ATI RN nursing care of children Compilation of ATI practice and proctored test questions and ANSWERS of all 34 chapters 12th edition.

ATI RN nursing care of children Compilation of ATI practice and proctored test questions and ANSWERS of all 34 chapters 12th edition. Toddlers vaccines and nutrition - ANSWER shots: IPV, MMR, PCV, Varicella, Hep A, DTAP, flu nutrition: low fat milk, 4-6 oz juice/day. 24 gauge needle for shots Preschooler skills - ANSWER rides trike (3), throws ball, scissors to cut shapes (4), jump rope/stick figure with 7 body parts (5 yo), right from left hand (6yo), dress up, associative play Preschool beliefs - ANSWER magical thinking, animism (inanimate objects are alive), time in relation to event ("after you eat lunch") preschooler shots/food/activity - ANSWER shot: DTAP, IPV, MMR, Flu nutrition: 5 servings of fruits and veggies activity: less than 2 hrs of screen time, 1hr PE sleep: 12 hours w consistent bedtime routine 6-12 yo activity/sleep/shots - ANSWER interact with peer group, cooperative play, sports sleep: 9 hrs shots: TDAP, HPV, meningicoccal, flu children injury prevention - ANSWER helmets, locks on firearms, water heaters 120 degrees, bike safety adolescents growth, sexual maturation, activity - ANSWER stop growing after menarche, boys at 18 yo sexual maturation: breasts, pubic hair, ax. hair, menstruation boys: testicular growth, pubic hair, penile enlargement, ax. hair, facial hair, voice changes activity: video games, music, sports, reading adolescent shots, injury - ANSWER MCV4 booster, flu auto safety, monitor for mental health, risk for substance abuse med admin - ANSWER use smallest measuring device available do not measure with teaspoon optic/otic meds - ANSWER drops: pull eyelid down and put med in conjunctival sac ointment: apply from inner to outer. drops, then ointment otic: under three, pinna down and back over 3, pinna up and back meds: SQ, intraderm , IM - ANSWER ID: 26-30 gauge, bevel up, 15 degree angle SQ: into fat, 90 degree angle IM: vastus lateralis for infants and small kids IV meds - ANSWER EMLA 60 min before procedure play therapy swaddle infant before and offer sucrose before, during and after Pain assessment - ANSWER CRIES: under 6 months FLACC: 2 months- 7yrs FACES: 3+ Oucher: 3-13 (pics) numeric: 5+ hospitalization response - ANSWER infant: be consistent toddler: separation anxiety, regression preschool: magical thinking school age: be factual teen: body image issues and isolation from peers death and dying - ANSWER preschool: sees death as temporary school age: fear of unknown teen: adult-like concept of death death/dying signs of death - ANSWER sensation of heat with cool skin, decreased movement, Decreased LOC, Cheyne-Stokes nurse: remove tubes, allow family to stay with body/hold child complicated grief: extends for 1 yr after loss, affects ADLs parenting styles - ANSWER -authoritarian: parents control behavior thru unquestioned rules/expectations -permissive: parent has little control, child makes decisions -authoritative: parents set rules, but explains reasoning. Enforce consequences for breaking rules -passive: parent uninvolved and indifferent Piaget - ANSWER Sensorimotor: birth-2 reflexes,object permanence Preoperational: 2-7yrs symbolic thought Concrete operations 7-10yrs cause and effect, concrete term/explanations, understands concepts of human body Formal operations 11-adult logical relationships, analyze, concern for moral and social issues-abstract concepts Erikson - ANSWER Infancy (birth to 18 months) Trust vs. Mistrust Early Childhood (2 to 3 years) Autonomy vs. Shame and Doubt Preschool (3 to 5 years) Initiative vs. Guilt School Age (6 to 11 years) Industry vs. Inferiority Adolescence (12 to 18 years) Identity vs. Role Confusion Young Adulthood (19 to 40 years) Intimacy vs. Isolation Relationships Middle Adulthood (40 to 65 years) Generativity vs. Stagnation Maturity(65 to death) Ego Integrity vs. Despair physical exam of kid - ANSWER -keep medical equipment out of sight -age appropriate lang allow child to hold equipment role play kid can sit on parents lap Peds vital signs - ANSWER temp: 37.0-37.7 pulse: faster when younger, 80-180 for baby and 2-10: 60-110 RR: faster when younger: baby 30-35, kid: 19-21 BP: lower when younger. Baby: 65/41, kid 97/58 fontanels - ANSWER posterior close 6-8 weeks anterior close 12-18 months infants weight - ANSWER doubles by 6 months, triples by 1 teeth - ANSWER first tooth at 6-10 months, 6-8 teeth by 1yo clean with cool washcloth infant reflexes - ANSWER sucking/rooting: nb-4mo palmar: nb-3 mo plantar: nb-8mo moro: nb-4 mo-response to falling tonic neck: nb-4 mo babinski: nb-1yo stepping: nb-4 wks major milestones - ANSWER 1 month: head lag present 7 months: object hand to hand 8 months: sits unsupported 9: crude pincer 11: neat pincer, objects into container 12: 2 block tower (unsuccessfully) Language, attachment, activity for infants - ANSWER 1 word by 10 months, 3-5 by 1 yo separation anxiety @ 4-8 mo stranger fear @ 6-8 mo age appropriate activity: solitary play, pat-a-cake Meningitis - ANSWER inflammation of the meninges HIB vaccine sx: photophobia, n/v, nuchal rigidity, +brudzinski/kernig test: CSF analysis looking for glucose nurse: prep for lumbar puncture, droplet precautions for 24 hrs after abx, monitor for increased ICP Reye - ANSWER encephalopathy/fatty liver risk: recent viral infection, use of aspirin sx: seizures, vomiting