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Peds ATI 2019 B questions and answers latest update
A nurse is assessing the pain level of a 3 year old toddler. Which of the following assessment scales should the nurse use? a. FACES b. Numeric c. CRI... [Show More] ES d. Visual analog A. The nurse should use the FACES pain rating scale for pediatric clients who are 3 years old and older. This scale allows the toddler to point to the face that depicts their current level of pain. The nurse can then determine the need for pain management. A nurse is planning an educational program to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include? a. "allow your child to play outside during the hours between 10:00am and 2:00pm." b. "choose a waterproof sunscreen with a minimum SPF of 15." c. "dress you child in loose weave polyester fabric prior to sun exposure." d. "reapply sunscreen every 4 hours." B. The nurse should instruct parents to apply a waterproof sunscreen with a minimum SPF of 15 for children. The parents should apply the sunscreen prior to sun exposure to reduce the risk of sunburn. A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation? a. an 18 month old toddler who has unintelligible speech b. a 3 month old infant who has exaggerated startle response c. a 4 year old preschooler who prefers playing with others rather than alone d. an 8 month old infant who is not yet making babbling sounds D. The nurse should refer an infant who is not making babbling sounds by the age of 7 months to a provider for a more extensive evaluation of hearing. A nurse in an emergency department is assessing a 3 month old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration? a. HR 124 b. increased tear production c. sunken anterior fontanel d. capillary refill 2 seconds C. The nurse should recognize that a sunken anterior fontanel is an indication of moderate to severe dehydration due to the acute loss of fluid. A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthrisis. Which of the following instructions should the nurse include in the teaching? a. "limit movement of the child's large joints" b. "encourage the child to perform independent self-care." c. "provide the child with a soft mattress for sleeping." d. "schedule a 2 hour daily nap for the child in the afternoon." B. The nurse should teach the family the importance of encouraging the child to perform independent self-care. This will minimize the child's pain while maximizing mobility. Encouraging and praising the child's efforts for independence will also increase their self-esteem. A nurse is planning care for a school age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan? a. use sterile scissors to remove the dressing from the site b. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride solution when not in use c. access the site suing a noncoring angle needle d. use a semipermeable transparent depressing to cover the site D. The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of infection. A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include? a. controls impulsive feelings b. understands right from wrong c. easily separates from parents for long periods of time d. expresses likes and dislikes D. The nurse should include that expressing likes and dislikes is an expected behavior of toddlers. This is the time in life when a toddler is developing autonomy and self-concept. They will try to assert themselves and frequently refuse to comply. The parent should allow the child to have some control, but also set limits for them so they learn from their behavior and learn to control their actions. A nurse is providing discharge teaching to the parent of a school age child who has moderate persistent asthma. Which of the following instructions should the nurse include? a. "you should give your child their salmeterol inhaler every 4 hours when they are having an acute episode of wheezing." b. "you should monitor your child's weight weekly while they are receiving inhaled corticosteroids therapy." c. "pulmonary function tests will be performed every 12-24 months to evaluate how your child is responding to therapy." d. "when using the peak expiratory flow meter, record your child's average of three readings." C. The nurse should inform the parent that their child will need pulmonary function tests every 12 to 24 months to evaluate the presence of lung disease and how the child is responding to the current treatment regimen. As children grow, sometimes their manifestations can improve or decline, and treatment needs to change accordingly. A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication? a. reports an absence of nausea and vomiting b. reports experiencing an onset of loose stools within 15 minutes of administration c. serum potassium level 4.1 mEq/L d. blood pressure 86/52 mm Hg C. The nurse should monitor the adolescent's serum potassium level following the administration of sodium polystyrene sulfonate. This medication is used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestine. Therefore, a potassium level within the expected reference range of 3.4 to 4.7 mEq/L indicates the effectiveness of the medication. A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report the provider? a. nasal flaring b. WBC count 11,300/mm^3 c. diarrhea d. abdominal distension A. When using the airway, breathing, and circulation approach to client care, the nurse should determine that the priority finding to report to the provider is nasal flaring. Nasal flaring indicates the infant is experiencing acute respiratory distress. A nurse is providing discharge teaching to the guardian of a school age child who has undergone a tonsillectomy. Which of the following statements by the guardian indicates an understanding the teaching? a. "my child can resume usual activities since this year just an outpatient surgery." b. "my child will be able to drink the chocolate milkshake I promised to get for them tonight." c. "I will notify the doctor if I notice that my child is swallowing frequently." d. "I will have my child gargle with warm salt water to relieve their sore throat." C. The nurse should instruct the parent that frequent swallowing is an indication of bleeding and, if it is observed, to notify the provider immediately. A nurse is discussing organ donation with the parents of a school age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first? a. inform the parents that written consent is required prior to organ donation b. provide written information to the parents about organ donation c. ask the provider to explain misconceptions of organ donation to the parents. d. explore the parents feelings and wishes regarding organ donation D. The first action the nurse should take when using the nursing process is assessment. The nurse should first explore the parents' feelings and wishes regarding organ donation to assist in determining if organ donation is the right choice for the family. A nurse is caring for a newly admitted school age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to prescribe? a. Desmopressin b. Luteinizing hormone-releasing hormone c. Recombinant growth hormone d. Levothyroxine C. Recombinant growth hormone injections are used to treat hypopituitarism, which inhibits cell growth and results in growth failure. The nurse should expect the provider to prescribe this treatment. A nurse is providing discharge teaching to he parents of a 3 month old infant following a cheiloplasty. Which of the following instructions should the nurse include? a. "clean your baby's sutures daily with a mixture of chlorhexidine and water." b. "expect your baby to swallow more than usual over the next few days." c. "inspect your baby's tongue for white patches using a tongue depressor every 8 hours." d. "apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days." D. The nurse should instruct the parents to apply a thin layer of antibiotic ointment on the infant's suture line daily for 3 days and then continue to apply petroleum jelly to the area for several weeks to promote healing. [Show Less]
