1
NGN ATI Peds Proctored Exam 2026/2027
Actual Exam - 125 Questions with Detailed
Rationales | 100% Verified Graded A+ Pass
Guaranteed - A+ Graded
Section 1: Growth & Development
A nurse is assessing a 12-month-old infant. Which of the following developmental milestones
should the nurse expect to find?
A. Uses a spoon to feed self independently
B. Builds a tower of six blocks
C. Pulls to a standing position
D. Ties shoelaces
C. Pulls to a standing position [CORRECT]
Rationale: Pulling to a standing position is expected around 9 to 12 months. A is incorrect
because independent spoon-feeding is expected around 15 to 18 months. B is incorrect because
building a six-block tower is expected around 2 years. D is incorrect because tying shoelaces is
expected around 5 to 6 years.
Correct Answer: C
A nurse is providing anticipatory guidance to the parent of a 2-year-old toddler. Which of the
following statements by the parent indicates an understanding of toddler development according
to Erikson's psychosocial stages?
A. "I will let my toddler choose between an apple or a banana for a snack."
B. "I expect my toddler to share all of his toys with his siblings."
C. "I will enroll my toddler in a competitive soccer league this year."
D. "I will have my toddler sit quietly for 30 minutes during storytime."
A. "I will let my toddler choose between an apple or a banana for a snack." [CORRECT]
Rationale: Toddlers are in the autonomy vs. shame and doubt stage; providing limited choices
fosters autonomy. B is incorrect because toddlers are egocentric and do not understand sharing. C
,2
is incorrect because competitive sports are for school-age children. D is incorrect because
toddlers have short attention spans and cannot sit still for 30 minutes.
Correct Answer: A
A nurse is assessing the language development of a 4-year-old preschooler. Which of the
following findings is consistent with expected development?
A. Uses three- to four-word sentences
B. Speaks using complex compound sentences
C. Has a vocabulary of approximately 300 words
D. Stutters frequently when excited
A. Uses three- to four-word sentences [CORRECT]
Rationale: A 4-year-old typically uses three- to four-word sentences and has a vocabulary of
about 1,500 words. B is incorrect because complex compound sentences develop later in school-
age. C is incorrect because a 300-word vocabulary is expected around age 2. D is incorrect
because while some dysfluency is normal at age 2-3, persistent stuttering at 4 requires
evaluation.
Correct Answer: A
A nurse is preparing to administer a medication to a 10-year-old school-age child. Which of the
following approaches should the nurse use to best support the child's cognitive development?
A. Use a cartoon puppet to explain the medication
B. Provide a detailed explanation of the medication's pharmacokinetics
C. Allow the child to handle the equipment and ask questions
D. Tell the child the medication is a special candy
C. Allow the child to handle the equipment and ask questions [CORRECT]
Rationale: School-age children are in Piaget's concrete operational stage; they are curious,
logical, and benefit from hands-on participation. A is incorrect because puppets are for
preschoolers. B is incorrect because abstract pharmacokinetics are too complex. D is incorrect
because calling medication candy is dangerous and violates safety standards.
Correct Answer: C
A nurse is assessing an adolescent's understanding of their recent diagnosis of type 1 diabetes.
Which of the following behaviors indicates the adolescent is utilizing formal operational
thought?
,3
A. Believes the diabetes is a punishment for bad behavior
B. Understands how insulin impacts cellular glucose uptake systemically
C. Focuses solely on the immediate symptoms of hyperglycemia
D. Relies entirely on parents to calculate carbohydrate intake
B. Understands how insulin impacts cellular glucose uptake systemically [CORRECT]
Rationale: Formal operational thought (Piaget) allows for abstract thinking and understanding
complex, systemic concepts. A and C are incorrect because they represent preoperational or
concrete thinking. D is incorrect because formal operational adolescents should be taking on self-
management tasks.
Correct Answer: B
A nurse is evaluating the gross motor skills of a 6-month-old infant. Which of the following
observations should the nurse expect?
A. Sits unsupported momentarily
B. Walks holding onto furniture
C. Rolls from back to front
D. Jumps in place
A. Sits unsupported momentarily [CORRECT]
Rationale: Sitting unsupported momentarily is a 6-month milestone. B is incorrect because
cruising is expected around 10-12 months. C is incorrect because rolling back to front is
expected around 4-5 months. D is incorrect because jumping is a 2-year-old milestone.
