ATI Nursing Care of Children Proctored Exam
(42 Versions, Newest-2022) / Nursing Care of
Children ATI Proctored Exam |Complete
Document for A.T.I Exam
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse expect?
A. Birth weight doubled
B. Birth weight tripled
C. Can sit without support
D. Has pincer grasp
Correct Answer: A — Birth weight doubles by 5–6 months and triples by 12 months.
Rationale: Tripling occurs at 1 year (B is wrong). Independent sitting occurs at 8 months (C).
Pincer grasp develops at 9–10 months (D).
2. Which developmental milestone should a 12-month-old be expected to achieve?
A. Stacking two blocks
B. Using a spoon well
C. Speaking in two-word sentences
D. Walking backward
Correct Answer: A — Stacking two blocks is a 12-month fine motor milestone.
Rationale: Spoon use improves by 18 months. Two-word sentences are a 24-month
language milestone. Walking backward is a gross motor skill at ~18–24 months.
3. A nurse is teaching parents about toilet training. Which statement indicates understanding?
A. "We should start when he is 12 months old."
B. "We should start when he shows signs of readiness, usually around 18–24 months."
C. "We should punish accidents to reinforce learning."
D. "We should start during a stressful family move."
, Correct Answer: B — Readiness signs (staying dry 2 hrs, showing interest) typically appear
at 18–24 months.
Rationale: Starting too early (A), punishment (C), and stressful life events (D) all impede
toilet training.
4. SATA — Which are expected findings in a 4-year-old? Select all that apply.
A. Uses 4–5 word sentences
B. Has a vocabulary of ~1,500 words
C. Can hop on one foot
D. Understands conservation of volume
E. Engages in cooperative play
Correct Answers: A, B, C — These are all expected at age 4.
Rationale: Conservation of volume is a concrete-operational skill (~7 years), and cooperative
play is more characteristic of 5–6 years; 4-year-olds engage in associative play.
5. An infant who weighs 7 lb at birth should weigh approximately what at 6 months?
A. 10 lb
B. 14 lb
C. 21 lb
D. 28 lb
Correct Answer: B — 14 lb (birth weight doubled).
Rationale: Doubling by 5–6 months; tripling (21 lb) by 12 months.
6. Which reflex disappears at approximately 3–4 months of age?
A. Moro
B. Babinski
C. Palmar grasp
D. Rooting
Correct Answer: A — The Moro (startle) reflex disappears by 3–4 months.
Rationale: Palmar grasp disappears at 3–6 months (also acceptable but Moro is the classic
,3–4 month answer). Babinski persists until ~1 year. Rooting disappears by 4 months but is less
classically tested here. Best answer: A.
7. A nurse is assessing a 9-month-old. Which finding requires further evaluation?
A. Puts objects in mouth
B. Sits steadily without support
C. Does not respond to own name
D. Creeps on hands and knees
Correct Answer: C — Not responding to name by 9 months is a red flag for
hearing/developmental delay.
Rationale: Mouthing objects, independent sitting, and creeping are all expected at 9
months.
8. According to Piaget, a 2-year-old is in which stage?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Correct Answer: B — The preoperational stage spans ~2–7 years.
Rationale: Sensorimotor is 0–2 years; concrete operational is 7–11; formal operational is
11+.
9. According to Erikson, the psychosocial task of a toddler is:
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct Answer: B — Toddlers (1–3 years) work on autonomy.
Rationale: Trust is infancy; initiative is preschool; industry is school-age.
10. A nurse is teaching about stranger anxiety. At what age does it typically peak?
, A. 2–3 months
B. 7–9 months
C. 18–24 months
D. 3 years
Correct Answer: B — Stranger anxiety peaks at 7–9 months.
Rationale: Separation anxiety peaks around 10–18 months but stranger anxiety classically
peaks 7–9 months.
11. SATA — Which are fine motor milestones of a 6-month-old? Select all that apply.
A. Holds bottle
B. Rakes objects with whole hand
C. Transfers objects hand to hand
D. Pincer grasp
E. Bangs objects together
Correct Answers: A, B — Holding a bottle and raking are 6-month skills.
Rationale: Hand-to-hand transfer and banging objects are 7–8 months; pincer grasp is 9–10
months.
12. The best toy for a 3-month-old is:
A. Mobile with contrasting colors
B. Push-pull toy
C. Board game
D. Building blocks
Correct Answer: A — Young infants visually track high-contrast mobiles.
Rationale: Push-pull toys are for toddlers; board games for school-age; blocks for
preschoolers.
