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NGN ATI PEDS PROCTORED EXAM Actual
Exam 2026/2027 Complete Questions and
Verified Answers with Rationales Already
Graded A+ Pass Guaranteed - A+ Graded
FORM A - SECTION 1: GROWTH AND DEVELOPMENT (Questions 1-20)
Q1 (Form A): A 4-year-old child is brought to the clinic for a well-child visit. The parent reports
that the child has started having tantrums when told "no" and insists on doing things
independently. According to Erikson's psychosocial stages, this behavior is characteristic of
which stage?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt [CORRECT]
D. Industry vs. Inferiority
Rationale: According to Erikson, the preschool stage (ages 3-6) is Initiative vs. Guilt, where
children assert power and control over their environment through goal-directed activities.
Autonomy vs. Shame and Doubt (B) occurs during toddlerhood (1-3 years) with focus on
independence in mobility and self-care. Industry vs. Inferiority (D) is school-age (6-12 years)
involving competence in tasks. Trust vs. Mistrust (A) is infancy (0-1 year) focused on attachment
security.
Q2 (Form A): A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone would the nurse expect to observe?
A. Walking independently
B. Using two-word phrases
C. Transferring objects from hand to hand [CORRECT]
D. Drawing a circle
Rationale: At 6 months, infants typically demonstrate fine motor skills including transferring
objects between hands (C). Walking independently (A) occurs around 12 months. Two-word
phrases (B) emerge at 18-24 months. Drawing a circle (D) is a preschool milestone (3-4 years).
,2
Q3 (Form A): According to Piaget's theory of cognitive development, a 3-year-old child who
believes that a doll is "alive" because it has a name is demonstrating which concept?
A. Object permanence
B. Egocentrism
C. Animism [CORRECT]
D. Conservation
Rationale: Animism (C) is characteristic of the preoperational stage (2-7 years), where children
attribute life-like qualities to inanimate objects. Object permanence (A) develops in sensorimotor
stage (0-2 years). Egocentrism (B) involves inability to see others' perspectives. Conservation
(D) develops in concrete operational stage (7-11 years).
Q4 (Form A): A nurse is providing anticipatory guidance to parents of a 15-month-old toddler.
Which safety recommendation is most appropriate for this age?
A. Install toilet locks and keep bathroom doors closed [CORRECT]
B. Allow unsupervised play in fenced yard
C. Remove all stair gates as child can walk
D. Permit sleeping with soft blankets and pillows
Rationale: Toilet locks and bathroom safety (A) are critical as toddlers explore and can drown in
small amounts of water. Unsupervised outdoor play (B) is unsafe at this age. Stair gates should
remain (C) as climbing skills exceed judgment. Soft bedding (D) increases SIDS/suffocation risk
under age 2.
Q5 (Form A): A school-age child (8 years old) is admitted for tonsillectomy. According to
Erikson, which nursing approach best supports healthy psychosocial development?
A. Encourage parents to stay at bedside constantly
B. Allow child to participate in care decisions and maintain school connections [CORRECT]
C. Minimize discussion of the procedure to reduce anxiety
D. Focus primarily on physical comfort needs
Rationale: School-age children (Industry vs. Inferiority) need opportunities to achieve
competence and maintain peer/school connections (B). Constant parental presence (A) may
undermine emerging independence. Open communication (not C) reduces anxiety. While
physical comfort (D) is important, psychosocial needs require attention too.
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Q6 (Form A): Which activity is most developmentally appropriate for a nurse to suggest for a
30-month-old toddler?
A. Competitive team sports
B. Parallel play with sandbox and simple puzzles [CORRECT]
C. Cooperative board games with complex rules
D. Independent reading of picture books
Rationale: Parallel play (B) is typical for toddlers (1-3 years) who play alongside but not
interactively with peers. Competitive sports (A) require skills beyond toddler capacity. Complex
cooperative games (C) suit preschoolers. Independent reading (D) is developmentally
inappropriate; toddlers enjoy being read to.
Q7 (Form A): A nurse observes that a 10-year-old hospitalized child becomes frustrated when
unable to complete homework. This behavior reflects which developmental characteristic?
A. Industry vs. Inferiority [CORRECT]
B. Identity vs. Role Confusion
C. Initiative vs. Guilt
D. Autonomy vs. Shame and Doubt
Rationale: School-age children in Industry vs. Inferiority (A) strive for competence in tasks and
feel distress when unable to achieve. Identity vs. Role Confusion (B) is adolescence. Initiative
vs. Guilt (C) is preschool. Autonomy vs. Shame (D) is toddlerhood.
