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ATI Nursing Care of Children Proctored exam questions with complete solutions

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What is a dictorial or authoritarian parenting style? parents try to control the child's behaviors and attitudes through unquestioned rules and expectations What is an authoriatitive parenting style? also known as democratic, parents direct the child's behavior by setting rules and explaining the reson for each rule setting 00:16 01:27 What is passive parenting? parents are uninvolved, indifferent, and emotionally removed 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 D A nurse is assisting a group of parents of adolescents to develop skills that will improve communication. The nurse heads one parent states "my son knows he better do what I say". Which of the parenting styles is he exhibiting? A. Authoritarian B. Permissive C. Authroitative D. Passive A A nurse is performimg 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 A, B, D, E What is the expected pulse rate of a newborn? 80 to 180/min What is the expected pulse of a baby 1 week to 3 months? 12 to 180/min What is the expected pulse of a child 3 months to 2 years? 70 to 150/min

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ATI Nursing Care of Children Proctored
exam
What is a dictorial or authoritarian parenting style? - Answer parents try to control the
child's behaviors and attitudes through unquestioned rules and expectations

What is an authoriatitive parenting style? - Answer also known as democratic, parents
direct the child's behavior by setting rules and explaining the reson for each rule setting

What is passive parenting? - Answer parents are uninvolved, indifferent, and
emotionally removed

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 - Answer D

A nurse is assisting a group of parents of adolescents to develop skills that will improve
communication. The nurse heads one parent states "my son knows he better do what I
say". Which of the parenting styles is he exhibiting?
A. Authoritarian
B. Permissive
C. Authroitative
D. Passive - Answer A

A nurse is performimg 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 - Answer A, B, D, E

What is the expected pulse rate of a newborn? - Answer 80 to 180/min

What is the expected pulse of a baby 1 week to 3 months? - Answer 12 to 180/min

What is the expected pulse of a child 3 months to 2 years? - Answer 70 to 150/min

What is the expected pulse of a child 2 to 10 years? - Answer 60 to 110/min

What is the expected pulse of a child 10 years and older? - Answer 50 to 90/min

What are the expected respirations fo a newborn to one year? - Answer 30 to 35/min

,ATI Nursing Care of Children Proctored
exam
What are the expected respirations of a 1 to 2 year old? - Answer 25 to 30/min

What are the expected respirations of a 2 to 6 year old? - Answer 21 to 25/min

What are the expected respirations of a child 6 to 12 years old? - Answer 19 to 21/min

What are the expected respirations of a 12 year old and older? - Answer 16 to 19/min

What are the normal vitals of an infant? - Answer HR: 80-180
RR: 30-35
BP: 65-80/40-50

Fontanels - Answer should be flat and soft, posterior closes between 6 and 8 weeks,
anterior closes between 12 and 18 months

Teeth - Answer 6 to 8 teeth by 1 year of age, 20 baby teeth and 32 permanent teeth

How long is the Moro reflex present? - Answer until 4 months of age

How long is the Tonic neck reflex present? - Answer until 3 to 4 months of age

How long does the Babinski reflex last? - Answer usually until a year

Expected findings of the olfactory (I) nerve in infants , children, and adolescents -
Answer Infants: difficult to test
Children and Adolescents: indentifies smell through each nostril individually

Expected findings of optic nerve (II)? - Answer Infants: looks at face and tracks with
eyes

Children and adolescents: has intact visual acuity, peripheral vision, and color vision

Expected findings for trigeminal nerve? - Answer infants: has rooting and sucking relfex
children and adolescents: is able to clencg teeth together and can detect touch on face
with eyes closed

A nurse is preparing to assess a preschool-age child. Which of the following is an
appripirate 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 th child from her parents during examination
D. keep medical equipment visible to the child - Answer A

,ATI Nursing Care of Children Proctored
exam
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 37.2C (99.0F)
B. Heart rate of 106/min
C. Respirations 30/min
D. Blood pressure 88/54 mmHg - Answer C

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 - Answer D

A nurse is assessing a 6-month-old infant. Which of the following reflexes shoudl the
infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic necl - Answer B

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. clencing the teeth together tightly
B. recognizing a sour tast
C. identifying smells through each nostril
D. detecing facial touches when eyes closed
E. Looking down and in with the eyes - Answer A, D

What happens to a baby's birth weight? - Answer it should double by 6 months and
triple by 1 year

How do infants grow? - Answer 1 inch per month (2.5cm) for 6 months, then by 12
months, height/length should be doubled

When do the first teeth arupt? - Answer between 6 and 10 months

Gross and fine motor by 3 months - Answer only have slight head lag

Gross and fine motor by 4 months - Answer should be able to roll from back to side

Gross and fine motor by 5 months - Answer should be able to roll from front to back

, ATI Nursing Care of Children Proctored
exam
Gross and fine motor by 6 months - Answer should be able to roll from back to fron and
hold a bottle

Gross and fine motor by 7 months - Answer move object from hand to hand

Gross and fine motor by 8 months - Answer sit unsupported

Gross and fine motor by 9 months - Answer crude pincer grasp

Gross and fine motor by 10 months - Answer prone to sitting positiion and grasp a ratty
by the handle

Gross and fine motor by 11 months - Answer puts objects into a container and have a
neater pincer grasp

Gross and fine motor by 12 months - Answer tries to build a 2 block tower and won't
succeed

What Piaget congitive development stafe are infants in? - Answer Sensorimotor stage,
birth to 24 months, separation, object permanence around 9 months, mental
representation

How many words should the infant know? - Answer 3-5 words and has concept of
numbers by 1 year

What is the Erikson's stage of development for infants? - Answer Trust vs. Mistrust, birth
to 1 year, caretake meeteing the needs of the infant

When does separation anxiety begin to occur? - Answer between 4 and 8 months

When is there stranger fear in infants? - Answer 6 to 8 months

What toys should be used for an infant? - Answer rattles, blocks, brightly colored toys,
mirrors, patty cake

Infant Immunizations - Answer Birth: hep B
2 months: hep B, IPV, RV, PCV, dtap, HIB
4 months: all of the 2m, hep B
6 month: all the previous
Flu shots: 6m to 1 year

Infant Nutrition - Answer breast milk first 6 months, solids 4 to 6 months and first solid is
usually iron fortified rice ceral, no juice or water is needed for first year, foods introduced
one at a time over 4-7 day period to monitor for allergies

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