Page 1 of 142
PEDS/ATI PROCTORED PRACTICE EXAM
NEWLY UPDATED WITH INSIGHTFUL
QUESTIONS WITH CORRECT ANSWERS
GRADED A+ |99.9% CORRECT
1. A nurse is assessing a 4-month-old infant. Which milestone
should the nurse expect?
A. Sits without support
B. Rolls from back to side
C. Walks with assistance
D. Says “mama”
Rationale: Rolling back to side is typical at 4 months. Sitting
unsupported is 6–8 months; walking with assistance is 10–12
months; “mama” is 10–12 months.
,Page 2 of 142
2. The parent of a 9-month-old asks why the infant cries when
left with a babysitter. The nurse explains:
A. “This is colic.”
B. “Your baby has separation anxiety, which is normal at
this age.”
C. “It indicates a developmental delay.”
D. “Offer a pacifier immediately.”
Rationale: Separation anxiety peaks 9–12 months and is
normal. Colic resolves by 4 months.
3. Which toy is most appropriate for a 2-year-old?
A. Large pegboard with pegs
B. Small building blocks (1-inch cubes)
C. Battery-operated toy car with small removable parts
D. Balloon (uninflated)
Rationale: Large pegboards promote fine motor skills safely.
Small parts (B, C, D) are choking hazards.
,Page 3 of 142
4. A 7-year-old child is in the hospital. According to Erikson,
which activity best supports psychosocial development?
A. Letting the child choose their own meals
B. Providing a model kit to build
C. Allowing the child to stay up late
D. Reading a picture book
Rationale: School-age (6–12 years) is Industry vs. Inferiority.
Building models fosters accomplishment. Choices (A) are
autonomy (toddler). Picture books are for younger children.
5. A nurse is teaching parents about expected sleep patterns
for a 15-month-old. Which is accurate?
A. Sleeps 18 hours per day
B. Takes one to two naps daily
C. Awakens every 2 hours at night
D. Refuses all daytime sleep
Rationale: Toddlers (12–18 months) typically take 1–2 naps.
18 hours is newborn sleep. Waking every 2 hours is abnormal.
, Page 4 of 142
6. A 3-year-old says “I’m 4” and refuses to let mom button her
coat, insisting “I do it.” This behavior indicates:
A. Delayed fine motor skills
B. Normal development of autonomy
C. Oppositional defiant disorder
D. Cognitive regression
Rationale: Preschoolers (3–5 years) in Erikson’s Initiative vs.
Guilt stage show independence. Not defiance.
7. Which fine motor skill should a 10-month-old demonstrate?
A. Builds a tower of 2 cubes
B. Pincer grasp
C. Uses a spoon without spilling
D. Draws a circle
Rationale: Pincer grasp develops by 9–10 months. Tower of
cubes is 12–15 months; spoon use is 18–24 months; drawing a
circle is 3 years.
PEDS/ATI PROCTORED PRACTICE EXAM
NEWLY UPDATED WITH INSIGHTFUL
QUESTIONS WITH CORRECT ANSWERS
GRADED A+ |99.9% CORRECT
1. A nurse is assessing a 4-month-old infant. Which milestone
should the nurse expect?
A. Sits without support
B. Rolls from back to side
C. Walks with assistance
D. Says “mama”
Rationale: Rolling back to side is typical at 4 months. Sitting
unsupported is 6–8 months; walking with assistance is 10–12
months; “mama” is 10–12 months.
,Page 2 of 142
2. The parent of a 9-month-old asks why the infant cries when
left with a babysitter. The nurse explains:
A. “This is colic.”
B. “Your baby has separation anxiety, which is normal at
this age.”
C. “It indicates a developmental delay.”
D. “Offer a pacifier immediately.”
Rationale: Separation anxiety peaks 9–12 months and is
normal. Colic resolves by 4 months.
3. Which toy is most appropriate for a 2-year-old?
A. Large pegboard with pegs
B. Small building blocks (1-inch cubes)
C. Battery-operated toy car with small removable parts
D. Balloon (uninflated)
Rationale: Large pegboards promote fine motor skills safely.
Small parts (B, C, D) are choking hazards.
,Page 3 of 142
4. A 7-year-old child is in the hospital. According to Erikson,
which activity best supports psychosocial development?
A. Letting the child choose their own meals
B. Providing a model kit to build
C. Allowing the child to stay up late
D. Reading a picture book
Rationale: School-age (6–12 years) is Industry vs. Inferiority.
Building models fosters accomplishment. Choices (A) are
autonomy (toddler). Picture books are for younger children.
5. A nurse is teaching parents about expected sleep patterns
for a 15-month-old. Which is accurate?
A. Sleeps 18 hours per day
B. Takes one to two naps daily
C. Awakens every 2 hours at night
D. Refuses all daytime sleep
Rationale: Toddlers (12–18 months) typically take 1–2 naps.
18 hours is newborn sleep. Waking every 2 hours is abnormal.
, Page 4 of 142
6. A 3-year-old says “I’m 4” and refuses to let mom button her
coat, insisting “I do it.” This behavior indicates:
A. Delayed fine motor skills
B. Normal development of autonomy
C. Oppositional defiant disorder
D. Cognitive regression
Rationale: Preschoolers (3–5 years) in Erikson’s Initiative vs.
Guilt stage show independence. Not defiance.
7. Which fine motor skill should a 10-month-old demonstrate?
A. Builds a tower of 2 cubes
B. Pincer grasp
C. Uses a spoon without spilling
D. Draws a circle
Rationale: Pincer grasp develops by 9–10 months. Tower of
cubes is 12–15 months; spoon use is 18–24 months; drawing a
circle is 3 years.