Correct Answer: A
A nurse is teaching a parent about the fine motor development of a 9-month-old infant. Which of
the following behaviors should the nurse include?
A. Uses a crude pincer grasp
B. Builds a tower of two blocks
C. Transfers objects from hand to hand
D. Scribbles with a crayon
C. Transfers objects from hand to hand [CORRECT]
Rationale: Transferring objects is expected around 7 to 9 months. A is incorrect because a crude
pincer grasp emerges around 9 to 10 months, but transferring is more consistently established. B
, 4
is incorrect because building a two-block tower is expected at 15 months. D is incorrect because
scribbling is expected at 15 months.
Correct Answer: C
A nurse is assessing a 3-year-old child during a well-child visit. The parent expresses concern
that the child refuses to wear clothes with buttons. Which of the following responses by the nurse
is most appropriate?
A. "Your child is being stubborn and needs strict discipline."
B. "This is normal; toddlers often have strong preferences for clothing textures as part of their
need for control."
C. "Your child might have a developmental delay; I will schedule an MRI."
D. "You should force the child to wear the clothes to prevent behavioral issues."
B. "This is normal; toddlers often have strong preferences for clothing textures as part of their
need for control." [CORRECT]
Rationale: Toddlers are asserting autonomy and are highly sensitive to sensory input; rigid
clothing preferences are common. A and D are incorrect because harsh discipline shames the
toddler. C is incorrect because sensory preferences alone do not indicate a need for an MRI.
Correct Answer: B
A nurse is planning play activities for a hospitalized 5-year-old preschooler. Which of the
following toys is most appropriate for this developmental stage?
A. A 500-piece jigsaw puzzle
B. A board game with complex rules
C. A medical play kit with a stethoscope and syringe
D. A tiny model car set with small parts
C. A medical play kit with a stethoscope and syringe [CORRECT]
Rationale: Preschoolers benefit from therapeutic play that allows them to act out experiences;
medical play reduces anxiety. A and B are incorrect because complex puzzles and rule-based
games are for school-age children. D is incorrect because small parts are an aspiration hazard for
children under 3, but overly tiny, complex models are better suited for older school-age kids.
Correct Answer: C
A nurse is evaluating the vital signs of a 4-year-old child. Which of the following findings is
within the expected reference range for this age?
NGN ATI Peds Proctored Exam 2026/2027
Actual Exam - 125 Questions with Detailed
Rationales | 100% Verified Graded A+ Pass
Guaranteed - A+ Graded
Section 1: Growth & Development
A nurse is assessing a 12-month-old infant. Which of the following developmental milestones
should the nurse expect to find?
A. Uses a spoon to feed self independently
B. Builds a tower of six blocks
C. Pulls to a standing position
D. Ties shoelaces
C. Pulls to a standing position [CORRECT]
Rationale: Pulling to a standing position is expected around 9 to 12 months. A is incorrect
because independent spoon-feeding is expected around 15 to 18 months. B is incorrect because
building a six-block tower is expected around 2 years. D is incorrect because tying shoelaces is
expected around 5 to 6 years.
Correct Answer: C
A nurse is providing anticipatory guidance to the parent of a 2-year-old toddler. Which of the
following statements by the parent indicates an understanding of toddler development according
to Erikson's psychosocial stages?
A. "I will let my toddler choose between an apple or a banana for a snack."
B. "I expect my toddler to share all of his toys with his siblings."
C. "I will enroll my toddler in a competitive soccer league this year."
D. "I will have my toddler sit quietly for 30 minutes during storytime."
A. "I will let my toddler choose between an apple or a banana for a snack." [CORRECT]
Rationale: Toddlers are in the autonomy vs. shame and doubt stage; providing limited choices
fosters autonomy. B is incorrect because toddlers are egocentric and do not understand sharing. C
,2
is incorrect because competitive sports are for school-age children. D is incorrect because
toddlers have short attention spans and cannot sit still for 30 minutes.
Correct Answer: A
A nurse is assessing the language development of a 4-year-old preschooler. Which of the
following findings is consistent with expected development?
A. Uses three- to four-word sentences
B. Speaks using complex compound sentences
C. Has a vocabulary of approximately 300 words
D. Stutters frequently when excited
A. Uses three- to four-word sentences [CORRECT]
Rationale: A 4-year-old typically uses three- to four-word sentences and has a vocabulary of
about 1,500 words. B is incorrect because complex compound sentences develop later in school-
age. C is incorrect because a 300-word vocabulary is expected around age 2. D is incorrect
because while some dysfluency is normal at age 2-3, persistent stuttering at 4 requires
evaluation.
