ATI Real Life 3.0- RN Nursing Care of
Children: Well Child|18 Questions and
Answers
Nurse Denise discusses Kellen's immunization status, and Ms. Ralston
appears upset. Which of the following responses by Denise is appropriate? -
-"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? - -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.) - -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.) - -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.
Question
Nurse Denise assesses Kellen's language development. Which of the
following audio clips represents typical language development for a 24-
month-old child? (Click to play the audio file.) - -Selected option
Audio file where the child says, "I love you"
Rationale
By 24 months of age, a child should be speaking two- to three-word phrases.
-Scenario
Nurse Denise educates Ms. Ralston prior to administering the measles,
mumps, rubella (MMR) and varicella vaccines.
Question
Nurse Denise is teaching Ms. Ralston about immunizations. Which of the
following information should Denise include about measles, mumps, rubella
(MMR) and varicella vaccines? (Select all that apply.) - -Selected Option
The client who has an egg allergy can receive the MMR and varicella
vaccines. MMR and varicella vaccines should be administered
subcutaneously. Mild illness is not a reason to delay vaccination with the
MMR and varicella vaccines.
Rationale
Vaccination should not be delayed because of the presence of mild
respiratory tract illness or other acute illness with or without fever. The nurse
should administer the MMR and varicella vaccines subcutaneously. An allergy
to eggs is not a contraindication to administration of the MMR and varicella
vaccines; however, a gelatin allergy is a contraindication to receiving the
Children: Well Child|18 Questions and
Answers
Nurse Denise discusses Kellen's immunization status, and Ms. Ralston
appears upset. Which of the following responses by Denise is appropriate? -
-"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? - -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.) - -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.) - -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.
Question
Nurse Denise assesses Kellen's language development. Which of the
following audio clips represents typical language development for a 24-
month-old child? (Click to play the audio file.) - -Selected option
Audio file where the child says, "I love you"
Rationale
By 24 months of age, a child should be speaking two- to three-word phrases.
-Scenario
Nurse Denise educates Ms. Ralston prior to administering the measles,
mumps, rubella (MMR) and varicella vaccines.
Question
Nurse Denise is teaching Ms. Ralston about immunizations. Which of the
following information should Denise include about measles, mumps, rubella
(MMR) and varicella vaccines? (Select all that apply.) - -Selected Option
The client who has an egg allergy can receive the MMR and varicella
vaccines. MMR and varicella vaccines should be administered
subcutaneously. Mild illness is not a reason to delay vaccination with the
MMR and varicella vaccines.
Rationale
Vaccination should not be delayed because of the presence of mild
respiratory tract illness or other acute illness with or without fever. The nurse
should administer the MMR and varicella vaccines subcutaneously. An allergy
to eggs is not a contraindication to administration of the MMR and varicella
vaccines; however, a gelatin allergy is a contraindication to receiving the
