RN ATI PEDIATRIC EXAM WITH VIVID ANSWERS FOR YOU
Priority finding to report for a brain tumor= - ans Increased intracranial pressure (ICP)A nurse
is caring for an adolescent who has sustained a closed head injury. Which of the following
are clinical manifestations of increased intracranial pressure (ICP)? Select all.
A. Report of headache
B. Alteration in pupillary response
C. Increased motor response
D. Increased sleeping
E. Increased sensory response - ans A, B, D
Not C-decreased motor response is a sign of ICP, Not E-decreased sensory response is a sign
of ICP
What are the clinical manifestations of ICP in infants? - ans Bulging fontanel, separation of
cranial sutures, irritability, increased sleeping, high-pitched cry, poor feeding & setting-sun
sign
What are the clinical manifestations of ICP in children? - ans nausea, vomiting, headache,
blurred vision, increased sleeping, inability to follow simple commands, & seizures
Home safety for infants: hot water thermostats should be set at or below= - ans 49 C (120 F)
Home safety for infants: crib slats should be no farther apart than= - ans 6 cm (2.375 in)
Home safety for infants: Crib mobiles or crib gyms should be removed by= - ans 4 to 5
months of age
What is Pediculosis capitis? - ans head lice
What are the clinical manifestations of pediculosis capitis? - ans -small red bumps on the
scalp
-intense itching
-nits (white specks) on the hair shaft
,A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following
should the nurse include in the teaching?
A. Apply mayonnaise to the affected area at night.
C. Use an over-the-counter medication containing 1% permethrin
D. Discard the child's stuffed animals - ans C. Pediculosis capitis is treated w/1% permethrin,
which can be purchased over the counter
It does not affect pets, it is transmitted person to person. Home remedies like mayo increase
the risk of infection & should be avoided. Items such as stuffed animals that cannot be
placed in the laundry can be sealed in a bag for 14 days to kill the lice.
Restraining methods for an infant include... - ans -non-nutritive sucking (sugar pacifier) prior,
during, & after procedure
-allow the parents to stay
-swaddle
-therapeutic holding
-use a 24-29 gauge catheter
-apply EMLA topical to multiple sites prior to injection
A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following
should the nurse include? Select all.
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 w/negativism & ritualism
E. Annual screenings for phenylketouria are important - ans A, C, D
Not B because toddlers often experience physiologic anorexia & become fussy eaters
because of a decreased appetite
, Not E because screening for this is for the newborn.
Anterior fontanels close by= - ans 18 months of age
At 30 mos, toddlers should weigh _______their birth weights. - ans 4 times
Head & chest circumference are usually equal by what age? - ans 1 to 2 yrs
By 2 years, the toddler can make _____sentences by combing ______to _____words - ans
multiword
2 to 3 words
What Erikson stage is the toddler (1-3 yrs)? - ans Autonomy vs. shame & doubt
Toddlers are __________. Meaning they are unable to see the perspectives of others and
can only view things from their point of view. - ans egocentric
Toddlers develop gender identity by what age? - ans 3 years
What type of play do toddlers start to do? - ans parallel play
A nurse is performing a developmental screening on an 18 month old. Which of the
following skills should the toddler be able to perform? Select all.
A. Build a tower w/6 blocks
B. Throw a ball overhand
C. Walk up & down stairs
D. Draw circles
E. Use a spoon w/out rotation - ans B, E
Priority finding to report for a brain tumor= - ans Increased intracranial pressure (ICP)A nurse
is caring for an adolescent who has sustained a closed head injury. Which of the following
are clinical manifestations of increased intracranial pressure (ICP)? Select all.
A. Report of headache
B. Alteration in pupillary response
C. Increased motor response
D. Increased sleeping
E. Increased sensory response - ans A, B, D
Not C-decreased motor response is a sign of ICP, Not E-decreased sensory response is a sign
of ICP
What are the clinical manifestations of ICP in infants? - ans Bulging fontanel, separation of
cranial sutures, irritability, increased sleeping, high-pitched cry, poor feeding & setting-sun
sign
What are the clinical manifestations of ICP in children? - ans nausea, vomiting, headache,
blurred vision, increased sleeping, inability to follow simple commands, & seizures
Home safety for infants: hot water thermostats should be set at or below= - ans 49 C (120 F)
Home safety for infants: crib slats should be no farther apart than= - ans 6 cm (2.375 in)
Home safety for infants: Crib mobiles or crib gyms should be removed by= - ans 4 to 5
months of age
What is Pediculosis capitis? - ans head lice
What are the clinical manifestations of pediculosis capitis? - ans -small red bumps on the
scalp
-intense itching
-nits (white specks) on the hair shaft
,A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following
should the nurse include in the teaching?
A. Apply mayonnaise to the affected area at night.
C. Use an over-the-counter medication containing 1% permethrin
D. Discard the child's stuffed animals - ans C. Pediculosis capitis is treated w/1% permethrin,
which can be purchased over the counter
It does not affect pets, it is transmitted person to person. Home remedies like mayo increase
the risk of infection & should be avoided. Items such as stuffed animals that cannot be
placed in the laundry can be sealed in a bag for 14 days to kill the lice.
Restraining methods for an infant include... - ans -non-nutritive sucking (sugar pacifier) prior,
during, & after procedure
-allow the parents to stay
-swaddle
-therapeutic holding
-use a 24-29 gauge catheter
-apply EMLA topical to multiple sites prior to injection
A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following
should the nurse include? Select all.
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 w/negativism & ritualism
E. Annual screenings for phenylketouria are important - ans A, C, D
Not B because toddlers often experience physiologic anorexia & become fussy eaters
because of a decreased appetite
, Not E because screening for this is for the newborn.
Anterior fontanels close by= - ans 18 months of age
At 30 mos, toddlers should weigh _______their birth weights. - ans 4 times
Head & chest circumference are usually equal by what age? - ans 1 to 2 yrs
By 2 years, the toddler can make _____sentences by combing ______to _____words - ans
multiword
2 to 3 words
What Erikson stage is the toddler (1-3 yrs)? - ans Autonomy vs. shame & doubt
Toddlers are __________. Meaning they are unable to see the perspectives of others and
can only view things from their point of view. - ans egocentric
Toddlers develop gender identity by what age? - ans 3 years
What type of play do toddlers start to do? - ans parallel play
A nurse is performing a developmental screening on an 18 month old. Which of the
following skills should the toddler be able to perform? Select all.
A. Build a tower w/6 blocks
B. Throw a ball overhand
C. Walk up & down stairs
D. Draw circles
E. Use a spoon w/out rotation - ans B, E
