ATI RN VATI Pediatric Nursing 2026 |
Latest NGN Questions + Accurate
Rationales | Level 3 Ready
Domain 1: Growth & Development (Questions 1–20)
Question 1 (Multiple Choice)
A nurse is assessing a 4-month-old infant. Which developmental
milestone should the infant have achieved?
A) Sits independently without support
B) Rolls from back to side
C) Walks with assistance
D) Pincer grasp
Correct ,,,,answer,,,: B
Rationale: By 4 months, infants can roll from back to side. Sitting
independently occurs at 6-8 months. Walking with assistance at 9-12
months. Pincer grasp at 9-10 months.
Question 2 (Select All That Apply)
A nurse is teaching parents about safety for a 9-month-old infant. Which
interventions are appropriate? Select all that apply.
A) Place gates at the top and bottom of stairs
B) Use a rear-facing car seat in the back seat
C) Remove small objects from the floor
D) Keep hot liquids on the edge of the counter
E) Use a walker to help the infant learn to walk
,Correct ,,,,answer,,,: A, B, C
Rationale: Walkers are dangerous and not recommended. Hot liquids
should be kept away from edges. Gates, rear-facing car seat, and
removing small objects are correct.
Question 3 (Multiple Choice)
A nurse is assessing a 2-year-old toddler. Which behavior is expected?
A) Parallel play
B) Cooperative play
C) Solitary play
D) Associative play
Correct ,,,,answer,,,: A
Rationale: Toddlers engage in parallel play (playing alongside, not
with). Cooperative play occurs in older preschoolers. Solitary play is
typical in infants.
Question 4 (Bowtie – Drag and Drop)
A nurse is providing anticipatory guidance to parents of a 12-month-old.
Complete the diagram with the expected physical change and safety
concern.
(Options: Physical change – Anterior fontanel closes, Primary teeth
eruption complete, Birth weight triples; Safety concern – Choking on
small objects, Falls from stairs, Burns from stove)
Correct ,,,,answer,,,: Physical change – Anterior fontanel closes;
Safety concern – Choking on small objects
Rationale: Anterior fontanel closes by 12-18 months. Choking risk
increases as child puts objects in mouth.
Question 5 (Cloze – Drop Down)
The nurse is educating parents of a 3-year-old about expected language
,development. The child should be able to [Select: “speak in 3-4 word
sentences” / “recite the alphabet” / “ask abstract questions”].
Correct ,,,,answer,,,: speak in 3-4 word sentences
Rationale: By age 3, children use short sentences of 3-4 words. Alphabet
recitation comes later (4-5 years). Abstract questions appear around age
5-6.
Question 6 (Select All That Apply)
A nurse is assessing a 7-year-old child. Which findings are consistent
with normal development? Select all that apply.
A) Loses first deciduous tooth
B) Able to understand cause and effect
C) Uses magical thinking
D) Plays competitive games with rules
E) Has a vocabulary of approximately 2,500 words
Correct ,,,,answer,,,: A, B, D, E
Rationale: Magical thinking is typical of preschoolers (ages 3-5), not
school-age children. All others are correct for age 7.
Question 7 (Multiple Choice)
A nurse is providing care to an adolescent who is concerned about body
image. Which statement by the nurse is most therapeutic?
A) “Everyone feels that way at your age.”
B) “Tell me more about what is concerning you.”
C) “You should focus on your strengths instead.”
D) “Your body is changing normally.”
Correct ,,,,answer,,,: B
Rationale: Open-ended exploration validates feelings and encourages
communication. Clichés and premature reassurance are less effective.
, Question 8 (Bowtie – Drag and Drop)
A nurse is assessing a 15-month-old toddler. Complete the diagram with
the expected gross motor milestone and a delayed milestone that
requires referral.
(Options: Gross motor – Walks independently, Climbs stairs with help,
Runs; Delayed – Not walking by 18 months, Not crawling, Not rolling
over)
Correct ,,,,answer,,,: Gross motor – Walks independently; Delayed –
Not walking by 18 months
Rationale: Most toddlers walk independently by 15 months. Refer if not
walking by 18 months.
Question 9 (Cloze – Drop Down)
The nurse is teaching parents of a 4-year-old about discipline. The nurse
recommends [Select: “time-out and logical consequences” / “physical
punishment” / “lecturing for 15 minutes”].
Correct ,,,,answer,,,: time-out and logical consequences
Rationale: Time-out and logical consequences are effective for
preschoolers. Physical punishment is harmful; long lectures are not
developmentally appropriate.
Question 10 (Select All That Apply)
A nurse is assessing a 6-month-old infant. Which reflexes should have
disappeared by this age? Select all that apply.
