ATI PN PEDIATRICS EXAM 2023 -2024 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES ALREADY GRADED A+ Priority finding to report for a brain tumor= - CORRECT ANSWER -Increased intracranial pressure (ICP) A nurse is caring for an adolescent who has sustained a closed head injury. Which of the following are clinical manifestations of increased intracranial pressure (ICP)? Select all. A. Report of headache B. Alteration in pupillary response C. Increased motor response D. Increased sleeping E. Increased sensory response - CORRECT ANSWER -A, B, D Not C -decreased motor response is a sign of ICP, Not E -decreased sensory response is a sign of ICP What are the clinical manifestations of ICP in infants? - CORRECT ANSWER -Bulging fontanel, separation of cranial sutures, irritability, increased sleeping, high -pitched cry, poor feeding & setting -sun sign What are the clinical manifestations of ICP in children? - CORRECT ANSWER -nausea, vomiting, headache, blurred vision, increased sleeping, inability to follow simple commands, & seizures Home safety for infants: hot water thermostats should be set at or below= - CORRECT ANSWER -49 C (120 F) Home safety for infants: crib slats should be no farther apart than= - CORRECT ANSWER -6 cm (2.375 in) Home safety for infants: Crib mobiles or crib gyms should be removed by= - CORRECT ANSWER -4 to 5 months of age What is Pediculosis capitis? - CORRECT ANSWER -head lice What are the clinical manifestations of pediculosis capitis? - CORRECT ANSWER --
small red bumps on the scalp -intense itching -nits (white specks) on the hair shaft A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following should the nurse include in the teaching? A. Apply mayonnaise to the affected area at night B. Treat all household pets C. Use an over -the-counter medication containing 1% permethrin D. Discard the child's stuffed animals - CORRECT ANSWER -C. Pediculosis capitis is treated w/1% permethrin, which can be purchased over the counter It does not affect pets, it is transmitted person to person. Home remedies like mayo increase the risk of infection & should be avoided. Items such as stuffed animals that cannot be placed in the laundry can be sealed in a bag for 14 days to kill the lice. Restraining methods for an infant include... - CORRECT ANSWER --non-nutritive sucking (sugar pacifier) prior, during, & after procedure -allow the parents to stay -swaddle -therapeutic holding -use a 24 -29 gauge catheter -apply EMLA topical to multiple sites prior to injection 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 w/negativism & ritualism E. Annual screenings for phenylketouria are important - CORRECT ANSWER -A, C, D Not B because toddlers often experience physiologic anorexia & become fussy eaters because of a decreased appetite Not E because screening for this is for the newborn. Anterior fontanels close by= - CORRECT ANSWER -18 months of age At 30 mos, toddlers should weigh _______their birth weights. - CORRECT ANSWER -4 times Head & chest circumference are usually equal by what age? - CORRECT ANSWER -1 to 2 yrs By 2 years, the toddler can make _____sentences by combing ______to _____words - CORRECT ANSWER -multiword 2 to 3 words What Erikson stage is the toddler (1 -3 yrs)? - CORRECT ANSWER -Autonomy vs. shame & doubt Toddlers are __________. Meaning they are unable to see the perspectives of others and can only view things from their point of view. - CORRECT ANSWER -egocentric Toddlers develop gender identity by what age? - CORRECT ANSWER -3 years What type of play do toddlers start to do? - CORRECT ANSWER -parallel play 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. A. Build a tower w/6 blocks B. Throw a ball overhand C. Walk up & down stairs D. Draw circles E. Use a spoon w/out rotation - CORRECT ANSWER -B, E A-the toddler should be able to build a tower w/6 blocks by 2 yrs C-also at 2 years D-this is done at 2 1/2 yrs Immunizations: Hepatitis B (HepB) # of doses=
small red bumps on the scalp -intense itching -nits (white specks) on the hair shaft A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following should the nurse include in the teaching? A. Apply mayonnaise to the affected area at night B. Treat all household pets C. Use an over -the-counter medication containing 1% permethrin D. Discard the child's stuffed animals - CORRECT ANSWER -C. Pediculosis capitis is treated w/1% permethrin, which can be purchased over the counter It does not affect pets, it is transmitted person to person. Home remedies like mayo increase the risk of infection & should be avoided. Items such as stuffed animals that cannot be placed in the laundry can be sealed in a bag for 14 days to kill the lice. Restraining methods for an infant include... - CORRECT ANSWER --non-nutritive sucking (sugar pacifier) prior, during, & after procedure -allow the parents to stay -swaddle -therapeutic holding -use a 24 -29 gauge catheter -apply EMLA topical to multiple sites prior to injection 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 w/negativism & ritualism E. Annual screenings for phenylketouria are important - CORRECT ANSWER -A, C, D Not B because toddlers often experience physiologic anorexia & become fussy eaters because of a decreased appetite Not E because screening for this is for the newborn. Anterior fontanels close by= - CORRECT ANSWER -18 months of age At 30 mos, toddlers should weigh _______their birth weights. - CORRECT ANSWER -4 times Head & chest circumference are usually equal by what age? - CORRECT ANSWER -1 to 2 yrs By 2 years, the toddler can make _____sentences by combing ______to _____words - CORRECT ANSWER -multiword 2 to 3 words What Erikson stage is the toddler (1 -3 yrs)? - CORRECT ANSWER -Autonomy vs. shame & doubt Toddlers are __________. Meaning they are unable to see the perspectives of others and can only view things from their point of view. - CORRECT ANSWER -egocentric Toddlers develop gender identity by what age? - CORRECT ANSWER -3 years What type of play do toddlers start to do? - CORRECT ANSWER -parallel play 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. A. Build a tower w/6 blocks B. Throw a ball overhand C. Walk up & down stairs D. Draw circles E. Use a spoon w/out rotation - CORRECT ANSWER -B, E A-the toddler should be able to build a tower w/6 blocks by 2 yrs C-also at 2 years D-this is done at 2 1/2 yrs Immunizations: Hepatitis B (HepB) # of doses=
