1
NGN ATI PEDS PROCTORED EXAM 2026/2027 | Form A & B |
Complete 250 Questions with Correct Detailed Answers &
Rationales | Verified | Pass Guaranteed - A+ Graded
[FORM A - 125 QUESTIONS - VERIFIED]
[A1: Growth & Development Milestones (Infancy through Adolescence)
(Questions 1-20)]
Q1. A nurse is assessing a 4-month-old infant during a well-child visit. Which
developmental milestone would the nurse expect to observe?
A. Transferring objects from hand to hand
B. Rolling from front to back and back to front
C. Sitting unsupported for brief periods
D. Pulling to stand at furniture
Correct Answer: B. Rolling from front to back and back to front [CORRECT]
Rationale: Rolling typically occurs at 4-6 months of age; transferring objects (6-7
months), sitting unsupported (6-8 months), and pulling to stand (9-12 months) occur
later. The Denver II screening tool categorizes rolling under gross motor milestones for
this age range. Option A is a fine motor milestone expected at 6-7 months. Option C is a
gross motor milestone at 6-8 months. Option D is a gross motor milestone at 9-12
months.
Q2. During a developmental screening, a 9-month-old infant demonstrates the pincer
grasp. The nurse recognizes this fine motor milestone as occurring at the expected age
of:
A. 6-7 months
B. 9-10 months
C. 12-15 months
D. 18-24 months
Correct Answer: B. 9-10 months [CORRECT]
Rationale: The pincer grasp (using thumb and forefinger to pick up small objects)
emerges at 9-10 months per Denver II fine motor-adaptive domain. The palmar grasp
,2
occurs at 4-5 months (option A). Scribbling with a crayon begins at 12-15 months
(option C). Building a tower of 6 blocks occurs at 2 years (option D), demonstrating
progressive fine motor development.
Q3. A nurse is teaching parents about language development in their 18-month-old
toddler. The nurse should inform the parents that at this age, the child typically:
A. Uses 2-3 word phrases and has a vocabulary of approximately 50 words
B. Speaks in 4-5 word sentences with 200+ word vocabulary
C. Engages in storytelling with complex sentence structure
D. Cooing and babbling are the primary forms of communication
Correct Answer: A. Uses 2-3 word phrases and has a vocabulary of approximately 50
words [CORRECT]
Rationale: At 18 months, toddlers use 2-3 word phrases ("more milk," "go bye-bye")
with approximately 50-word vocabulary. Option B (4-5 word sentences, 200+ words)
occurs at 3 years. Option C (storytelling) occurs at 4-5 years. Option D
(cooing/babbling) occurs at 2-6 months. Language development follows predictable
sequences per Denver II screening.
Q4. A 3-year-old child is observed playing alongside other children at daycare without
direct interaction. The nurse identifies this as:
A. Cooperative play, which is expected at this age
B. Parallel play, which is typical for toddlers aged 2-3 years
C. Solitary play, indicating social withdrawal
D. Associative play, appropriate for preschoolers
Correct Answer: B. Parallel play, which is typical for toddlers aged 2-3 years
[CORRECT]
Rationale: Parallel play (playing alongside but not with peers) is characteristic of
toddlers aged 2-3 years per Erikson's autonomy vs. shame and doubt stage. Cooperative
play (option A) emerges at 3-4 years. Solitary play (option C) is normal in infancy.
Associative play (option D) occurs in preschoolers aged 3-4 years with limited
organization.
Q5. According to Erikson's psychosocial development theory, a school-age child (6-11
years) is in which stage?
,3
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: D. Industry vs. Inferiority [CORRECT]
Rationale: School-age children (6-11 years) navigate Erikson's industry vs. inferiority
stage, focusing on competence, achievement, and peer relationships. Trust vs. mistrust
(option A) occurs in infancy (0-1 year). Autonomy vs. shame (option B) occurs in
toddlerhood (1-3 years). Initiative vs. guilt (option C) occurs in preschoolers (3-6
years). Successful resolution requires positive reinforcement of accomplishments.
Q6. A nurse is assessing cognitive development in a 5-year-old child using Piaget's
theory. The nurse expects the child to demonstrate:
A. Abstract thinking and hypothetical reasoning
B. Conservation, reversibility, and logical thought
C. Egocentrism, animism, and centration
D. Object permanence and trial-and-error problem solving
Correct Answer: C. Egocentrism, animism, and centration [CORRECT]
Rationale: The 5-year-old is in Piaget's preoperational stage (2-7 years), characterized
by egocentrism (inability to see others' perspectives), animism (attributing life to
inanimate objects), and centration (focusing on one aspect). Abstract thinking (option
A) occurs in formal operational stage (11+ years). Conservation (option B) emerges in
concrete operational stage (7-11 years). Object permanence (option D) is achieved in
sensorimotor stage (0-2 years).