13. A 5-year-old's weight is expected to be approximately:
A. 2× birth weight
B. 3× birth weight
C. 4× birth weight
D. 5× birth weight
(42 Versions, Newest-2022) / Nursing Care of
Children ATI Proctored Exam |Complete
Document for A.T.I Exam
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse expect?
A. Birth weight doubled
B. Birth weight tripled
C. Can sit without support
D. Has pincer grasp
Correct Answer: A — Birth weight doubles by 5–6 months and triples by 12 months.
Rationale: Tripling occurs at 1 year (B is wrong). Independent sitting occurs at 8 months (C).
Pincer grasp develops at 9–10 months (D).
2. Which developmental milestone should a 12-month-old be expected to achieve?
A. Stacking two blocks
B. Using a spoon well
C. Speaking in two-word sentences
D. Walking backward
Correct Answer: A — Stacking two blocks is a 12-month fine motor milestone.
Rationale: Spoon use improves by 18 months. Two-word sentences are a 24-month
language milestone. Walking backward is a gross motor skill at ~18–24 months.
3. A nurse is teaching parents about toilet training. Which statement indicates understanding?
A. "We should start when he is 12 months old."
B. "We should start when he shows signs of readiness, usually around 18–24 months."
C. "We should punish accidents to reinforce learning."
D. "We should start during a stressful family move."
, Correct Answer: B — Readiness signs (staying dry 2 hrs, showing interest) typically appear
at 18–24 months.
Rationale: Starting too early (A), punishment (C), and stressful life events (D) all impede
toilet training.
4. SATA — Which are expected findings in a 4-year-old? Select all that apply.
A. Uses 4–5 word sentences
B. Has a vocabulary of ~1,500 words
C. Can hop on one foot
D. Understands conservation of volume
E. Engages in cooperative play
Correct Answers: A, B, C — These are all expected at age 4.
Rationale: Conservation of volume is a concrete-operational skill (~7 years), and cooperative
play is more characteristic of 5–6 years; 4-year-olds engage in associative play.
5. An infant who weighs 7 lb at birth should weigh approximately what at 6 months?
A. 10 lb
B. 14 lb
C. 21 lb
D. 28 lb
Correct Answer: B — 14 lb (birth weight doubled).
Rationale: Doubling by 5–6 months; tripling (21 lb) by 12 months.
6. Which reflex disappears at approximately 3–4 months of age?
A. Moro
B. Babinski
C. Palmar grasp
D. Rooting
Correct Answer: A — The Moro (startle) reflex disappears by 3–4 months.
Rationale: Palmar grasp disappears at 3–6 months (also acceptable but Moro is the classic
,3–4 month answer). Babinski persists until ~1 year. Rooting disappears by 4 months but is less
classically tested here. Best answer: A.
7. A nurse is assessing a 9-month-old. Which finding requires further evaluation?
A. Puts objects in mouth
B. Sits steadily without support
C. Does not respond to own name
D. Creeps on hands and knees
Correct Answer: C — Not responding to name by 9 months is a red flag for
hearing/developmental delay.
Rationale: Mouthing objects, independent sitting, and creeping are all expected at 9
months.
8. According to Piaget, a 2-year-old is in which stage?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Correct Answer: B — The preoperational stage spans ~2–7 years.
Rationale: Sensorimotor is 0–2 years; concrete operational is 7–11; formal operational is
11+.
9. According to Erikson, the psychosocial task of a toddler is:
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct Answer: B — Toddlers (1–3 years) work on autonomy.
Rationale: Trust is infancy; initiative is preschool; industry is school-age.
10. A nurse is teaching about stranger anxiety. At what age does it typically peak?
, A. 2–3 months
B. 7–9 months
C. 18–24 months
D. 3 years
Correct Answer: B — Stranger anxiety peaks at 7–9 months.
Rationale: Separation anxiety peaks around 10–18 months but stranger anxiety classically
peaks 7–9 months.
11. SATA — Which are fine motor milestones of a 6-month-old? Select all that apply.
A. Holds bottle
B. Rakes objects with whole hand
C. Transfers objects hand to hand
D. Pincer grasp
E. Bangs objects together
Correct Answers: A, B — Holding a bottle and raking are 6-month skills.
Rationale: Hand-to-hand transfer and banging objects are 7–8 months; pincer grasp is 9–10
months.
12. The best toy for a 3-month-old is:
A. Mobile with contrasting colors
B. Push-pull toy
C. Board game
D. Building blocks
Correct Answer: A — Young infants visually track high-contrast mobiles.
Rationale: Push-pull toys are for toddlers; board games for school-age; blocks for
preschoolers.
13. A 5-year-old's weight is expected to be approximately:
A. 2× birth weight
B. 3× birth weight
C. 4× birth weight
D. 5× birth weight
