ATI Real Life 3.0- RN Nursing Care of Children: Assessment Health Plan Exam Review Questions and Complete Answers 2023/2024

ATI Real Life 3.0- RN Nursing Care of Children: Assessment Health Plan Exam Review Questions and Complete Answers 2023/2024 Nurse Denise discusses Kellen's immunization status, and Ms. Ralston appears upset. Which of the following responses by Denise is appropriate? - correct answer "You appear upset. Can we discuss your thoughts regarding immunizations?" Rationale This response acknowledges the client is upset and seeks clarification of her perceptions of immunizations. Scenario Nurse Denise is taking Kellen's vital signs. Question Nurse Denise auscultates Kellen's heart. Which of the following heart rates is within the expected range for Kellen? - correct answer Selected Option 89/min Rationale A heart rate of 89/min is within the expected reference range for a 24-month-old child. Scenario Nurse Denise discusses Kellen's developmental milestones and gross motor skills. Question Nurse Denise is preparing to assess Kellen's gross motor development. Which of the following gross motor skills should Kellen accomplish? (Select all that apply.) - correct answer Selected Option Use a wide stance when running Walk up and down stairs with two feet on each step Kick a ball forward Rationale At age 2, toddlers should kick a ball forward without overbalancing, go up and down stairs alone with two feet on each step, and run reasonably well with a wide stance. At age 2, toddlers are not coordinated enough to balance on one foot or jump off the bottom step. These gross motor skills occur between the ages of 3 and 4. Scenario Nurse Denise completes an assessment of Kellen's gross motor skills and is preparing to assess Kellen's fine motor skills. Question Nurse Denise is preparing to assess Kellen's fine motor development. Which of the following fine motor skills should Denise include in the assessment plan? (Select all that apply.) - correct answer Selected Option Turn each page of a book Unscrew lids on a container Stack six or seven blocks Rationale At age 2, toddlers can stack six or seven blocks, unscrew lids on a container, and turn each page of a book. At age 2, toddlers are not coordinated enough to draw a circle with eyes and nose or to thread shoelaces through shoe eyelets. These fine motor skills occur in children who are preschool age, 3 or 4. Scenario The nurse assesses Kellen's language development