ATI Nursing Care Of Children
Assessment Set Questions And
Answers
/. Denver developmental screening test (denver ii) - Answer-✅A standardized tool that
assesses a child's language, cognition, and fine gross motor development.
It screens for developmental problems.
Up to age 6
/.Nursing actions during assessment of a child - Answer-✅-keep the room well lit
-keep medical equipment out of sight.
-determine whether adolescents want a caregiver to stay during an exam.
-take time to play and build rapport.
-observe if child is ready to cooperate
-demonstrate what will happen with visual aids.
-let children handle equipment
-examine them in a secure, comfortable position.
-if uncooperative, assess reasons, be firm and direct about expected behavior.
-use a calm voice.
-encourage the child and family to ask questions during exams.
-discuss findings after.
/.Vitals for an infant up to 3 months - Answer-✅temperature: 37.5 (ax or rectal)
pulse: 107-180
respirations: 30-35/min
/.Vitals for a toddler 1-2 years - Answer-✅temperature: 37.5-37.7
pulse: 70-150
respirations: 25-30
/.vitals for a child 2-6 years - Answer-✅temperature: 36.8-37.2
pulse: 60-110
respirations: 21-25Re
/.vitals for a child 6-12 years - Answer-✅temperature: 36.6-37.0
pulse: 60-110 (6-10 y.o.)
and 50-90 (10 y.o. and older)
respirations: 19-21 (16-19 if 12 and older)
/.What factors affect blood pressure? - Answer-✅age
, sex
height
measured on at least 3 separate occasions.
/.What is prehypertension - Answer-✅120/80 or greater
/.what is hypertension - Answer-✅120/80 or greater and is in the 95th percentile or
greater
/.How is growth evaluated? - Answer-✅by weight, length/ height, body mass index, and
head circumference.
/.How to inspect the ear of a toddler - Answer-✅pull the pinna down and back to
visualize the tympanic membrane.
/.How to inspect the ear of a child older than 3 - Answer-✅pull the pinna up and back to
visualize the tympanic membrane.
/.How to assess if a newborn can hear? - Answer-✅by blinking to sudden sounds
/.How to assess if an infant can hear? - Answer-✅the infant should turn toward a sound.
/.How to assess a child's hearing - Answer-✅by whispering a word from behind to see
whether they can identify a word.
/.how to assess heart sounds - Answer-✅-position in a sitting and reclining position
-s1 and s2 are clear and crisp
s1 is louder at apex, and s2 is louder at base of heart.
-Physiologic splitting of s2 and s3 are expected findings in some children.
-sinus arrhythmia that are associated with respirations are common
/.Expected blood pressures males - Answer-✅1 yo male: 80-114/ 34-66
3 yo male: 86-120 /44-75
6 y.o. male: 91--84
10 yo male: 97--90
16 y.o. male: 111--94
/.Expected blood pressure females - Answer-✅1 y.o. female: 83-114/38-67
3 y.o. female: 86-117/47-76
6 y.o. female: 91-122/54-83
10 y.o. female: 98-129/59-88
16 y.o. female: 108-138/64-93
/.What should the general appearance? - Answer-✅-Appears undistressed, clean, well-
kept, and no body odor
Assessment Set Questions And
Answers
/. Denver developmental screening test (denver ii) - Answer-✅A standardized tool that
assesses a child's language, cognition, and fine gross motor development.
It screens for developmental problems.
Up to age 6
/.Nursing actions during assessment of a child - Answer-✅-keep the room well lit
-keep medical equipment out of sight.
-determine whether adolescents want a caregiver to stay during an exam.
-take time to play and build rapport.
-observe if child is ready to cooperate
-demonstrate what will happen with visual aids.
-let children handle equipment
-examine them in a secure, comfortable position.
-if uncooperative, assess reasons, be firm and direct about expected behavior.
-use a calm voice.
-encourage the child and family to ask questions during exams.
-discuss findings after.
/.Vitals for an infant up to 3 months - Answer-✅temperature: 37.5 (ax or rectal)
pulse: 107-180
respirations: 30-35/min
/.Vitals for a toddler 1-2 years - Answer-✅temperature: 37.5-37.7
pulse: 70-150
respirations: 25-30
/.vitals for a child 2-6 years - Answer-✅temperature: 36.8-37.2
pulse: 60-110
respirations: 21-25Re
/.vitals for a child 6-12 years - Answer-✅temperature: 36.6-37.0
pulse: 60-110 (6-10 y.o.)
and 50-90 (10 y.o. and older)
respirations: 19-21 (16-19 if 12 and older)
/.What factors affect blood pressure? - Answer-✅age
, sex
height
measured on at least 3 separate occasions.
/.What is prehypertension - Answer-✅120/80 or greater
/.what is hypertension - Answer-✅120/80 or greater and is in the 95th percentile or
greater
/.How is growth evaluated? - Answer-✅by weight, length/ height, body mass index, and
head circumference.
/.How to inspect the ear of a toddler - Answer-✅pull the pinna down and back to
visualize the tympanic membrane.
/.How to inspect the ear of a child older than 3 - Answer-✅pull the pinna up and back to
visualize the tympanic membrane.
/.How to assess if a newborn can hear? - Answer-✅by blinking to sudden sounds
/.How to assess if an infant can hear? - Answer-✅the infant should turn toward a sound.
/.How to assess a child's hearing - Answer-✅by whispering a word from behind to see
whether they can identify a word.
/.how to assess heart sounds - Answer-✅-position in a sitting and reclining position
-s1 and s2 are clear and crisp
s1 is louder at apex, and s2 is louder at base of heart.
-Physiologic splitting of s2 and s3 are expected findings in some children.
-sinus arrhythmia that are associated with respirations are common
/.Expected blood pressures males - Answer-✅1 yo male: 80-114/ 34-66
3 yo male: 86-120 /44-75
6 y.o. male: 91--84
10 yo male: 97--90
16 y.o. male: 111--94
/.Expected blood pressure females - Answer-✅1 y.o. female: 83-114/38-67
3 y.o. female: 86-117/47-76
6 y.o. female: 91-122/54-83
10 y.o. female: 98-129/59-88
16 y.o. female: 108-138/64-93
/.What should the general appearance? - Answer-✅-Appears undistressed, clean, well-
kept, and no body odor
