ATI Nursing Care of Children Proctored Exam (15 Latest Versions, 2021) / Nursing Care of Children ATI Proctored Exam |Complete Document for A.T.I Exam|

ATI Nursing Care of Children Proctored Exam (15 Latest Versions, 2021) / Nursing Care of Children ATI Proctored Exam |Complete Document for A.T.I Exam|

ATI Nursing Care of Children Proctored Exam (15 Latest Versions, 2021) / Nursing Care of Children ATI Proctored Exam / ATI Proctored Nursing Care of Childr en Exam |Complete Document for A.T.I Exam|

What is a dictorial or authoritarian parenting style?

parents try to control the child's behaviors and attitudes through unquestioned rules and expectations

What is an authoriatitive parenting style?

also known as democratic, parents direct the child's behavior by setting rules and explaining the reson for each rule setting

What is passive parenting?

parents are uninvolved, indifferent, and emotionally removed

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

What is the expected pulse rate of a newborn?

80 to 180/min

What is the expected pulse of a baby 1 week to 3 months?

12 to 180/min

What is the expected pulse of a child 3 months to 2 years?

70 to 150/min

What is the expected pulse of a child 2 to 10 years?

60 to 110/min

What is the expected pulse of a child 10 years and older?

50 to 90/min

What are the expected respirations fo a newborn to one year?

30 to 35/min

What are the expected respirations of a 1 to 2 year old?

25 to 30/min

What are the expected respirations of a 2 to 6 year old?

21 to 25/min

What are the expected respirations of a child 6 to 12 years old?

19 to 21/min

What are the expected respirations of a 12 year old and older?

16 to 19/min

What are the normal vitals of an infant?

HR: 80-180

RR: 30-35

BP: 65-80/40-50

Fontanels

should be flat and soft, posterior closes between 6 and 8 weeks, anterior closes between 12 and 18 months

Teeth

6 to 8 teeth by 1 year of age, 20 baby teeth and 32 permanent teeth

How long is the Moro reflex present?

until 4 months of age

How long is the Tonic neck reflex present?

until 3 to 4 months of age

How long does the Babinski reflex last?

usually until a year

Expected findings of the olfactory (I) nerve in infants , children, and adolescents

Infants: difficult to test

Children and Adolescents: indentifies smell through each nostril individually

Expected findings of optic nerve (II)?

Infants: looks at face and tracks with eyes

Children and adolescents: has intact visual acuity, peripheral vision, and color vision

Expected findings for trigeminal nerve?

infants: has rooting and sucking relfex

children and adolescents: is able to clencg teeth together and can detect touch on face with eyes closed

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

What happens to a baby's birth weight?

it should double by 6 months and triple by 1 year

How do infants grow?

1 inch per month (2.5cm) for 6 months, then by 12 months, height/length should be doubled

When do the first teeth arupt?

between 6 and 10 months

Gross and fine motor by 3 months

only have slight head lag

Gross and fine motor by 4 months

should be able to roll from back to side

Gross and fine motor by 5 months

should be able to roll from front to back

Gross and fine motor by 6 months

should be able to roll from back to fron and hold a bottle

Gross and fine motor by 7 months

move object from hand to hand

Gross and fine motor by 8 months

sit unsupported

Gross and fine motor by 9 months

crude pincer grasp

Gross and fine motor by 10 months

prone to sitting positiion and grasp a ratty by the handle

Gross and fine motor by 11 months

puts objects into a container and have a neater pincer grasp

Gross and fine motor by 12 months

tries to build a 2 block tower and won't succeed

What Piaget congitive development stafe are infants in?

Sensorimotor stage, birth to 24 months, separation, object permanence around 9 months, mental representation

How many words should the infant know?

3-5 words and has concept of numbers by 1 year

What is the Erikson's stage of development for infants?

Trust vs. Mistrust, birth to 1 year, caretake meeteing the needs of the infant

When does separation anxiety begin to occur?

between 4 and 8 months

When is there stranger fear in infants?

