ATI RN
ATI Pediatric Exam Nursing 228 Questions
Extract:
A 5-year-old girl
Question 1 of 5
The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?
Correct Answer: B
Rationale: The correct answer is B because drawing a person with three body parts is developmentally inappropriate for a 5-year-old. At this age, children typically draw a person with more body parts, including arms, legs, head, and facial features. This could indicate a delay in fine motor skills and visual-spatial abilities.
Choice A is correct as it demonstrates independence.
Choices C and D also indicate age-appropriate fine motor skills.
Extract:
A 3-year-old
Question 2 of 5
The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration?
Correct Answer: D
Rationale: The correct answer is D: A less discriminating sense of taste. At the age of 3, children rely heavily on their sense of taste to explore and interact with their environment. They may put objects in their mouth without being able to distinguish between what is safe and what is harmful due to their underdeveloped sense of taste. This makes them more susceptible to accidental poisoning from ingesting toxic substances.
A: A lack of fully developed hearing does not directly contribute to accidental poisoning.
B: A less discriminating sense of touch is not as significant in causing accidental poisoning compared to taste.
C: Visual acuity that has not fully developed is not a primary factor in accidental poisoning in young children.
In summary, the other choices are incorrect because they do not directly relate to the increased risk of accidental ingestion in a 3-year-old child, unlike the less discriminating sense of taste.
Extract:
Toddlers in a daycare center
Question 3 of 5
The nurse observing toddlers in a daycare center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior?
Correct Answer: C
Rationale: The correct answer is C: The need for separation and control.
Toddlers at this stage are exploring their independence and testing boundaries. They may struggle with the desire for autonomy while still needing guidance and structure. This internal conflict can lead to erratic behavior, such as switching between happiness and tantrums when faced with limit setting.
Choice A: The need for peer approval is not the primary focus of toddlers at this stage. They are more focused on self-discovery and autonomy.
Choice B: The need for safety and security is important but not the driving force behind the behavior described.
Toddlers are more concerned with exploring their environment and asserting their independence.
Choice D: The need for love and belonging is a fundamental human need but is not the main focus of the developmental task driving the behavior in this scenario.
In summary, the correct answer C emphasizes the toddler's struggle for separation and control as they navigate their developmental task of asserting independence while still needing guidance.
Extract:
A preschooler
Question 4 of 5
The nurse is providing anticipatory guidance for parents of a preschooler regarding sex education. What is a recommended guideline when dealing with this issue?
Correct Answer: A
Rationale: The correct answer is A because it is essential to understand the child's current knowledge and perspective on the subject before providing information. This approach allows the nurse to tailor their response appropriately, ensuring it is age-appropriate and relevant to the child's level of understanding. By gauging the child's thoughts first, the nurse can address any misconceptions, provide accurate information, and promote open communication.
Choice B is incorrect because overwhelming the child with too much information can lead to confusion rather than clarity.
Choice C is incorrect as honesty is crucial in building trust and fostering a healthy attitude towards sex education.
Choice D is incorrect because waiting for the child to ask may result in missed opportunities for timely and relevant discussions.
Extract:
A mother of three whose mother recently died and husband lost his job
Question 5 of 5
A mother of three brings her children in for their vaccinations. The mother tells the nurse that her mother recently died and her husband just lost his job due to his company downsizing. Which parenting behaviors is the nurse likely to observe? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct answer choices are A, D, and E. A is correct because the mother rarely looks at her infant, indicating possible detachment due to stress. D is correct because the mother is seeking advice on potty training, showing a willingness to learn and engage with her child despite challenging circumstances. E is correct because the mother expresses frustration and inability to handle her toddler's tantrum, suggesting difficulty in managing stress and emotions.
Incorrect choices:
B is incorrect because voicing pride in the academic accomplishments of the 7-year-old child does not necessarily indicate parenting behaviors under stress.
C is incorrect as correctly using an infant car seat does not provide insight into the mother's emotional state or parenting behaviors under stress.