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
Section I: Growth & Development
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse expect?
A. Birth weight doubled
B. Birth weight doubled and teeth beginning to erupt
C. Birth weight tripled
D. Able to sit without support
Rationale: Birth weight doubles by 5–6 months and triples by 12 months. Teething typically
begins around 6 months. Sitting without support is expected at 8 months.
2. A nurse is teaching parents about toddler development. Which statement indicates
understanding?
A. "My 2-year-old should have a 500-word vocabulary."
B. "My 2-year-old may use telegraphic speech, like 'want milk.'"
C. "My 2-year-old should be able to hop on one foot."
D. "My 2-year-old should understand abstract concepts."
Rationale: Toddlers use telegraphic speech (2–3 word sentences). A 500-word vocabulary
and hopping on one foot are preschool skills. Abstract thinking is not expected until school age.
3. Which play activity is most appropriate for a 4-year-old?
A. Playing house/pretend with peers
B. Solitary stacking blocks
C. Competitive board games
D. Parallel play with cars
, Rationale: Preschoolers engage in associative/cooperative pretend play. Solitary and parallel
play are toddler behaviors. Competitive games are more appropriate for school-age children.
4. The nurse is assessing a 9-month-old. Which milestone indicates delayed development?
A. Pincer grasp present
B. Unable to sit without support
C. Says "mama" and "dada"
D. Crawls on hands and knees
Rationale: Sitting without support should be achieved by 8 months. Inability at 9 months
suggests delay. Pincer grasp, babbling, and crawling are expected at this age.
5. According to Erikson, the developmental task of a 3-year-old is:
A. Trust vs. mistrust
B. Autonomy vs. shame
C. Initiative vs. guilt
D. Industry vs. inferiority
Rationale: Initiative vs. guilt occurs during preschool (3–6 years). Trust is infancy, autonomy
is toddlerhood, industry is school age.
6. A nurse is teaching about toilet training. Which is the best indicator of readiness?
A. Chronological age of 18 months
B. Staying dry for 2 hours during the day
C. Ability to pull up pants
D. Fear of the toilet
Rationale: Staying dry for 2 hours indicates bladder control, a key readiness sign. Age alone
is not the best indicator.
7. A 5-year-old is hospitalized. Which behavior should the nurse expect regarding separation
anxiety?
,A. Crying and screaming
B. Expressing fear through regression and tantrums
C. Complete indifference
D. Refusing to eat only
Rationale: Preschoolers may regress and act out. Infants/toddlers display more overt
protest. Preschoolers may appear to adjust but still fear separation.
8. Which is the leading cause of death in adolescents?
A. Cancer
B. Unintentional injuries (motor vehicle crashes)
C. Heart disease
D. Suicide
Rationale: Unintentional injuries, especially MVCs, are the leading cause of adolescent
death. Suicide is also a concern but second to injuries.
9. A nurse is teaching parents about the "terrible twos." Which is the best response?
A. "You should punish tantrums firmly."
B. "Tantrums are a normal expression of frustration and desire for independence."
C. "Ignore the child entirely for a day."
D. "Give in to stop the crying."
Rationale: Tantrums reflect autonomy-seeking. Consistent limits with reassurance are best.
Punishment or giving in reinforces negative behavior.
10. A nurse is assessing a 12-month-old. Which finding is expected?
A. Tripled birth weight and uses a cup
B. Walks backward
C. Uses 50-word vocabulary
D. Ties shoelaces
Rationale: Birth weight triples by 12 months; cup use begins. Walking backward and 50-
word vocabulary are 18–24 months. Shoe tying is 5–6 years.
, 11. Which immunization is contraindicated in a child with a severe egg allergy?
A. MMR
B. Influenza (some formulations)
C. Hepatitis B
D. DTaP
Rationale: Some influenza vaccines are cultured in eggs. MMR is safe even with egg allergy.
Hep B and DTaP are not egg-based.
12. A nurse is assessing a school-age child. Which is a sign of readiness for school?
A. Ability to follow 2–3 step directions
B. Ability to drive
C. Abstract reasoning
D. Ability to cook
Rationale: Following multi-step directions, sharing, and fine motor skills indicate school
readiness. Abstract reasoning is not expected until adolescence.
13. The nurse is teaching about adolescent sleep needs. Which is correct?
A. 6–7 hours
B. 8–9 hours
C. 8.5–9.5 hours
D. 12 hours
Rationale: Adolescents need 8.5–9.5 hours. Sleep deprivation is common and affects mood
and academics.