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ATI Practice Questions PEDs Exam 1 correctly answered latest 2023
You are preparing to administer immunizations to a 4-month-old infant. Which of the following is an appropriate action for you to take in providing atrauma... [Show More] tic care? A. Administer 81 mg of aspirin B. Use the Z track method C. Ask the parents to leave the room during the injection D. Provide sucrose solution on the pacifier D. Allowing an infant to suck on dextrose will reduce pain with immunizations You are planning to administer recommended immunizations to a 2-month-old infant. Which of the following should you give? A. Rotavirus (RV) B. Diptheria, teatnus, and acellular pertussis (DTaP) C. Haemophilus influenzae type B (Hib) D. Hepatitis A (HepA) E. Pneumococcal conjugate (PCV13) F. Inactivated Poliovirus (PV) A. B. C. E. F. Hep A is not given until 12-13 months of age You are preparing to administer the varicella vaccine to an adolescent. Which of the following questions should you ask to determine whether there is a contraindication to administering the vaccine? A. Do you have an allergy to eggs? B. Have you ever had encephalopathy following immunizations? C. Are you currently taking corticosteriod medications? D. Have you ever had an anaphylactic reaction to yeast? C. Varicella is contraindicated with drugs that interact with the immune system You are caring for a toddler in a clinic. Which of the following actions should you take? Look at the following information to help you make your decision: 15 month old, female Hep B: 1, 2 , 12 months Rotavirus: 2, 4, 6 months DTaP: 2, 4, 6 months Hib: 2, 4, 12 months IPV: 2, 4, 6 months MMR: 12 months Varicella: 12 months HepA: 12 months Temp: 37.8 C (100.1 F) Sore Throat Family history of seizures A. Administer DTaP vaccine B. Administer Rotovirus vaccine C. Hold immunizations until fever subsides D. Administer hep A vaccine A. You are preparing to assess a preschool-age child. Which of the following is an appropriate action for you to take to prepare the child? A. Allow the child to role-play using miniature equipment B. Use medical terminology to describe what will happen C. Separate the child from her parent during the examination D. Keep medical equipment visible to the child A. You are checking the vitals of a 3-year-old child during a well-child visit. Which should you report to the provider? A. temperature 37.2 C (99.0 F) B. Heart rate 106/min C. respirations 30/min D. BP 88/54 mm Hg C. Respirations of 30/minute for a 3-year-old is above range You are assessing a 6-month-old infant. What reflexes should the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic Neck B.The plantar grasp is from birth to 8 months The Moro reflex is from birth to 4 months The Stepping reflex is from birth to 4 months The tonic neck reflex is from birth to 3 or 4 months You are caring for a toddler who has acute otitis media. Which of the following is the priority action for you to take? A. Provide emotional support to the family B. Educate the family on care of the child C. Prevent clinical complications D. Administer analgesics D You are working in an outpatient facility and are caring for an infant who has manifestations of AOM. Which of the following places the infant at risk for otitis media? A. Breastfeeding s formula supplementation B. Attends day care 4 days per week C. Immunizations are up to date D. History of a cleft palate repair E. Parents smoke cigarettes outside B, D, E You are caring for a 2-year-old patient who has has three ear infections in the past 5 months. Which of the following long term complications is the child at risk for developing? A. Balance difficulties B. Prolonged hearing loss C. Speech delays D. Mastoiditis C You are assessing an infant. Which of the following findings are clinical manifestations of acute otitis media? A. Decreased pain in the supine position B. Rolling head side to side C. Loss of appetite D. Increases sensitivity to sound E. Crying B, C, E You are caring for a child who has enuresis. Which of the following is a complication? A. Urinary tract infections B. Emotional problems C. Ureosepsis D. Progressive kidney disease B [Show Less]
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ATI Pediatric Medications questions and answers latest 2023
A nurse is preparing to administer furosemide 2mg/kg/dose PO every 8 hr to an infant who weighs 12 LB. Available is furosemide oral solution 10 mg/mL. How ... [Show More] many mL should the nurse administer per dose. (Round to the nearest tenth. Use a leading zero if applies. Do not use a trailing zero.) 1.1 mL A nurse is preparing to administer 0.9% sodium chloride (0.9 NaCl) 6 ml/kg IV to infuse over 2 hr to an infant who weighs 8 kg. The nurse should set IV pump to deliver how many mL/hr? (Round to the nearest tenth. Use a leading zero if applies. Do not use a trailing zero.) 24 A nurse is preparing to administer immunizations to a preschooler. which of the following actions should the nurse take? Have the preschooler blow bubbles during the injection A nurse is converting an infant's weight in LB and oz to kg. The infant weighs 9 lb and 4 oz. What is the infant's weight in kg? (Round to the nearest tenth. Use a leading zero if applies. Do not use a trailing zero.) 4.2 A nurse is teaching a newly licensed nurse about administering IM injections to children. Which of the following statements should the nurse make? "Do not inject more that 1 mL for an IM injection in infants" A nurse is caring for a school-age child who weighs 22 kg. what is the child's daily maintenance fluid requirement? 1540 a nurse is preparing to administer famotidine 1 mg/kg/day PO divided equally every 12 hr to a child who weighs 41 lbs. Available is famotidine oral suspension 40 mg/5 lm. how many mL should the nurse administer per dose? (round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 1.2 A nurse is converting an infant's weight from lb to kg. The infant weighs 13 lb 8 oz . How many kg does the infant weigh? 6.1 a nurse is preparing to administer a dose of liquid medication to a 6-month-old infant. Which of the following actions should the nurse take? Offer the infant a feeding after administering the medication. a nurse is preparing to administer dexamethasone 0.3 mg/kg/day PO divided into equal doses every 12 hr to a school-age child who weighs 50 lb. available is dexamethasone oral solution 0.5 mg/5 ml. how many ml should the nurse administer per dose? 34 a nurse is preparing to administer morphine 0.05 mg/kg intermittent IV bolus to a newborn who weighs 3 kg. available is morphine 0.5 mg/mL injection 0.3 a nurse is preparing to administer clindamycin 10 mg/kg PO divided in divided in equal dosages every 8 hr to a toddler who weighs 30 lb. available is clindamycin oral suspension 75 mg/5 ml. how many ml should the nurse administer per dose? 3 mL` a nurse is preparing to administer dextrose 5% in water 20 mL/kg IV to infuse over 4 he to an adolescent who weighs 57 kg. The nurse should set the IV pump to deliver how many mL/hr? 285 mL a nurse is caring for an infant who weighs 6 kg. what is the infant's daily maintenance fluid requirement? 600 ml/day A nurse is planning to administer an IM medication to a 2-month-old infant. Which of the following actions should the nurse plan to take? The nurse should use a 22- to 30-gauge needle to administer an IM injection for a 2-month-old infant to prevent tissue damage A nurse is converting an adolescent's weight in lb to kg. The adolescent weighs 120 lb. How many kg does the adolescent weigh? 54.5 A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 15 mL/kg IV to infuse over 8 hr to a school-age child who weighs 22 kg. The nurse should set the IV pump to deliver how many mL/hr? 41 [Show Less]
