ATI PEDIATRICS EXAM LATEST EXAM | 2 EXAMS | QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | JUST RELEASED ATI PEDIATRICS SECOND EXAM A nurse is assessing a 7 -year-old child's psychosocial development. Which of the follow ing findings should the nurse recognize as requiring further evaluation? a. The child prefers playmates of the same sex. b. The child is competitive when playing board games. c. The child complains daily about going to school. d. The child enjoys spending time alone. ------CORRECT ANSWER -----------
----C Rationale: Complaining every day about going to school is an unexpected finding for a 7 -yearold child. The child is in Erikson's psychosocial development stage of industry vs. inferiority. Children in this s tage want to learn and master new concepts. If the child complains daily about going to school, it warrants further evaluation. A nurse is providing education to the parent of a toddler who is about to receive her first dose of the MMR (measles, mumps a nd rubella) immunization. Which of the following statements by the parent indicates an understanding of the teaching? a. "I am not going to let my child play with other children for 2 days." b. "I will need to return in 2 weeks for my child to receive the varicella immunization." c. "I can give my child acetaminophen for discomfort associated with the immunization." d. "My child might have some discharge from the injection site." ------
CORRECT ANSWER --------------- C Rationale: Parents can give acetaminophe n for minor discomforts such as low -grade fever and local tenderness resulting from the administration of the immunization A nurse is providing teaching to the parents of a 4 -year-old child about fine motor development. Which of the following tasks shou ld the nurse include in the teaching as an expected finding for this age group? a. Copies a circle b. Cuts foods using a table knife c. Begins writing in cursive d. Prints first and last name clearly ------CORRECT ANSWER --------------- A Rationale: The nurs e should explain that copying a circle is a skill achieved by the age of 4 years. A nurse is providing teaching to the parents of a 4 -year-old child about fine motor development. Which of the following tasks should the nurse include in the teaching as a n expected finding for this age group? a. Brightly colored mobile b. Plastic stethoscope c. Small piece jigsaw puzzle d. A book of short stories ------CORRECT ANSWER --------------- B Rationale: Preschool play centers on imitative activities. Providing a stethoscope allows the child an opportunity for therapeutic play. Imitating health care personnel helps to ease the fear of unfamiliar equipment. . A nurse in an emergency department is caring for an 8 -year old who is up -
to-date with current immunization r ecommendations and has a deep puncture injury. Which of the following should the nurse anticipate administering? a. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine b. A single injection of tetanus immune globulin (TIG) mixed with the pediatric tetanus booster (DT) c. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine d. Adult tetanus booster (Td) ------CORRECT ANSWER --------------- D Rationale: Td is recommended for wound prophylaxis in children ages 7 years and older. Td is also recomme nded every 10 years after 18 years of age. A nurse in a pediatric clinic is assessing a toddler at a well -child visit. Which of the following actions should the nurse take? a. Perform the assessment in a head to toe sequence. b. Minimize physical conta ct with the child initially. c. Explain procedures using medical terminology. d. Stop the assessment if the child becomes uncooperative. ------
CORRECT ANSWER --------------- B Rationale: The nurse should initially minimize physical contact with the toddler, and then progress from the least traumatic to the most traumatic procedures. A nurse is observing a mother who is playing peek -a-boo with her 8 -month -
old child. The mother asks if this game has any developmental significance. The nurse should inform the mother that peek -a-boo helps develop which of the following concepts in the child? a. Hand -eye coordination b. Sense of trust c. Object permanence d. Egocentrism ------CORRECT ANSWER --------------- C Rationale: Object permanence refers to the cognitive ski ll of knowing an object still exists even when it is out of sight. In discovering a hidden object while playing peek -a-boo, the infant experiences validation of this concept. A nurse is caring for a 15 -month -old toddler 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 N -95 mask when entering the room. ------
CORRECT ANSWER --------------- C Rationale: The nurse should wear a mask when within 3 to 6 feet of the toddler to prevent the transmission of infections that are spread via large droplet particles expelled in the air. A nurse at a pediatric clinic is assessing a 5 -month -old infant during a well -
child visit. Which of the following findings should the nurse report to the provider? a. Head lags when pulled from a lying to a sitting position b. Absence of st artle and crawl reflexes c. Inability to pick up a rattle after dropping it d. Rolls from back to side ------CORRECT ANSWER --------------- A Rationale: At the age of 5 months, the infant should have no head lag when pulled to a sitting position; therefore, the nurse should report this finding to the provider
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