ATI Nursing Care of Children Proctored Exam
(25 Exam Sets, Latest-2021/2022) / Nursing
Care of Children ATI Proctored Exam |Best
Document for A.T.I Exam
SECTION I: GROWTH & DEVELOPMENT
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse expect?
A. Able to sit without support
B. Positive Babinski reflex
C. Pincer grasp present
D. Birth weight tripled
Correct Answer: B. Positive Babinski reflex
The Babinski reflex is normally present until about 12 months of age, so it is an expected
finding at 6 months. Sitting without support occurs around 8 months, pincer grasp around 9–10
months, and tripling of birth weight around 12 months.
2. A nurse is teaching parents about appropriate toys for a 4-month-old infant. Which toy
should the nurse recommend?
A. Push-pull toy
B. Stacking rings
C. Colorful mobile
D. Play kitchen
Correct Answer: C. Colorful mobile
At 4 months, infants track objects visually and reach for things. A colorful mobile stimulates
visual development. Push-pull toys are for toddlers, stacking rings for older infants (9–12
months), and pretend play for preschoolers.
3. Which statement by a parent indicates correct understanding of toddler development?
,A. "My 2-year-old should be able to share toys with friends."
B. "My 2-year-old may use parallel play and be unable to share."
C. "My 2-year-old should understand the concept of death."
D. "My 2-year-old should have a fully developed conscience."
Correct Answer: B. "My 2-year-old may use parallel play and be unable to share."
Toddlers engage in parallel play (playing alongside, not with, others) and are egocentric, so
sharing is not expected. Conservation, abstract concepts like death, and a developed conscience
are beyond toddler cognition.
4. A nurse is assessing a 5-year-old. Which finding suggests a delay in fine motor
development?
A. Draws a stick figure with 6 parts
B. Uses scissors to cut a straight line
C. Cannot button clothing independently
D. Copies a triangle
Correct Answer: C. Cannot button clothing independently
By age 5, children should be able to dress themselves with minimal assistance, including
buttoning. Drawing a person with 6 parts, cutting with scissors, and copying a triangle are
expected at 5 years.
5. According to Erikson, which task is the priority for an adolescent?
A. Trust vs. mistrust
B. Initiative vs. guilt
C. Identity vs. role confusion
D. Industry vs. inferiority
Correct Answer: C. Identity vs. role confusion
Adolescence (12–18 years) centers on developing a personal identity. Trust is infancy,
initiative is preschool, and industry is school-age.
6. A nurse is assessing a 9-month-old infant. Which finding requires further evaluation?
A. Pulls to standing
B. Says "mama" and "dada" nonspecifically
,C. Does not respond to own name
D. Waves bye-bye
Correct Answer: C. Does not respond to own name
Responding to one's name is expected by 7–9 months and is a key communication
milestone. Lack of response may indicate hearing or developmental delay. Pulling to stand,
babbling, and waving are expected at 9 months.
7. A parent asks when a child should be able to ride a tricycle. The nurse responds:
A. 18 months
B. 2 years
C. 3 years
D. 5 years
Correct Answer: C. 3 years
Tricycle riding requires coordination typically achieved at age 3. At 2 years, children can kick
a ball; at 5, they can skip and ride a bicycle with training wheels.
8. Which is an expected finding in a 3-year-old?
A. Uses 4- to 5-word sentences
B. Vocabulary of 1,500 words
C. Can count to 10
D. Knows full name and address
Correct Answer: A. Uses 4- to 5-word sentences
By age 3, children use 4- to 5-word sentences and have a vocabulary of about 900 words.
Counting to 10 and knowing name/address are expected at 4–5 years.
9. A nurse observes a preschooler during play. Which behavior is expected?
A. Cooperative play with rules
B. Associative play with sharing
C. Solitary play
D. Pretend play with imagination
, Correct Answer: D. Pretend play with imagination
Preschoolers (3–5 years) engage in imaginative, dramatic play. Solitary play is
infancy/toddler, associative play is preschool/early school-age, and cooperative rule-based play
is school-age.
10. Which SATA findings are expected in a 12-month-old? (Select all that apply.)
A. Walks independently
B. Has 6–8 teeth
C. Uses a spoon with some spilling
D. Speaks 2–3 words
E. Tripled birth weight
Correct Answers: A, B, C, E
At 12 months, most children walk independently, have 6–8 primary teeth, self-feed with a
spoon with spilling, and have tripled their birth weight. Speaking 2–3 words is expected at 12
months as well, but the classic "50 words by 2 years" milestone means 2–3 words at 12 months
is correct — however, the strongest expected SATA set here is A, B, C, E based on ATI content. (If
including D, note it is also developmentally appropriate.)
11. A nurse is assessing a 15-month-old. Which finding indicates a need for further
evaluation?
A. Throws a ball overhand
B. Uses 10–15 words
C. Cannot walk backward
D. Stacks 2 blocks
Correct Answer: C. Cannot walk backward
Walking backward is a gross motor milestone expected around 15 months. Throwing a ball,
using 10–15 words, and stacking 2 blocks are expected.
