Peds Exam ATI Questions

A nurse is performing a physical assessment on a 12 month old infant. Which of the following findings should the nurse report to the provider? A. The infant's current weight is double his birth weight B. The intant's posterior fontanel is closed C. The infant is unable to walk without support D. A total of 6 teeth are present

A. Birth weight should triple

A nurse is assessing a 3 year old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate. A. Stacking 10 blocks B. Printing 1 letter C. Tying shoelaces D. Using 7 word sentences

A. The nurse should expect a 3 year old preschool to have the fine motor ability to stack 10 blocks

A nurse is performing a well child assessment on a 4 yr old child. Which of the following findings should the nurse expect? A. The child is able to hop on 1 foot B. The child is able to build a tower of up to 6 blocks C. The child is able to name the days of the week D. The child is able to identify left and right

A. The nurse should expect a 4 year old child to have the gross motor ability to hop on 1 foot.

A nurse is providing teaching to the guardian of a child about bicycle safety. Which of the following pieces of information should the nurse include? A. Instruct the child to ride against the flow of traffic. B. Instruct the child to walk the bike through intersection. C. Provide a larger bike that the child will be able to grow into. D. Ensure the child's helmet covers the ears

B

A nurse is caring for a 4 month old child who is hospitalized. Which of the following toys should the nurse provide for the child? A. A board book with large pictures B. A toy with movable parts C. A plastic mirror D. Push pull toy

C. A 4 month old infant can recognize herself and will also attempt to play with "the baby in the mirror." A mirror is a bright object that provides appropriate visual stimulation for this age group.

A nurse is caring for a 15 month old client who requires droplet precautions. Which of the following actions should the nurse take? A. Have the toddler wear a disposable gown when in the unit's playroom B. Wear sterile gloves when changing the toddler's diapers C. Wear a mask when assisting the toddler with meals D. Ask visitors to wear an N95 mask when entering the toddler's room.

C. The nurse should wear a mask within 3-6 feet of the toddler with meals

A nurse is assessing a 1 week old infant at a well child visit. The nurse should notify the provider about which of the following assessment findings? A. A flat, dark pink area between the eyes that blanches. B. An area of deep blue pigmentation over the buttocks. C. A blue coloring of the sclera D. A patchy, red rash with raised centers

C. This discoloration is associated with osteogenesis imperfecta, a genetic disorder that results in bone fragility. The nurse should notify the provider of this finding.

A nurse is assess a 6 month old infant who was recently admitted with acute v/d. Which of the following findings indicates the infant has moderate dehydration? A. Bulging anterior fontanel B. Bradycardia C. Tachypnea D. Polyuria

C. An infant who has moderate dehydration will have slight tachypnea.

A nurse is caring for an infant who has pertussis. Which of the following actions should the nurse take? A. Assess for edema of the extremities B. Apply warm compresses to the neck area C. Initiate airborne precautions D. Maintain a cardiorespiratory monitor

D. Infants with pertussis typically present with apnea in response to coughing spasms and mucus plugs. Humidified oxygen and suction equipment should be used as needed.

A nurse is assessing the development of a 3 year old child. Which of the following gross motor skills should the nurse expect the child to perform? A. Skipping around the room B. Hopping on 1 foot C. Throwing a ball overhead D. Standing on 1 foot

D. The nurse should expect 3 year old child to have the gross motor ability to stand on 1 foot for a few seconds

A nurse is assessing a 6 month old infant during a well child visit. Which of the following motor activities should the nurse expect the infant to have achieved? A. Sitting alone B. Attempting to stack objects C. Picking up small object D. Turning from back to stomach

D. A 6 month old infant should be able to turn over completely, sit momentarily without support, and reach to be picked up.

A nurse is providing teaching to the guardian of a 9 month old infant who has a prescription for an oral liquid medication. Which of the following points should the nurse include in the teaching? A. Mix the medication into a small amount of your infant's formula to disguise the taste. B. Use an oral syring to measure your infant's medicine accurarely C. Position your infant supine when administering the medication D. Assist your infant with drinking the medicine from a small paper cup.

B. An oral syringe is the best method for accurately measure small amounts of liquid medications. Additionally, the syringe allows the caregiver to deposit small amounts of medication along the side of the infants tongue to decrease the risk of aspiration

A nurse is assessing a 9 month old infant. Which of the following findings should the nurse report to the provider as a delay in development? A. Using a pincer grasp to pick up blocks B. Requiring support to sit for prolonged periods. C. Turning the head toward the patent's voice D. Reaching for the mother and saying mama

B. An infant should be able to sit unsupported by the age of 8 months. This is an indication of a delay in gross motor development.

A nurse is performing a well child assessment on a 7 year old client who takes great pride in bringing school papers home. The nurse recognizes that this behavior demonstrates which of the following of Erikson's stages of psychosocial development. A. Initiative vs guilt B. Industry vs. inferiority C. Identity vs role confusion D. Autonomy vs shame & doubt

B. Industry vs inferiority