ATI PEDS PROCTORED CARE OF CHILD RETAKE EXAM LATEST
ACTUAL EXAM
What is a dictorial or authoritarian parenting style? - ANSWER: parents try to control
the child's behaviors and attitudes through unquestioned rules and expectations
What is an authoriatitive parenting style? - ANSWER: also known as democratic,
parents direct the child's behavior by setting rules and explaining the reson for each
rule setting
What is passive parenting? - ANSWER: parents are uninvolved, indifferent, and
emotionally removed
A nurse manager on a pediatric floor is preparing an education program on working
with families for a group of newly hired nurses. Which of the following should the
nurse include when discussing the developmental theory?
A. describes that stress is inevitable
B. emphasizes that change with one member affects the entire family
C. provides guidance to assist families adapting to stress
D. Defines consistencies in how families change - ANSWER: D
A nurse is assisting a group of parents of adolescents to develop skills that will
improve communication. The nurse heads one parent states "my son knows he
better do what I say". Which of the parenting styles is he exhibiting?
A. Authoritarian
B. Permissive
C. Authroitative
D. Passive - ANSWER: A
A nurse is performimg family assessment. Which of the following should the nurse
include? (select all that apply)
A. medical history
B. parents' education level
C. child's physical growth
D. Support systems
E. Stressors - ANSWER: A, B, D, E
What is the expected pulse rate of a newborn? - ANSWER: 80 to 180/min
What is the expected pulse of a baby 1 week to 3 months? - ANSWER: 12 to 180/min
What is the expected pulse of a child 3 months to 2 years? - ANSWER: 70 to 150/min
What is the expected pulse of a child 2 to 10 years? - ANSWER: 60 to 110/min
,What is the expected pulse of a child 10 years and older? - ANSWER: 50 to 90/min
What are the expected respirations fo a newborn to one year? - ANSWER: 30 to
35/min
What are the expected respirations of a 1 to 2 year old? - ANSWER: 25 to 30/min
What are the expected respirations of a 2 to 6 year old? - ANSWER: 21 to 25/min
What are the expected respirations of a child 6 to 12 years old? - ANSWER: 19 to
21/min
What are the expected respirations of a 12 year old and older? - ANSWER: 16 to
19/min
What are the normal vitals of an infant? - ANSWER: HR: 80-180
RR: 30-35
BP: 65-80/40-50
Fontanels - ANSWER: should be flat and soft, posterior closes between 6 and 8
weeks, anterior closes between 12 and 18 months
Teeth - ANSWER: 6 to 8 teeth by 1 year of age, 20 baby teeth and 32 permanent
teeth
How long is the Moro reflex present? - ANSWER: until 4 months of age
How long is the Tonic neck reflex present? - ANSWER: until 3 to 4 months of age
How long does the Babinski reflex last? - ANSWER: usually until a year
Expected findings of the olfactory (I) nerve in infants , children, and adolescents -
ANSWER: Infants: difficult to test
Children and Adolescents: indentifies smell through each nostril individually
Expected findings of optic nerve (II)? - ANSWER: Infants: looks at face and tracks with
eyes
Children and adolescents: has intact visual acuity, peripheral vision, and color vision
Expected findings for trigeminal nerve? - ANSWER: infants: has rooting and sucking
relfex
children and adolescents: is able to clencg teeth together and can detect touch on
face with eyes closed
A nurse is preparing to assess a preschool-age child. Which of the following is an
appripirate action by the nurse to prepare the child?
,A. Allow the child to role play using miniature equipment
B. use medical terminology to describe what will happen
C. separate th child from her parents during examination
D. keep medical equipment visible to the child - ANSWER: A
A nurse is checking the vital signs of a 3-year-old during a well child visit, which of
the following findings should the nurse report to the provider?
A. temperature 37.2C (99.0F)
B. Heart rate of 106/min
C. Respirations 30/min
D. Blood pressure 88/54 mmHg - ANSWER: C
A nurse is assessing a child's ears. Which of the following is an expected finding?
