ATI RN Pediatrics Exam Guide Questions and
Answers Breakdown ACTUAL EXAM 2026/2027 |
ATI RN Pediatrics Exam | Verified Q&A | Pass
Guaranteed - A+ Graded
SECTION 1: GROWTH & DEVELOPMENT (15 questions)
Q1: A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental milestone
should the nurse expect to observe?
A. Walking independently across the room
B. Building a tower of two cubes
C. Sitting without support and transferring objects between hands [CORRECT]
D. Drawing a circle with a crayon
Correct Answer: C
Rationale: At 6 months, infants typically sit without support, roll both ways, and transfer objects hand-
to-hand. Walking occurs around 12 months, building towers at 15 months, and drawing circles at 3
years.
Q2: A nurse is teaching parents of a 2-year-old about expected language development. Which statement
by the parent indicates understanding?
A. "My child should be combining three-word sentences by now."
B. "I expect my child to use about 50 words and follow two-step commands." [CORRECT]
C. "My child should be able to tell me full stories about their day."
D. "I should expect my child to understand abstract concepts like time."
Correct Answer: B
Rationale: By age 2, toddlers typically have a vocabulary of 50+ words, combine two-word phrases, and
follow two-step commands. Three-word sentences emerge around age 3, storytelling at 4-5 years, and
abstract concepts develop in school-age years.
,Q3: A nurse is assessing a 4-month-old infant. Which fine motor skill is developmentally appropriate?
A. Using a pincer grasp to pick up small objects
B. Bringing hands to midline and reaching for objects with both hands [CORRECT]
C. Scribbling with a crayon using a palmar grasp
D. Cutting paper with scissors
Correct Answer: B
Rationale: At 4 months, infants bring hands to midline, bat at objects, and reach with both hands. The
pincer grasp develops around 9-10 months, scribbling at 15 months, and scissors skills at 4-5 years.
Q4: A nurse is caring for a 10-year-old child. According to Erikson's stages of development, which
psychosocial crisis is this child working to resolve?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Industry vs. Inferiority [CORRECT]
D. Identity vs. Role Confusion
Correct Answer: C
Rationale: School-age children (6-12 years) are in Erikson's Industry vs. Inferiority stage, focusing on
competence through school performance and peer relationships. Trust vs. Mistrust is infancy, Initiative
vs. Guilt is preschool, and Identity vs. Role Confusion is adolescence.
Q5: A nurse is assessing a 12-month-old toddler. Which gross motor milestone should the nurse expect?
A. Running and jumping in place
B. Walking independently and climbing stairs with assistance [CORRECT]
C. Riding a tricycle using pedals
D. Skipping and hopping on one foot
Correct Answer: B
Rationale: By 12 months, toddlers walk independently and may climb stairs with help. Running and
jumping develop around 18-24 months, tricycle riding at 3 years, and skipping/hopping at 5-6 years.
Q6: A nurse is teaching parents about promoting autonomy in their 18-month-old toddler. Which
activity is most appropriate?
, A. Enrolling the child in organized team sports
B. Allowing the child to choose between two acceptable options during dressing [CORRECT]
C. Expecting the child to complete homework independently
D. Having the child make major family decisions
Correct Answer: B
Rationale: Toddlers (1-3 years) develop autonomy through simple choices. Offering two acceptable
options during dressing supports autonomy while maintaining boundaries. Team sports are for
preschoolers, homework for school-age, and major decisions are inappropriate for all children.
Q7: A nurse is assessing an adolescent for appropriate growth patterns. Which finding requires further
evaluation?
A. Growth spurt beginning at age 11 for a female
B. Testicular enlargement as the first sign of puberty in a male
C. Menarche occurring at age 13 for a female
D. No testicular enlargement by age 15 in a male [CORRECT]
Correct Answer: D
Rationale: Delayed puberty in males is defined by no testicular enlargement (>4 mL volume) by age 14-
15. Female growth spurts begin 8-13 years, testicular enlargement is the first male pubertal sign, and
menarche typically occurs at 12-13 years.
Q8: A nurse is evaluating language development in a 3-year-old preschooler. Which finding is expected?
A. Using 50 words and two-word phrases
B. Speaking in three-word sentences with 75% intelligibility
C. Using complete sentences with grammatical structure and asking "why" questions [CORRECT]
D. Understanding figurative language and sarcasm
Correct Answer: C
Rationale: Three-year-olds use 3-word sentences, have extensive vocabulary, and constantly ask "why"
questions. Fifty words and two-word phrases are typical of 2-year-olds, and figurative language
comprehension develops in adolescence.
Q9: A nurse is assessing a newborn's reflexes. Which primitive reflex should disappear by 4-6 months of
age?
