ATI Comprehensive Physical Assessment of a Child Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

ATI Comprehensive Physical Assessment of a Child Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the first step a nurse should take when beginning a physical assessment of a toddler? Allow the child to become familiar with the nurse and equipment How does the nurse assess hydration status in a young child? Check skin turgor over the abdomen or thigh What is an appropriate way to assess respiratory rate in an infant? Observe the rise and fall of the abdomen for one full minute When assessing an infant’s heart rate, where should the nurse place the stethoscope? Over the left lower sternal border or apex of the heart What does the presence of a persistent Moro reflex in a 6-month-old indicate? Possible neurological impairment 2 How should the nurse assess the fontanels of an infant? Palpate gently for softness and tension with the child calm and upright What finding is expected when assessing the abdomen of a healthy 2-year-old? Rounded and slightly protruding How does the nurse correctly assess blood pressure in a preschool-aged child? Use an appropriately sized cuff placed snugly on the upper arm What is the best way to assess vision in a 4-year-old child? Use picture charts or a matching game appropriate for the child’s age How can the nurse assess a child’s developmental level during a physical exam? Observe the child’s ability to follow simple commands and perform age-appropriate tasks What is a normal respiratory pattern for an infant during assessment? Irregular breathing with occasional pauses 3 What is the significance of a bulging fontanel in an infant? It may indicate increased intracranial pressure How does the nurse assess a child’s muscle strength? Ask the child to push, pull, or resist the nurse’s movements When assessing the skin of a child, what finding suggests dehydration? Dry mucous membranes and decreased skin turgor What should the nurse do if a child is uncooperative during the physical exam? Use play and distractions to gain cooperation How does the nurse assess the child’s pain during the physical exam? Use age-appropriate pain scales such as the Faces Pain Scale What is an expected finding when auscultating breath