VATI NURSING CARE OF CHILDREN 2026/2027 | Grade A |
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SECTION 1: Growth & Development (Q1-Q15)
Q1: A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone would the nurse expect to observe at this age?
A. Building a tower of two cubes
B. Saying "mama" or "dada" specifically
C. Transferring objects from hand to hand
D. Walking independently
C. Transferring objects from hand to hand [CORRECT]
Correct Answer: C
Rationale: By 6 months, infants typically transfer objects from hand to hand, which
demonstrates developing bilateral coordination and fine motor skills. Building a tower of
two cubes occurs around 15 months, specific "mama/dada" naming occurs around 9-10
months, and independent walking occurs around 12 months. ATI emphasizes tracking
sequential motor development to identify delays early.
Q2: According to Erikson's psychosocial theory, which developmental task is the primary
focus for a preschool-age child (3-5 years)?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
C. Initiative vs. Guilt [CORRECT]
Correct Answer: C
Rationale: Preschool children (3-5 years) are in Erikson's initiative vs. guilt stage, where
they learn to initiate activities and develop a sense of purpose. Trust vs. mistrust is
infancy (0-1 year), autonomy vs. shame and doubt is toddlerhood (1-3 years), and
,industry vs. inferiority is school-age (6-12 years). ATI content emphasizes matching
nursing interventions to the child's developmental stage.
Q3: A nurse is caring for a 10-year-old child hospitalized for appendicitis. Using Piaget's
theory of cognitive development, the nurse recognizes that this child is most likely in
which stage?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
C. Concrete operational [CORRECT]
Correct Answer: C
Rationale: School-age children (7-11 years) are in Piaget's concrete operational stage,
characterized by logical thinking about concrete events, understanding conservation,
and decreased egocentrism. Sensorimotor is birth to 2 years, preoperational is 2-7
years, and formal operational begins around age 11-12 years. ATI nursing care focuses
on providing age-appropriate explanations using concrete terms for this age group.
Q4: A nurse is teaching a parent about expected language development for a 2-year-old
toddler. Which statement by the parent indicates understanding of normal
developmental milestones?
A. "My child should be speaking in three-word sentences."
B. "My child should have a vocabulary of about 50 words."
C. "My child should be able to tell me a story with a beginning and end."
D. "My child should be using pronouns correctly in all sentences."
B. "My child should have a vocabulary of about 50 words." [CORRECT]
Correct Answer: B
Rationale: By age 2, toddlers typically have a vocabulary of approximately 50 words and
begin combining two words into phrases. Three-word sentences emerge around age 3,
storytelling with sequence develops in preschool years, and correct pronoun usage
continues to develop through early childhood. ATI pediatric content emphasizes that
vocabulary of 50 words is a key 24-month milestone.
,Q5: A nurse is assessing a newborn's reflexes. Which reflex should the nurse expect to
disappear by 4-6 months of age?
A. Moro reflex
B. Palmar grasp reflex
C. Rooting reflex
D. Tonic neck reflex
A. Moro reflex [CORRECT]
Correct Answer: A
Rationale: The Moro (startle) reflex typically disappears by 4-6 months of age as the
infant's nervous system matures. The palmar grasp reflex fades by 3-4 months, the
rooting reflex by 4 months, and the tonic neck reflex by 5-7 months. ATI pediatric
assessment content emphasizes that persistence of primitive reflexes beyond expected
timeframes may indicate neurological dysfunction.
Q6: A nurse is caring for an adolescent patient who is experimenting with different
identities and peer groups. According to Erikson, this behavior is characteristic of which
developmental stage?
A. Identity vs. Role Confusion
B. Intimacy vs. Isolation
C. Industry vs. Inferiority
D. Initiative vs. Guilt
A. Identity vs. Role Confusion [CORRECT]
Correct Answer: A
Rationale: Adolescents (12-18 years) are in Erikson's identity vs. role confusion stage,
where they explore different roles, values, and beliefs to establish a sense of self.
Intimacy vs. isolation is young adulthood, industry vs. inferiority is school-age, and
initiative vs. guilt is preschool. ATI emphasizes that nurses should support adolescents'
identity exploration while maintaining therapeutic boundaries.
Q7: During a well-child visit, a parent asks when their infant should be able to sit without
support. The nurse correctly responds that independent sitting typically occurs at which
age?
A. 4 months
, B. 6 months
C. 8 months
D. 10 months
B. 6 months [CORRECT]
Correct Answer: B
Rationale: Infants typically achieve independent sitting without support by 6 months of
age, which represents adequate trunk strength and balance. At 4 months, infants may
sit with support; by 8 months, they can sit well and pivot; by 10 months, they are
typically crawling and pulling to stand. ATI growth and development content uses motor
milestones to screen for developmental delays.
Q8: A nurse is evaluating a 4-year-old child's drawing abilities. Which drawing milestone
is expected at this age?
A. Copying a square
B. Drawing a person with six parts
C. Drawing a circle
D. Copying a triangle
B. Drawing a person with six parts [CORRECT]
Correct Answer: B
Rationale: By age 4, children typically draw a person with 2-4 parts; by 4.5-5 years, they
draw a person with six parts. Copying a square occurs around age 4-5 years, drawing a
circle occurs around age 3 years, and copying a triangle occurs around age 5 years. ATI
pediatric content uses drawing milestones as indicators of fine motor and cognitive
development.
