ATI NURSING CARE OF CHILDREN /NURSING
CARE OF CHILDREN ATI PROCTORED EXAM
QUESTIONS AND ANSWERS VERIFIED 100%
CORRECT
mass, weight, volume - ANSWERs for piaget's "Concrete operations" stage, school-
age children master the concept of conservation. Conversation of _______ is
understood first, followed by _______, and then _______.
4 - ANSWERs at 12 years, _____ hours of sleep is needed each night. Resistance to
bedtime is sometimes experienced around the age of 8 and 9 years, and again around
the age of 11 years, but is typically resolved by the age of 12 years.
school-age children (6 to 12 years) - ANSWERs for this age group, children should be
taught fire safety and potential burn hazards as well as safety precautions to take while
cooking.
2 to 2.5 - ANSWERs Girls stop growing at about __________ to _____________
years after the onset of menarche. They grow 5 to 20 cm (2 to 8 in.) and gain 7 to 25 kg
(15.5 to 55 lb).
4 to 12 " - ANSWERs Boys stop growing at around 18 to 20 years of age. They grow
10
to 30 cm (____ to ____" ) and gain 7 to 30 kg (15.5 to 66 lb)
girls - ANSWERs sexual maturation IN ORDER for girls
breast development, pubic hair growth (some girls experience hair growth before breast
development), axillary hair growth, and menstruation
testicular enlargement, pubic hair growth, facial hair growth, and vocal changes -
ANSWERs sexual maturation IN ORDER for
males
testicular enlargement, pubic hair growth, facial hair growth, and vocal changes
calcium, iron, zinc - ANSWERs for adolescents, during times of rapid growth,
additional
,___________, ________, and ____________ are needed
adolescents (12 to 20 years) - ANSWERs for this age group, inadequate intake of
folic
acid, vitamin B6, vitamin A, iron, calcium, and zinc is common
feeding - ANSWERs when administering meds via a _____________ tube, one must:
-confirm placement.
-use liquid formulation
-Do not add medication to the formula bag
-flush with water to clear tubing of residual medication
aerosol medication - ANSWERs for this treatment, use a mask for younger children
and
allow parents to hold during the treatment.
intradermal injection - ANSWERs administer on the inside surface of the
forearm
use a TB syringe with a 26- to 30-gauge needle with an intradermal bevel
insert needle at a 15 degree angle.
do not aspirate.
subcutaneous injection - ANSWERs inject volumes of less than 0.5
mL
use a 1 mL syringe with a 26- to 30- gauge needle.
insert at a 90 degree angle. Use a 45 degree angle for children who are thin.
intramuscular - ANSWERs use a 22- to 25-gauge, 1/2 - 1-inch needle.
vastus lateralis is the recommended site in infants and small children.
-position the child supine, side lying, or sitting.
-inject up to 0.5 mL for infants.
-inject up to 2 mL for children.
deltoid - ANSWERs for this intramuscular injection, inject up to 1 mL.
peripheral venous access (IV) - ANSWERs use a 24- to 20- gauge catheter
use for continuous and intermittent IV medication administration.
a child who requires short term IV therapy may complete it at home with the assistance
of a home health nurse
, short term - ANSWERs a ___________ __________ central venous access device
would
be a nontunneled catheter or peripherally inserted central catheter (PICC)
long term - ANSWERs a ___________ __________ central venous access device
would
be a tunneled catheter or implanted infusion port
4 - ANSWERs self-report is used for children older than ___ years of age. Include
the
parent or caregiver in rating the infant or child's pain regardless.
