2023,2024,2025,2026 ATI PN Pediatrics
Proctored Exam (70 NGN Questions +
Answers + Rationales) | Verified Study
Guide PDF
Growth and Development
Question 1
A nurse is reinforcing teaching with the parents of a 4-month-old infant
about developmental expectations. Which of the following statements by
a parent indicates an understanding of the teaching?
A. "My baby should be able to sit up without support."
B. "My baby should be able to hold a rattle briefly."
,C. "My baby should be crawling on hands and knees."
D. "My baby should be able to wave 'bye-bye'."
Correct ,,,,answer,,,,: B. "My baby should be able to hold a rattle
briefly."
Rationale: At 4 months of age, infants can typically grasp objects
briefly, hold a rattle, and bring objects to their mouth. Sitting
independently occurs around 6-8 months, crawling at 8-10 months, and
waving "bye-bye" is a 9-12 month milestone .
Question 2
A nurse is assessing a 12-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the provider?
A. Birth weight has tripled
B. Anterior fontanel is closed
C. Unable to walk independently
D. Birth length has increased by 50%
Correct ,,,,answer,,,,: C. Unable to walk independently
Rationale: The anterior fontanel typically closes between 12-18 months,
and tripling birth weight is expected by 12 months. However, walking
independently is not expected until 12-15 months—absence at 12
months is normal and does not require reporting .
,Question 3
A nurse is assessing a 2-year-old toddler. Which of the following
findings is expected?
A. Builds a tower of 6-7 blocks
B. Walks backward
C. Uses 4-5 word sentences
D. Copies a circle
Correct ,,,,answer,,,,: B. Walks backward
Rationale: A 2-year-old can walk backward, run, kick a ball, and build a
tower of 4-6 blocks. Using 4-5 word sentences is typical at 2.5-3 years,
and copying a circle is a 3-year-old milestone .
Question 4
A nurse is assessing a 7-month-old infant. Which of the following gross
motor skills should the nurse expect?
A. Sits without support
B. Crawls
C. Pulls to stand
D. Cruises furniture
Correct ,,,,answer,,,,: A. Sits without support
Rationale: By 7-8 months, most infants can sit without support.
Crawling typically begins at 8-10 months, and pulling to standing and
cruising furniture occur at 9-12 months .
, Question 5
A nurse is providing anticipatory guidance to parents of a 12-month-old
about safety. Which of the following statements by a parent indicates an
understanding?
A. "We will place bumper pads in the crib to prevent injury."
B. "We will keep the car seat rear-facing until age 2."
C. "We will set the water heater temperature to 140°F."
D. "We will place the baby on the stomach for naps."
Correct ,,,,answer,,,,: B. "We will keep the car seat rear-facing until
age 2."
Rationale: The American Academy of Pediatrics recommends rear-
facing car seats until at least age 2. Bumper pads are a suffocation
hazard, water heaters should be set at 120°F (not 140°F) to prevent
burns, and infants should sleep on their backs to reduce SIDS risk .
Immunizations & Infectious Diseases (Questions 6-10)
Question 6
A nurse is providing teaching to parents of a 2-month-old infant about
immunizations. Which of the following vaccines should the nurse
include?
A. MMR (Measles, Mumps, Rubella)
B. Varicella (chickenpox)
C. Hepatitis B (HepB)
D. Hepatitis A (HepA)
Correct ,,,,answer,,,,: C. Hepatitis B (HepB)
Proctored Exam (70 NGN Questions +
Answers + Rationales) | Verified Study
Guide PDF
Growth and Development
Question 1
A nurse is reinforcing teaching with the parents of a 4-month-old infant
about developmental expectations. Which of the following statements by
a parent indicates an understanding of the teaching?
A. "My baby should be able to sit up without support."
B. "My baby should be able to hold a rattle briefly."
,C. "My baby should be crawling on hands and knees."
D. "My baby should be able to wave 'bye-bye'."
Correct ,,,,answer,,,,: B. "My baby should be able to hold a rattle
briefly."
Rationale: At 4 months of age, infants can typically grasp objects
briefly, hold a rattle, and bring objects to their mouth. Sitting
independently occurs around 6-8 months, crawling at 8-10 months, and
waving "bye-bye" is a 9-12 month milestone .
Question 2
A nurse is assessing a 12-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the provider?
A. Birth weight has tripled
B. Anterior fontanel is closed
C. Unable to walk independently
D. Birth length has increased by 50%
Correct ,,,,answer,,,,: C. Unable to walk independently
Rationale: The anterior fontanel typically closes between 12-18 months,
and tripling birth weight is expected by 12 months. However, walking
independently is not expected until 12-15 months—absence at 12
months is normal and does not require reporting .
,Question 3
A nurse is assessing a 2-year-old toddler. Which of the following
findings is expected?
A. Builds a tower of 6-7 blocks
B. Walks backward
C. Uses 4-5 word sentences
D. Copies a circle
Correct ,,,,answer,,,,: B. Walks backward
Rationale: A 2-year-old can walk backward, run, kick a ball, and build a
tower of 4-6 blocks. Using 4-5 word sentences is typical at 2.5-3 years,
and copying a circle is a 3-year-old milestone .
Question 4
A nurse is assessing a 7-month-old infant. Which of the following gross
motor skills should the nurse expect?
A. Sits without support
B. Crawls
C. Pulls to stand
D. Cruises furniture
Correct ,,,,answer,,,,: A. Sits without support
Rationale: By 7-8 months, most infants can sit without support.
Crawling typically begins at 8-10 months, and pulling to standing and
cruising furniture occur at 9-12 months .
, Question 5
A nurse is providing anticipatory guidance to parents of a 12-month-old
about safety. Which of the following statements by a parent indicates an
understanding?
A. "We will place bumper pads in the crib to prevent injury."
B. "We will keep the car seat rear-facing until age 2."
C. "We will set the water heater temperature to 140°F."
D. "We will place the baby on the stomach for naps."
Correct ,,,,answer,,,,: B. "We will keep the car seat rear-facing until
age 2."
Rationale: The American Academy of Pediatrics recommends rear-
facing car seats until at least age 2. Bumper pads are a suffocation
hazard, water heaters should be set at 120°F (not 140°F) to prevent
burns, and infants should sleep on their backs to reduce SIDS risk .
Immunizations & Infectious Diseases (Questions 6-10)
Question 6
A nurse is providing teaching to parents of a 2-month-old infant about
immunizations. Which of the following vaccines should the nurse
include?
A. MMR (Measles, Mumps, Rubella)
B. Varicella (chickenpox)
C. Hepatitis B (HepB)
D. Hepatitis A (HepA)
Correct ,,,,answer,,,,: C. Hepatitis B (HepB)