Q8 (Form A): According to Freud's psychosexual theory, which behavior would be expected
during the anal stage?
A. Thumb sucking and oral exploration
B. Toilet training and control issues [CORRECT]
C. Oedipus/Electra complex manifestations
D. Formation of mature sexual relationships
Rationale: The anal stage (18 months-3 years) centers on toilet training and control (B). Oral
stage (A) is infancy (0-18 months). Phallic stage (C) occurs 3-6 years. Genital stage (D) is
adolescence onward.
Q9 (Form A): A nurse is assessing language development in a 20-month-old. Which finding
indicates normal development?
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A. Using 50+ words and two-word combinations [CORRECT]
B. Speaking in complete sentences
C. Understanding abstract concepts
D. Reading simple words
Rationale: By 18-24 months, toddlers typically have 50+ word vocabularies and combine two
words (A). Complete sentences (B) develop around 3-4 years. Abstract concepts (C) require
concrete operational thought (7+ years). Reading (D) is school-age skill.
Q10 (Form A): Which fine motor skill would a nurse expect from a 5-year-old preschooler?
A. Palmar grasp
B. Pincer grasp
C. Using scissors to cut along a line [CORRECT]
D. Writing in cursive
Rationale: Preschoolers (3-6 years) develop scissor skills (C). Palmar grasp (A) is infant (4-6
months). Pincer grasp (B) emerges around 9-12 months. Cursive writing (D) is late school-age
skill.
Q11 (Form A): A parent asks when their child will develop "object permanence." The nurse
correctly responds that this cognitive milestone is typically achieved by what age?
A. 4-8 months
B. 8-12 months [CORRECT]
C. 12-18 months
D. 24-36 months
Rationale: Object permanence (understanding objects exist when out of sight) develops by 8-12
months (B), marking transition from sensorimotor substages 3-4. Earlier ages (A) show no
search behavior. Later ages (C, D) have already mastered this.
Q12 (Form A): Which gross motor milestone is characteristic of a 9-month-old infant?
A. Running
B. Jumping
C. Cruising along furniture [CORRECT]
D. Skipping
Rationale: Cruising (walking while holding furniture) (C) occurs 9-12 months. Running (A) and
jumping (B) are toddler skills (15-24 months). Skipping (D) is preschool/school-age (4-6 years).
NGN ATI PEDS PROCTORED EXAM Actual
Exam 2026/2027 Complete Questions and
Verified Answers with Rationales Already
Graded A+ Pass Guaranteed - A+ Graded
FORM A - SECTION 1: GROWTH AND DEVELOPMENT (Questions 1-20)
Q1 (Form A): A 4-year-old child is brought to the clinic for a well-child visit. The parent reports
that the child has started having tantrums when told "no" and insists on doing things
independently. According to Erikson's psychosocial stages, this behavior is characteristic of
which stage?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt [CORRECT]
D. Industry vs. Inferiority
Rationale: According to Erikson, the preschool stage (ages 3-6) is Initiative vs. Guilt, where
children assert power and control over their environment through goal-directed activities.
Autonomy vs. Shame and Doubt (B) occurs during toddlerhood (1-3 years) with focus on
independence in mobility and self-care. Industry vs. Inferiority (D) is school-age (6-12 years)
involving competence in tasks. Trust vs. Mistrust (A) is infancy (0-1 year) focused on attachment
security.
Q2 (Form A): A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone would the nurse expect to observe?
A. Walking independently
B. Using two-word phrases
C. Transferring objects from hand to hand [CORRECT]
D. Drawing a circle
Rationale: At 6 months, infants typically demonstrate fine motor skills including transferring
objects between hands (C). Walking independently (A) occurs around 12 months. Two-word
phrases (B) emerge at 18-24 months. Drawing a circle (D) is a preschool milestone (3-4 years).
,2
Q3 (Form A): According to Piaget's theory of cognitive development, a 3-year-old child who
believes that a doll is "alive" because it has a name is demonstrating which concept?
A. Object permanence
B. Egocentrism
C. Animism [CORRECT]
D. Conservation
Rationale: Animism (C) is characteristic of the preoperational stage (2-7 years), where children
attribute life-like qualities to inanimate objects. Object permanence (A) develops in sensorimotor
stage (0-2 years). Egocentrism (B) involves inability to see others' perspectives. Conservation
(D) develops in concrete operational stage (7-11 years).
Q4 (Form A): A nurse is providing anticipatory guidance to parents of a 15-month-old toddler.
Which safety recommendation is most appropriate for this age?