Q7. A nurse observes a 12-month-old infant becoming distressed when the mother
leaves the examination room. The nurse identifies this behavior as:
A. Stranger anxiety, which peaks at 6-9 months
B. Separation anxiety, which is typical at 8-12 months
C. Social phobia, which requires referral
D. Attachment disorder, indicating poor bonding
Correct Answer: B. Separation anxiety, which is typical at 8-12 months [CORRECT]
, 4
Rationale: Separation anxiety is a normal developmental milestone peaking at 8-12
months, indicating healthy attachment formation. Stranger anxiety (option A) peaks
earlier at 6-9 months. Options C and D pathologize normal development. This behavior
reflects secure attachment per Ainsworth's attachment theory and is expected during
the sensorimotor stage.
Q8. During a well-child visit, a nurse assesses gross motor skills in a 15-month-old
toddler. Which behavior indicates appropriate development?
A. Walking independently and climbing stairs with assistance
B. Running steadily and jumping with both feet
C. Hopping on one foot and skipping
D. Cruising along furniture and standing independently
Correct Answer: A. Walking independently and climbing stairs with assistance
[CORRECT]
Rationale: Independent walking occurs at 12-15 months; climbing stairs with
assistance emerges at 15-18 months. Running (option B) occurs at 15-18 months,
jumping at 2-3 years. Hopping and skipping (option C) occur at 3-6 years. Cruising
(option D) occurs at 9-12 months, which would indicate developmental delay at 15
months.
Q9. A nurse is teaching parents about appropriate toys for their 8-month-old infant.
Which toy selection demonstrates understanding of developmental needs?
A. Puzzles with large pieces and crayons for drawing
B. Stacking rings and soft blocks that can be grasped and mouthed
C. Board games requiring turn-taking and rule-following
D. Sports equipment for gross motor development
Correct Answer: B. Stacking rings and soft blocks that can be grasped and mouthed
[CORRECT]
Rationale: At 8 months, infants demonstrate sitting without support, improved pincer
grasp development, and oral exploration (mouthing). Stacking rings and soft blocks
support fine motor development and sensorimotor exploration. Puzzles and crayons
(option A) are appropriate for toddlers 12-24 months. Board games (option C) require
cognitive skills of school-age children. Sports equipment (option D) is appropriate for
preschoolers and older children.
NGN ATI PEDS PROCTORED EXAM 2026/2027 | Form A & B |
Complete 250 Questions with Correct Detailed Answers &
Rationales | Verified | Pass Guaranteed - A+ Graded
[FORM A - 125 QUESTIONS - VERIFIED]
[A1: Growth & Development Milestones (Infancy through Adolescence)
(Questions 1-20)]
Q1. A nurse is assessing a 4-month-old infant during a well-child visit. Which
developmental milestone would the nurse expect to observe?
A. Transferring objects from hand to hand
B. Rolling from front to back and back to front
C. Sitting unsupported for brief periods
D. Pulling to stand at furniture
Correct Answer: B. Rolling from front to back and back to front [CORRECT]
Rationale: Rolling typically occurs at 4-6 months of age; transferring objects (6-7
months), sitting unsupported (6-8 months), and pulling to stand (9-12 months) occur
later. The Denver II screening tool categorizes rolling under gross motor milestones for
this age range. Option A is a fine motor milestone expected at 6-7 months. Option C is a
gross motor milestone at 6-8 months. Option D is a gross motor milestone at 9-12
months.
Q2. During a developmental screening, a 9-month-old infant demonstrates the pincer
grasp. The nurse recognizes this fine motor milestone as occurring at the expected age
of:
A. 6-7 months
B. 9-10 months
C. 12-15 months
D. 18-24 months
Correct Answer: B. 9-10 months [CORRECT]
Rationale: The pincer grasp (using thumb and forefinger to pick up small objects)
emerges at 9-10 months per Denver II fine motor-adaptive domain. The palmar grasp
,2
occurs at 4-5 months (option A). Scribbling with a crayon begins at 12-15 months
(option C). Building a tower of 6 blocks occurs at 2 years (option D), demonstrating
progressive fine motor development.
Q3. A nurse is teaching parents about language development in their 18-month-old
toddler. The nurse should inform the parents that at this age, the child typically:
A. Uses 2-3 word phrases and has a vocabulary of approximately 50 words
B. Speaks in 4-5 word sentences with 200+ word vocabulary
C. Engages in storytelling with complex sentence structure
D. Cooing and babbling are the primary forms of communication
Correct Answer: A. Uses 2-3 word phrases and has a vocabulary of approximately 50
words [CORRECT]
Rationale: At 18 months, toddlers use 2-3 word phrases ("more milk," "go bye-bye")
with approximately 50-word vocabulary. Option B (4-5 word sentences, 200+ words)
occurs at 3 years. Option C (storytelling) occurs at 4-5 years. Option D
(cooing/babbling) occurs at 2-6 months. Language development follows predictable
sequences per Denver II screening.