Q9: A nurse is caring for a toddler who repeatedly says "no" and insists on doing tasks
independently. The nurse recognizes this behavior as consistent with which
developmental stage?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
100% Verified Solutions | Pass Guaranteed - A+ Graded
SECTION 1: Growth & Development (Q1-Q15)
Q1: A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone would the nurse expect to observe at this age?
A. Building a tower of two cubes
B. Saying "mama" or "dada" specifically
C. Transferring objects from hand to hand
D. Walking independently
C. Transferring objects from hand to hand [CORRECT]
Correct Answer: C
Rationale: By 6 months, infants typically transfer objects from hand to hand, which
demonstrates developing bilateral coordination and fine motor skills. Building a tower of
two cubes occurs around 15 months, specific "mama/dada" naming occurs around 9-10
months, and independent walking occurs around 12 months. ATI emphasizes tracking
sequential motor development to identify delays early.
Q2: According to Erikson's psychosocial theory, which developmental task is the primary
focus for a preschool-age child (3-5 years)?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
C. Initiative vs. Guilt [CORRECT]
Correct Answer: C
Rationale: Preschool children (3-5 years) are in Erikson's initiative vs. guilt stage, where
they learn to initiate activities and develop a sense of purpose. Trust vs. mistrust is
infancy (0-1 year), autonomy vs. shame and doubt is toddlerhood (1-3 years), and
,industry vs. inferiority is school-age (6-12 years). ATI content emphasizes matching
nursing interventions to the child's developmental stage.
Q3: A nurse is caring for a 10-year-old child hospitalized for appendicitis. Using Piaget's
theory of cognitive development, the nurse recognizes that this child is most likely in
which stage?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
C. Concrete operational [CORRECT]
Correct Answer: C
Rationale: School-age children (7-11 years) are in Piaget's concrete operational stage,
characterized by logical thinking about concrete events, understanding conservation,
and decreased egocentrism. Sensorimotor is birth to 2 years, preoperational is 2-7
years, and formal operational begins around age 11-12 years. ATI nursing care focuses
on providing age-appropriate explanations using concrete terms for this age group.
Q4: A nurse is teaching a parent about expected language development for a 2-year-old
toddler. Which statement by the parent indicates understanding of normal
developmental milestones?
A. "My child should be speaking in three-word sentences."
B. "My child should have a vocabulary of about 50 words."
C. "My child should be able to tell me a story with a beginning and end."
D. "My child should be using pronouns correctly in all sentences."
B. "My child should have a vocabulary of about 50 words." [CORRECT]
Correct Answer: B
Rationale: By age 2, toddlers typically have a vocabulary of approximately 50 words and
begin combining two words into phrases. Three-word sentences emerge around age 3,
storytelling with sequence develops in preschool years, and correct pronoun usage
continues to develop through early childhood. ATI pediatric content emphasizes that
vocabulary of 50 words is a key 24-month milestone.
,Q5: A nurse is assessing a newborn's reflexes. Which reflex should the nurse expect to
disappear by 4-6 months of age?
A. Moro reflex
B. Palmar grasp reflex
C. Rooting reflex
D. Tonic neck reflex
A. Moro reflex [CORRECT]
Correct Answer: A
Rationale: The Moro (startle) reflex typically disappears by 4-6 months of age as the
infant's nervous system matures. The palmar grasp reflex fades by 3-4 months, the
rooting reflex by 4 months, and the tonic neck reflex by 5-7 months. ATI pediatric
assessment content emphasizes that persistence of primitive reflexes beyond expected
timeframes may indicate neurological dysfunction.
Q6: A nurse is caring for an adolescent patient who is experimenting with different
identities and peer groups. According to Erikson, this behavior is characteristic of which
developmental stage?
A. Identity vs. Role Confusion
B. Intimacy vs. Isolation
C. Industry vs. Inferiority
D. Initiative vs. Guilt
A. Identity vs. Role Confusion [CORRECT]
Correct Answer: A
Rationale: Adolescents (12-18 years) are in Erikson's identity vs. role confusion stage,
where they explore different roles, values, and beliefs to establish a sense of self.
Intimacy vs. isolation is young adulthood, industry vs. inferiority is school-age, and
initiative vs. guilt is preschool. ATI emphasizes that nurses should support adolescents'
identity exploration while maintaining therapeutic boundaries.
Q7: During a well-child visit, a parent asks when their infant should be able to sit without
support. The nurse correctly responds that independent sitting typically occurs at which
age?
A. 4 months
, B. 6 months
C. 8 months
D. 10 months
B. 6 months [CORRECT]
Correct Answer: B
Rationale: Infants typically achieve independent sitting without support by 6 months of
age, which represents adequate trunk strength and balance. At 4 months, infants may
sit with support; by 8 months, they can sit well and pivot; by 10 months, they are
typically crawling and pulling to stand. ATI growth and development content uses motor
milestones to screen for developmental delays.
Q8: A nurse is evaluating a 4-year-old child's drawing abilities. Which drawing milestone
is expected at this age?
A. Copying a square
B. Drawing a person with six parts
C. Drawing a circle
D. Copying a triangle
B. Drawing a person with six parts [CORRECT]
Correct Answer: B
Rationale: By age 4, children typically draw a person with 2-4 parts; by 4.5-5 years, they
draw a person with six parts. Copying a square occurs around age 4-5 years, drawing a
circle occurs around age 3 years, and copying a triangle occurs around age 5 years. ATI
pediatric content uses drawing milestones as indicators of fine motor and cognitive
development.
Q9: A nurse is caring for a toddler who repeatedly says "no" and insists on doing tasks
independently. The nurse recognizes this behavior as consistent with which
developmental stage?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