A. Light reflex is located at the 2 o clock position
B. Tympanic membrane is red in color
C. bone landmarks are not visible
D. Cerumen is present bilaterally - ANSWER: D
A nurse is assessing a 6-month-old infant. Which of the following reflexes shoudl the
infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic necl - ANSWER: B
A nurse is performing a neurological assessment on an adolescent. Which of the
following is an appropriate reaction by the adolescent when the nurse checks the
trigeminal cranial nerve? (select all that apply)
A. clencing the teeth together tightly
B. recognizing a sour tast
C. identifying smells through each nostril
D. detecing facial touches when eyes closed
E. Looking down and in with the eyes - ANSWER: A, D
What happens to a baby's birth weight? - ANSWER: it should double by 6 months
and triple by 1 year
How do infants grow? - ANSWER: 1 inch per month (2.5cm) for 6 months, then by 12
months, height/length should be doubled
When do the first teeth arupt? - ANSWER: between 6 and 10 months
Gross and fine motor by 3 months - ANSWER: only have slight head lag
Gross and fine motor by 4 months - ANSWER: should be able to roll from back to side
, Gross and fine motor by 5 months - ANSWER: should be able to roll from front to
back
Gross and fine motor by 6 months - ANSWER: should be able to roll from back to
fron and hold a bottle
Gross and fine motor by 7 months - ANSWER: move object from hand to hand
Gross and fine motor by 8 months - ANSWER: sit unsupported
Gross and fine motor by 9 months - ANSWER: crude pincer grasp
Gross and fine motor by 10 months - ANSWER: prone to sitting positiion and grasp a
ratty by the handle
Gross and fine motor by 11 months - ANSWER: puts objects into a container and
have a neater pincer grasp
Gross and fine motor by 12 months - ANSWER: tries to build a 2 block tower and
won't succeed
What Piaget congitive development stafe are infants in? - ANSWER: Sensorimotor
stage, birth to 24 months, separation, object permanence around 9 months, mental
representation
How many words should the infant know? - ANSWER: 3-5 words and has concept of
numbers by 1 year
What is the Erikson's stage of development for infants? - ANSWER: Trust vs. Mistrust,
birth to 1 year, caretake meeteing the needs of the infant
When does separation anxiety begin to occur? - ANSWER: between 4 and 8 months
When is there stranger fear in infants? - ANSWER: 6 to 8 months
What toys should be used for an infant? - ANSWER: rattles, blocks, brightly colored
toys, mirrors, patty cake
Infant Immunizations - ANSWER: Birth: hep B
2 months: hep B, IPV, RV, PCV, dtap, HIB
4 months: all of the 2m, hep B
6 month: all the previous
Flu shots: 6m to 1 year
Infant Nutrition - ANSWER: breast milk first 6 months, solids 4 to 6 months and first
solid is usually iron fortified rice ceral, no juice or water is needed for first year,
foods introduced one at a time over 4-7 day period to monitor for allergies
ACTUAL EXAM
What is a dictorial or authoritarian parenting style? - ANSWER: parents try to control
the child's behaviors and attitudes through unquestioned rules and expectations
What is an authoriatitive parenting style? - ANSWER: also known as democratic,
parents direct the child's behavior by setting rules and explaining the reson for each
rule setting
What is passive parenting? - ANSWER: parents are uninvolved, indifferent, and
emotionally removed
A nurse manager on a pediatric floor is preparing an education program on working
with families for a group of newly hired nurses. Which of the following should the
nurse include when discussing the developmental theory?
A. describes that stress is inevitable
B. emphasizes that change with one member affects the entire family
C. provides guidance to assist families adapting to stress
D. Defines consistencies in how families change - ANSWER: D
A nurse is assisting a group of parents of adolescents to develop skills that will
improve communication. The nurse heads one parent states "my son knows he
better do what I say". Which of the parenting styles is he exhibiting?
A. Authoritarian
B. Permissive
C. Authroitative
D. Passive - ANSWER: A
A nurse is performimg family assessment. Which of the following should the nurse
include? (select all that apply)
A. medical history
B. parents' education level
C. child's physical growth
D. Support systems
E. Stressors - ANSWER: A, B, D, E
What is the expected pulse rate of a newborn? - ANSWER: 80 to 180/min
What is the expected pulse of a baby 1 week to 3 months? - ANSWER: 12 to 180/min
What is the expected pulse of a child 3 months to 2 years? - ANSWER: 70 to 150/min
What is the expected pulse of a child 2 to 10 years? - ANSWER: 60 to 110/min
,What is the expected pulse of a child 10 years and older? - ANSWER: 50 to 90/min
What are the expected respirations fo a newborn to one year? - ANSWER: 30 to
35/min
What are the expected respirations of a 1 to 2 year old? - ANSWER: 25 to 30/min
What are the expected respirations of a 2 to 6 year old? - ANSWER: 21 to 25/min
What are the expected respirations of a child 6 to 12 years old? - ANSWER: 19 to
21/min
What are the expected respirations of a 12 year old and older? - ANSWER: 16 to
19/min
What are the normal vitals of an infant? - ANSWER: HR: 80-180
RR: 30-35
BP: 65-80/40-50
Fontanels - ANSWER: should be flat and soft, posterior closes between 6 and 8
weeks, anterior closes between 12 and 18 months
Teeth - ANSWER: 6 to 8 teeth by 1 year of age, 20 baby teeth and 32 permanent
teeth
How long is the Moro reflex present? - ANSWER: until 4 months of age
How long is the Tonic neck reflex present? - ANSWER: until 3 to 4 months of age
How long does the Babinski reflex last? - ANSWER: usually until a year
Expected findings of the olfactory (I) nerve in infants , children, and adolescents -
ANSWER: Infants: difficult to test
Children and Adolescents: indentifies smell through each nostril individually
Expected findings of optic nerve (II)? - ANSWER: Infants: looks at face and tracks with
eyes
Children and adolescents: has intact visual acuity, peripheral vision, and color vision
Expected findings for trigeminal nerve? - ANSWER: infants: has rooting and sucking
relfex
children and adolescents: is able to clencg teeth together and can detect touch on
face with eyes closed
A nurse is preparing to assess a preschool-age child. Which of the following is an
appripirate action by the nurse to prepare the child?