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Peds Exam #1 ATI practice Ch. 1 -8 questions and answers latest 2023
A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following s... [Show More] hould the nurse include when discussing the developmental theory? A) Describes that stress in inevitable B) Emphasizes that change with one member affects the entire family C) Provides guidance to assist families adapting to stress D) Defines consistencies in how families change D) Defines consistencies in how families change A nurse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. The nurse hears one parent state, "My son knows he better do what I say." Which of the following parenting styles is the parent exhibiting? A) Authoritarian B) Permissive C) Authoritative D) Passive A) Authoritarian A nurse is performing family assessment. Which of the following should the nurse include (select all): A) Medical history B) Parent's education level C) Child's physical growth D) Support systems E) Stressors A) Medical history B) Parent's education level D) Support systems E) Stressors A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate action by the nurse to prepare the child? A) Allow the child to role-play using miniature equipment. B) Use medical terminology to describe what will happen. C) Separate the child from her parent during the examination. D) Keep medical equipment visible to the child. A) Allow the child to role-play using miniature equipment. A nurse is checking the vital signs of a 3 year old child during a well child visit. Which of the following findings should the nurse report to the provider? A) Temp 37.2 (99.0) B) Heart rate 106/min C) Respiration 30/min D) Blood Pressure 88/54 mmHg C) Respiration 30/min Normal 3yr old values: Temp - 37.2 or 99.0 HR- 60 to 110 RR- 21 to 25 BP- (86 to 120) / (44-76) A nurse is assessing a child's ears. Which of the following is an expected finding? A) Light reflex is located at the 2 o'clock position. B) Tympanic membrane is red in color. C) Bony landmarks are not visible. D) Cerumen is present bilaterally. D) Cerumen is present bilaterally The light reflex should be around the 5 to 7 o'clock position, bony landmarks should be visible, and tympanic membrane should be pearly pink or gray. A nurse is assessing a 6 month old infant. Which of the following reflexes should the infant exhibit? A) Moro B) Plantar grasp C) Stepping D) Tonic neck B) Plantar grasp -- birth to 8mths Moro is birth to 4mths Stepping is birth to 4wks Tonic neck is birth to 3/4mths A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the cranial nerve (select all)? A) Clenching teeth together tightly B) Recognizing sour tastes on the back of the tongue C) Identifying smells through each nostril D) Detecting facial touches with eyes closed E) Looking down and in with the eyes A) Clenching teeth together tightly D) Detecting facial touches with eyes closed Sour taste: glossopharyngeal Scent: olfactory Down & In: trochlear 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) Closed anterior fontanel B) Eruption of 6 teeth C) Birth weight doubled D) Birth length increased by 50% C) Birth weight doubled -- should have tripled A nurse is performing a developmental screening on a 10 month old infant. Which of the following fine motor skills should the nurse expect the infant to perform (select all)? A) Grasp a rattle by the handle B) Try building a 2 - block tower C) Use a crude pincer grasp D) Place objects into a container E) Walks with one hand held A) Grasp a rattle by the handle C) Use a crude pincer grasp Blocks and walking 12mth container 11mths A nurse is conducting a well baby visit with a 4mth old infant. Which of the following immunizations should the nurse plan to administer to the infant (select all)? A) Measles, mumps & rubella (MMR) B) Polio (IPV) C) Pneumococcal vaccine (PCV) D) Varicella E) Rotavirus vaccine (RV) B) Polio (IPV) C) Pneumococcal vaccine (PCV) E) Rotavirus vaccine (RV) MMR @ 12 to 15 months Varicella @ 12mths A nurse is providing education about introducing new foods to the parents of a 4mth old infant. The nurse should recommend that the parents introduce which of the following foods first? A) Strained yellow vegetables B) Iron - fortified cereals C) Pureed fruits D) Whole milk B) Iron-fortified cereals A nurse is providing teaching about dental care and teething to the parent of a 9mth old infant. Which of the following statements by the parent indicates an understanding of the teaching? A) "I can give my baby a warm teething ring to relieve discomfort." B) "I should clean my baby's teeth with a cool wet cloth." C) "I can give Advil for up to 5 days while my baby is teething." D) "I should place diluted juice in the bottle my baby drinks while falling asleep." B) "I should clean my baby's teeth with a cool wet cloth." Advil for no more than 3 days A nurse is assessing a 2 and a half year old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? A) Height increased by 7.5 cm (3 in) in the past year B) Head circumference exceeds chest circumference C) Anterior and posterior fontanels are closed D) Current weight equals four times the birth weight. B) Head circumferences exceeds chest circumference -- should be equal by 1-2years A nurse is performing a developmental screening of an 18mth old. Which of the following skills should the toddler be able to perform (Select all)? A) Build a tower with 6 blocks B) Throw ball overhand C) Walk up/down stairs D) Draw circles E) Use a spoon without rotation B) Throw ball overhand E) Use a spoon without rotation 6 block tower and master the stairs by age 2; draw circles by 2 and a half A nurse is providing teaching about age - appropriate activities to the parent of a 2yr old. Which of the following statement by the parent indicates an understanding of teaching? A) "I will send my child's favorite stuffed animal when she will be napping away from home." B) "My child should be able to stand on one ft for a second." C) "The soccer team my child will be playing on starts practicing next week." D) "I should expect my child to be able to draw circles." A) "I will send my child's favorite stuffed animal when she will be napping away from home." --- sense of security Stand on 1 ft and draw circles by 2 and a half Play alongside others, not with A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should the nurse include (select all)? A) Develop food habits that will prevent dental caries. B) Meeting caloric needs results in an increased appetite. C) Expression of bedtime fears is common. D) Expect behaviors associated with negativism and ritualism. E) Annual screenings for phenylketonuria are important. A) Develop food habits that will prevent dental caries. C) Expression of bedtime fears is common. D) Expect behaviors associated with negativism and ritualism. Toddlers experience physiologic anorexia due to decreased appetite and fussy eating. Screening for PKU is done to a newborn. A nurse is providing teaching to the parent of a preschool-age child about methods to promote sleep. Which of the following statements by the parent indicates an understanding of the teaching? A) "I will sleep in the bed with my child if she wakes up during the night." B) "I will let my child stay up an additional 2 hrs on weekend nights." C) "I will let my child watch tv for 30min just before bed each night." D) "I will keep a dim lamp on in my child's room during the night." D) "I will keep a dim lamp on in my child's room during the night." -- promotes sleep and comfort/security Maintain consistency with a reasonable bedtime, tv can cause a child to resist/delay sleep. A nurse is conducting a well-child visit with a 5yr old. Which of the following immunizations should the nurse plan to administer ( Select all)? A) Diphtheria, tetanus, and pertussis (DTaP) B) Inactivated poliovirus (IPV) C) Measles, mumps, and rubella (MMR) D) Pneumococcal (PCV) E) Haemohilus influenza type B (Hib) A) Diphtheria, tetanus, and pertussis (DTaP) B) Inactivated poliovirus (IPV) C) Measles, mumps, and rubella (MMR) PCV & Hib are done being given by 15mths A nurse is preparing an education program for a group of parents of preschool-age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching? A) Sat. fats should equal 20% of total daily caloric intake B) Av. cal intake should be 1800 cal/day C) Daily intake of fruits and veg should total 2 servings D) Healthy diets include a total of 8g protein/day B) Av. cal intake should be 1800 cal/day Sat. fats should be less than 10% Need 5 servings of fruits and veg Need 13 - 19g protein/day A nurse is performing a developmental screening on a 3yr old. Which of the following skills should the nurse expect the child to perform? A) Ride a tricycle B) Hop on 1 foot C) Jump rope D) Throw a ball overhead A) Ride a tricycle Hop on 1ft & throw ball overhead -- 4yr old Jump rope -- 5yr old A nurse is caring for a preschool-age child who says she needs to leave the hospital because her doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting? A) Egocentrism B) Centration C) Animism D) Magical Thinking C) Animism -- give living qualities to inanimate objects Egocentrism: unable to see another's perspective Centration: focuses on one aspect rather than whole Magical Thinking: believes thoughts cause events to occur A nurse is discussing prepubescence and preadolescence with a group of parents of school-age children. Which of the following information should the nurse include in the discussion? A) Initial physiologic changes appear during early childhood. B) Changes in height and weight occur slowly during this period. C) Growth differences between boys & girls become evident. D) Signs of sexual maturation become highly visible in boys. C) Growth differences between boys & girls become evident. Initial physiologic changes appear around age 9 Height and weight changes will be rapid Visible signs of sexual maturation are minimal in boys A nurse is conducting a well child visit with a child who is scheduled to receive the recommended immunizations for 11 to 12yr olds. Which of the following immunizations should the nurse administer (select all)? A) Trivalent inactivated influenza (TIV) B) Pneumococcal (PCV) C) Meningococcal (MCV4) D) Tetantus & diphtheria toxoids and pertussis (Tdap) E) Rotavirus (RV) A) Trivalent inactivated influenza (TIV) C) Meningococcal (MCV4) D) Tetantus & diphtheria toxoids and pertussis (Tdap) PCV is given by 15mths RV is given by 6mths A nurse is providing education about age-appropriate activities for the parents of a 6yr old. Which of the following activities should the nurse include in teaching? A) Jumping rope B) Playing card games C) Solving jigsaw puzzles D) Joining competitive sports A) Jumping rope --- hopscotch, riding bikes, and organized sports Cards & jigsaws not appropriate Competitive sports are for 9 - 12 yr olds A nurse is teaching a course about safety during the school-age years to a group of parents. Which of the following information should the nurse include in the course (select all)? A) Gating stairs at top & bottom B) Wearing helmets when riding bicycles or skateboarding C) Riding safely in bed of pickup truck D) Implementing firearm safety E) Wearing seat belts B) Wearing helmets when riding bicycles or skateboarding D) Implementing firearm safety E) Wearing seat belts Gating is for toddlers Bed of truck is never safe A nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. Which of the following statements by one of the parents indicates an understanding of the teaching? A) "Girls usually stop growing about 2yrs after menarche." B) "Girls are expected to gain about 65lbs during puberty." C) "Girls experience menstruation prior to breast development." D) "Girls typically grow more than 10in during puberty." A) "Girls usually stop growing about 2yrs after menarche." Gain 7 -25kg or 15.5 to 55lbs Breast development happens before menstruation Grow 5-20 cm or 2-8inches [Show Less]
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ATI PEDS Proctored Exam fully solved 2023
nurse is completing an admission assessment on an adolescent child who is a vegetarian. He eats milk products but does not like beans. Which of the followi... [Show More] ng items should the nurse suggest the client order for lunch to provide nutrients most likely to be lacking in his diet? Peanut Butter and Jelly Sandwich A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of cefazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose? ... A nurse is preforming a pre-college assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering? Meningococcal polysaccharide vaccine A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? Nocturia at night A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? Body sections turning a red orange color A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following manifestations should the nurse expect? Projectile vomiting A nurse receives a call from a parent of a child who has von Willebrand disease and has having a nosebleed. Which of the following instructions should the nurse give to the parents? "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes." A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect? Pain A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client who is scheduled for surgery in the morning. Which of the following actions should the nurse include in the demonstration? Place her hands on the sides of her rib cage A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (select all that apply). -Hypotension -Weak pulses -Murmur A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP). Which of the following manifestations is the most appropriate for the nurse to monitor? Bleeding A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements indicates an understanding of the teaching? I'm glad that my child's ostomy is only temporary A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicated an understanding of the teaching? All recently used clothing, bedding, and towels must be washed in hot water. A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages? 12 months A nurse is assessing a 6-month old patient at a well-child visit. Which of the following findings should the nurse expect? Closed posterior fontanel A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose? Shake the container vigorously. A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care? Obtain a order for an in and out catheter A nurse is planning care for a child who has suspected epiglottis. Which of the following actions should the nurse take? Place the child on droplet precautions A nurse is instructing a group of clients regarding calcium rich food. Which of the following should the nurse include in the teaching as the best source of calcium? 