PEDIATRIC PROCTOR, ATI Pediatrics
Proctored Exam, ATI proctored exam
Pediatrics
1. A nurse is assessing a 4-month-old infant. Which milestone
should the nurse expect to observe?
A) Sits without support
B) Rolls from back to front
C) Holds head steady when upright
D) Crawls on hands and knees
Answer: C) Holds head steady when upright
Rationale: By 4 months, infants have good head control. Rolling
over typically occurs at 4-6 months; sitting without support at 6-8
months; and crawling at 7-10 months.
2. A nurse is providing anticipatory guidance to parents of a
9-month-old infant. Which statement indicates a need for
further teaching?
A) "I will baby-proof my home by covering electrical outlets."
B) "I will place my baby on his stomach to sleep."
C) "I will keep small objects out of reach."
D) "I will use a rear-facing car seat in the back seat."
Answer: B) "I will place my baby on his stomach to sleep."
Rationale: Infants should be placed on their back (supine) to
sleep to reduce the risk of Sudden Infant Death Syndrome (SIDS).
,Placing an infant on their stomach (prone) significantly increases
SIDS risk.
3. A nurse is assessing a 2-year-old toddler. Which behavior is
developmentally appropriate?
A) Engages in parallel play
B) Plays cooperatively with peers
C) Understands sharing without prompting
D) Can tie shoelaces
Answer: A) Engages in parallel play
Rationale: Toddlers (ages 2-3) engage in parallel play (playing
next to, but not with, others). Cooperative play and understanding
sharing typically develop in the preschool years (ages 4-5).
4. A nurse is assessing a 6-month-old infant with acute
gastroenteritis. Which finding indicates severe dehydration
requiring immediate intervention?
A) Bulging fontanel
B) Sunken eyes
C) Moist mucous membranes
D) Strong radial pulse
Answer: B) Sunken eyes
Rationale: Sunken eyes and fontanels, along with poor skin
turgor, dry mucous membranes, and tachycardia, are key clinical
signs of severe dehydration in an infant.
5. A nurse is assessing a 12-month-old infant during a well-
child visit. Which finding should the nurse report to the
provider?
A) Closed anterior fontanel
,B) Eruption of six teeth
C) Birth weight doubled
D) Birth length increased by 50%
Answer: C) Birth weight doubled
Rationale: Infants typically double their birth weight by 6 months
and triple it by 12 months. A 12-month-old whose weight has
only doubled from birth may be failing to thrive, warranting
further investigation.
6. A nurse is assessing a 6-month-old infant's developmental
milestones. Which finding is expected?
A) Walks with support
B) Rolls from back to front
C) Uses a pincer grasp
D) Says two-word phrases
Answer: B) Rolls from back to front
Rationale: At 6 months, infants typically roll over in both
directions. Walking with support occurs around 12 months, the
pincer grasp develops around 9-12 months, and two-word
phrases are seen around 2 years of age.
7. A nurse is caring for a 4-month-old infant during a well-
baby visit. Which finding should the nurse report to the
provider?
A) The infant rolls from front to back.
B) The infant has no head control when lifted.
C) The infant coos and babbles.
D) The infant grasps a rattle placed in the hand.
, Answer: B) The infant has no head control when lifted.
Rationale: By 4 months of age, an infant should be able to hold
their head steady when lifted or in a supported sitting position.
Lack of head control at this age is a significant developmental
delay that requires reporting.
8. A nurse is performing a developmental screening on a 10-
month-old infant. Which fine motor skills should the nurse
expect? (Select all that apply)
A) Grasp a rattle by the handle.
B) Try to build a 2-block tower.
C) Use a crude pincer grasp.
D) Place objects into a container.
E) Walk with one hand held.
Answer: A, C, B, D, E (with correct ages)
Rationale: By 12 months, infants typically can use a crude pincer
grasp, build a 2-block tower, and place objects into a container.
Grasping a rattle occurs around 6 months, and walking with
support around 12 months.
9. According to Piaget, a 6-year-old child is in which cognitive
stage?
A) Sensorimotor (birth-2 years)
B) Preoperational (2-7 years)
C) Concrete operational (7-11 years)
D) Formal operational (12+ years)
Answer: B) Preoperational
Rationale: The preoperational stage, lasting from ages 2-7, is
characterized by symbolic thinking, pretend play, egocentrism
Proctored Exam, ATI proctored exam
Pediatrics
1. A nurse is assessing a 4-month-old infant. Which milestone
should the nurse expect to observe?