6 to 8 months

What toys should be used for an infant?

rattles, blocks, brightly colored toys, mirrors, patty cake

Infant Immunizations

Birth: hep B

2 months: hep B, IPV, RV, PCV, dtap, HIB

4 months: all of the 2m, hep B

6 month: all the previous

Flu shots: 6m to 1 year

Infant Nutrition

breast milk first 6 months, solids 4 to 6 months and first solid is usually iron fortified rice ceral, no juice or water is needed for first year, foods introduced one at a time over 4-7 day period to monitor for allergies

What are infant safety concers?

choking/aspiration (grapes, coins, candy)

burns (sunscnreen, handles turned away from stove, electrical outlets are covered), drowning, rear facing care seat until 2 years, crib slats are no more than 6cm, no pillows, and sleep on back

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

Weight gain of todder

4x their birth weight by 30 months

Height gain of toddler

3 inches per year (7.5cm)

Head and chest growth of toddler

head and chest circumference are abotu equal, compared to when they are born, and their head is wider than their chest

gross and fine motor skills of a 15-month toddler

expect walking without help, should be able to build a 2 block tower

gross and fine motor skills of 18-month toddler

can throw a ball over head

gross and fine motor skills of 2 year old toddler

can walk up and down stairs by placing feet on each step and build a 6-7 block tower

gross and fine motor skills of 2.5 year old toddler

can jump with both feet and draw circles

Language of a toddler

1 year = 1 word senteces/hollow phrases

2 year = 2-3 word senteces

Erikson's stage of Toddlers

autonomy vs shame and doubt, independence, begin to express selves by saying no a lot, thrive on rituals, maintian routines

Toddler appropirate activities

blocks, push pull, thick crayons, puzzle

Bathroom needs of toddlers

toilet training begins when they have recognized the sensation that they need to go potty

Immunizations of a toddler

12-15 month: IPV, PCV, MMR, varicells, HIB

12-23 months: Hep A 2 doses 6 months apart

15-18months: dtap and annual flu

Nutrition of a toddler

breast milk or formula through 1 year, 1-2 year whole milk, after 2 can transition to low fat, limit juice consumption to 4-6oz per day, prevent choking, nuts, grapes, hot dogs, peanut butter, raw carrots, tough meat, popcorn

What are safety hazards of toddlers?

burns, drowning, falls, aspiration, prevention

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 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

Growth of preeschoolers

4.5-6.5 pounds per year

2.3-3.5 inches per year or 6-9cm

Gross motor skills of 3 year old preeschooler

can ride tricycle and jump off bottom step on stairs

Gross motor skills of 4 year old preschooler

can skip and hop on one foot and throw the ball over head

Gross motor skills of 5 year old preschooler

can jump rope

Cognitive development of the preschooler?

Piaget, preoperational phase 4-7 years, moving from preconceptual phase to the phase of intuitive thought, magical thinking, animisim, centration, time

Erikson, initiative vs guilt

Regression

in preschoolers, another baby in the family can cause the preschooler to regress to bed wetting or thumb sucking, to be expected

What are appropirate activities for a preschooler?

playing ball, puzzles, tricyles, dress up, role playing

Immunizations of preschooler

4-6 years, dtap, mmr, IPV and annual flu

What does the sleep schedule of a preschooler look like?

12 hours of sleep, bedtime routine

Teeth of preschooler

eruption of primary teeth is finalized by the beginning of the preshool years

What may be a safety initiative for preschooler?

protective gear with tricycles

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 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

Growth of school age children

4-6 pound weight gain per year and grown 2 inches (5cm) per year, permanent teeth start to come in

Piaget cognitive development of school age children

concrete operations, perceptual to conceptual thinking, learsn to tell time, see other perspectives, solve problems

Erikson's stage of school age children

industry vs inferiority, trying to make meaning contributions to society and cooperative and compete with others, peer groups important, competitive and cooperative play

What types of activites are appropriate for school age children?

board games, hop scotch, bikes, jump rope, organized sports

Immunizations of school age children

11-12 years: DTaP, HPV vaccine (series of 3 shots)

How much sleep is recommended for a 12 year old?

