ATI quiz 1
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client? a. Large building blocks d. Hanging crib toys c. Modeling clay d. Crayons and a coloring book
a "
A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching? a. "You should leave the room while the tantrum is happening." b. "Temper tantrums are the toddler's attempt to gain control of a situation." c. "You should get a psychological consult for the temper tantrums.' d. "Temper tantrums are a type of learning disability."
b
A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent? a. Restrain the child physically b. Ignore the temper tantrums c. Tell the child that temper tantrums are not acceptable d. Distract the child by offering to play a game.
b
A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide? a. Availability of firearms b. Family conflict c. Homosexuality d. Active psychiatric disorder
d
A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. a. Autonomy vs. Shame and Doubt b. Industry vs. Inferiority c. Identity vs. Role confusion d. Initiative vs. guilt e. Trust vs. mistrust
e, a, d, b, c
A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages? a. 3 yrs b. 4 yrs c. 5 yrs d. 6 yrs
a
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychological needs according to Erikson? a. Encourage the client to complete school work. b. Vary the child'd schedule each day. c. Discourage visits from the client's friends. d. Provide a daily session with a play therapist
a
A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse? a. "The teacher says my child has to squint to see the board." b. "My child has recently lost both front top teeth." c. " My child often cheats when we play board games." d. "Sometimes my child acts bossy with his friends."
a
A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching? a. "Our car seat is an infant model and is anchored in the car." b. "Our car seat is front-facing in the back seat." c. "I can fit my hand between the baby and the car seat harness." d. "The car seat is rear-facing in the front passenger seat."
a
A nurse is teaching about safety recommendations for car seats with parents of a 24-month-old toddler who is in the 50th percentile for height and weight. Which of the following instructions should the nurse include in the teaching? a. Position the toddler rear- facing in the middle of the back seat. b. Position a booster seat forward-facing in the middle of the back seat. c. Position a convertible seat rear-facing in the front passenger side. d. Position a convertible seat forward-facing in the front passenger side and inactivate the airbag.
a
A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurses is appropriate? a. "As a nurse, I am required by law to report suspected child abuse." b. "I am unable to discuss this, but I can contact my supercisor to speak with you. c. "The provider will be coming to explain the situation." d. "I reported the incident to my supervisor who decided to contact the authorities."
a
a nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect? a. Closed posterior fontanel b. Uses thumb and index fingers in a pincer grasp c. Lateral incisors d. Sitting steadily without support.
a
A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take? a. Assess the rest of the child's body for a rash b. Refer the family to child protective services. c. Question the parents about how the marks occurred in the child's cheeks. d. Obtain the child's temperature
a Rational: Fith disease presents with erthema on the face, which resembles slap marks. Assess rest of the body and extremities.
A nurse is providing health promotion teaching to the parents of an infant. Which of the following conditions should the nurse identify as the leading cause of death among this age group? a. Congenital anomalies b. respiratory distress c. Low birth weight d. SIDS
a Rational: In the U.S. 1st - Congenital anomalities 2nd- low bith wt 3rd- SIDS 8th- Respiratory distress
A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane? a. At the end b. At the beginning c. before examining the head and neck d. Before ascultating the chest and abdomen
a Rational: Save invasive procedure for last- part of modified Head-to-toe approach
A nurse is caring for a 3-year-old child whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.) a. Have a parent stay with the child during procedure b. Cluster invasive procedures whenever possible c, Perform the procedure as quickly as possible d. Allow the child to keep a toy from home with her. e. use mummy restrains during painful procedures.