A) Moro reflex
B) Rooting reflex
C) Babinski reflex (normal up to 12 months)
D) Palmar grasp reflex
E) Stepping reflex
Latest NGN Questions + Accurate
Rationales | Level 3 Ready
Domain 1: Growth & Development (Questions 1–20)
Question 1 (Multiple Choice)
A nurse is assessing a 4-month-old infant. Which developmental
milestone should the infant have achieved?
A) Sits independently without support
B) Rolls from back to side
C) Walks with assistance
D) Pincer grasp
Correct ,,,,answer,,,: B
Rationale: By 4 months, infants can roll from back to side. Sitting
independently occurs at 6-8 months. Walking with assistance at 9-12
months. Pincer grasp at 9-10 months.
Question 2 (Select All That Apply)
A nurse is teaching parents about safety for a 9-month-old infant. Which
interventions are appropriate? Select all that apply.
A) Place gates at the top and bottom of stairs
B) Use a rear-facing car seat in the back seat
C) Remove small objects from the floor
D) Keep hot liquids on the edge of the counter
E) Use a walker to help the infant learn to walk
,Correct ,,,,answer,,,: A, B, C
Rationale: Walkers are dangerous and not recommended. Hot liquids
should be kept away from edges. Gates, rear-facing car seat, and
removing small objects are correct.
Question 3 (Multiple Choice)
A nurse is assessing a 2-year-old toddler. Which behavior is expected?
A) Parallel play
B) Cooperative play
C) Solitary play
D) Associative play
Correct ,,,,answer,,,: A
Rationale: Toddlers engage in parallel play (playing alongside, not
with). Cooperative play occurs in older preschoolers. Solitary play is
typical in infants.
Question 4 (Bowtie – Drag and Drop)
A nurse is providing anticipatory guidance to parents of a 12-month-old.
Complete the diagram with the expected physical change and safety
concern.
(Options: Physical change – Anterior fontanel closes, Primary teeth
eruption complete, Birth weight triples; Safety concern – Choking on
small objects, Falls from stairs, Burns from stove)
Correct ,,,,answer,,,: Physical change – Anterior fontanel closes;
Safety concern – Choking on small objects
Rationale: Anterior fontanel closes by 12-18 months. Choking risk
increases as child puts objects in mouth.
Question 5 (Cloze – Drop Down)
The nurse is educating parents of a 3-year-old about expected language
,development. The child should be able to [Select: “speak in 3-4 word
sentences” / “recite the alphabet” / “ask abstract questions”].
Correct ,,,,answer,,,: speak in 3-4 word sentences
Rationale: By age 3, children use short sentences of 3-4 words. Alphabet
recitation comes later (4-5 years). Abstract questions appear around age
5-6.
Question 6 (Select All That Apply)
A nurse is assessing a 7-year-old child. Which findings are consistent
with normal development? Select all that apply.
A) Loses first deciduous tooth
B) Able to understand cause and effect
C) Uses magical thinking
D) Plays competitive games with rules
E) Has a vocabulary of approximately 2,500 words
Correct ,,,,answer,,,: A, B, D, E
Rationale: Magical thinking is typical of preschoolers (ages 3-5), not
school-age children. All others are correct for age 7.
Question 7 (Multiple Choice)
A nurse is providing care to an adolescent who is concerned about body
image. Which statement by the nurse is most therapeutic?
A) “Everyone feels that way at your age.”
B) “Tell me more about what is concerning you.”
C) “You should focus on your strengths instead.”
D) “Your body is changing normally.”
Correct ,,,,answer,,,: B
Rationale: Open-ended exploration validates feelings and encourages
communication. Clichés and premature reassurance are less effective.
, Question 8 (Bowtie – Drag and Drop)
A nurse is assessing a 15-month-old toddler. Complete the diagram with
the expected gross motor milestone and a delayed milestone that
requires referral.
(Options: Gross motor – Walks independently, Climbs stairs with help,
Runs; Delayed – Not walking by 18 months, Not crawling, Not rolling
over)
Correct ,,,,answer,,,: Gross motor – Walks independently; Delayed –
Not walking by 18 months
Rationale: Most toddlers walk independently by 15 months. Refer if not
walking by 18 months.
Question 9 (Cloze – Drop Down)
The nurse is teaching parents of a 4-year-old about discipline. The nurse
recommends [Select: “time-out and logical consequences” / “physical
punishment” / “lecturing for 15 minutes”].
Correct ,,,,answer,,,: time-out and logical consequences
Rationale: Time-out and logical consequences are effective for
preschoolers. Physical punishment is harmful; long lectures are not
developmentally appropriate.
Question 10 (Select All That Apply)
A nurse is assessing a 6-month-old infant. Which reflexes should have
disappeared by this age? Select all that apply.
A) Moro reflex
B) Rooting reflex
C) Babinski reflex (normal up to 12 months)
D) Palmar grasp reflex
E) Stepping reflex
