ATI Real Life 3.0 – RN Nursing Care of Children: Well-Child
Assessment & Health Promotion (Immunizations,
Developmental Milestones, Pediatric Dosage Calculations)
Latest Updated 2026
Nurse Denise discusses Kellen's immunization status, and Ms. Ralston appears upset. Which of
the following responses by Denise is appropriate?
"You appear upset. Can we discuss your thoughts regarding immunizations?"
Rationale
This response acknowledges the client is upset and seeks clarification of her perceptions of
immunizations.
Scenario
Nurse Denise is taking Kellen's vital signs.
Question
Nurse Denise auscultates Kellen's heart. Which of the following heart rates is within the
expected range for Kellen?
Selected Option
89/min
Rationale
A heart rate of 89/min is within the expected reference range for a 24-month-old child.
Scenario
Nurse Denise discusses Kellen's developmental milestones and gross motor skills.
Question
Nurse Denise is preparing to assess Kellen's gross motor development. Which of the following
gross motor skills should Kellen accomplish? (Select all that apply.)
Selected Option
Use a wide stance when running Walk up and down stairs with two feet on each step Kick a ball
forward
Rationale
, At age 2, toddlers should kick a ball forward without overbalancing, go up and down stairs alone
with two feet on each step, and run reasonably well with a wide stance. At age 2, toddlers are
not coordinated enough to balance on one foot or jump off the bottom step. These gross motor
skills occur between the ages of 3 and 4.
Scenario
Nurse Denise completes an assessment of Kellen's gross motor skills and is preparing to assess
Kellen's fine motor skills.
Question
Nurse Denise is preparing to assess Kellen's fine motor development. Which of the following
fine motor skills should Denise include in the assessment plan? (Select all that apply.)
Selected Option
Turn each page of a book Unscrew lids on a container Stack six or seven blocks
Rationale
At age 2, toddlers can stack six or seven blocks, unscrew lids on a container, and turn each page
of a book. At age 2, toddlers are not coordinated enough to draw a circle with eyes and nose or
to thread shoelaces through shoe eyelets. These fine motor skills occur in children who are
preschool age, 3 or 4.
Scenario
The nurse assesses Kellen's language development.
Question
Nurse Denise assesses Kellen's language development. Which of the following audio clips
represents typical language development for a 24-month-old child? (Click to play the audio file.)
Selected option
Audio file where the child says, "I love you"
Rationale
By 24 months of age, a child should be speaking two- to three-word phrases.
Scenario
Nurse Denise educates Ms. Ralston prior to administering the measles, mumps, rubella (MMR)
and varicella vaccines.
Question
Nurse Denise is teaching Ms. Ralston about immunizations. Which of the following information
should Denise include about measles, mumps, rubella (MMR) and varicella vaccines? (Select all
that apply.)
Assessment & Health Promotion (Immunizations,
Developmental Milestones, Pediatric Dosage Calculations)
Latest Updated 2026
Nurse Denise discusses Kellen's immunization status, and Ms. Ralston appears upset. Which of
the following responses by Denise is appropriate?
"You appear upset. Can we discuss your thoughts regarding immunizations?"
Rationale
This response acknowledges the client is upset and seeks clarification of her perceptions of
immunizations.
Scenario
Nurse Denise is taking Kellen's vital signs.
Question
Nurse Denise auscultates Kellen's heart. Which of the following heart rates is within the
expected range for Kellen?
Selected Option
89/min
Rationale
A heart rate of 89/min is within the expected reference range for a 24-month-old child.
Scenario
Nurse Denise discusses Kellen's developmental milestones and gross motor skills.
Question
Nurse Denise is preparing to assess Kellen's gross motor development. Which of the following
gross motor skills should Kellen accomplish? (Select all that apply.)
Selected Option
Use a wide stance when running Walk up and down stairs with two feet on each step Kick a ball
forward
Rationale
, At age 2, toddlers should kick a ball forward without overbalancing, go up and down stairs alone
with two feet on each step, and run reasonably well with a wide stance. At age 2, toddlers are
not coordinated enough to balance on one foot or jump off the bottom step. These gross motor
skills occur between the ages of 3 and 4.
Scenario
Nurse Denise completes an assessment of Kellen's gross motor skills and is preparing to assess
Kellen's fine motor skills.
Question
Nurse Denise is preparing to assess Kellen's fine motor development. Which of the following
fine motor skills should Denise include in the assessment plan? (Select all that apply.)
Selected Option
Turn each page of a book Unscrew lids on a container Stack six or seven blocks
Rationale
At age 2, toddlers can stack six or seven blocks, unscrew lids on a container, and turn each page
of a book. At age 2, toddlers are not coordinated enough to draw a circle with eyes and nose or
to thread shoelaces through shoe eyelets. These fine motor skills occur in children who are
preschool age, 3 or 4.
Scenario
The nurse assesses Kellen's language development.
Question
Nurse Denise assesses Kellen's language development. Which of the following audio clips
represents typical language development for a 24-month-old child? (Click to play the audio file.)
Selected option
Audio file where the child says, "I love you"
Rationale
By 24 months of age, a child should be speaking two- to three-word phrases.
Scenario
Nurse Denise educates Ms. Ralston prior to administering the measles, mumps, rubella (MMR)
and varicella vaccines.
Question
Nurse Denise is teaching Ms. Ralston about immunizations. Which of the following information
should Denise include about measles, mumps, rubella (MMR) and varicella vaccines? (Select all
that apply.)
