ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
A mother tells nurse that her 2 yo has temper tantrums. Child says 'no' every time mother tries to help her get dressed. Nurse explains that developmentally the toddler is...
Correct Answer: A
Rationale: The correct answer is A: Trying to gain her independence. At age 2, children often exhibit behaviors to assert their independence. By saying 'no' and resisting help with dressing, the toddler is showing a desire to do things on her own and asserting her autonomy. This behavior aligns with the typical developmental stage of toddlers seeking independence and autonomy.
Choices B, C, and D are incorrect because they do not align with the typical behaviors and developmental milestones of a 2-year-old.
Choice B (Developing sense of trust) is more characteristic of infancy, choice C (Manifesting anger management problem) is not appropriate for a toddler's behavior in this context, and choice D (Attempting to finish a project she started) does not reflect the developmental stage of a 2-year-old.
Question 2 of 5
Nurse is reviewing nutrition guidelines with parents of 2 yo. Which parent statement should indicate to nurse that they understand feeding guidelines for this age group?
Correct Answer: C
Rationale: The correct answer is C: "I'll give my son about 2 tablespoons of each food at mealtimes." This statement indicates an understanding of appropriate portion sizes for a 2-year-old, as small portions are recommended to avoid overfeeding. It shows awareness of the child's dietary needs and helps prevent picky eating.
Choice A is incorrect as the recommendation is to switch to reduced-fat milk after the age of 2.
Choice B is incorrect because excessive juice consumption can lead to poor nutrition and dental issues.
Choice D is incorrect as popcorn may pose a choking hazard for young children and should be given cautiously.
Question 3 of 5
Nurse is planning diversionary activities for children on inpatient peds unit. Which should nurse incorporate as appropriate play activities for preschoolers? (Select all that apply.)
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. Preschoolers have developing fine motor skills and benefit from activities that promote hand-eye coordination and creativity. Assembling puzzles (
A) helps with problem-solving and fine motor skills. Using musical toys (
C) encourages creativity and sensory development. Coloring with crayons (E) promotes fine motor skills and creativity. Pulling wheeled toys (
B) may not be appropriate for inpatient setting and finger paints (
D) can be messy and require close supervision.
Question 4 of 5
Nurse caring for 5 yo whose parents report she fears painful procedures, like shots. Which strategies should nurse use to try to help ease child's fear? (Select all that apply.)
Correct Answer: A,D,E
Rationale:
Correct
Answer: A, D, E
Rationale:
A: Inviting the child to assist with mealtime activities can help build trust and rapport, making the child more comfortable and less fearful in the healthcare setting.
D: Having parents bring in the child's favorite toy from home can provide comfort and distraction, helping to alleviate fear and anxiety during procedures.
E: Engaging the child in pretend play with a toy medical kit allows for familiarization with medical tools in a non-threatening way, helping to reduce fear and anxiety related to medical procedures.
Summary:
B: Clustering invasive procedures may minimize the number of times the child needs to undergo such procedures but does not directly address the fear.
C: Assigning caregivers familiar to the child is important for comfort but may not directly address the fear of painful procedures.
Question 5 of 5
Nurse reviewing CDC's immunization recommendations with parents of 2 preschoolers. Which recommendations should nurse include in this discussion? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct answers are B (Varicella), C (Polio), and E (Seasonal influenza). Varicella and seasonal influenza vaccines are recommended for preschoolers by the CDC to prevent the spread of these contagious diseases. Polio vaccine is important for preventing polio, a potentially serious disease that can be prevented through vaccination. Haemophilus influenzae type b, Hepatitis A, and the other choices are not typically part of the CDC's routine immunization recommendations for preschoolers. It is crucial for the nurse to include discussions on Varicella, Polio, and Seasonal influenza vaccines to ensure the children are protected from these preventable diseases.