 words
D) Speaks in complete sentences
Correct Answer: C
Rationale: A 15-month-old toddler typically uses 4-6 words in their
vocabulary. Speaking in 2-3 word sentences is expected at 18-24 months.
Complete sentences are typical for preschool-aged children.
Question 8
A nurse is teaching parents about expected developmental milestones for a 2-
year-old. Which gross motor skill should the nurse include?
A) Kicks a ball forward
B) Rides a tricycle
C) Walks upstairs with alternating feet
D) Hops on one foot
Correct Answer: A
Rationale: By 2 years of age, toddlers can typically kick a ball forward. Riding a
tricycle is a skill expected at 3 years of age. Walking upstairs with alternating feet
and hopping on one foot are skills expected at 4 years of age.
Question 9
A nurse is assessing a 3-year-old child. According to Piaget's cognitive
development theory, which stage should the nurse expect?