Answers Breakdown ACTUAL EXAM 2026/2027 |
ATI RN Pediatrics Exam | Verified Q&A | Pass
Guaranteed - A+ Graded
SECTION 1: GROWTH & DEVELOPMENT (15 questions)
Q1: A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental milestone
should the nurse expect to observe?
A. Walking independently across the room
B. Building a tower of two cubes
C. Sitting without support and transferring objects between hands [CORRECT]
D. Drawing a circle with a crayon
Correct Answer: C
Rationale: At 6 months, infants typically sit without support, roll both ways, and transfer objects hand-
to-hand. Walking occurs around 12 months, building towers at 15 months, and drawing circles at 3
years.
Q2: A nurse is teaching parents of a 2-year-old about expected language development. Which statement
by the parent indicates understanding?
A. "My child should be combining three-word sentences by now."
B. "I expect my child to use about 50 words and follow two-step commands." [CORRECT]
C. "My child should be able to tell me full stories about their day."
D. "I should expect my child to understand abstract concepts like time."
Correct Answer: B
Rationale: By age 2, toddlers typically have a vocabulary of 50+ words, combine two-word phrases, and
follow two-step commands. Three-word sentences emerge around age 3, storytelling at 4-5 years, and
abstract concepts develop in school-age years.
,Q3: A nurse is assessing a 4-month-old infant. Which fine motor skill is developmentally appropriate?
A. Using a pincer grasp to pick up small objects
B. Bringing hands to midline and reaching for objects with both hands [CORRECT]
C. Scribbling with a crayon using a palmar grasp
D. Cutting paper with scissors
Correct Answer: B
Rationale: At 4 months, infants bring hands to midline, bat at objects, and reach with both hands. The
pincer grasp develops around 9-10 months, scribbling at 15 months, and scissors skills at 4-5 years.
Q4: A nurse is caring for a 10-year-old child. According to Erikson's stages of development, which
psychosocial crisis is this child working to resolve?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Industry vs. Inferiority [CORRECT]
D. Identity vs. Role Confusion
Correct Answer: C
Rationale: School-age children (6-12 years) are in Erikson's Industry vs. Inferiority stage, focusing on
competence through school performance and peer relationships. Trust vs. Mistrust is infancy, Initiative
vs. Guilt is preschool, and Identity vs. Role Confusion is adolescence.
Q5: A nurse is assessing a 12-month-old toddler. Which gross motor milestone should the nurse expect?
A. Running and jumping in place
B. Walking independently and climbing stairs with assistance [CORRECT]
C. Riding a tricycle using pedals
D. Skipping and hopping on one foot
Correct Answer: B
Rationale: By 12 months, toddlers walk independently and may climb stairs with help. Running and
jumping develop around 18-24 months, tricycle riding at 3 years, and skipping/hopping at 5-6 years.
Q6: A nurse is teaching parents about promoting autonomy in their 18-month-old toddler. Which
activity is most appropriate?
, A. Enrolling the child in organized team sports
B. Allowing the child to choose between two acceptable options during dressing [CORRECT]
C. Expecting the child to complete homework independently
D. Having the child make major family decisions
Correct Answer: B
Rationale: Toddlers (1-3 years) develop autonomy through simple choices. Offering two acceptable
options during dressing supports autonomy while maintaining boundaries. Team sports are for
preschoolers, homework for school-age, and major decisions are inappropriate for all children.
Q7: A nurse is assessing an adolescent for appropriate growth patterns. Which finding requires further
evaluation?
A. Growth spurt beginning at age 11 for a female
B. Testicular enlargement as the first sign of puberty in a male
C. Menarche occurring at age 13 for a female
D. No testicular enlargement by age 15 in a male [CORRECT]
Correct Answer: D
Rationale: Delayed puberty in males is defined by no testicular enlargement (>4 mL volume) by age 14-
15. Female growth spurts begin 8-13 years, testicular enlargement is the first male pubertal sign, and
menarche typically occurs at 12-13 years.
Q8: A nurse is evaluating language development in a 3-year-old preschooler. Which finding is expected?
A. Using 50 words and two-word phrases
B. Speaking in three-word sentences with 75% intelligibility
C. Using complete sentences with grammatical structure and asking "why" questions [CORRECT]
D. Understanding figurative language and sarcasm
Correct Answer: C
Rationale: Three-year-olds use 3-word sentences, have extensive vocabulary, and constantly ask "why"
questions. Fifty words and two-word phrases are typical of 2-year-olds, and figurative language
comprehension develops in adolescence.
Q9: A nurse is assessing a newborn's reflexes. Which primitive reflex should disappear by 4-6 months of
age?