1 cup of milk A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says " I don't understand why my child is so upset. I've never seen my child act this way around others before." Which of the following statements should the nurse make? This is a normal, expected reaction for a child of this age A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation? Offer the child a choice of crushed pills or elixir A nurse is caring for a client who requires droplet precautions. Which of the following personal protective equipment should the nurse wear when setting up the meal tray? Mask A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? The client holds his breath for 10 seconds after inhaling the medication. A nurse is caring for a 2-month-old infant who is post-operative following surgical repair of a cleft lip. Which of the following actions should the nurse take? Encourage the parents to rock the infant A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis? Cardiovascular A nurse is providing teaching to a client who has oral candidiasis and a new script for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? "I will store the medication at room temperature" A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply). -An increase in neutrophils -Localized edema A nurse is removing PPE after giving direct care to a client who requires isolation. Which of the following must be removed first? Gloves A nurse is assessing a client who is receiving a unit of RBC. Which of the following findings is a manifestation of acute hemolytic reaction? Client reports lower back pain A nurse is teaching a group of clients about emergency care for a snake bite. Which of the following information should the nurse include in the teaching? Immobilize the limb at the level of the heart. A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect? Hepatomegaly A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care? Measure head circumference every shift A nurse is caring for a pre-school child who has epiglottitis with a barking cough. Which of the following actions should the nurse take? Monitor O2 sat A nurse is caring for a child who 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time? Crushed Ice A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours. Which of the following assessment should indicate to the nurse that the client could be developing a serious complication? Dyspnea A nurse is providing discharge teaching to a client who has SLE. Which of the following instructions should the nurse include? I should wear gloves when it is cold outside A nurse is caring for an infant who has congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow? Patent ductus arteriosus A community health nurse in a pediatric clinic is reviewing a history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer? Meningococcal conjugate A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant? Trendelenburg A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. The amount available is 0.125mg tab. The client's current vital signs are: BP 144/96, hear rate 54/min, respirations 18/min, and temperature 98.6 F. Which of the following actions should the nurse take? Withhold the digoxin dose for decreased pulse rate [Show Less]
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Pediatric ATI Practice Exam 3 (final) latest 2023
a nurse is reviewing sick-day management with a parent of a child who has type 1 DM. which of the following should the nurse include in the teaching (SATA)... [Show More] a. monitor blood glucose levels every 3 hours b. discontinue taking insulin until feeling better c. drink 8 oz of fruit juice every hour d. test urine for ketones e. call the provider if blood glucose is greater than 2540 mg/dL A D E a nurse is teaching a child who has type 1 DM about self care. which of the following statements by the child indicates understanding of the teaching? a. I should skip breakfast when I am not hungry b. I should increase by insulin with exercise c. I should drink a glass of milk when I am feeling irritable d. I should draw up the NPH insulin into the syringe before the regular insulin C a nurse is caring for a child who has type 1 DM. which of the following are manifestations of diabetic keotacidosis (SATA) a. blood glucose 58 b. weight gain c. dehydration d. mental confusion e. fruit breath C D E a nurse is teaching a school-age child who has DM about insulin administration. which of the following should the nurse include in the teaching? a. you should inject the needle at a 30 degree angle b. you should combine your glargine and regular insulin in the same syringe c. you should aspirate for blood before injecting the insulin d. you should give four or five injections in one area before switching sites D a nurse is teaching an adolescent who has DM about manifestations of hypoglycemia. which of the following findings should the nurse include in the teaching (SATA) a. increased urination b. hunger c. signs of dehydration d. irritability e. sweating f. kussmaul respirations B D E a nurse is caring for a child who has short stature. which of the following diagnostic tests should be completed to confirm growth hormone (GH) deficiency? (SATA) a. CT scan of the head b. bone age scan c. GH stimulation test D. serum IGF-1 e. DNA testing A B C D a nurse is teaching the parent of a child who has growth hormone deficiency. which of the following are complications of untreated growth hormone deficiency? (SATA) a. delayed sexual development b. premature aging c. advanced bone age d. short stature e. increased epiphyseal closure A B D a parent of a school-age child who has GH deficiency asks the nurse how long the child will need to take injections for growth delay. which of the following responses should the nurse make a. injections are usually continued until age 10 for girls and age 12 for boys b. injections continue until your child reaches the fifth percentile on the growth chart c. injections should be continued until there is evidence of epiphyseal closure d. the injections will need to be administered throughout your child's entire life C a nurse is assessing a child who has short stature. which of the following findings would indicate a growth hormone deficiency a. proportional height to weight b. heigh proportionally greater than weight c. weight proportionally greater than height d. BMI greater than height/weight ratio A a nurse is caring for a child who has watery diarrhea for the past 3 days. which of the following is an appropriate action for the nurse to take? a. offer chicken broth b. initiate oral rehydration therapy c. start hypertonic IV solution d. keep NPO until diarrhea subsides B a nurse is caring for a child who is suspected to have Enterobius vermicularis. which of the following actions should the nurse take a. perform a tape test b. collect stool specimen c. test the stool for occult blood d. initiate IV fluids A a nurse is assessing a child who has a rotavirus infection. which of the following are expected findings (SATA) a. fever b. vomiting c. watery stools d. bloody stools e. confusion A B C a nurse is teaching a group of parents about salmonella. which of the following information should the nurse include in the teaching (SATA) a. incubation period is nonspecific b. it is a bacterial infection c. bloody diarrhea is common d. transmission can be from house pets e. antibiotics are used for treatment B C D a nurse is teaching a group of parents about E coli. which of the following information should the nurse include in the teaching (SATA) a. severe abdominal cramping occurs b. watery diarrhea is present for more than 5 days c. it can lead to hemolytic uremia syndrome d. it is a food borne pathogen e. antibiotics are given for treatment A C D a nurse is assessing an infant who has hypertrophic pyloric stenosis. which of the following findings should the nurse expect? (SATA) a. projectile vomiting b. dry mucus membranes c. currant jelly stools d. sausage-shaped abdominal mass e. constant hunger A B E a nurse is caring for a child who has Hirschsprung's disease. which of the following actions should the nurse take? a. encourage a high fiber, low portion, low calorie diet b. prepare the family for surgery c. place an NG tube for decompression d. initiate bed rest B a nurse is caring for an infant who is postoperative following cleft lip and palate repair. which of the following actions should the nurse take a. remove the packing in the mouth b. place the infant in an upright position c. offer a pacifier with sucrose d. assess the mouth with a tongue blade B a nurse is caring for a child who has Meckel's diverticulum. which of the following manifestations should the nurse expect (SATA) a. abdominal pain