ATI RN PEDIATRICS PROCTORED EXAM 2023
COMPLETE (100) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH
DETAILED EXPLANATIONS|GUARANTEED
PASS.
PEDIATRICS
Prepare for the ATI RN Pediatrics Proctored Exam with practice
questions covering pediatric growth and development, child health
disorders, medication administration, family-centered care, safety,
and nursing interventions for infants, children, and adolescents. This
study guide helps reinforce essential pediatric nursing concepts and
supports effective ATI exam preparation. Designed to improve clinical
understanding and boost confidence in pediatric patient care. Suitable
for nursing and healthcare students.
MULTIPLE CHOICE.
Growth and Development (Questions 1–20)
1. A nurse is assessing a 4-month-old infant. Which milestone should the nurse
expect?
• A) Rolls from back to abdomen
• B) Bears weight on legs when held standing
• C) Sits unsupported
• D) Pincer grasp present
Rationale: By 4 months, infants can bear weight on legs when held in a standing
position. Rolling over typically occurs at 6 months, sitting unsupported at 8 months, and
pincer grasp at 9 months.
,2. A 2-year-old toddler is in the hospital. The nurse should expect the child to
display which behavior related to separation anxiety?
• A) Crying and clinging to parents (Protest stage)
• B) Attempting to bargain with the nurse (Despair stage)
• C) Ignoring the parents upon their return (Denial)
• D) Showing interest in other children immediately
Rationale: Toddlers experience separation anxiety in three stages: protest (crying,
clinging), despair (withdrawal, sadness, bargaining), and detachment (ignoring parents).
Bargaining is part of the despair stage.
3. Which fine motor skill is expected in a 10-month-old infant?
• A) Builds a tower of two cubes
• B) Grasps a rattle by the handle
• C) Uses a spoon without spilling
, • D) Turns pages of a book
Rationale: At 10 months, infants can grasp objects like a rattle by the handle. Building a
tower of cubes is a 15-month skill; using a spoon without spilling occurs around 18
months; turning book pages is an 18–24 month skill.
4. A nurse is providing anticipatory guidance to parents of a 12-month-old. Which
statement by the parent indicates understanding?
• A) “I should transition my child from a bottle to a cup.”
• B) “My child should be able to fasten buttons.”
• C) “Stranger anxiety peaks at this age.”
• D) “Parallel play is common now.”
Rationale: At 12 months, parents should transition from bottle to cup. Stranger anxiety
peaks at 6–8 months, not 12. Parallel play begins at 2–3 years. Fastening buttons is a 4-
year-old skill.
5. A preschooler (4 years old) is hospitalized. Which activity best supports the
child’s developmental needs?
• A) Playing a board game with strict rules
• B) Engaging in dramatic play with dress-up clothes
• C) Watching a movie quietly for 2 hours
• D) Working on a complex jigsaw puzzle
Rationale: Preschoolers engage in magical thinking and imaginative play (dress-up,
pretend). Board games with rules are for school-age children. Complex puzzles are
beyond fine motor and cognitive ability for a 4-year-old.
6. The mother of a 7-year-old asks about适当 chores. Which is developmentally
appropriate?
• A) Mowing the lawn
, • B) Making their bed with reminders
• C) Cooking a full meal
• D) Doing family laundry
Rationale: A 7-year-old (school-age) can make their bed with reminders. Mowing the
lawn and cooking are preteen/teen tasks. Laundry is typically 10+ years.
7. A nurse is teaching a parenting class about safety in the toddler years. Which
topic is most important?
• A) Using car booster seats until age 6
• B) Preventing poisoning by locking cabinets
• C) Teaching bicycle helmet use
• D) Discussing stranger danger
Rationale: Toddlers are at high risk for poisoning due to oral exploration and mobility.
Booster seats are for older children (4–8 years). Helmet use is for school-age. Stranger
danger is for preschoolers and up.
8. Which developmental characteristic is typical of an 8-year-old child?
• A) Egocentrism
• B) Abstract thinking
• C) Industry vs. inferiority
• D) Magical thinking
Rationale: School-age children (6–12 years) are in Erikson’s industry vs. inferiority stage,
focusing on achievement and competence. Egocentrism is preschool. Abstract thinking
develops in adolescence. Magical thinking is preschool.
