2025 ATI Nursing Care of Children Proctored Exam REAL EXAM QUESTIONS & VERIFIED ANSWERS - PASS FIRST ATTEMPT GUARANTEED UPDATED QUESTIONS AND 100% ACCURATE ANSWERS | HIGH-LEVEL EXIT EXAM Comprehensive Review: Top Strategies, Expert Tips, and 150

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 Correct Answer: D. Defines consistencies in how families change Rationale: Developmental theory focuses on identifying consistent patterns in how families evolve and adapt over time. It helps understand how families grow and change with life stages, rather than solely focusing on stress or individual family member changes. Question A nurse is assisting a group of parents of adolescents to develop skills that will improve communication. The nurse hears one parent state, "My son knows he better do what I say." Which of the parenting styles is he exhibiting? A. Authoritarian B. Permissive C. Authoritative D. Passive Correct Answer: A. Authoritarian Rationale: Authoritarian parenting is characterized by strict rules and high expectations with little flexibility or negotiation, as shown in the statement, "he better do what I say." Question A nurse is performing a 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 Correct Answer: A, B, D, E Rationale: Family assessments should consider medical history, parents' education level, support systems, and stressors, as these factors influence the overall well-being and development of the family unit. Physical growth of the child is important but is a metric of individual pediatric physical assessment rather than the primary focus of a family systems assessment. Question A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate 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 the child from her parents during the examination D. Keep medical equipment visible to the child Correct Answer: A. Allow the child to role-play using miniature equipment Rationale: Role-playing with miniature equipment can help preschool-age children feel more comfortable and familiar with the medical process, which reduces fear and anxiety by normalizing the clinical environment. Question 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 37.2°C (99.0°F) B. Heart rate of 106/min C. Respirations 30/min D. Blood pressure 88/54 mmHg Correct Answer: C. Respirations 30/min Rationale: While a respiratory rate of 30 breaths per minute sits at the absolute upper limit of normal for a 3-year-old child (normal range is 20–30 breaths per minute), it warrants close tracking and reporting to the provider if it signals potential respiratory distress when combined with other subtle clinical findings. Question 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 Correct Answer: D. Cerumen is present bilaterally Rationale: Cerumen (earwax) is a normal physiological finding and is typically present in both ears. Other choices suggest abnormal findings, such as a displaced light reflex, erythema (redness) of the tympanic membrane, or obscured bony landmarks. Question A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic neck Correct Answer: B. Plantar grasp Rationale: The plantar grasp reflex, where the infant curls the toes downward when the sole of the foot is touched, is normal and expected at 6 months of age. It typically persists until around 8 months of age. Primitive reflexes like the Moro, stepping, and tonic neck should disappear within the first 4 to 5 months of life. Question 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. Clenching the teeth together tightly B. Recognizing a sour taste C. Identifying smells through each nostril D. Detecting facial touches when eyes closed E. Looking down and in with the eyes Correct Answer: A, D Rationale: The trigeminal nerve (Cranial Nerve V) has both motor and sensory fibers. It controls the muscles of mastication (tested by clenching the teeth tightly) and facial sensation (tested by light touch detection with the eyes closed). Taste is associated with Cranial Nerves VII and IX, smell with Cranial Nerve I, and downward/inward eye movement with Cranial Nerve IV. Question A nurse is assessing a 12-month-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% Correct Answer: C. Birth weight doubled Rationale: An infant's birth weight is expected to double by 5 to 6 months of age and triple by 12 months of age. If the weight has only doubled at 12 months, this is an unexpected finding that may indicate a growth delay or failure to thrive, requiring reporting to the provider. Question A nurse is performing a developmental screening on 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 rattle by the handle B. Try building a two-block tower C. Use a crude pincer grasp D. Place objects into a container E. Walks with one hand held Correct Answer: A, C Rationale: At 10 months, infants typically exhibit a crude pincer grasp (using the pads of the thumb and index finger) and can comfortably grasp a rattle by its handle. Building a two-block tower and placing objects into a container are milestones associated with older infants and toddlers (around 12 months), while walking with one hand held is a gross motor skill, not a fine motor skill. Question A nurse is conducting a well-baby visit with a 4-month-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 Correct Answer: B, C, E Rationale: According to standard pediatric immunization schedules, a 4-month-old infant should receive their second doses of the Inactivated Poliovirus Vaccine (IPV), Pneumococcal Conjugate Vaccine (PCV), and Rotavirus Vaccine (RV). The Measles, Mumps, and Rubella (MMR) and Varicella vaccines are live vaccines typically deferred until at least 12 months of age. Question A nurse is providing education about introducing new foods to the parents of a 4-month-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 Correct Answer: B. Iron-fortified cereals Rationale: Iron-fortified single-grain infant cereals (such as rice or oatmeal) are recommended as the initial transitional food because they provide essential iron supplementation as prenatal iron stores deplete. Whole cow's milk must be strictly avoided until after 12 months of age because it can strain immature kidneys and cause gastrointestinal blood loss. Question 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 with 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" Correct Answer: B. "I should clean my baby's teeth with a cool, wet washcloth" Rationale: Wiping emerging teeth and gums with a cool, wet washcloth removes plaque safely and provides comforting counter-pressure to inflamed gums. Teething rings should be cool, not warm, to reduce inflammation. Putting a baby to sleep with a bottle containing juice or milk promotes prolonged carbohydrate exposure, which causes early childhood caries (cavities).