ATI Nursing Care of Children Proctored Exam

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 - 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 - 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 - A, B, D, E 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 - 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 - 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 - 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 - 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 - A, D A nurse is assessing a 12 months old infant during a well-child visit. Which of the following findings should the nurse report to the provider? A. closed anterior fontanel B. eruption of 6 teeth C. Birth weight doubled D. Birth length increased by 50 % - C A nurse is performing a developmental screening of a 10-month old infant. Which of the following fine motor skills should the nurse expect to find? (select all that apply) A. grasp a raddle by the handle B. try building a two-block tower C. use a crude pincer grasp D. Place objects into a container E. Walkes with one hand held - A, C A nurse is conducting a well-baby visit with a 4 motnh old infant. Which of the following immunizations should the nurse plan to administer? (select all that apply) A. MMR B. IPV C. PCV D. varicella E. RV - B, C, E A nurse is providing education about introducing new foods to the parents of a 4 months old infant. The nurse should recommend that the parents introduce which of the following foods first? A. Strained yellow vegetables B. Iron fortified cereals C. Pureed foods D. Whole Milk - B A nurse is providing teaching about dental care and teething to the parent of a 9-month-old. Which of the following statements by the parent indicates an understanding of the teaching? A. I can give my baby a warm teething ring to relieve discomfort B. I should clean my baby's teeth which a cool, wet washcloth C. I can give Advil for up to 5 days while my baby is teething D. I should place diluted juice in the bottle my baby drinks while falling asleep - B A nurse is performing a develomental screening on an 18 month old. Which of the following skills should the toddler be able to perform? (select all that apply) A. build a tower with 6 blocks B. Throw a ball overhead C. walk up and down stais D. draw circles E. use a spoon without rotation - B, E A nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. Which of the following statemetns by the parent indicates an understanding of the teaching? A. I will send my child's favorite studdef animal when she will be napping away from home B. My child should be able tot stand on one foot for a second C. The soccer team my child will be playing on starts next week D. I should expect my child to be able to draw circles - A A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should the nurse include? (select all that apply) A. Develop food habits that will prevent dental caries B. Metting caloric needs resulting in an increased appetite C. expression of bedtime fears is common D. Expect behaviors associated with negativism and ritualism E. Annual screenings for phenylketonuria are important - A, C, D A nurse is providing teaching to the parent of a preschool age shcil about methods to promote sleep. Which of the following statements by the parent indicated an understanding of the teaching? A. I wil sleep in the bed with my child if she wakes up during the night B. I will let my child stay up and additional 2 hours on weekend nights C. I will et my child watch television for 30 minutes nust before bedtime each night D. I will keep a dim lamp on in my child's room during the night - D A nurse is conducting a well child visit with a 5 year old child. Which immunizations shoudl the nurse plan to administer to the child? (Select all that apply) A. DTaP B. IPV C. MMR D. PCV E. Hib - A, B, C A nurse is preparing an education program for a group of parents of preschool-age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching? A. saturated fats should equal 20% of total daily caloric intake B. Average calorie intake should be 1800 calories per day C. dailyintake of fruits and vegetables should total 2 servings D. Healthy diets include a total of 8g of protein each day - B A nurse is assessing a 2.5-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? A. height increased by 7.5cm or 3inches in the past year B. Head circumference exceeds chest circumference C. anterior and posterior fontanels are closed D. current weight equals four times the birth weight - B A nurse is performing a developmental screening on a 3 year old child. WHich of the following skills should the nurse expect the child to perform? A. ride a tricycle B. Hop on one foot C. jump rope D. throw a ball overhead - A A nurse is caring for a preschool age child who says she needs to leave the hospital because her doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting? A. Egocentrism B. Centration C. Animism D. Magical thinking - C A nurse is discussing prepubesence and preadolescen with a group of parents of school-age children. Which of the following information should the nurse include in the discussion? A. initial phsyciologic changes appear during early childhood B. changes in heigh and weight occur slowly during this period C. growth differences between boys and girls become evident D. signs of sexual maturation become highly visible in boys - C A nurse is conducting a well child visit with a child who is scheduled to recive the recommended immunizations for 11 to 12 year olds. Which of the following immunizations should the nurse administer? (select all that apply) A. TIV B. PCV C. MCV4 D. Tdap E. RV - A,C, D A nurse is teaching a course about safety during the school age years to a group of parents. Which of the following information should the nurse include in the course? (select all that apply) A. gating stairs at the top and bottom B. wearing helmets when riding bicyles or skateboarding C. riding safely in bed of pickup trucks D. implementing firearm safety E. wearing seat belts - B, D, E A nurse is providing teaching about expected changes during puberty to a gorup of parents of early adolescent girls. Which of the following statements by one of the parents indicates and understanding of the teaching? A. girls usually stop growning abotu 2 years after menarche B. girsl are expected to gain about 65 pounds during puberty C. girls experience menstartion prior to breast development D. Girls typiucaly grow more than 10 inches during puberty - A A nurse is providing anticipatory guidance to the parent of a 13 year odl adolescent. Which of the following screenings shoudl the nurse reccomend for the adolescent? (select all that apply) A. body mass index B. blood lead level C. 24 hour dietary recall D. Weight E. Scoliosis - A, D, E A nurse is caring for an adolescent whose mother expresses ocncersn about her child sleeping such long hours. Which of the following conditions shoudl the nurse inform the mother as requiring additional sleep during adolescnets? A. sleep terrors B. rapid growth C. elevated zinc levels D. slowed metabolism - B A nurse is teaching class about puberty in boys. Which of the following should the nurse include as the first manifestation of sexual maturation? A. pubic hair growth B. voval changes C. testicular enlargement D. facial hair growth - C A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take? A. administer subq to the abdomen B. use a 20guage needle C. Divide the medicaiton into two injections D. place the child in supine position - D