,A. Allow the child to role play using miniature equipment
B. use medical terminology to describe what will happen
C. separate th child from her parents during examination
D. keep medical equipment visible to the child - ANSWER: A
A nurse is checking the vital signs of a 3-year-old during a well child visit, which of
the following findings should the nurse report to the provider?
A. temperature 37.2C (99.0F)
B. Heart rate of 106/min
C. Respirations 30/min
D. Blood pressure 88/54 mmHg - ANSWER: C
A nurse is assessing a child's ears. Which of the following is an expected finding?
A. Light reflex is located at the 2 o clock position
B. Tympanic membrane is red in color
C. bone landmarks are not visible
D. Cerumen is present bilaterally - ANSWER: D
A nurse is assessing a 6-month-old infant. Which of the following reflexes shoudl the
infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic necl - ANSWER: B
A nurse is performing a neurological assessment on an adolescent. Which of the
following is an appropriate reaction by the adolescent when the nurse checks the
trigeminal cranial nerve? (select all that apply)
A. clencing the teeth together tightly
B. recognizing a sour tast
C. identifying smells through each nostril
D. detecing facial touches when eyes closed
E. Looking down and in with the eyes - ANSWER: A, D
What happens to a baby's birth weight? - ANSWER: it should double by 6 months
and triple by 1 year
How do infants grow? - ANSWER: 1 inch per month (2.5cm) for 6 months, then by 12
months, height/length should be doubled
When do the first teeth arupt? - ANSWER: between 6 and 10 months
Gross and fine motor by 3 months - ANSWER: only have slight head lag
Gross and fine motor by 4 months - ANSWER: should be able to roll from back to side
, Gross and fine motor by 5 months - ANSWER: should be able to roll from front to
back
Gross and fine motor by 6 months - ANSWER: should be able to roll from back to
fron and hold a bottle
Gross and fine motor by 7 months - ANSWER: move object from hand to hand
Gross and fine motor by 8 months - ANSWER: sit unsupported
Gross and fine motor by 9 months - ANSWER: crude pincer grasp
Gross and fine motor by 10 months - ANSWER: prone to sitting positiion and grasp a
ratty by the handle
Gross and fine motor by 11 months - ANSWER: puts objects into a container and
have a neater pincer grasp
Gross and fine motor by 12 months - ANSWER: tries to build a 2 block tower and
won't succeed
What Piaget congitive development stafe are infants in? - ANSWER: Sensorimotor
stage, birth to 24 months, separation, object permanence around 9 months, mental
representation
How many words should the infant know? - ANSWER: 3-5 words and has concept of
numbers by 1 year
What is the Erikson's stage of development for infants? - ANSWER: Trust vs. Mistrust,
birth to 1 year, caretake meeteing the needs of the infant
When does separation anxiety begin to occur? - ANSWER: between 4 and 8 months
When is there stranger fear in infants? - ANSWER: 6 to 8 months
What toys should be used for an infant? - ANSWER: rattles, blocks, brightly colored
toys, mirrors, patty cake
Infant Immunizations - ANSWER: Birth: hep B
2 months: hep B, IPV, RV, PCV, dtap, HIB
4 months: all of the 2m, hep B
6 month: all the previous
Flu shots: 6m to 1 year
Infant Nutrition - ANSWER: breast milk first 6 months, solids 4 to 6 months and first
solid is usually iron fortified rice ceral, no juice or water is needed for first year,
foods introduced one at a time over 4-7 day period to monitor for allergies
