ATI PN NURSING CARE OF CHILDREN PROCTORED 2024 EXAM DETAILED ANSWERS WITH
RATIONALES VERIFIED ANSWERS ALREADY GRADED A+
Abnormal vital signs in a 3-year-old - ANSTemperature 37.2C (99.0F), Heart rate of 106/min, Respirations
30/min, Blood pressure 88/54 mmHg
Actions after a generalized seizure - ANSMaintain the child in a side-lying position, Loosen the child's
restrictive clothing, Reorient the child to the environment, Note the time and characteristics of the seizure
Actions to take when caring for a child with ICP - ANSSuction the endotracheal tube every 2 hours, Maintain
a quiet environment, Use two pillows to elevate the head, Administer a stool softener, Maintain body
alignment
Additional sleep requirements during adolescence - ANSSleep terrors, Rapid growth, Elevated zinc levels,
Slowed metabolism
Administering an IM injection to a child - ANSDeltoid, Ventrolateral, Vastus lateralis, Dorsolateral
Administering optic medication to an infant - ANSHold the infant in an upright position, Pull the pinna
downward and straight back, Hyperextend the infant's neck, Ensure that the medication is cool
Administering the influenza vaccine to a toddler - ANSAdminister subcutaneously to the abdomen, Use an
appropriate needle size, Administer as a single injection, Place the child in a supine position
Administration of oral medications to an infant - ANSUse a universal dropper, Add flavoring to the
medication, Add the medication to a formula bottle, Use the nipple of a bottle
Age-appropriate activities for a 2-year-old - ANSSend favorite stuffed animal when napping away from
home, Stand on one foot for a second, Start playing soccer, Draw circles
Anticipatory guidance for parents of a toddler - ANSDevelop food habits to prevent dental caries, Increased
appetite due to caloric needs, Expression of bedtime fears, Behaviors associated with negativism and
ritualism, Annual screenings for phenylketonuria
Assessment and actions for suspected meningitis - ANSStabilize the neck first, Cleanse the child's
laceration with soap and water, Implement seizure precautions, Initiate IV access
Cerebrospinal fluid analysis findings in viral meningitis - ANSNegative gram stain, Normal glucose content,
Cloudy color, Decreased WBC count, Normal protein count
Characteristics of preoperational thought - ANSEgocentrism, Centration, Animism, Magical thinking
Developmental screening in a 3-year-old child - ANSRide a tricycle, Hop on one foot, Jump rope, Throw a
ball overhead
Developmental skills in an 18-month-old toddler - ANSBuild a tower with 6 blocks, Throw a ball overhead,
Walk up and down stairs, Draw circles, Use a spoon without rotation
Developmental theory - ANSDescribes stress as inevitable and provides guidance for families
Expected changes during puberty in girls - ANSGirls usually stop growing about 2 years after menarche,
Girls are expected to gain about 65 pounds during puberty, Girls experience menstruation prior to breast
development, Girls typically grow more than 10 inches during puberty
Expected finding in a child's ears - ANSLight reflex located at the 2 o'clock position, Tympanic membrane is
red in color, Bone landmarks are not visible, Cerumen is present bilaterally
Factors affecting a child's perception of death - ANSPreschool children have no concept of death, Preschool
children perceive death as temporary, Preschool children often regress to an earlier stage of behavior,
Preschool children experience fear related to the disease process
RATIONALES VERIFIED ANSWERS ALREADY GRADED A+
Abnormal vital signs in a 3-year-old - ANSTemperature 37.2C (99.0F), Heart rate of 106/min, Respirations
30/min, Blood pressure 88/54 mmHg
Actions after a generalized seizure - ANSMaintain the child in a side-lying position, Loosen the child's
restrictive clothing, Reorient the child to the environment, Note the time and characteristics of the seizure
Actions to take when caring for a child with ICP - ANSSuction the endotracheal tube every 2 hours, Maintain
a quiet environment, Use two pillows to elevate the head, Administer a stool softener, Maintain body
alignment
Additional sleep requirements during adolescence - ANSSleep terrors, Rapid growth, Elevated zinc levels,
Slowed metabolism
Administering an IM injection to a child - ANSDeltoid, Ventrolateral, Vastus lateralis, Dorsolateral
Administering optic medication to an infant - ANSHold the infant in an upright position, Pull the pinna
downward and straight back, Hyperextend the infant's neck, Ensure that the medication is cool
Administering the influenza vaccine to a toddler - ANSAdminister subcutaneously to the abdomen, Use an
appropriate needle size, Administer as a single injection, Place the child in a supine position
Administration of oral medications to an infant - ANSUse a universal dropper, Add flavoring to the
medication, Add the medication to a formula bottle, Use the nipple of a bottle
Age-appropriate activities for a 2-year-old - ANSSend favorite stuffed animal when napping away from
home, Stand on one foot for a second, Start playing soccer, Draw circles
Anticipatory guidance for parents of a toddler - ANSDevelop food habits to prevent dental caries, Increased
appetite due to caloric needs, Expression of bedtime fears, Behaviors associated with negativism and
ritualism, Annual screenings for phenylketonuria
Assessment and actions for suspected meningitis - ANSStabilize the neck first, Cleanse the child's
laceration with soap and water, Implement seizure precautions, Initiate IV access
Cerebrospinal fluid analysis findings in viral meningitis - ANSNegative gram stain, Normal glucose content,
Cloudy color, Decreased WBC count, Normal protein count
Characteristics of preoperational thought - ANSEgocentrism, Centration, Animism, Magical thinking
Developmental screening in a 3-year-old child - ANSRide a tricycle, Hop on one foot, Jump rope, Throw a
ball overhead
Developmental skills in an 18-month-old toddler - ANSBuild a tower with 6 blocks, Throw a ball overhead,
Walk up and down stairs, Draw circles, Use a spoon without rotation
Developmental theory - ANSDescribes stress as inevitable and provides guidance for families
Expected changes during puberty in girls - ANSGirls usually stop growing about 2 years after menarche,
Girls are expected to gain about 65 pounds during puberty, Girls experience menstruation prior to breast
development, Girls typically grow more than 10 inches during puberty
Expected finding in a child's ears - ANSLight reflex located at the 2 o'clock position, Tympanic membrane is
red in color, Bone landmarks are not visible, Cerumen is present bilaterally
Factors affecting a child's perception of death - ANSPreschool children have no concept of death, Preschool
children perceive death as temporary, Preschool children often regress to an earlier stage of behavior,
Preschool children experience fear related to the disease process
