Pediatric ATI practice Exam 1

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 six teeth c. birth weight doubled d. birth length increased by 50% Correct answer- C 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 that apply) 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. walk with one hand held Correct answer- A C B (@ 12months) D (@ 11 months) E (@ 12 months) A nrse is conducting a well-baby visit with a 4 month old infant. which of the following immunizations should the nrse plan to adminiter to the infant (select all that apply) a. MMR b. polio (IPV) c. pneumococcal vaccine (PCV) d. varicella e. rotavirus (RV) Correct answer- B C E A (1st MMR is given between 12-15 months) D (given at minimum 12 months) A nrse is providing education about introducing new foods to the parents of a 4 month old infant. the nrse should recommend that the parents introduce which of the following foods first a. strained yellow vegetables b. iron fortified cereals c. pureed fruits d. whole milk Correct answer- B A (6 months) C (6 months) D (12 months) A nrse is providing teaching about dental care and teething to the parent of a 9 month old infant. which of the following statements by the parents indicate 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 wash cloth c. I can give Advil for up to 5 days while my baby is teething d. I should place a diluted juice in the bottle my baby drink while falling asleep Correct answer- b A nrse is assessing a 2.5 year old toddler at a well child visit. which of the following findings should the nrse report to the provider a. height increased by 7.5 (3") in the past year b. head circumference exceeds chest circumference c. anterior and posterior fontanels are closed d. current weight equals four times the birth weight Correct answer- B A nrse is performing a developmental screening on an 18 month old. which of the following skills should the toddler be able to perform (select all that apply) a. build a tower with 6 blocks b. throw a ball overhand c. walk up and down the stairs d. draw circles e. use a spoon without rotation Correct answer- B E A (@ 2 years) C (@ 2 years) D (@ 2.5 years) A nrse is providing teaching about age-appropriate activities to the parent of a 2 year old. which of the following statements by the parent indicates an understanding of the teaching? a. I will send my child's favorite stuffed animal when she will be napping away from home b. my child should be able to stand one foot for a second c. the soccer team my child will be playing on starts practicing next week d. I should expect my child to be able to draw circles Correct answer- A A nrse is providing anticipatory guidance to the parents of a toddler. which of the following should the nrse include (select all that apply) a. develop food habits that will prevent dental caries b. meeting caloric needs results in an increased appetite c. expression of bedtime fears is common d. expect behaviors associated with negativism and tribalism e. annual screening for phenylketonuria are important Correct answer- A C D A nrse is providing teaching to the parent of a preschool age child about methods to promote sleep. which of the following statements by the parent indicates an understanding of the teaching a. I will sleep in the bed with my child if she wakes up during the night b. I will let my child stay up an additional 2 hours on weekend nights c. I will let my child watch TV for 30 minutes just before bedtime each night d. I will keep a dim lamp on in my child's room during the night Correct answer- D A nrse is conducting a well child visit with a 5 year old. which of the following immunizations should the nrse plan to administer to the child (select all that apply) a. DTaP b. IPV c. MMR d. PCV e. Hib Correct answer- A B C A nrse is preparing an education program for a group of parents of preschool-age children about promoting optimum nutrition. which of the following information should the nrse include in the teaching? a. saturated fats should equal 20% of total daily caloric intake b. average calorie intake should by 1800 calories per day c. daily intake of fruits and vegetables should total 2 servings d. healthy diets include a total of 8 G protein each day Correct answer- B A nrse is performing a developmental screening on a 3 year old child. which of the following skills should the nrse expect the child to perform a. ride a tricycle b. hop on one foot c. jump rope d. throw a ball overhead Correct answer- A A nrse is caring for a preschool age child who says she needs to leave the hospital because her doll is scared to be at home alone. which of the following characteristics of pre-operational thought is the child experiencing a. egocentrism b. centration c. animism d. magical thinking Correct answer- C A nrse is discussing pre-pubsecence and pre-adolescence with a group of parents of school aged children. which of the following information should the nrse include in the discussion a. initial physiologic changes appear during early childhood b. changes in height and weight occur slowly during this period c. growth differences between boys and girls become evident d. signs of sexual maturation become highly visible in boys Correct answer- C A nrse is conducting a well child visit with a child who is scheduled to receive the recommended immunizations for 11-12 years old. which of the following immunizations should the nrse administer (select all that apply) a. trivalent inactivated influenza (TIV) b. PCV c. Meningococcal (MCV4) D. Tdap e. RV Correct answer- A C D A nrse is providing education about age appropriate activities for the parents of a 6 year old child. which of the following activities should the nrse include in teaching a. jumping rope b. playing card games c. solving jigsaw puzzles d. joining competitive sports Correct answer- A A nrse is teaching a course about safety during the school age years to a group of parents. which of the following information should the nrse include in the course (select all that apply) a. gating stairs at the top and bottom b. wearing helmets when riding bicycles or skateboarding c. riding safely in bed of pickup trucks d. implementing firearm safety e. wearing seat belts Correct answer- B D E A nrse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. which of the following statements by one of the parents indicates an understanding of the teaching a. girls usually stop growing about 2 years after menarche b. girls are expected to gain about 65 pounds during puberty c. girls experience menstruation prior to breast development d. girls typically grow more than 10" during puberty Correct answer- A A nrse is providing anticipatory guidance to the parent of a 13 year old. which of the following screenings should the nrse recommend for the adolescent (select all that apply) a. BMI b. blood lead level c. 24 hr dietary recall d. weight e. scoliosis Correct answer- A D E A nrse is caring for an adolescent whose mother expresses concerns about her child sleeping such long hours. which of the following conditions should the nrse inform the mother as requiring additional