b. fever c. mucus, bloody stools d. vomiting e. rapid, shallow breathing A C a nurse is teaching a parent of an infant about gastrointestinal reflux disease. which of the following should the nurse include in the teaching (SATA) a. offer frequent feedings b. thicken formula with rice cereal c. use a bottle with a one-way valve d. position baby upright after feedings e. use a wide-based nipple for feedings A B D a nurse is teaching a parent of a child who has a UTI. which of the following should the nurse include in the teaching (SATA) a. wear nylon underpants b. avoid bubble baths c. empty bladder completely with each void d. provide information about manifestations of infectious e. wipe perineal area back to front B C D a nurse is planning care of a child who has a UTI. which of the following should the nurse include a. administer an antidiuretic b. restrict fluids c. evaluate the child's self esteem d. encourage frequent voiding D a nurse is caring for a child who has enuresis. which of the following is a complication of enuresis a. UTI b. emotional problems c. urospesis d. progressive kidney disease B a nurse is assessing an infant who has suspected UTI. which of the following are anticipated findings (SATA) a. increase in hunger b. irritability c. decrease in urination d. vomiting e. fever B D E a nurse is assessing a child who has a UTI. which of the following are manifestations of a UTI (SATA) a. night sweats b. swelling of face c. pallor d. pale-colored urine e. fatigue B C E a nurse is caring for an infant who has hydrocele. which of the following actions should the nurse take? a. prepare the child for surgery b. explain to the parents that the issue will self-resolve c. restrict the foreskin and cleanse several times daily d. refer the family for genetic counseling B a nurse is caring for a male infant who has epispadias. which of the following findings should the nurse expect (SATA) a. bladder exstrophy b. inability to restrict foreskin c. widened pubic symphysis d. broad, spade-like penis e. pain A C D [Show Less]
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Peds- ATI Practice Exam A questions and answers rated A+ 2023
A nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory tract infection. Which of the following findings should the nurse ... [Show More] identify as a manifestation of pertussis? Dry, hacking cough Rationale: The nurse should identify that a dry, hacking cough is a manifestation of pertussis. This disease usually begins with indications of an upper respiratory tract infection, which includes a dry, hacking cough that is sometimes more severe at night. A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction? Flank pain Rationale: The nurse should recognize that flank pain is caused by the breakdown of RBCs and is an indication of a hemolytic reaction to the blood transfusion. A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? Epinephrine Rationale: This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to evidence-based practice, the nurse should first administer epinephrine to treat the anaphylaxis. Epinephrine is a beta adrenergic agonist that stimulates the heart, causes vasoconstriction of blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs. A nurse is teaching the guardian of a 6-month-old infant about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching? "I should secure the car seat using lower anchors and tethers instead of the seat belt." Rationale: Lower anchors and tethers, or the LATCH child safety seat system, should be used to secure an infant's car seat in the vehicle. This system provides anchors between the front cushion and the back rest for the car seat. Therefore, if this system is available, the seat belt does not have to be used. A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take? Schedule the toddler for a yearly rescreening. Rationale: The nurse should schedule the toddler for a lead level rescreening in 1 year and educate the family on ways to prevent exposure. A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect? (Select all that apply.) -Ankle clonus -Exaggerated stretch reflexes -Contractures A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? Absence of peristalsis Rationale: The nurse should expect absence of peristalsis immediately following a perforated appendix repair, until the bowel resumes functioning. A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan? Initiate seizure precautions for the child. Rationale: A sodium level of 129 mEq/L indicates hyponatremia and places the child at increased risk for neurological deficits and seizure activity. The nurse should complete a neurologic assessment and implement seizure precautions to maintain the child's safety. A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? "I will place my infant's diapers under the harness straps." Rationale: To prevent soiling of the harness, the parent should apply the infant's diaper under the straps. A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia? Hematocrit 28% Rationale: The nurse should recognize that this hematocrit level is below the expected reference range of 32% to 44% for a school-age child. The child can exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the decreased oxygen-carrying capacity. A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe? Cuts an outlined shape using scissors. Rationale: The nurse should recognize that an expected developmental milestone of a 4-year-old child is using scissors to cut out a shape. A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure? Administer an analgesic to the child. Rationale: Hydrotherapy for debridement of a wound is an extremely painful procedure which requires analgesia and/or sedation. When pain is controlled, it leads to reduced physiological demands on the body caused by stress and decreases the likelihood of children developing depression and post-traumatic stress disorder. A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan? Provide small, frequent meals for the child. Rationale: The metabolic rate of a child who has heart failure is high because of poor cardiac function. Therefore, the nurse should provide small, frequent meals for the child because it helps to conserve energy. A nurse is teaching the parents of a school-age child who has a new diagnosis of osteomyelitis of the tibia. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching? "My child will receive antibiotics for several weeks." Rationale: The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4 weeks. Surgery might be indicated if the antibiotics are not successful. A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area? Zinc oxide Rationale: Diaper dermatitis is a common inflammatory skin disorder caused by contact with an irritant such as urine, feces, soap, or friction, and takes the form of scaling, blisters, or papules with erythema. Providing a protective barrier, such as zinc oxide, against the irritants allows the skin to heal. A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect? A unilateral rib hump Rationale: When assessing an adolescent for scoliosis, the school nurse should expect to see a unilateral rib hump with hip flexion. This results from a lateral S- or C-shaped curvature to the thoracic spine resulting in asymmetry of the ribs, shoulders, hips, or pelvis. Scoliosis can be the result of a neuromuscular or connective tissue disorder, or it can be congenital in nature. A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following laboratory values indicates effectiveness of the current treatment? Sodium 140 mEq/L Rationale: The nurse should identify that a sodium level of 140 mEq/L is within the expected reference range of 134 to 150 mEq/L and indicates the current treatment regimen the infant is receiving for dehydration is effective. A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make? "Let's talk about some of the ways you have handled previous stressors in your life." Rationale: This statement offers a general lead to allow the parent to express their feelings and previous actions when faced with stressful situations. It also helps the parent to focus on ways that they can cope with the current situation. A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school aged child who weights 75 lbs. