Peds Exam 1 ATI practice Ch. 1 -8

A nrse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nrses. Which of the following should the nrse include when discussing the developmental theory? A) Describes that stress in 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 A nrse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. The nrse hears one parent state, "My son knows he better do what I say." Which of the following parenting styles is the parent exhibiting? A) Authoritarian B) Permissive C) Authoritative D) Passive correct answer A) Authoritarian A nrse is performing family assessment. Which of the following should the nrse include (select all): A) Medical history B) Parent's education level C) Child's physical growth D) Support systems E) Stressors correct answer A) Medical history B) Parent's education level D) Support systems E) Stressors A nrse is preparing to assess a preschool-age child. Which of the following is an appropriate action by the nrse 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 parent during the examination. D) Keep medical equipment visible to the child. correct answer A) Allow the child to role- play using miniature equipment. A nrse is checking the vital signs of a 3 year old child during a well child visit. Which of the following findings should the nrse report to the provider? A) Temp 37.2 (99.0) B) Heart rate 106/min C) Respiration 30/min D) Blood Pressure 88/54 mmHg correct answer C) Respiration 30/min Normal 3yr old values: Temp - 37.2 or 99.0 HR- 60 to 110 RR- 21 to 25 BP- (86 to 120) / (44-76) A nrse 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) Bony landmarks are not visible. D) Cerumen is present bilaterally. correct answer D) Cerumen is present bilaterally The light reflex should be around the 5 to 7 o'clock position, bony landmarks should be visible, and tympanic membrane should be pearly pink or gray. A nrse 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 -- birth to 8mths Moro is birth to 4mths Stepping is birth to 4wks Tonic neck is birth to 3/4mths A nrse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nrse checks the cranial nerve (select all)? A) Clenching teeth together tightly B) Recognizing sour tastes on the back of the tongue C) Identifying smells through each nostril D) Detecting facial touches with eyes closed E) Looking down and in with the eyes correct answer A) Clenching teeth together tightly D) Detecting facial touches with eyes closed Sour taste: glossopharyngeal Scent: olfactory Down & In: trochlear A nrse is assessing a 12 month old infant during a well child visit. Which of the following findings should the nrse 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 -- should have tripled A nrse is performing a developmental screening on a 10 month old infant. Which of the following fine motor skills should the nrse expect the infant to perform (select all)? A) Grasp a rattle by the handle B) Try building a 2 - block tower C) Use a crude pincer grasp D) Place objects into a container E) Walks with one hand held correct answer A) Grasp a rattle by the handle C) Use a crude pincer grasp Blocks and walking 12mth container 11mths A nrse is conducting a well baby visit with a 4mth old infant. Which of the following immunizations should the nrse plan to administer to the infant (select all)? A) Measles, mumps & rubella (MMR) B) Polio (IPV) C) Pneumococcal vaccine (PCV) D) Varicella E) Rotavirus vaccine (RV) correct answer B) Polio (IPV) C) Pneumococcal vaccine (PCV) E) Rotavirus vaccine (RV) MMR @ 12 to 15 months Varicella @ 12mths A nrse is providing education about introducing new foods to the parents of a 4mth old infant. The nrse should recommend that the parents introduce which of the following foods first? A) Strained yellow vegetables