12. Which nursing action best supports a hospitalized toddler's developmental needs?
A. Provide a detailed explanation of procedures
B. Allow the toddler to keep a favorite blanket
(25 Exam Sets, Latest-2021/2022) / Nursing
Care of Children ATI Proctored Exam |Best
Document for A.T.I Exam
SECTION I: GROWTH & DEVELOPMENT
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse expect?
A. Able to sit without support
B. Positive Babinski reflex
C. Pincer grasp present
D. Birth weight tripled
Correct Answer: B. Positive Babinski reflex
The Babinski reflex is normally present until about 12 months of age, so it is an expected
finding at 6 months. Sitting without support occurs around 8 months, pincer grasp around 9–10
months, and tripling of birth weight around 12 months.
2. A nurse is teaching parents about appropriate toys for a 4-month-old infant. Which toy
should the nurse recommend?
A. Push-pull toy
B. Stacking rings
C. Colorful mobile
D. Play kitchen
Correct Answer: C. Colorful mobile
At 4 months, infants track objects visually and reach for things. A colorful mobile stimulates
visual development. Push-pull toys are for toddlers, stacking rings for older infants (9–12
months), and pretend play for preschoolers.
3. Which statement by a parent indicates correct understanding of toddler development?
,A. "My 2-year-old should be able to share toys with friends."
B. "My 2-year-old may use parallel play and be unable to share."
C. "My 2-year-old should understand the concept of death."
D. "My 2-year-old should have a fully developed conscience."
Correct Answer: B. "My 2-year-old may use parallel play and be unable to share."
Toddlers engage in parallel play (playing alongside, not with, others) and are egocentric, so
sharing is not expected. Conservation, abstract concepts like death, and a developed conscience
are beyond toddler cognition.
4. A nurse is assessing a 5-year-old. Which finding suggests a delay in fine motor
development?
A. Draws a stick figure with 6 parts
B. Uses scissors to cut a straight line
C. Cannot button clothing independently
D. Copies a triangle
Correct Answer: C. Cannot button clothing independently
By age 5, children should be able to dress themselves with minimal assistance, including
buttoning. Drawing a person with 6 parts, cutting with scissors, and copying a triangle are
expected at 5 years.
5. According to Erikson, which task is the priority for an adolescent?
A. Trust vs. mistrust
B. Initiative vs. guilt
C. Identity vs. role confusion
D. Industry vs. inferiority
Correct Answer: C. Identity vs. role confusion
Adolescence (12–18 years) centers on developing a personal identity. Trust is infancy,
initiative is preschool, and industry is school-age.
6. A nurse is assessing a 9-month-old infant. Which finding requires further evaluation?
A. Pulls to standing
B. Says "mama" and "dada" nonspecifically
,C. Does not respond to own name
D. Waves bye-bye
Correct Answer: C. Does not respond to own name
Responding to one's name is expected by 7–9 months and is a key communication
milestone. Lack of response may indicate hearing or developmental delay. Pulling to stand,
babbling, and waving are expected at 9 months.
7. A parent asks when a child should be able to ride a tricycle. The nurse responds:
A. 18 months
B. 2 years
C. 3 years
D. 5 years
Correct Answer: C. 3 years
Tricycle riding requires coordination typically achieved at age 3. At 2 years, children can kick
a ball; at 5, they can skip and ride a bicycle with training wheels.
8. Which is an expected finding in a 3-year-old?
A. Uses 4- to 5-word sentences
B. Vocabulary of 1,500 words
C. Can count to 10
D. Knows full name and address
Correct Answer: A. Uses 4- to 5-word sentences
By age 3, children use 4- to 5-word sentences and have a vocabulary of about 900 words.
Counting to 10 and knowing name/address are expected at 4–5 years.
9. A nurse observes a preschooler during play. Which behavior is expected?
A. Cooperative play with rules
B. Associative play with sharing
C. Solitary play
D. Pretend play with imagination
, Correct Answer: D. Pretend play with imagination
Preschoolers (3–5 years) engage in imaginative, dramatic play. Solitary play is
infancy/toddler, associative play is preschool/early school-age, and cooperative rule-based play
is school-age.
10. Which SATA findings are expected in a 12-month-old? (Select all that apply.)
A. Walks independently
B. Has 6–8 teeth
C. Uses a spoon with some spilling
D. Speaks 2–3 words
E. Tripled birth weight
Correct Answers: A, B, C, E
At 12 months, most children walk independently, have 6–8 primary teeth, self-feed with a
spoon with spilling, and have tripled their birth weight. Speaking 2–3 words is expected at 12
months as well, but the classic "50 words by 2 years" milestone means 2–3 words at 12 months
is correct — however, the strongest expected SATA set here is A, B, C, E based on ATI content. (If
including D, note it is also developmentally appropriate.)
11. A nurse is assessing a 15-month-old. Which finding indicates a need for further
evaluation?
A. Throws a ball overhand
B. Uses 10–15 words
C. Cannot walk backward
D. Stacks 2 blocks
Correct Answer: C. Cannot walk backward
Walking backward is a gross motor milestone expected around 15 months. Throwing a ball,
using 10–15 words, and stacking 2 blocks are expected.
12. Which nursing action best supports a hospitalized toddler's developmental needs?
A. Provide a detailed explanation of procedures
B. Allow the toddler to keep a favorite blanket
