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Ati pediatric exam 1
Ati pediatric exam 1
Total Questions : 37
Showing 10 questions Sign up for moreA nurse is providing care to a 2-year-old toddler who has a cognitive impairment and was admitted for respiratory syncytial virus (RSV). The nurse is providing frequent interventions to maintain the toddler's respiratory status and notes the parents seem increasingly distressed. Which of the following intervention(s) should the nurse implement? (Select All that Apply.)
Explanation
A. Providing frequent updates helps reduce uncertainty and reassures the parents that their child is receiving appropriate care.
B. Encouraging parental participation fosters a sense of control and involvement, which can reduce parental distress.
C. Increased healthcare rounds provide additional opportunities to address any emerging concerns and reassure the parents.
D. Interprofessional rounds at the bedside include the parents in care decisions and offer direct communication with the care team.
E. Educating parents about nursing interventions can reduce their anxiety and help them understand the care their child is receiving.
F. Providing the nurse's personal cell phone number is not appropriate or professional. The hospital should have established communication protocols.
A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?
Explanation
A. CSF analysis is the primary diagnostic test for meningitis, which presents with fever, headache, stiff neck, and rash.
B. The Glasgow Coma Scale (GCS) assesses consciousness but does not confirm the diagnosis of meningitis.
C. An RBC count is unrelated to diagnosing meningitis.
D. MRI can identify structural brain abnormalities but is not the first-line diagnostic test for meningitis.
A nurse is discussing separation anxiety and attachment with the caregivers of an infant. Which of the following statements should the nurse make?
Explanation
A. Separation anxiety often has physical manifestations such as crying and clinging.
B. Secure attachment forms the basis of emotional and psychological development.
C. Separation anxiety is a normal developmental milestone, not a predictor of future attachment disorders.
D. Separation anxiety and attachment are expected developmental processes.
A nurse is teaching a newly hired nurse about motor skill development of school-age clients who are 6 to 12 years old. Which of the following statements by the newly hired nurse demonstrates effective teaching?
Explanation
A. Counting backward from 20 to 1 is typically expected around age 8, not age 7.
B. Dressing and grooming independently are typically expected by age 5 to 6, not exclusive to school age.
C. Using tools like a screwdriver is more characteristic of older school-age children, not typical at age 6.
D. By age 6, children develop balance and coordination, allowing them to perform activities like jumping rope.
A nurse is teaching a newly licensed nurse about performing head and neck assessments of children. Which of the following statements made by the newly licensed nurse demonstrates an understanding of the teaching?
Explanation
A. Infants typically achieve head control around 4 months of age, not 3 months.
B. The posterior fontanelle usually closes by 2 to 3 months of age, not 1 month.
C. Lymph nodes in infants are usually small and non-tender, and enlarged nodes may indicate infection.
D. The anterior fontanelle generally closes between 12 and 24 months of age.
A nurse is discussing separation anxiety and attachment with the caregivers of an infant. Which of the following statements should the nurse make?
Explanation
A. Separation anxiety often has physical manifestations such as crying, clinging, and distress.
B. Attachment to caregivers is crucial for the infant's emotional and psychological development, providing a secure base for exploring the world.
C. Separation anxiety is a normal developmental stage and does not predict attachment disorders.
D. Separation anxiety and attachment are expected developmental processes and not typically considered abnormal.
A nurse assessing a toddler who is 18 months of age. Which of the following developmental milestones should the nurse expect the toddler to demonstrate?
Explanation
A. Asking "who, what, where, and why" questions typically occurs around age 3 to 4 years.
B. Following one-step directions is typically seen earlier, around 12 to 15 months.
C. Recognizing items in a picture book is more characteristic of a 12-month-old child.
D. By 18 months, toddlers often begin to combine two words, such as "want cookie" or "go outside."
A nurse is caring for an infant diagnosed with meningitis. The parent of the infant asks how they can prevent the infection from being spread to their other children who are 2 and 4-years of age. Which of the following responses should the nurse make?
Explanation
A. While handwashing is important, it alone may not prevent the spread of meningitis.
B. Both children, not just the 2-year-old, should avoid contact with the infected infant.
C. Meningitis, especially bacterial forms, can be contagious, and close contact should be minimized to reduce the risk of transmission.
D. Meningitis can be highly transmissible, especially in young children, through respiratory droplets and close contact.
A nurse is assessing the nutritional status of a child using anthropometric evaluations. Which of the following should the nurse include in the assessment? (Select All that Apply.)
Explanation
A. While age is considered in growth charts, it is not an anthropometric measurement.
B. BMI is an important indicator of nutritional status and helps assess underweight, healthy weight, or overweight status.
C. Vital signs are not part of anthropometric measurements.
D. Height is a key anthropometric measure used to assess growth and development.
E. Weight is a fundamental anthropometric measure for assessing nutritional status.
F. Routine laboratory tests are not part of anthropometric measurements but may complement the assessment.
A nurse is assessing a child who is 4 years of age. Which of the following developmental milestone findings should be a concern to the nurse?
Explanation
A. Occasional difficulty with turn-taking is common in 4-year-olds but should be monitored for improvement with social interaction.
B. Sharing an event is appropriate for a 4-year-old and indicates developing communication skills.
C. By age 4, a child should be speaking in complete sentences of at least 4 to 5 words. Speaking only two words in a sentence suggests delayed language development.
D. Engaging in imaginative play is expected and demonstrates cognitive and social development.
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