ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN 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. This is because at the age of 2, children often exhibit behaviors such as saying 'no' and resisting help as they start to assert their independence and autonomy. This behavior is a normal part of their development as they strive to explore their own abilities and assert control over their environment.
Choices B, C, and D are incorrect because at this age, the child is not yet focused on developing a sense of trust, managing anger, or finishing projects. It is important to recognize and support the child's need for independence while providing guidance and setting appropriate boundaries.
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:
Correct
Answer: C
Rationale: Giving a 2-year-old about 2 tablespoons of each food at mealtimes aligns with appropriate portion sizes for toddlers. This indicates an understanding of feeding guidelines for this age group, promoting balanced nutrition and preventing overfeeding.
Incorrect Answers:
A: Keeping a child on whole milk until 3 yo is not recommended due to the risk of excess fat intake.
B: Offering a cup of apple juice with each meal can lead to excessive sugar intake and may displace more nutritious foods.
D: Popcorn, while a better choice than sweets, may still pose a choking hazard for young children and may not provide balanced nutrition.
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 activities for preschoolers are A, C, and E. A: Assembling puzzles promotes problem-solving and fine motor skills. C: Using musical toys enhances auditory skills and creativity. E: Coloring with crayons supports fine motor skills and creativity. B: Pulling wheeled toys may not be safe or developmentally appropriate. D: Using finger paints can be messy and may not be suitable for all children, especially those with sensory sensitivities.
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 with the nurse.
D: Having parents bring in the child's favorite toy from home can provide comfort and distraction during procedures.
E: Engaging the child in pretend play with a toy medical kit can help familiarize the child with medical procedures in a non-threatening way.
Summary:
B: Clustering invasive procedures may not directly address the child's fear and can still be overwhelming.
C: Assigning caregivers familiar to the child may help in general care but may not directly address the fear of painful procedures.
F, G: No additional answer choices provided.
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 recommendations to include are Varicella (
B), Polio (
C), and Seasonal influenza (E). Varicella vaccination prevents chickenpox, a common childhood illness. Polio vaccination is crucial to prevent the spread of polio, a highly contagious disease that can cause paralysis. Seasonal influenza vaccination is recommended to protect against the flu, which can be severe in young children. Haemophilus influenzae type b (
A) is typically given in infancy, not preschool years. Hepatitis A (
D) is recommended for older children and high-risk groups, not necessarily preschoolers.