FLACC (Faces, Legs, Activity, Cry, Consolability) - ANSWERs used to help rate pain
for
ages 2 months to 7 years
Tylenol (acetaminophen) and NSAIDs - ANSWERs acceptable for mild to moderate
pain
opioids - ANSWERs acceptable for moderate to severe pain. Medications include
morphine sulfate, oxycodone (OxyContin), and fentanyl (Duragestic). Combining a
nonopioid and an opioid medication treats pain peripherally and centrally...this offers
greater analgesia with less adverse effects (respiratory depression, constipation,
nausea).
parallel - ANSWERs children playing independently but among other children, which
is
characteristic of toddlers
associative - ANSWERs children playing together without organization, which
is
characteristic of preschoolers
cooperative play - ANSWERs organized playing in groups, which is characteristic
of
school-age children
mannitol (Osmitrol) - ANSWERs to decrease cerebral swelling, administer as
prescribed.
, vitamin K - ANSWERs improves synthesis of blood clotting factors in the
liver.
Subcutaneous is preferred route.
myoclonic seizure - ANSWERs variety of seizure episodes, symmetric or asymmetric
involvement, brief contractions of muscle or groups of muscle. No postictal state. May
or may not lose consciousness.
atonic or akinetic seizure - ANSWERs muscle tone is lost for a few seconds. A period
of
confusion follows. Loss of muscle tone frequently results in falling.
aversive - ANSWERs eyes and head turn away from the side of focus, with or
without
loss of consciousness
rolandic seizure - ANSWERs tonic-clonic movements involving the face and
most
common during sleep
status epilepticus - ANSWERs prolonged seizure activity that lasts longer than 30
minutes or continuous seizure activity in which the client does not enter a postictal
phase. This acute condition requires immediate treatment to prevent loss of brain
function, which may become permanent.
decorticate (dysfunction of the cerebral cortex) - ANSWERs demonstrates the arms,
wrists, and fingers flexed and bent inward onto the chest and the legs extended and
abducted. Late sign of coma.
decerebrate (dysfunction of the midbrain) - ANSWERs demonstrates a backward
arching
of the head and arms with legs rigidly extended and toes facing downward. Late sign of
coma.
biconcave - ANSWERs myopia, or nearsightedness, is corrected with
______________
lenses.
convex - ANSWERs hyperopia, or farsightedness, is corrected with
______________
lenses.
CARE OF CHILDREN ATI PROCTORED EXAM
QUESTIONS AND ANSWERS VERIFIED 100%
CORRECT
mass, weight, volume - ANSWERs for piaget's "Concrete operations" stage, school-
age children master the concept of conservation. Conversation of _______ is
understood first, followed by _______, and then _______.
4 - ANSWERs at 12 years, _____ hours of sleep is needed each night. Resistance to
bedtime is sometimes experienced around the age of 8 and 9 years, and again around
the age of 11 years, but is typically resolved by the age of 12 years.
school-age children (6 to 12 years) - ANSWERs for this age group, children should be
taught fire safety and potential burn hazards as well as safety precautions to take while
cooking.
2 to 2.5 - ANSWERs Girls stop growing at about __________ to _____________
years after the onset of menarche. They grow 5 to 20 cm (2 to 8 in.) and gain 7 to 25 kg
(15.5 to 55 lb).
4 to 12 " - ANSWERs Boys stop growing at around 18 to 20 years of age. They grow
10
to 30 cm (____ to ____" ) and gain 7 to 30 kg (15.5 to 66 lb)
girls - ANSWERs sexual maturation IN ORDER for girls
breast development, pubic hair growth (some girls experience hair growth before breast
development), axillary hair growth, and menstruation
testicular enlargement, pubic hair growth, facial hair growth, and vocal changes -
ANSWERs sexual maturation IN ORDER for
males
testicular enlargement, pubic hair growth, facial hair growth, and vocal changes
calcium, iron, zinc - ANSWERs for adolescents, during times of rapid growth,
additional
,___________, ________, and ____________ are needed
adolescents (12 to 20 years) - ANSWERs for this age group, inadequate intake of
folic
acid, vitamin B6, vitamin A, iron, calcium, and zinc is common
feeding - ANSWERs when administering meds via a _____________ tube, one must:
-confirm placement.