9 hours of sleep

What is a safety measure for school age children?

helmets

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

Growth in adolescents

girls stop growing 2-2.5 years after their period starts, boys stop growing abotu 18-20

Sexual maturation is adolescent girls

breast development, pubic hair growth, underarm hair, period

Sexual maturation in adolescent boys

testicular enlargement, pubic hair, penil enlargement, underarm hair growth, facial hair, vocal changes

Piaget cognitive stage of development for adolescents

formal operations

Erikson's stage of development for adolescents

identity vs role confusion

What are appropriate activites for adolescents

video games, music, sports, pets, reading

Immunizations for adolescents

flu, 16-18 years, meningitis before college

Injury prevention for adolescents

helmet use, seat belts, driving, susbtance abuse

Safe medication administration for children

oral is preferred, smallest measuring device possible, dont mix oral meds in formula, put in side of mouth, hold cheeks, and stroke chin to swallow

Administration of ear drops

pinna down and back

IM injections

preffered route is vastus lateralis, then the ventral gluteal or in the deltoid, 22-25 guage with half inch to 1 inch needle

IV safe administration

procedure room, away from bed, EMLA cream to numb area is recommneded, avoid terms like bee stink or stick, keep stuff out of sit, parents can stay, swaddle the infant, non-nutritive sucking is offered before, during, and after to infants

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

A nurse is preparing to administer an IM injection to a child. Which of the following muscle gorups is contraindicated?

A. Deltoid

B. ventrogluteal

C. vastus lateralus

D. dorsogluteal

D

A nurse is teaching a parent of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? (select all that apply)

A. use a universal dropper for medication administration

B. as the pharamacy to add flavoringto the medication

C. add the medication to a formula bottle before feeding

D. use the nipple of a bottle to administer the medication

E. hold the infant in a semireclining position

B, D, E

A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (select all that apply)

A. identiy the toddler by asking the parent

B. tell the parent to administer the medication

C. calculate the safe dosage

D. ask the toddler what toy he wants to hold during administration

E. offer juice after the medication

C, D, E

A nurse is caring for an infant who needs otic medicatioin. Which of the following is an appropirate action for the nurse to take?

A. Hold the infant in an upright position

B. pull the pinna downward and straight back

C. hyperextend the infants neck

D. ensyure that the medication is cool

B

Pediatric pain management

self report is only used for children 4 and older, FLACC scale is 2m to 7 years, pain rate ona scale of 0-10 assessing behaviors of the child

FACES: 3 years and odler

Oucher scale: 3-13

Numeric scale: 5 and older

use play therapy to epxlain procedures

ive medications to kids routinely versus prn

combining opioid and non-opioid medications

EMLA cream, apply 1 hour prior to small stick or 2.5 hours before a big stick, occlusive dressing over it

A nurse is competing a pian assessment of an infant. Which of the following pian scales should the nurse use?

A. FACES

B. FLACC

C. Oucher

D. Non-communicating childrens pain checklist

B

A nurse is planning care for achild following a surgical procedure. Which of the following interventions dhoul the nurse incldue in the plan of care?

A. administer NSAIDS for a pain grater than 7 on a scale fo 0 to 10

B. administer intranasal analgesics PRN

C. Administer IM analgesics for pain

D. administer IV analgesics on a schedule

D

A nurse is assessing an infant. Which of the following are manifestations of pain in an infant? (select all that apply)

A. Pursed lips

B. loud cry

C. lowered eybrows

D. Rigid body

E. pushes away stimulus

B,C,D

A nurse is planning care for an infant who is experincing pain. Which of the following interventions should the nurse include in the plan of care? (select all that apply)