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day? 1 capsule A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take? Screen the child's visitors for indications of infection. Rationale: A child who is severely immunocompromised is unable to adequately respond to infectious organisms, resulting in the potential for overwhelming infection. Therefore, the nurse should screen the child's visitors for indications of infection. A nurse is caring for a 15 year-old client following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)? Mental confusion Rationale: A child who has a head injury can develop SIADH as a result of altered pituitary function, leading to an oversecretion of antidiuretic hormone. Oversecretion of antidiuretic hormone leads to a decrease in urine output, hyponatremia, and hypoosmolality due to overhydration. As the hyponatremia becomes more severe, mental confusion and other neurologic manifestations such as seizures can occur. A nurse in a provider's office if preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take? Withhold the measles, mumps, and rubella (MMR) vaccine. Rationale: The nurse should recognize that an allergy to neomycin with an anaphylactic reaction is a contraindication for receiving the MMR vaccine. Clients who have a severe allergy to eggs or gelatin should not receive this vaccine. A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions should the nurse plan to take? Administer the immunization using a 24-gauge needle. Rationale: The nurse should administer an immunization for a 4-year-old child using a 22- to 25- gauge needle to minimize the amount of pain the child experiences. A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings is the nurses priority? Tachypnea Rationale: When using the airway, breathing, and circulation approach to client care, the nurse's priority finding is the toddler's tachypnea. Tachypnea is a result of the kidneys being unable to excrete hydrogen ions and produce bicarbonate, which leads to metabolic acidosis. [Show Less]
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Peds ATI questions and answers latest 2023
A nurse on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should th... [Show More] e nurse include when discussing the developing theory? A. Describes that stress is inevitable. B. Emphasizes that change with one member affects the entire family. C. Provides guidance to assist families adapting to stress. D. Defines consistencies in how families change. D. Defines consistencies in how families change. A nurse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. The nurse hears one parent state, " My son knows he better do what i say." Which of the following parenting styles is the parent exhibiting? A. Authoritarian. B. Permissive. C. Authoritative. D. Passive. A. Authoritarian. A nurse is performing family assessment. which of the following should the nurse include? ( Select all that apply) a. medical history b. parents education level c. child's physical growth. d. support systems. e. stressors A B D E A nurse is preparing assess a pre-school-age child. which of the following is an appropriate action by the nurse to prepare the child? A. Allow the child to role-play B. Use medical terminology to describe what will happen C. Separate the child from her parent during the examination D. Keep medical equipment visible to the child. A. Allow the child to role-play a nurse is checking the vital signs of a 3 yr old child during a well child visit. which of the following findings should the nurse report to the provider? A. Temp of 99.0 B. HR of 106 C. RR of 30 D. BP 88/54 C. RR of 30 A nurse is assessing a 6-month old infant. Which of the following reflexes should the infant exhibit? A. moro B. plantar grasp C. steeping D. tonic neck B. plantar grasp a nurse is assessing a child's ears. which of the following is an expected finding? A. light reflex is located at the 2 o' clock position B. tympanic membrane is red in color C. bony landmarks are not visible D. cerumen is present bilaterally D. cerumen a nurse is performing a neurological assessment on an adolescent. which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? ( select all that apply) A. clenching teeth together tightly B. recognizing sour tastes on the back of the tongue C. identifying smells through each nostril D. detecting facial touches with eyes closed E. Looking down and in with the eyes A D 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. a closed anterior fontanel B. eruption of six teeth C. birth weight doubled D. birth length increased 50% C. birth weight double. a nurse is conducting a well-baby visit with a 4 month old infant. which of the following immunizations should the nurse plan to administer to the infant? (select all that apply) A. MMR B. IPV C. PCV D. Varicella E. RV B C E a nurse is providing education about introducing new foods to the parents of a 4 month old infant. the nurse should recommend that the parents introduce which of the following foods first? A. strained yellow vegetables B. iron-fortified cereals C. pureed fruits D. whole milk B iron- fortified cereals a nurse is assessing a 2 1/1 yr old toddler at a well child visit. which of the following findings should the nurse report to the provider? a. ht increased by 7.5 cm in the past yr. b. head circumference exceeds chest c. anterior and posterior fontanels close. d. current weight equals four times the birth weight b head circumference exceeds chest. A nurse is performing a developmental screening on an 18 month old. Which of the following skills should the toddler be able to perform (select all that apply) A. build a tower with six blocks B. throw a ball overhand C. walk up and down stairs D. draw circles E. use a spoon without rotation B. E. a nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. which of the following statements by the parents indicates an understanding of the teaching? A. " I will send my childs favorite stuffed animal when she will be napping away from home" B. " my child should be ablate stand on one foot for a second" C. "the soccer team my child will be playing on starts practicing next week" D. " i should expect my child to be able to draw circles" A. " I will send my childs favorite stuffed animal when she will be napping away from home" a nurse is providing anticipatory guidance to the parents of a toddler. which of the following should the nurse include? ( select all that apply) A. Develop food habits that will prevent dental caries. B. Meeting caloric needs results in an increase appetite. C. Expression of bedtime fears is common. D. Expects behaviors associated with negativism and ritualism. E. Annual screenings for pku are important A C D A nurse is discussing prepubescent and preadolescence with a group of parents of the school-age children. which of the following information should the nurse include in the discussion? A. Initial physiologic changes appear during early childhood B. changes in height and weight occur slowly during this period C. growth differences between boy and girls become evident. D. signs of sexual maturation become highly visible in boys C. A nurse is conducting a well child visit with a child who is scheduled to receive the recommended immunizations for 11 to 12 yrs old. which of the following immunizations should the nurse administer? A. TIV B. PCV C. MCV4 D. tDAP E. RV A C D a nurse is providing education about age-appropriate activities