Q4. A 3-year-old child is observed playing alongside other children at daycare without
direct interaction. The nurse identifies this as:
A. Cooperative play, which is expected at this age
B. Parallel play, which is typical for toddlers aged 2-3 years
C. Solitary play, indicating social withdrawal
D. Associative play, appropriate for preschoolers
Correct Answer: B. Parallel play, which is typical for toddlers aged 2-3 years
[CORRECT]
Rationale: Parallel play (playing alongside but not with peers) is characteristic of
toddlers aged 2-3 years per Erikson's autonomy vs. shame and doubt stage. Cooperative
play (option A) emerges at 3-4 years. Solitary play (option C) is normal in infancy.
Associative play (option D) occurs in preschoolers aged 3-4 years with limited
organization.
Q5. According to Erikson's psychosocial development theory, a school-age child (6-11
years) is in which stage?
,3
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: D. Industry vs. Inferiority [CORRECT]
Rationale: School-age children (6-11 years) navigate Erikson's industry vs. inferiority
stage, focusing on competence, achievement, and peer relationships. Trust vs. mistrust
(option A) occurs in infancy (0-1 year). Autonomy vs. shame (option B) occurs in
toddlerhood (1-3 years). Initiative vs. guilt (option C) occurs in preschoolers (3-6
years). Successful resolution requires positive reinforcement of accomplishments.
Q6. A nurse is assessing cognitive development in a 5-year-old child using Piaget's
theory. The nurse expects the child to demonstrate:
A. Abstract thinking and hypothetical reasoning
B. Conservation, reversibility, and logical thought
C. Egocentrism, animism, and centration
D. Object permanence and trial-and-error problem solving
Correct Answer: C. Egocentrism, animism, and centration [CORRECT]
Rationale: The 5-year-old is in Piaget's preoperational stage (2-7 years), characterized
by egocentrism (inability to see others' perspectives), animism (attributing life to
inanimate objects), and centration (focusing on one aspect). Abstract thinking (option
A) occurs in formal operational stage (11+ years). Conservation (option B) emerges in
concrete operational stage (7-11 years). Object permanence (option D) is achieved in
sensorimotor stage (0-2 years).
Q7. A nurse observes a 12-month-old infant becoming distressed when the mother
leaves the examination room. The nurse identifies this behavior as:
A. Stranger anxiety, which peaks at 6-9 months
B. Separation anxiety, which is typical at 8-12 months
C. Social phobia, which requires referral
D. Attachment disorder, indicating poor bonding
Correct Answer: B. Separation anxiety, which is typical at 8-12 months [CORRECT]
, 4
Rationale: Separation anxiety is a normal developmental milestone peaking at 8-12
months, indicating healthy attachment formation. Stranger anxiety (option A) peaks
earlier at 6-9 months. Options C and D pathologize normal development. This behavior
reflects secure attachment per Ainsworth's attachment theory and is expected during
the sensorimotor stage.
Q8. During a well-child visit, a nurse assesses gross motor skills in a 15-month-old
toddler. Which behavior indicates appropriate development?
A. Walking independently and climbing stairs with assistance
B. Running steadily and jumping with both feet
C. Hopping on one foot and skipping
D. Cruising along furniture and standing independently
Correct Answer: A. Walking independently and climbing stairs with assistance
[CORRECT]
Rationale: Independent walking occurs at 12-15 months; climbing stairs with
assistance emerges at 15-18 months. Running (option B) occurs at 15-18 months,
jumping at 2-3 years. Hopping and skipping (option C) occur at 3-6 years. Cruising
(option D) occurs at 9-12 months, which would indicate developmental delay at 15
months.
Q9. A nurse is teaching parents about appropriate toys for their 8-month-old infant.
Which toy selection demonstrates understanding of developmental needs?
A. Puzzles with large pieces and crayons for drawing
B. Stacking rings and soft blocks that can be grasped and mouthed
C. Board games requiring turn-taking and rule-following
D. Sports equipment for gross motor development
Correct Answer: B. Stacking rings and soft blocks that can be grasped and mouthed
[CORRECT]
Rationale: At 8 months, infants demonstrate sitting without support, improved pincer
grasp development, and oral exploration (mouthing). Stacking rings and soft blocks
support fine motor development and sensorimotor exploration. Puzzles and crayons
(option A) are appropriate for toddlers 12-24 months. Board games (option C) require
cognitive skills of school-age children. Sports equipment (option D) is appropriate for
preschoolers and older children.