-use liquid formulation
-Do not add medication to the formula bag
-flush with water to clear tubing of residual medication
aerosol medication - ANSWERs for this treatment, use a mask for younger children
and
allow parents to hold during the treatment.
intradermal injection - ANSWERs administer on the inside surface of the
forearm
use a TB syringe with a 26- to 30-gauge needle with an intradermal bevel
insert needle at a 15 degree angle.
do not aspirate.
subcutaneous injection - ANSWERs inject volumes of less than 0.5
mL
use a 1 mL syringe with a 26- to 30- gauge needle.
insert at a 90 degree angle. Use a 45 degree angle for children who are thin.
intramuscular - ANSWERs use a 22- to 25-gauge, 1/2 - 1-inch needle.
vastus lateralis is the recommended site in infants and small children.
-position the child supine, side lying, or sitting.
-inject up to 0.5 mL for infants.
-inject up to 2 mL for children.
deltoid - ANSWERs for this intramuscular injection, inject up to 1 mL.
peripheral venous access (IV) - ANSWERs use a 24- to 20- gauge catheter
use for continuous and intermittent IV medication administration.
a child who requires short term IV therapy may complete it at home with the assistance
of a home health nurse
, short term - ANSWERs a ___________ __________ central venous access device
would
be a nontunneled catheter or peripherally inserted central catheter (PICC)
long term - ANSWERs a ___________ __________ central venous access device
would
be a tunneled catheter or implanted infusion port
4 - ANSWERs self-report is used for children older than ___ years of age. Include
the
parent or caregiver in rating the infant or child's pain regardless.
FLACC (Faces, Legs, Activity, Cry, Consolability) - ANSWERs used to help rate pain
for
ages 2 months to 7 years
Tylenol (acetaminophen) and NSAIDs - ANSWERs acceptable for mild to moderate
pain
opioids - ANSWERs acceptable for moderate to severe pain. Medications include
morphine sulfate, oxycodone (OxyContin), and fentanyl (Duragestic). Combining a
nonopioid and an opioid medication treats pain peripherally and centrally...this offers
greater analgesia with less adverse effects (respiratory depression, constipation,
nausea).
parallel - ANSWERs children playing independently but among other children, which
is
characteristic of toddlers
associative - ANSWERs children playing together without organization, which
is
characteristic of preschoolers
cooperative play - ANSWERs organized playing in groups, which is characteristic
of
school-age children
mannitol (Osmitrol) - ANSWERs to decrease cerebral swelling, administer as
prescribed.
, vitamin K - ANSWERs improves synthesis of blood clotting factors in the
liver.
Subcutaneous is preferred route.
myoclonic seizure - ANSWERs variety of seizure episodes, symmetric or asymmetric
involvement, brief contractions of muscle or groups of muscle. No postictal state. May
or may not lose consciousness.
atonic or akinetic seizure - ANSWERs muscle tone is lost for a few seconds. A period
of
confusion follows. Loss of muscle tone frequently results in falling.
aversive - ANSWERs eyes and head turn away from the side of focus, with or
without
loss of consciousness
rolandic seizure - ANSWERs tonic-clonic movements involving the face and
most
common during sleep
status epilepticus - ANSWERs prolonged seizure activity that lasts longer than 30
minutes or continuous seizure activity in which the client does not enter a postictal
phase. This acute condition requires immediate treatment to prevent loss of brain
function, which may become permanent.
decorticate (dysfunction of the cerebral cortex) - ANSWERs demonstrates the arms,
wrists, and fingers flexed and bent inward onto the chest and the legs extended and
abducted. Late sign of coma.
decerebrate (dysfunction of the midbrain) - ANSWERs demonstrates a backward
arching
of the head and arms with legs rigidly extended and toes facing downward. Late sign of
coma.
biconcave - ANSWERs myopia, or nearsightedness, is corrected with
______________
lenses.
convex - ANSWERs hyperopia, or farsightedness, is corrected with
______________
lenses.