for the parents of a 6 yr old child. which of the following activities should the nurse include in teaching? A jumping rope B. playing card games C. Solving jig saw puzzles D. Joining competitive sports A. jumping rope a nurse is teaching a course about safety during the school age years to group of parents. which of the following information should the nurse include in the course? ( select all that apply) A. gating stairs at the top and bottom B. wearing helmets when riding bicycles and skateboarding C. riding safely in bed of pickup trucks D. implementing firearm safety E. Wearing seat belts B D E a nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. which of the following statements by one of the parents indicates an understanding of the teaching? A. girls usually stop growing about 2 yrs after menarche B. girls are expected to gain 65lbs during punters C. girls experience menstruation prior to breast development D. girls typically grow more than 10 inches during puberty A. girls usually stop growing about 2 yrs after menarche anurse is providing anticipatory guidance to the parent of a 13 yr old adolescent. which of the following screenings should the nurse recommend for the adolescent? ( select all that apply) A. BMI B. Blood lead level C. 24 hr dietary recall D. weight E. scoliosis A. D. E a nurse is caring for an adolescent whose mother expresses concerns long hours. which of the following conditions should the nurse inform the mother as requiring additional sleep during adolescence? A. sleep terrors B. rapid growth C. elevated zinc levels D. slowed metabolism B rapid growth a nurse is teaching a class about puberty in boys. which of the following should the nurse include as the first manifestation of sexual maturation? A. pubic hair growth B. vocal changes C. testicular enlargement D. facial hair growth c testicular enlargement a nurse is planning to administer the influenza vaccine to a toddler. which of the following actions should the nurse take? A. administer subcutaneously in the abdomen B. use 20-guage needle C. divide the medication into two injections D. place the child in the supine position D place the child in the supine position a nurse is preparing to administer an IM injection to a child. which of the following muscle groups in contraindicated? A. deltoid B. ventrogluteal C. vastus lateralis D. dorsogluteal D dorsogluteal a nurse is teaching a parent of an infant about administration of oral medications. which of the following should the nurse include in the teaching? (select all that apply) A. use a universal dropper for medication administration B. ask the pharmacy to add flavoring to the medication C. add the medication to a formula bottle before feeding D. use the nipple of a bottle to administer the medication E. hold the infant in a semi reclining position B. D. E [Show Less]
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Pediatric ATI practice Exam 1 questions and answers latest 2023
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. closed ... [Show More] anterior fontanel b. eruption of six teeth c. birth weight doubled d. birth length increased by 50% C a nurse is performing a developmental screening on a 10 month old infant. which of the following fine motor skills should the nurse expect the infant to perform? (select all that apply) a. grasp a rattle by the handle b. try building a 2 block tower c. use a crude pincer grasp d. place objects into a container e. walk with one hand held A C B (@ 12months) D (@ 11 months) E (@ 12 months) a nurse is conducting a well-baby visit with a 4 month old infant. which of the following immunizations should the nurse plan to adminiter to the infant (select all that apply) a. MMR b. polio (IPV) c. pneumococcal vaccine (PCV) d. varicella e. rotavirus (RV) B C E A (1st MMR is given between 12-15 months) D (given at minimum 12 months) a nurse is providing education about introducing new foods to the parents of a 4 month old infant. the nurse should recommend that the parents introduce which of the following foods first a. strained yellow vegetables b. iron fortified cereals c. pureed fruits d. whole milk B A (6 months) C (6 months) D (12 months) a nurse is providing teaching about dental care and teething to the parent of a 9 month old infant. which of the following statements by the parents indicate an understanding of the teaching? a. I can give my baby a warm teething ring to relieve discomfort b. I should clean my baby's teeth with a cool, wet wash cloth c. I can give Advil for up to 5 days while my baby is teething d. I should place a diluted juice in the bottle my baby drink while falling asleep b a nurse is assessing a 2.5 year old toddler at a well child visit. which of the following findings should the nurse report to the provider a. height increased by 7.5 (3") in the past year b. head circumference exceeds chest circumference c. anterior and posterior fontanels are closed d. current weight equals four times the birth weight B a nurse is performing a developmental screening on an 18 month old. which of the following skills should the toddler be able to perform (select all that apply) a. build a tower with 6 blocks b. throw a ball overhand c. walk up and down the stairs d. draw circles e. use a spoon without rotation B E A (@ 2 years) C (@ 2 years) D (@ 2.5 years) a nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. which of the following statements by the parent indicates an understanding of the teaching? a. I will send my child's favorite stuffed animal when she will be napping away from home b. my child should be able to stand one foot for a second c. the soccer team my child will be playing on starts practicing next week d. I should expect my child to be able to draw circles A a nurse is providing anticipatory guidance to the parents of a toddler. which of the following should the nurse include (select all that apply) a. develop food habits that will prevent dental caries b. meeting caloric needs results in an increased appetite c. expression of bedtime fears is common d. expect behaviors associated with negativism and tribalism e. annual screening for phenylketonuria are important A C D a nurse is providing teaching to the parent of a preschool age child about methods to promote sleep. which of the following statements by the parent indicates an understanding of the teaching a. I will sleep in the bed with my child if she wakes up during the night b. I will let my child stay up an additional 2 hours on weekend nights c. I will let my child watch TV for 30 minutes just before bedtime each night d. I will keep a dim lamp on in my child's room during the night D a nurse is conducting a well child visit with a 5 year old. which of the following immunizations should the nurse plan to administer to the child (select all that apply) a. DTaP b. IPV c. MMR d. PCV e. Hib A B C a nurse is preparing an education program for a group of parents of preschool-age children about promoting optimum nutrition. which of the following information should the nurse include in the teaching? a. saturated fats should equal 20% of total daily caloric intake b. average calorie intake should by 1800 calories per day c. daily intake of fruits and vegetables should total 2 servings d. healthy diets include a total of 8 G protein each day B a nurse is performing a developmental screening on a 3 year old child. which of the following skills should the nurse expect the child to perform a. ride a tricycle b. hop on one foot c. jump rope d. throw a ball overhead A a nurse is caring for a preschool age child who says she needs to leave the hospital because her doll is scared to be at home alone. which of the following characteristics of pre-operational thought is the child experiencing a. egocentrism b. centration c. animism d. magical thinking C [Show Less]
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