ATI RN
ATI Pediatrics Exam II Questions
Extract:
A three year-old child on droplet precautions
Question 1 of 5
Which developmentally appropriate toy should the nurse recommend for this child?
Correct Answer: A
Rationale: The correct answer is A: Finger paints. Finger painting promotes sensory exploration, creativity, fine motor skills, and cognitive development in young children. It allows the child to express themselves freely and engage in tactile experiences. Building blocks (
B) also offer developmental benefits, but finger paints are better for this age group. Books with paper pages (
C) may not be suitable due to the risk of tearing. Small colored beads (
D) pose a choking hazard and are not appropriate for young children.
Extract:
Infants
Question 2 of 5
The parents demonstrate understanding when they state that which of the following behaviors indicates that an infant has developed object permanence?
Correct Answer: C
Rationale: The correct answer is C because actively searching for a hidden object indicates that the infant understands object permanence, the concept that objects continue to exist even when not in sight. This behavior shows that the infant knows the object exists even when it is out of sight.
Choices A, B, and D do not specifically demonstrate object permanence as they could be based on other cognitive abilities like recognition or motor skills.
Therefore, only choice C directly correlates with the development of object permanence in infants.
Extract:
A preschool-age child scheduled for a lumbar puncture
Question 3 of 5
Which of the following actions should the nurse plan to take? (Select all that apply.)
Correct Answer: B,C
Rationale:
Correct
Answer: B, C
Rationale:
B: Applying EMLA an hour before the procedure will help numb the skin, reducing pain during the procedure.
C: Giving the child juice and crackers can help keep them calm by providing comfort and distraction.
Summary:
A: Placing a transdermal fentanyl patch is not appropriate for calming the child before a procedure.
D: Sedating the child before the procedure can be risky and unnecessary for simple calming.
E: Placing tegaderm to the back does not address the need to keep the child calm or comfortable.
Extract:
A 4-year-old child is admitted to the pediatric unit for a minor surgical procedure. The child believes that the surgery is a punishment for being 'bad.'
Question 4 of 5
Which response by the nurse is most appropriate to address the child's magical thinking?
Correct Answer: C
Rationale: The correct answer is C. This response acknowledges the child's magical thinking without dismissing or invalidating it. The nurse reassures the child that the surgery is not a punishment and explains the true purpose of the surgery, which is to help the child get better. This approach validates the child's feelings while providing factual information to address any misconceptions.
Option A simply praises the child and briefly mentions the need for surgery without directly addressing the magical thinking. Option B is dismissive and tells the child not to think that way without providing any further explanation. Option D offers a distraction without addressing the child's concerns about the surgery.
In summary, option C is the most appropriate as it validates the child's feelings, corrects any misconceptions, and provides reassurance and explanation.
Extract:
A 4-year old preschooler
Question 5 of 5
Which of the following findings should indicate to the nurse a need to refer the child for a possible developmental delay? (Select all that apply.)
Correct Answer: B,D
Rationale:
Correct
Answer: B,D
Rationale:
B: The child being unable to follow simple two-step instructions may indicate a delay in cognitive development, as this is a basic skill expected at a certain age.
D: Having a vocabulary of fewer than 50 words is below the expected range for a child's language development, suggesting a possible delay.
Summary:
A, C, and E are not necessarily indicative of a developmental delay as they can be common variations in children's behavior. A child occasionally reversing letters or stuttering can be part of normal development. Difficulty in sharing toys may indicate social skills rather than a developmental delay.