A. offer a pacifier

B. use of guided imagery

C. use swaddling

D. initiate a behavioral contract

E. encourage kangaroo care

A,C,E

A nurse is preparing a toddler for an IV catheter insertion using atraumatic care. Which of the following actions shoudl the nurse take? (select all that apply)

A. explain the procedure using the child's favorite toy

B. ask the paretns to leave during the procedure

C. perform the procedure with the child in his bed

D. allow the child to make on choice regarding the procedure

E. apply lidocaine and prilocaine cream to three potential insetion sites

A, D, E

Hospitalization, illness, and play for the infant

stranger anxiety 6 to 18 months

Hospitalization, illness, and play for the toddler

behavior may regress, separtion anxiety, intense reaction to procedure, parallel play

Hospitalization, illness, and play for the preschooler

magical thinking, they may think they caused an illness to happen, still experience separtion anxiety, explain the procedure in very simple clear language, give them a choise if possible (cup or spoon), associate play, paly together without much coordination

Hospitalization, illness, and play for the school age child

describe pain and increased ability to understand cause and affect, give factual info, tell the truth, encouage contact with peer groups, and express feelings, cooperative play, play in groups, more organized

Hospitalization, illness, and play in the adolescent

body image disturbance, feels isolated from peers, give factural info, tell the truth, encoruage contact with peer group, and express feelings, friends can come visit

A nurse is caring for a preschooler. Which of the following is the expected behavior of a preschool-age child?

A. Describing manifestations of illness

B. relating fears to magical thinking

C. understanding cause of illness

D. awareness of body functioning

B

A nurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect of hospitalization? (select all that apply)

A. believes the experience is a punishment

B. experiences separtion anxiety

C. displays intense emotions

D. axhibits regressive behaviors

E. Manifests disturbance in body image

B, C, D

A nurse is teaching a parent about parallel play in children. Which of the following should the nurse include in the teaching?

A. children sit and observe others playing

B. Children exhibit organized play when in a group

C. the child plays alone

D. The child plays independently when in a group

D

A nurse is teaching a group of parents about separation anxiety. Which of the following information shoudl the nurse include in the teaching?

A. it is often observed int the school age child

B. detachment is the stage exhibited in the hospital

C. it results in prolonged issues of adaptibility

D. kicking a stranger is an example

D

anticipatory grief

when death is expected or a possible outcome

complicated grief

extends for more than 1 year following the loss

parenteral grief

intense, long lasting, and complex

sibling grief

differs from adult/parenteral; depend on age and developmental stage

Infant/toddler view of death/dying

no concpet of death

Preschoolers(3-6) view of death/dying

magical thinking, may feel guilt or shame, views dying as temporary

School age (6 to 12) view of death/dying

adult concept of death, express fear through uncooperative behavior

Adolescent (12-20) view of death and dying

adult concept of death, resul of peers vs parents, stressed out by changes in physical appearance

Physical manifestations of death

senstaion of heat when body feels cool, decreased sentation, loss of sesnes, decrease LOC, swallowing issues, bradycardia, hypotension, Cheyne stokes respirations

Nursing responsibilty after death

allow family to stay with body, rock infant/todderl, assist in post-mortem care

A nurse is caring for child who is dying. Which of the following are findings of impending death? ( select all that apply)

A. heightened sense of hearing

B. tachycardia

C. difficulty swallowing

D. sensation of being cold

E. cheyne-stokes respirations

C, E

A nurse is teaching a parent about complicated grief. Which of the following statements should the nurse make?

A. it is considred complicated gried if you are still grieving after 6 months

B. personal acitciites are affected wehn expericining complicated grief

C. parents will expeirce complicated grief together

D. complicated grief self-resolved in 12 months

B

A nurse is teaching a parent of a preeschol child about factors that affect the child's perception of death. Which of teh following factors should the nurse include in the teaching?

A. Preschool children have no concept of death

B. Preschool children percieve death as temporary

C. preschool children often regress to an earlier stage of behavior

D. preschool children experience fear related to the disease process

B

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