9. A 15-year-old adolescent is most likely to be concerned with:
• A) Losing teeth
• B) Peer acceptance and body image
COMPLETE (100) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH
DETAILED EXPLANATIONS|GUARANTEED
PASS.
PEDIATRICS
Prepare for the ATI RN Pediatrics Proctored Exam with practice
questions covering pediatric growth and development, child health
disorders, medication administration, family-centered care, safety,
and nursing interventions for infants, children, and adolescents. This
study guide helps reinforce essential pediatric nursing concepts and
supports effective ATI exam preparation. Designed to improve clinical
understanding and boost confidence in pediatric patient care. Suitable
for nursing and healthcare students.
MULTIPLE CHOICE.
Growth and Development (Questions 1–20)
1. A nurse is assessing a 4-month-old infant. Which milestone should the nurse
expect?
• A) Rolls from back to abdomen
• B) Bears weight on legs when held standing
• C) Sits unsupported
• D) Pincer grasp present
Rationale: By 4 months, infants can bear weight on legs when held in a standing
position. Rolling over typically occurs at 6 months, sitting unsupported at 8 months, and
pincer grasp at 9 months.
,2. A 2-year-old toddler is in the hospital. The nurse should expect the child to
display which behavior related to separation anxiety?
• A) Crying and clinging to parents (Protest stage)
• B) Attempting to bargain with the nurse (Despair stage)
• C) Ignoring the parents upon their return (Denial)
• D) Showing interest in other children immediately
Rationale: Toddlers experience separation anxiety in three stages: protest (crying,
clinging), despair (withdrawal, sadness, bargaining), and detachment (ignoring parents).
Bargaining is part of the despair stage.
3. Which fine motor skill is expected in a 10-month-old infant?
• A) Builds a tower of two cubes
• B) Grasps a rattle by the handle
• C) Uses a spoon without spilling
, • D) Turns pages of a book
Rationale: At 10 months, infants can grasp objects like a rattle by the handle. Building a
tower of cubes is a 15-month skill; using a spoon without spilling occurs around 18
months; turning book pages is an 18–24 month skill.
4. A nurse is providing anticipatory guidance to parents of a 12-month-old. Which
statement by the parent indicates understanding?
• A) “I should transition my child from a bottle to a cup.”
• B) “My child should be able to fasten buttons.”
• C) “Stranger anxiety peaks at this age.”
• D) “Parallel play is common now.”
Rationale: At 12 months, parents should transition from bottle to cup. Stranger anxiety
peaks at 6–8 months, not 12. Parallel play begins at 2–3 years. Fastening buttons is a 4-
year-old skill.
5. A preschooler (4 years old) is hospitalized. Which activity best supports the
child’s developmental needs?
• A) Playing a board game with strict rules
• B) Engaging in dramatic play with dress-up clothes
• C) Watching a movie quietly for 2 hours
• D) Working on a complex jigsaw puzzle
Rationale: Preschoolers engage in magical thinking and imaginative play (dress-up,
pretend). Board games with rules are for school-age children. Complex puzzles are
beyond fine motor and cognitive ability for a 4-year-old.
6. The mother of a 7-year-old asks about适当 chores. Which is developmentally
appropriate?
• A) Mowing the lawn
, • B) Making their bed with reminders
• C) Cooking a full meal
• D) Doing family laundry
Rationale: A 7-year-old (school-age) can make their bed with reminders. Mowing the
lawn and cooking are preteen/teen tasks. Laundry is typically 10+ years.
7. A nurse is teaching a parenting class about safety in the toddler years. Which
topic is most important?
• A) Using car booster seats until age 6
• B) Preventing poisoning by locking cabinets
• C) Teaching bicycle helmet use
• D) Discussing stranger danger
Rationale: Toddlers are at high risk for poisoning due to oral exploration and mobility.
Booster seats are for older children (4–8 years). Helmet use is for school-age. Stranger
danger is for preschoolers and up.
8. Which developmental characteristic is typical of an 8-year-old child?
• A) Egocentrism
• B) Abstract thinking
• C) Industry vs. inferiority
• D) Magical thinking
Rationale: School-age children (6–12 years) are in Erikson’s industry vs. inferiority stage,
focusing on achievement and competence. Egocentrism is preschool. Abstract thinking
develops in adolescence. Magical thinking is preschool.
9. A 15-year-old adolescent is most likely to be concerned with:
• A) Losing teeth
• B) Peer acceptance and body image