a, c, d
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.) a. Management of tantrums b. How to establish trust c. How to encourage cooperative play d. Dental care e. Need for increased caloric intake
a, d
A nurse is preparing to perform an abdominal assessment on a child. Indentity the sequence the nurse should follow. a. Inspect b. Superficial palpation c. Deep palpation d. Auscultation
a, d, b, c
A nurse in a clinic is assessing a 9-month-old infant. Which of the following findings requires futher intervention? a. Positive Babinski reflex b. Positive Moro reflex c. Negative Doll's eye reflex d. Negative Crawl reflex
b
A nurse in an ED is caring for an adolescent following a suicide attempt. After reviewing the client's Hx, the nurse should determine that which of the following is the priority risk factor for suicide completion? a. Active psychiatric disorder b. previous suicide attempt c. Loss of a parent d. hx of substance abuse
b
A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when hos parent leaves. Which of the following toys should the nurse provide to alleviate the child'd stress? a. Set of building blocks b. toy hammer and pounding board c. Picture book about hospitals d. Stuffed animals
b
A nurse is collecting data from an infant at a well-child visit. The nurse should understand that the birth weight typically doubles by what age? a. 3 months b. 6 months c. 9 months d. 12 months
b
A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate? a. Carotid artery b. Apex of the heart c. Brachial artery d. Radial artery
b
A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take? a. Adjust the water temperature to feel hot. b. Apply 4 to 5 ml of liquid soap t the hands. c. Hold the hand higher than the elbows. d. Rub hands and arms to dry.
b
A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. Which of the following information should the nurse include in the teaching? a. "Lice can jump from one child to another." b. "Encourage your child to avoid sharing hats with other children." c. "Live lice can survive for 2 weeks away from the host." d. "Washing your child's hair daily will prevent lice."
b
A nurse is teaching a parent of a 2-year-old child about safe food choices. Which of the following foods should the nurse recommend? a. Grapes b. Bananas C. Celery d. Raw carrots
b
the parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make? a. "Let your child sleep in your bed with you." b. "keep a night light on in your child's room." c. "Tell your child that monsters are not real." d. "Stay with your child until the child is asleep."
b
A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching? a. "Share piercing needles only with close friends you trust." b. "Limit your caloric intake to avoid becoming overweight." c. "Your need to sleep will increase during periods of growth." d. "Tanning beds are much safer then lying in the sun."
c
A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission? a. Ascultating the rate and characteristics of the child's heart sound. b. Using a pain-rating tool to determine the severity of the joint pain. c. Identifying the degree of parental anxiety related to the diagnosis d. Assessing the client's erythematous rash
a
A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddle sitting quitely in the corner of the crib, cucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmntal reactions? a. An anxiety reaction b. Regression c. Resentment toward the mother d. Developing autonomy
a
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? (Select all that apply.) a. The reason why the child is taking the medication b. Written information about the medication c. Stopping the medication when the child feels better d. The adverse effects of the medication e. Using a kitchen spoon to administer the medication
a, b, d
A nurse is teaching the parents of a 10-year-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.) a. Serve food in smaill, non-circular pieces. b. Tie plastic bags in knots before discarding them c. Install accordion style gates. d. Set the water heater at 65.6 degree Celcius (!50 degree F). e. Fit the mattress so that it is snug against the sides of the crib.
a, b, e
A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply) a. The preschooler stutters when speaking b. The preschooler mispronounces words. c. The preschooler speaks in three-word sentences. d. The preschooler talks to himself when reading. e. The preschooler speaks in a nasal tone
b, e
A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following? a. Imaginary playmates b. Erikson's stage of initiative vs. guilt c. Demonstrations of sexual curiosity d. Negative behaviors characterized by the need for autonomy
d
A nurse is caring for a child who has been physically abused by a family member. Which of the following statement should the nurse say to the child? a. "I promise I won't tell anyone about this." b. "Let's discuss what happened with your family." c. "Your family is bad for doing this to you." d. "It is not your fault that this happened."
d
A nurse is teaching an assistive personnel to measure a newborn's respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute? a. "Newborns are abdominal breathers." b. "Newborns do not expand their lungs fully with each respiration." c. "Activity with increase the respiratory rate." d. "The rate and rhythm of breath are irregular in newborns."
d
A nurse in a clinic is assessing a 7 month-old infant. Which of the following indicates a need for further evaluation? a. Uses a unidextrous grasp b. Has a fear of stranger c. Shows preferences towards foods d. Babbles one-syllable sounds
d Rational: 7 month old should babble in chained syllables such as mama, baba (4 sistinct vowel sounds)