A. Install toilet locks and keep bathroom doors closed [CORRECT]
B. Allow unsupervised play in fenced yard
C. Remove all stair gates as child can walk
D. Permit sleeping with soft blankets and pillows
Rationale: Toilet locks and bathroom safety (A) are critical as toddlers explore and can drown in
small amounts of water. Unsupervised outdoor play (B) is unsafe at this age. Stair gates should
remain (C) as climbing skills exceed judgment. Soft bedding (D) increases SIDS/suffocation risk
under age 2.
Q5 (Form A): A school-age child (8 years old) is admitted for tonsillectomy. According to
Erikson, which nursing approach best supports healthy psychosocial development?
A. Encourage parents to stay at bedside constantly
B. Allow child to participate in care decisions and maintain school connections [CORRECT]
C. Minimize discussion of the procedure to reduce anxiety
D. Focus primarily on physical comfort needs
Rationale: School-age children (Industry vs. Inferiority) need opportunities to achieve
competence and maintain peer/school connections (B). Constant parental presence (A) may
undermine emerging independence. Open communication (not C) reduces anxiety. While
physical comfort (D) is important, psychosocial needs require attention too.
,3
Q6 (Form A): Which activity is most developmentally appropriate for a nurse to suggest for a
30-month-old toddler?
A. Competitive team sports
B. Parallel play with sandbox and simple puzzles [CORRECT]
C. Cooperative board games with complex rules
D. Independent reading of picture books
Rationale: Parallel play (B) is typical for toddlers (1-3 years) who play alongside but not
interactively with peers. Competitive sports (A) require skills beyond toddler capacity. Complex
cooperative games (C) suit preschoolers. Independent reading (D) is developmentally
inappropriate; toddlers enjoy being read to.
Q7 (Form A): A nurse observes that a 10-year-old hospitalized child becomes frustrated when
unable to complete homework. This behavior reflects which developmental characteristic?
A. Industry vs. Inferiority [CORRECT]
B. Identity vs. Role Confusion
C. Initiative vs. Guilt
D. Autonomy vs. Shame and Doubt
Rationale: School-age children in Industry vs. Inferiority (A) strive for competence in tasks and
feel distress when unable to achieve. Identity vs. Role Confusion (B) is adolescence. Initiative
vs. Guilt (C) is preschool. Autonomy vs. Shame (D) is toddlerhood.
Q8 (Form A): According to Freud's psychosexual theory, which behavior would be expected
during the anal stage?
A. Thumb sucking and oral exploration
B. Toilet training and control issues [CORRECT]
C. Oedipus/Electra complex manifestations
D. Formation of mature sexual relationships
Rationale: The anal stage (18 months-3 years) centers on toilet training and control (B). Oral
stage (A) is infancy (0-18 months). Phallic stage (C) occurs 3-6 years. Genital stage (D) is
adolescence onward.
Q9 (Form A): A nurse is assessing language development in a 20-month-old. Which finding
indicates normal development?
, 4
A. Using 50+ words and two-word combinations [CORRECT]
B. Speaking in complete sentences
C. Understanding abstract concepts
D. Reading simple words
Rationale: By 18-24 months, toddlers typically have 50+ word vocabularies and combine two
words (A). Complete sentences (B) develop around 3-4 years. Abstract concepts (C) require
concrete operational thought (7+ years). Reading (D) is school-age skill.
Q10 (Form A): Which fine motor skill would a nurse expect from a 5-year-old preschooler?
A. Palmar grasp
B. Pincer grasp
C. Using scissors to cut along a line [CORRECT]
D. Writing in cursive
Rationale: Preschoolers (3-6 years) develop scissor skills (C). Palmar grasp (A) is infant (4-6
months). Pincer grasp (B) emerges around 9-12 months. Cursive writing (D) is late school-age
skill.
Q11 (Form A): A parent asks when their child will develop "object permanence." The nurse
correctly responds that this cognitive milestone is typically achieved by what age?
A. 4-8 months
B. 8-12 months [CORRECT]
C. 12-18 months
D. 24-36 months
Rationale: Object permanence (understanding objects exist when out of sight) develops by 8-12
months (B), marking transition from sensorimotor substages 3-4. Earlier ages (A) show no
search behavior. Later ages (C, D) have already mastered this.
Q12 (Form A): Which gross motor milestone is characteristic of a 9-month-old infant?
A. Running
B. Jumping
C. Cruising along furniture [CORRECT]
D. Skipping
Rationale: Cruising (walking while holding furniture) (C) occurs 9-12 months. Running (A) and
jumping (B) are toddler skills (15-24 months). Skipping (D) is preschool/school-age (4-6 years).