Correct Answer: A
A nurse is preparing to administer a medication to a 10-year-old school-age child. Which of the
following approaches should the nurse use to best support the child's cognitive development?
A. Use a cartoon puppet to explain the medication
B. Provide a detailed explanation of the medication's pharmacokinetics
C. Allow the child to handle the equipment and ask questions
D. Tell the child the medication is a special candy
C. Allow the child to handle the equipment and ask questions [CORRECT]
Rationale: School-age children are in Piaget's concrete operational stage; they are curious,
logical, and benefit from hands-on participation. A is incorrect because puppets are for
preschoolers. B is incorrect because abstract pharmacokinetics are too complex. D is incorrect
because calling medication candy is dangerous and violates safety standards.
Correct Answer: C
A nurse is assessing an adolescent's understanding of their recent diagnosis of type 1 diabetes.
Which of the following behaviors indicates the adolescent is utilizing formal operational
thought?
,3
A. Believes the diabetes is a punishment for bad behavior
B. Understands how insulin impacts cellular glucose uptake systemically
C. Focuses solely on the immediate symptoms of hyperglycemia
D. Relies entirely on parents to calculate carbohydrate intake
B. Understands how insulin impacts cellular glucose uptake systemically [CORRECT]
Rationale: Formal operational thought (Piaget) allows for abstract thinking and understanding
complex, systemic concepts. A and C are incorrect because they represent preoperational or
concrete thinking. D is incorrect because formal operational adolescents should be taking on self-
management tasks.
Correct Answer: B
A nurse is evaluating the gross motor skills of a 6-month-old infant. Which of the following
observations should the nurse expect?
A. Sits unsupported momentarily
B. Walks holding onto furniture
C. Rolls from back to front
D. Jumps in place
A. Sits unsupported momentarily [CORRECT]
Rationale: Sitting unsupported momentarily is a 6-month milestone. B is incorrect because
cruising is expected around 10-12 months. C is incorrect because rolling back to front is
expected around 4-5 months. D is incorrect because jumping is a 2-year-old milestone.
Correct Answer: A
A nurse is teaching a parent about the fine motor development of a 9-month-old infant. Which of
the following behaviors should the nurse include?
A. Uses a crude pincer grasp
B. Builds a tower of two blocks
C. Transfers objects from hand to hand
D. Scribbles with a crayon
C. Transfers objects from hand to hand [CORRECT]
Rationale: Transferring objects is expected around 7 to 9 months. A is incorrect because a crude
pincer grasp emerges around 9 to 10 months, but transferring is more consistently established. B
, 4
is incorrect because building a two-block tower is expected at 15 months. D is incorrect because
scribbling is expected at 15 months.
Correct Answer: C
A nurse is assessing a 3-year-old child during a well-child visit. The parent expresses concern
that the child refuses to wear clothes with buttons. Which of the following responses by the nurse
is most appropriate?
A. "Your child is being stubborn and needs strict discipline."
B. "This is normal; toddlers often have strong preferences for clothing textures as part of their
need for control."
C. "Your child might have a developmental delay; I will schedule an MRI."
D. "You should force the child to wear the clothes to prevent behavioral issues."
B. "This is normal; toddlers often have strong preferences for clothing textures as part of their
need for control." [CORRECT]
Rationale: Toddlers are asserting autonomy and are highly sensitive to sensory input; rigid
clothing preferences are common. A and D are incorrect because harsh discipline shames the
toddler. C is incorrect because sensory preferences alone do not indicate a need for an MRI.
Correct Answer: B
A nurse is planning play activities for a hospitalized 5-year-old preschooler. Which of the
following toys is most appropriate for this developmental stage?
A. A 500-piece jigsaw puzzle
B. A board game with complex rules
C. A medical play kit with a stethoscope and syringe
D. A tiny model car set with small parts
C. A medical play kit with a stethoscope and syringe [CORRECT]
Rationale: Preschoolers benefit from therapeutic play that allows them to act out experiences;
medical play reduces anxiety. A and B are incorrect because complex puzzles and rule-based
games are for school-age children. D is incorrect because small parts are an aspiration hazard for
children under 3, but overly tiny, complex models are better suited for older school-age kids.
Correct Answer: C
A nurse is evaluating the vital signs of a 4-year-old child. Which of the following findings is
within the expected reference range for this age?
