ATI PEDS PROCTOR
A nurse manager on a pediatric unit 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 the 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.
Defines consistencies in how families change
RATIONALE: the developmental theory defines consistencies in how
families change
- family stress describes that stress is inevitable
- family systems theory emphasizes that change with one member
affects the entire family
- family stress provides guidance to assist families adapting to stress
A nurse is assisting a group of guardians of adolescents to develop
skills that will improve communication within the family. The nurse
hears one guardian 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 - ANSWER>>>A. authoritarian
RATIONALE: this parent is exhibiting an authoritarian parenting style -
the parent controls the adolescents behaviors and attitudes through
unquestioned rules & expectations
,permissive = parent exerts little or no control over adolescent's
behavior
authoritative = directs adolescent's behavior by setting rules and
explaining the reason for each rule setting
passive = uninvolved, indifferent, and emotionally removed
A nurse is performing family assessment. Which of the following
should the nurse include? SATA
A. Medical history
B. Parent's educational level
C. Child's physical growth
D. Support systems
E. Stressors - ANSWER>>>A, B, D, E
Child's physical growth is when performing an individual assessment
on the child not family
A nurse is preparing to assess a preschooler. Which of the following
actions should the nurse take 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 the caregiver during the examination
D. Keep medical equipment visible to the child - ANSWER>>>A. Allow
the child to role-play using miniature equipment
RATIONALE: reduces anxiety and fear related to examination
- encourage parental presence during the examination
- keep medical equipment out of sight unless showing or using it on
the child
A nurse is checking the vital signs of a 3-year-old child 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 106/min
C. Respirations 30/min
D. Blood pressure 88/54 mm Hg - ANSWER>>>C. Respirations
30/min
RATIONALE: RR 30/min is above the expected reference range for a
3-year-old child
A nurse is assessing a child's ears. Which of the following findings
should the nurse expect?
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 - ANSWER>>>D. Cerumen is
present bilaterally
- the light reflex should be located around the 5 or 7 o'clock position
- the tympanic membrane should be a pearly pink or gray color
- Bony landmarks SHOULD be visible
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 - ANSWER>>>B. Plantar grasp
RATIONALE: the plantar grasp is exhibited by infants from birth to the
age of 8 months
- Moro = birth to 5 months
- stepping = birth to 4 weeks
- tonic neck - birth to 3-4 months
, A nurse is performing a neurologic assessment on an adolescent.
Which of the following responses should the nurse expect the
adolescent to exhibit when assessing the trigeminal nerve? (SATA)
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 - ANSWER>>>A. Clenching
teeth together tightly
D. Detecting facial touches with eyes closed
- recognizing sour rates on the back of the tongue = glossopharyngeal
nerve
- identifying smells through each nostril = olfactory nerve
- looking down and in with the eyes = trochlear nerve
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% - ANSWER>>>C. Birth weight
doubled
RATIONALE: infant's birth weight should be tripled
- anterior fontanel closes by 12-18 months
- 6-8 teeth should erupt by the age of 12 months
- infant's length should increase by 50% by age of 12 months
A nurse is performing a developmental screening on a 10-month-old
infant. Which of the following fine motor skills should the nurse expect
the infant to perform? (SATA)
A nurse manager on a pediatric unit 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 the 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.
Defines consistencies in how families change
RATIONALE: the developmental theory defines consistencies in how
families change
- family stress describes that stress is inevitable
- family systems theory emphasizes that change with one member
affects the entire family
- family stress provides guidance to assist families adapting to stress
A nurse is assisting a group of guardians of adolescents to develop
skills that will improve communication within the family. The nurse
hears one guardian 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 - ANSWER>>>A. authoritarian
RATIONALE: this parent is exhibiting an authoritarian parenting style -
the parent controls the adolescents behaviors and attitudes through
unquestioned rules & expectations
,permissive = parent exerts little or no control over adolescent's
behavior
authoritative = directs adolescent's behavior by setting rules and
explaining the reason for each rule setting
passive = uninvolved, indifferent, and emotionally removed
A nurse is performing family assessment. Which of the following
should the nurse include? SATA
A. Medical history
B. Parent's educational level
C. Child's physical growth
D. Support systems
E. Stressors - ANSWER>>>A, B, D, E
Child's physical growth is when performing an individual assessment
on the child not family
A nurse is preparing to assess a preschooler. Which of the following
actions should the nurse take 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 the caregiver during the examination
D. Keep medical equipment visible to the child - ANSWER>>>A. Allow
the child to role-play using miniature equipment
RATIONALE: reduces anxiety and fear related to examination
- encourage parental presence during the examination
- keep medical equipment out of sight unless showing or using it on
the child
A nurse is checking the vital signs of a 3-year-old child 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 106/min
C. Respirations 30/min
D. Blood pressure 88/54 mm Hg - ANSWER>>>C. Respirations
30/min
RATIONALE: RR 30/min is above the expected reference range for a
3-year-old child
A nurse is assessing a child's ears. Which of the following findings
should the nurse expect?
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 - ANSWER>>>D. Cerumen is
present bilaterally
- the light reflex should be located around the 5 or 7 o'clock position
- the tympanic membrane should be a pearly pink or gray color
- Bony landmarks SHOULD be visible
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 - ANSWER>>>B. Plantar grasp
RATIONALE: the plantar grasp is exhibited by infants from birth to the
age of 8 months
- Moro = birth to 5 months
- stepping = birth to 4 weeks
- tonic neck - birth to 3-4 months
, A nurse is performing a neurologic assessment on an adolescent.
Which of the following responses should the nurse expect the
adolescent to exhibit when assessing the trigeminal nerve? (SATA)
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 - ANSWER>>>A. Clenching
teeth together tightly
D. Detecting facial touches with eyes closed
- recognizing sour rates on the back of the tongue = glossopharyngeal
nerve
- identifying smells through each nostril = olfactory nerve
- looking down and in with the eyes = trochlear nerve
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% - ANSWER>>>C. Birth weight
doubled
RATIONALE: infant's birth weight should be tripled
- anterior fontanel closes by 12-18 months
- 6-8 teeth should erupt by the age of 12 months
- infant's length should increase by 50% by age of 12 months
A nurse is performing a developmental screening on a 10-month-old
infant. Which of the following fine motor skills should the nurse expect
the infant to perform? (SATA)
