ATI RN nursing care of children EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
1) Toddlers vaccines and nutrition shots: IPV, MMR, PCV, Varicella,
Hep A, DTAP, flu
nutrition: low fat milk, 4-6 oz
juice/day. 24 gauge needle for
shots
2) Preschooler skills 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
3) Preschool beliefs magical thinking, animism
(inanimate objects are alive), time in
relation to event ("after you eat
lunch")
4) preschooler shots/food/activity 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
5) 6-12 yo activity/sleep/shots interact with peer group,
cooperative play, sports
sleep: 9 hrs
shots: TDAP, HPV, meningicoccal,
flu
6) children injury preventuon helmets, locks on firearms, water
heaters < 120 degrees, bike safety
7) adolescents growth, sexual stop growing after menarche, boys
, maturation, activity 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
8) adolescent shots, injury MCV4 booster, flu
auto safety, monitor for mental
health, risk for substance abuse
9) med admin use smallest measuring device
available
do not measure with teaspoon
10) optic/otic meds 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
11) meds: SQ, intraderm , IM ID: 26-30 gauge, bevel up, 15
degree angle
SQ: into fat, 90 degree angle
IM: vastus lateralis for infants and
small kids
12) IV meds EMLA 60 min before procedure
play therapy
swaddle infant before and offer
sucrose before, during and after
13) Pain assessment CRIES: under 6 months
FLACC: 2 months- 7yrs
FACES: 3+
Oucher: 3-13 (pics)
numeric: 5+
14) hospitalization response infant: be consistent
toddler: seperation anxiety,
regression
preschool: magical thinking
school age: be factual
teen: body image issues and
isolation from peers
15) death and dying preschool: sees death as temporary
school age: fear of unknown
teen: adult-like concept of death
16) death/dying signs of death 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
17) parenting styles -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
18) Piaget 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
19) Erikson 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
20) physical exam of kid -keep medical equipment out of
sight
, -age appropriate lang
allow child to hold equipemtn
role play
kid can sit on parents lap
21) Peds vital signs 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
22) fontanels posterior close 6-8 weeks
anterior close 12-18 months
23) infants weight doubles by 6 months, triples by 1
24) teeth first tooth at 6-10 months, 6-8 teeth
by 1yo
clean with cool washcloth
25) infant reflexes 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
26) major milestones 1 month: head lag present
7 motnhs: object hand to hand
8 months: sits unsupported
9: crude pincer
11: neat pincer, objects into
container
12: 2 block tower (unsuccessfully)
27) Language, attachement, activity for 1 word by 10 months, 3-5 by 1 yo
infants separation anxiety @ 4-8 mo
stranger fear @ 6-8 mo
age appropriate activity: solitary
play, pat-a-cake
28) Meningitis inflammation of the meninges
HIB vaccine
sx: photofobia, 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
29) Reye encephalopothy/fatty liver
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
1) Toddlers vaccines and nutrition shots: IPV, MMR, PCV, Varicella,
Hep A, DTAP, flu
nutrition: low fat milk, 4-6 oz
juice/day. 24 gauge needle for
shots
2) Preschooler skills 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
3) Preschool beliefs magical thinking, animism
(inanimate objects are alive), time in
relation to event ("after you eat
lunch")
4) preschooler shots/food/activity 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
5) 6-12 yo activity/sleep/shots interact with peer group,
cooperative play, sports
sleep: 9 hrs
shots: TDAP, HPV, meningicoccal,
flu
6) children injury preventuon helmets, locks on firearms, water
heaters < 120 degrees, bike safety
7) adolescents growth, sexual stop growing after menarche, boys
, maturation, activity 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
8) adolescent shots, injury MCV4 booster, flu
auto safety, monitor for mental
health, risk for substance abuse
9) med admin use smallest measuring device
available
do not measure with teaspoon
10) optic/otic meds 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
11) meds: SQ, intraderm , IM ID: 26-30 gauge, bevel up, 15
degree angle
SQ: into fat, 90 degree angle
IM: vastus lateralis for infants and
small kids
12) IV meds EMLA 60 min before procedure
play therapy
swaddle infant before and offer
sucrose before, during and after
13) Pain assessment CRIES: under 6 months
FLACC: 2 months- 7yrs
FACES: 3+
Oucher: 3-13 (pics)
numeric: 5+
14) hospitalization response infant: be consistent
toddler: seperation anxiety,
regression
preschool: magical thinking
school age: be factual
teen: body image issues and
isolation from peers
15) death and dying preschool: sees death as temporary
school age: fear of unknown
teen: adult-like concept of death
16) death/dying signs of death 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
17) parenting styles -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
18) Piaget 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
19) Erikson 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
20) physical exam of kid -keep medical equipment out of
sight
, -age appropriate lang
allow child to hold equipemtn
role play
kid can sit on parents lap
21) Peds vital signs 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
22) fontanels posterior close 6-8 weeks
anterior close 12-18 months
23) infants weight doubles by 6 months, triples by 1
24) teeth first tooth at 6-10 months, 6-8 teeth
by 1yo
clean with cool washcloth
25) infant reflexes 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
26) major milestones 1 month: head lag present
7 motnhs: object hand to hand
8 months: sits unsupported
9: crude pincer
11: neat pincer, objects into
container
12: 2 block tower (unsuccessfully)
27) Language, attachement, activity for 1 word by 10 months, 3-5 by 1 yo
infants separation anxiety @ 4-8 mo
stranger fear @ 6-8 mo
age appropriate activity: solitary
play, pat-a-cake
28) Meningitis inflammation of the meninges
HIB vaccine
sx: photofobia, 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
29) Reye encephalopothy/fatty liver