14. A nurse is assessing a 2-year-old. Which is expected?
A. Vocabulary of 300 words and 2–3 word sentences
B. Reads simple words
C. Counts to 20
D. Understands time
Exam (42 Versions, Newest-2022) / Nursing
Care of Children ATI Proctored Exam
|Complete 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. Birth weight doubled
B. Birth weight doubled and teeth beginning to erupt
C. Birth weight tripled
D. Able to sit without support
Rationale: Birth weight doubles by 5–6 months and triples by 12 months. Teething typically
begins around 6 months. Sitting without support is expected at 8 months.
2. A nurse is teaching parents about toddler development. Which statement indicates
understanding?
A. "My 2-year-old should have a 500-word vocabulary."
B. "My 2-year-old may use telegraphic speech, like 'want milk.'"
C. "My 2-year-old should be able to hop on one foot."
D. "My 2-year-old should understand abstract concepts."
Rationale: Toddlers use telegraphic speech (2–3 word sentences). A 500-word vocabulary
and hopping on one foot are preschool skills. Abstract thinking is not expected until school age.
3. Which play activity is most appropriate for a 4-year-old?
A. Playing house/pretend with peers
B. Solitary stacking blocks
C. Competitive board games
D. Parallel play with cars
, Rationale: Preschoolers engage in associative/cooperative pretend play. Solitary and parallel
play are toddler behaviors. Competitive games are more appropriate for school-age children.
4. The nurse is assessing a 9-month-old. Which milestone indicates delayed development?
A. Pincer grasp present
B. Unable to sit without support
C. Says "mama" and "dada"
D. Crawls on hands and knees
Rationale: Sitting without support should be achieved by 8 months. Inability at 9 months
suggests delay. Pincer grasp, babbling, and crawling are expected at this age.
5. According to Erikson, the developmental task of a 3-year-old is:
A. Trust vs. mistrust
B. Autonomy vs. shame
C. Initiative vs. guilt
D. Industry vs. inferiority
Rationale: Initiative vs. guilt occurs during preschool (3–6 years). Trust is infancy, autonomy
is toddlerhood, industry is school age.
6. A nurse is teaching about toilet training. Which is the best indicator of readiness?
A. Chronological age of 18 months
B. Staying dry for 2 hours during the day
C. Ability to pull up pants
D. Fear of the toilet
Rationale: Staying dry for 2 hours indicates bladder control, a key readiness sign. Age alone
is not the best indicator.
7. A 5-year-old is hospitalized. Which behavior should the nurse expect regarding separation
anxiety?
,A. Crying and screaming
B. Expressing fear through regression and tantrums
C. Complete indifference
D. Refusing to eat only
Rationale: Preschoolers may regress and act out. Infants/toddlers display more overt
protest. Preschoolers may appear to adjust but still fear separation.
8. Which is the leading cause of death in adolescents?
A. Cancer
B. Unintentional injuries (motor vehicle crashes)
C. Heart disease
D. Suicide
Rationale: Unintentional injuries, especially MVCs, are the leading cause of adolescent
death. Suicide is also a concern but second to injuries.
9. A nurse is teaching parents about the "terrible twos." Which is the best response?
A. "You should punish tantrums firmly."
B. "Tantrums are a normal expression of frustration and desire for independence."
C. "Ignore the child entirely for a day."
D. "Give in to stop the crying."
Rationale: Tantrums reflect autonomy-seeking. Consistent limits with reassurance are best.
Punishment or giving in reinforces negative behavior.
10. A nurse is assessing a 12-month-old. Which finding is expected?
A. Tripled birth weight and uses a cup
B. Walks backward
C. Uses 50-word vocabulary
D. Ties shoelaces
Rationale: Birth weight triples by 12 months; cup use begins. Walking backward and 50-
word vocabulary are 18–24 months. Shoe tying is 5–6 years.
, 11. Which immunization is contraindicated in a child with a severe egg allergy?
A. MMR
B. Influenza (some formulations)
C. Hepatitis B
D. DTaP
Rationale: Some influenza vaccines are cultured in eggs. MMR is safe even with egg allergy.
Hep B and DTaP are not egg-based.
12. A nurse is assessing a school-age child. Which is a sign of readiness for school?
A. Ability to follow 2–3 step directions
B. Ability to drive
C. Abstract reasoning
D. Ability to cook
Rationale: Following multi-step directions, sharing, and fine motor skills indicate school
readiness. Abstract reasoning is not expected until adolescence.
13. The nurse is teaching about adolescent sleep needs. Which is correct?
A. 6–7 hours
B. 8–9 hours
C. 8.5–9.5 hours
D. 12 hours
Rationale: Adolescents need 8.5–9.5 hours. Sleep deprivation is common and affects mood
and academics.
14. A nurse is assessing a 2-year-old. Which is expected?
A. Vocabulary of 300 words and 2–3 word sentences
B. Reads simple words
C. Counts to 20
D. Understands time
