ATI RN Pediatric Nursing NGN Complete Study
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Guide – 200 Practice Questions = = = = =
SECTION 1: GROWTH & DEVELOPMENT = = = = =
MILESTONES (Questions 1-40) = = =
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Question 1: = =
A nurse is assessing a 4-month-old infant during a well-
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child visit. Which developmental milestone should the nurse expect t
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o observe?
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A) Rolls from front to back
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B) Sits without support
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C) Transfers objects from hand to hand = = = = = =
D) Walks independently = =
Answer: A) Rolls from front to back
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Rationale: Rolling from front to back typically occurs at 4 months of
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age . Sitting without support is expected at 6-
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8 months, transferring objects occurs at 7 months, and walking indep
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endently occurs at 12- = = =
15 months . The sequence of gross motor milestones follows a cephal
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ocaudal pattern from head control to walking.
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Question 2: = =
,A nurse is providing anticipatory guidance to parents of a 2month-
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old infant. Which statement should the nurse include?
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A) Place the infant on the stomach for sleep
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B) Use a rear-facing car seat in the back seat
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C) Begin feeding the infant solid foods = = = = = =
D) Use a forward-facing car seat
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Answer: B) Use a rear-facing car seat in the back seat
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Rationale: Infants should sleep on their back to reduce the risk of Su
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dden Infant Death Syndrome (SIDS). Rear-
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facing car seats should be used for infants and toddlers up to age 2
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years or until they reach the maximum height and weight for the seat
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. Solid foods are introduced at 4-6 months.
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Question 3: = =
A nurse is assessing a 9-month-
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old infant. Which finding should the nurse report to the provider?
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A) The infant is unable to sit unsupported
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B) The infant has a pincer grasp
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C) The infant says "mama" and "dada"
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D) The infant transfers objects from one hand to the other
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Answer: A) The infant is unable to sit unsupported
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Rationale: By 9 months, most infants can sit without support, crawl, b
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abble, and transfer objects . The inability to sit unsupported by 9 mo
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nths may indicate a developmental delay requiring further evaluati
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on . Rolling from front to back is expected at 4 months.
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, Question 4: = =
A nurse is assessing a 2-year-
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old toddler. Which finding is expected?
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A) The toddler can draw a circle
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B) The toddler can ride a tricycle
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C) The toddler has a vocabulary of 50 words
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D) The toddler can use two-word phrases
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Answer: D) The toddler can use two-word phrases
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Rationale: Two-year-olds typically use two-
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word phrases such as "me go" . A vocabulary of 50 words is expecte
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d at 24-30 months. Drawing a circle and riding a tricycle occur at 3-
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4 years . Language development milestones are important indicator
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s of cognitive development in toddlers.
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Question 5: = =
A nurse is providing discipline guidance to parents of a 3-
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yearold preschooler. Which instruction should the nurse include?
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A) Use physical punishment such as spanking
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B) Use time out for 3 minutes
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C) Use time out for 15 minutes
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D) Ignore all misbehavior = = =
Answer: B) Use time out for 3 minutes
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Rationale: Time out is effective for preschoolers and should last 1 mi
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nute per year of age—3 minutes for a 3-year-
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old . Physical punishment is not recommended as it can lead to aggre
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= = = = = = =
Guide – 200 Practice Questions = = = = =
SECTION 1: GROWTH & DEVELOPMENT = = = = =
MILESTONES (Questions 1-40) = = =
=
Question 1: = =
A nurse is assessing a 4-month-old infant during a well-
= = = = = = = = =
child visit. Which developmental milestone should the nurse expect t
= = = = = = = = =
o observe?
= =
A) Rolls from front to back
= = = = =
B) Sits without support
= = =
C) Transfers objects from hand to hand = = = = = =
D) Walks independently = =
Answer: A) Rolls from front to back
= = = = = = =
Rationale: Rolling from front to back typically occurs at 4 months of
= = = = = = = = = = = =
age . Sitting without support is expected at 6-
= = = = = = = =
8 months, transferring objects occurs at 7 months, and walking indep
= = = = = = = = = =
endently occurs at 12- = = =
15 months . The sequence of gross motor milestones follows a cephal
= = = = = = = = = = =
ocaudal pattern from head control to walking.
= = = = = = =
=
Question 2: = =
,A nurse is providing anticipatory guidance to parents of a 2month-
= = = = = = = = = =
old infant. Which statement should the nurse include?
= = = = = = = =
A) Place the infant on the stomach for sleep
= = = = = = = =
B) Use a rear-facing car seat in the back seat
= = = = = = = = =
C) Begin feeding the infant solid foods = = = = = =
D) Use a forward-facing car seat
= = = = =
Answer: B) Use a rear-facing car seat in the back seat
= = = = = = = = = = =
Rationale: Infants should sleep on their back to reduce the risk of Su
= = = = = = = = = = = =
dden Infant Death Syndrome (SIDS). Rear-
= = = = =
facing car seats should be used for infants and toddlers up to age 2
= = = = = = = = = = = = = =
years or until they reach the maximum height and weight for the seat
= = = = = = = = = = = =
. Solid foods are introduced at 4-6 months.
= = = = = = = = =
=
Question 3: = =
A nurse is assessing a 9-month-
= = = = =
old infant. Which finding should the nurse report to the provider?
= = = = = = = = = = =
A) The infant is unable to sit unsupported
= = = = = = =
B) The infant has a pincer grasp
= = = = = =
C) The infant says "mama" and "dada"
= = = = = =
D) The infant transfers objects from one hand to the other
= = = = = = = = = =
Answer: A) The infant is unable to sit unsupported
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Rationale: By 9 months, most infants can sit without support, crawl, b
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abble, and transfer objects . The inability to sit unsupported by 9 mo
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nths may indicate a developmental delay requiring further evaluati
= = = = = = = =
on . Rolling from front to back is expected at 4 months.
= = = = = = = = = = = =
=
, Question 4: = =
A nurse is assessing a 2-year-
= = = = =
old toddler. Which finding is expected?
= = = = = =
A) The toddler can draw a circle
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B) The toddler can ride a tricycle
= = = = = =
C) The toddler has a vocabulary of 50 words
= = = = = = = =
D) The toddler can use two-word phrases
= = = = = =
Answer: D) The toddler can use two-word phrases
= = = = = = = =
Rationale: Two-year-olds typically use two-
= = = =
word phrases such as "me go" . A vocabulary of 50 words is expecte
= = = = = = = = = = = = =
d at 24-30 months. Drawing a circle and riding a tricycle occur at 3-
= = = = = = = = = = = = =
4 years . Language development milestones are important indicator
= = = = = = = =
s of cognitive development in toddlers.
= = = = = =
=
Question 5: = =
A nurse is providing discipline guidance to parents of a 3-
= = = = = = = = = =
yearold preschooler. Which instruction should the nurse include?
= = = = = = = =
A) Use physical punishment such as spanking
= = = = = =
B) Use time out for 3 minutes
= = = = = =
C) Use time out for 15 minutes
= = = = = =
D) Ignore all misbehavior = = =
Answer: B) Use time out for 3 minutes
= = = = = = = =
Rationale: Time out is effective for preschoolers and should last 1 mi
= = = = = = = = = = =
nute per year of age—3 minutes for a 3-year-
= = = = = = = =
old . Physical punishment is not recommended as it can lead to aggre
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