A) Sits without support
B) Rolls from back to front
C) Holds head steady when upright
D) Crawls on hands and knees
Answer: C) Holds head steady when upright
Rationale: By 4 months, infants have good head control. Rolling
over typically occurs at 4-6 months; sitting without support at 6-8
months; and crawling at 7-10 months.
2. A nurse is providing anticipatory guidance to parents of a
9-month-old infant. Which statement indicates a need for
further teaching?
A) "I will baby-proof my home by covering electrical outlets."
B) "I will place my baby on his stomach to sleep."
C) "I will keep small objects out of reach."
D) "I will use a rear-facing car seat in the back seat."
Answer: B) "I will place my baby on his stomach to sleep."
Rationale: Infants should be placed on their back (supine) to
sleep to reduce the risk of Sudden Infant Death Syndrome (SIDS).
,Placing an infant on their stomach (prone) significantly increases
SIDS risk.
3. A nurse is assessing a 2-year-old toddler. Which behavior is
developmentally appropriate?
A) Engages in parallel play
B) Plays cooperatively with peers
C) Understands sharing without prompting
D) Can tie shoelaces
Answer: A) Engages in parallel play
Rationale: Toddlers (ages 2-3) engage in parallel play (playing
next to, but not with, others). Cooperative play and understanding
sharing typically develop in the preschool years (ages 4-5).
4. A nurse is assessing a 6-month-old infant with acute
gastroenteritis. Which finding indicates severe dehydration
requiring immediate intervention?
A) Bulging fontanel
B) Sunken eyes
C) Moist mucous membranes
D) Strong radial pulse
Answer: B) Sunken eyes
Rationale: Sunken eyes and fontanels, along with poor skin
turgor, dry mucous membranes, and tachycardia, are key clinical
signs of severe dehydration in an infant.
5. A nurse is assessing a 12-month-old infant during a well-
child visit. Which finding should the nurse report to the
provider?
A) Closed anterior fontanel
,B) Eruption of six teeth
C) Birth weight doubled
D) Birth length increased by 50%
Answer: C) Birth weight doubled
Rationale: Infants typically double their birth weight by 6 months
and triple it by 12 months. A 12-month-old whose weight has
only doubled from birth may be failing to thrive, warranting
further investigation.
6. A nurse is assessing a 6-month-old infant's developmental
milestones. Which finding is expected?
A) Walks with support
B) Rolls from back to front
C) Uses a pincer grasp
D) Says two-word phrases
Answer: B) Rolls from back to front
Rationale: At 6 months, infants typically roll over in both
directions. Walking with support occurs around 12 months, the
pincer grasp develops around 9-12 months, and two-word
phrases are seen around 2 years of age.
7. A nurse is caring for a 4-month-old infant during a well-
baby visit. Which finding should the nurse report to the
provider?
A) The infant rolls from front to back.
B) The infant has no head control when lifted.
C) The infant coos and babbles.
D) The infant grasps a rattle placed in the hand.
, Answer: B) The infant has no head control when lifted.
Rationale: By 4 months of age, an infant should be able to hold
their head steady when lifted or in a supported sitting position.
Lack of head control at this age is a significant developmental
delay that requires reporting.
8. A nurse is performing a developmental screening on a 10-
month-old infant. Which fine motor skills should the nurse
expect? (Select all that apply)
A) Grasp a rattle by the handle.
B) Try to build a 2-block tower.
C) Use a crude pincer grasp.
D) Place objects into a container.
E) Walk with one hand held.
Answer: A, C, B, D, E (with correct ages)
Rationale: By 12 months, infants typically can use a crude pincer
grasp, build a 2-block tower, and place objects into a container.
Grasping a rattle occurs around 6 months, and walking with
support around 12 months.
9. According to Piaget, a 6-year-old child is in which cognitive
stage?
A) Sensorimotor (birth-2 years)
B) Preoperational (2-7 years)
C) Concrete operational (7-11 years)
D) Formal operational (12+ years)
Answer: B) Preoperational
Rationale: The preoperational stage, lasting from ages 2-7, is
characterized by symbolic thinking, pretend play, egocentrism