sleep during adolescence a. sleep terrors b. rapid growth c. elevated zinc levels d. slowed metabolism Correct answer- B A nrse is teaching a class about puberty in boys. which of the following should the nrse include as the first manifestation of sexual maturation a. pubic hair growth b. vocal changes c. testicular enlargement d. facial hair growth Correct answer- C A nrse is planning to administer the influenza vaccine to a toddler. which of the following actions should the nrse take a. administer SQ in abdomen b. use a 20 gauge needle c. divide the medication into 2 injections d. place the child in the supine position Correct answer- D (to get to the vastus lateralis location) A nrse is teaching a parent of an infant about administration of oral medications. which of the following should the nrse include in the teaching (select all that apply) a. use a universal dropper for medication admin b. ask the pharmacy to add flavoring c. add the med to formula d. use the nipple of a bottle to admin e. hold the infant in a semireclining position Correct answer- B D E A nrse is preparing to administer medication to a toddler. which of the following actions should the nrse take (select all that apply) a. identify the toddler by asking the parent b. tell the parent to administer the med c. calculate safe dosage d. ask the toddler what toy he wants to hold e. offer juice after the medication Correct answer- C D E A nrse is caring for an infant who needs otic medication. which of the following is an appropriate action for the nrse to take a. hold the infant in an upright position b. pull the pinna down and straight back c. hyperextend the infants neck d. ensure that the med is cool Correct answer- B A nrse is reviewing the medical record of a newborn who has necrotizing entercolitis (NEC). which of the following findings is a risk factor for NEC a. macrosomia b. transient tachypnea of the newborn (TTN) c. maternal gestational hypertension d. gestational age 36 weeks Correct answer- D A nrse is assessing a newborn who has congenital hypothyroidism. which of the following findings should the nrse expect (select all that apply) a. hypotonicity b. cool extremities c. short neck d. tachycardia e. hyperreflexia Correct answer- B C A nrse is teaching the parent of a newborn how to treat the newborns plagiocephaly. which of the following statements by the parent indicates an understanding of the teaching a. I should put my baby to sleep on her belly during her afternoon nap b. a should ensure my baby's head is in the same position each time she sleeps c. I should have my baby wear the prescribed helmet 23 hours a day d. I should allow my baby to sleep in her infant swing Correct answer- C A nrse is developing a plan of care for a newborn who has hyperbilirubinemia and is to undergo phototherapy. which of the following actions should the nrse include in the plan of care a. reposition the newborn q4h b. lotion the newborns skin twice daily c. check the newborns temp q8 d. remove the newborns eye mask during feedings Correct answer- D A nrse is providing preconception teaching with a client who has PKU. which of the following information should the nrse include in the teaching a. follow a low phenylalanine diet once pregnancy is confirmed b. the client will undergo testing of phenylalanine levels one to two times per week throughout pregnancy c. increase intake of dietary proteins prior to conception d. the client will require a C section due to the likelihood of having a fetus with macrosomia Correct answer- B A nrse is caring for a child who is experiencing respiratory distress. which of the following findings are early manifestations of respiratory distress (select all that apply) a. bradypnea b. peripheral cyanosis c. tachycarida d. diaphoresis e. restlessness Correct answer- C D E A nrse in the ED is caring for a child whose parent reports that the child has swallowed paint thinner. the child is lethargic, gagging, and cyanotic. which of the following actions should the nrse take a. induce vomiting with syrup of ipecac b. insert NG and administer activated charcoal c. prepare for intubation with a cuffed endotracheal tube d. administer chelation therapy using deferoxamine mesylate Correct answer- C A nrse in the ED is admitting the infant who experienced a life threatening event. which of the following prescriptions by the provider should the nrse anticipate (select all that apply) a. electroencephalogram b electrocardiogram c. urine culture d. arterial blood gas e. blood culture Correct answer- A B C E A nrse is providing teaching to a parent about acetaminophen poisoning. which of the following information should the nrse include in the teaching a. nausea begins 24 hours after injection b. pallor can appear as early as 2 hours after ingestion c. jaundice will appear in 12 hours if the child is toxic d. children can have 4 g / day of acetaminophen Correct answer- B A nrse in a community center is providing an in service to a group of parents on management of airway obstructions in toddlers. which of the following responses by the parents indicates understanding? (select all that apply) a. I will push on my child's abdomen b. I will hyperextend my child's head to open his airway c. I will listen over my child's mouth for sounds of breathing d. I will use my finger to check my child's mouth for objets e. I will place my child in my car and take hm to the closest ER facility Correct answer- A C A nrse is teaching a group of parents about characteristics of infants who have failure to thrive. which of the following characteristics should the nrse include in teaching a. intense fear of strangers b. increased risk for childhood obesity c. inability to form close relationships with siblings d. developmental delays Correct answer- D A nrse is providing instruction to the teacher of a child who has ADHD. which of the following strategies should the nrse include in the teaching (select all that apply) a. eliminate testing b. allow for regular breaks c. combine verbal instruction with visual cues d. establish consistent classroom rules e. increase stimuli in the environment Correct answer- B C D A nrse is teaching a parent about post-traumatic stress disorder (PTSD). which of the following information should the nrse include in the teaching (select all that apply) a. children who have PTSD can benefit from psychotherapy b. a manifestation of PTSD is phobias c. personality disorders are a complication of PTSD d. PTSD develops following a traumatic event e. there are 6 stages of PTSD Correct answer- A B D A nrse is teaching the parent of a child about risk factors for ADHD. which of the following should the nrse include in the teaching a. formula feeding as an infant b. history of head trauma c. history of preterm birth d. child of a single parent Correct answer- B A nrse is caring for a child who has depression. which of the following findings should the nrse expect (select all that apply) a. preferring being with peers b. weight loss or gain c. report low self esteem d. sleeping more than usual e. hyperactivity Correct answer- B C D