ATI RN
Health Promotion Questions Questions
Question 1 of 5
A nurse is using the Denver Developmental Screening Test (DDST) II to assess a 10-month-old infant. Which of the following purposes does this screening serve?
Correct Answer: A
Rationale: The correct answer is option A) Screens apparently healthy infants for developmental problems. The Denver Developmental Screening Test (DDST) II is specifically designed to screen apparently healthy infants for early detection of developmental delays or potential problems. It is a standardized tool used to assess a child's developmental progress across various domains such as social, motor, language, and cognitive skills. Early identification of developmental issues through screening tests like the DDST II is crucial for timely intervention and support, which can significantly impact a child's long-term outcomes. Option B) Allows the infant’s growth patterns to be compared with other infants is incorrect because the DDST II is not primarily used for comparing growth patterns but rather for identifying developmental delays. Option C) Validates intuitive concerns about an infant’s development using an objective test is incorrect because while the test is objective, its main purpose is to screen for potential developmental problems, not just validate concerns. Option D) Monitors high-risk children for developmental problems is incorrect as the DDST II is typically used for screening apparently healthy infants, not just high-risk children. High-risk children may require more specialized assessments and interventions beyond what the DDST II offers. In an educational context, understanding the purpose of developmental screening tools like the DDST II is essential for healthcare professionals working with infants and young children. It emphasizes the importance of early intervention and support for children who may be at risk for developmental delays, ultimately contributing to better outcomes and quality of life for these children.
Question 2 of 5
A toddler needs to have blood drawn at his next appointment. Which of the following actions would the nurse suggest that the mother do with the child before the next visit?
Correct Answer: B
Rationale: In the context of pediatric pharmacology and health promotion, the correct answer is option B) Tell the child about the blood work right before leaving the house for the appointment. This option is the most appropriate because it allows the child to have some time to mentally prepare for the procedure without causing unnecessary anxiety or distress over an extended period. By informing the child just before leaving the house, the mother can provide a brief explanation and reassurance, helping the child understand what to expect without overwhelming them. Option A) Tell the child about the blood work on the day that the appointment is scheduled may not provide the child with enough time to process the information and may lead to increased anxiety throughout the day. Option C) Tell the child when they are in the office right before the phlebotomist enters the room can cause sudden stress and fear as the procedure is imminent, leading to a negative experience. Option D) Do not tell the child about the blood work is not recommended as transparency and communication are essential in building trust between the child, parent, and healthcare provider. Educationally, this scenario highlights the importance of age-appropriate communication in pediatric care. By involving the child in the process and providing information gradually and in a timely manner, healthcare professionals can help alleviate fear and anxiety, leading to a more positive healthcare experience for the child.
Question 3 of 5
A mother asks her toddler if she is tired. The toddler responds by saying, “Sammy bed.” Based on her expressive language and speech pattern, the nurse determines that this child is likely how old?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) 24 months. This is because the toddler's speech pattern of saying "Sammy bed" indicates a telegraphic style of speech common around 24 months of age. At this stage, toddlers typically use two-word phrases to communicate simple ideas effectively. Option A) 18 months is incorrect because by this age, toddlers usually have a vocabulary of single words and are just beginning to combine words. Option C) 30 months is incorrect as children of this age typically use longer phrases and more complex sentence structures compared to what was demonstrated by the toddler in the scenario. Option D) 36 months is also incorrect as by this age, children have developed more advanced language skills including the ability to form complete sentences and engage in more detailed conversations. Understanding typical speech and language developmental milestones in toddlers is crucial for healthcare professionals, especially nurses, as it helps in assessing a child's progress and identifying any potential language delays or disorders early on. By recognizing and interpreting these milestones accurately, nurses can provide appropriate support and interventions to promote optimal language development in young children.
Question 4 of 5
A 2-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic reaction?
Correct Answer: B
Rationale: In this scenario, the most likely item to have caused the allergic reaction in the 2-year-old child with hives is option B) Oatmeal raisin cookies. Oatmeal raisin cookies commonly contain ingredients such as eggs, milk, nuts, or other allergens that can trigger an allergic response in children. The rationale behind why the other options are less likely to have caused the allergic reaction are as follows: - A) Apple juice: While apple allergies are possible, they are less common compared to allergies to ingredients found in cookies like eggs or nuts. - C) Jelly sandwich: Jelly typically contains fruit preserves, which are not as common allergens as eggs, milk, or nuts found in cookies. - D) Banana: Bananas are a less common allergen compared to ingredients found in cookies, making them less likely to be the cause of the allergic reaction. Educationally, this question highlights the importance of being aware of common food allergens in children, especially when they present with symptoms like hives. Understanding the potential triggers for allergic reactions can help healthcare providers and caregivers identify and manage allergies promptly to ensure the child's safety and well-being.
Question 5 of 5
A nurse is reviewing the chart of a preschool child who has been diagnosed with Asperger’s syndrome. Which of the following findings is the nurse most likely to discover?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Absent crawling at 10 months old. Asperger's syndrome is a neurodevelopmental disorder that affects social interaction, communication, and behavior. Children with Asperger's may exhibit delays or differences in motor skills development compared to their peers. Crawling is a key developmental milestone that typically occurs around 7-10 months of age. A preschool child with Asperger's who did not crawl by 10 months may raise concerns about motor development. Option A) Eating finger foods at 10 months old is a typical developmental milestone, not specifically linked to Asperger's syndrome. Option C) Separation anxiety at 10 months old is a common emotional response in infants and does not directly relate to Asperger's. Option D) Saying "ma-ma" at 10 months old is a speech and language milestone and is not indicative of Asperger's syndrome. Educationally, understanding developmental milestones and their deviations in children with neurodevelopmental disorders like Asperger's is crucial for healthcare professionals. Recognizing such deviations can aid in early identification, intervention, and support for these children to optimize their developmental outcomes. It highlights the importance of comprehensive assessments and tailored care for children with special needs.