ATI RN
ATI Pediatrics Exam II Questions
Extract:
A preschooler
Question 1 of 5
Which of the following developmental tasks should the nurse include as being expected of a preschooler?
Correct Answer: D
Rationale: Associative play, where children play together but may not have organized rules or structure, is a developmental milestone expected in preschoolers.
Extract:
A 4-year old preschooler
Question 2 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: B: At 4 years old, a child should be able to follow simple two-step instructions. Difficulty doing so may indicate a developmental delay. D: A vocabulary of fewer than 50 words is concerning, as children at this age typically have a much larger vocabulary.
Extract:
Children ranging from ages 2 to 7 years
Question 3 of 5
The parents understand the term egocentrism when they indicate it means:
Correct Answer: C
Rationale: Egocentrism is a characteristic of Piaget’s preoperational stage, where children are unable to see things from another person's point of view.
Extract:
A child who weighs 33 pounds
Question 4 of 5
An order of Rocephin 500 mg IV q 12 h has been ordered for a child who weighs 33 pounds. According to the drug guide, the safe dose for this medication is 75 mg/kg/day divided into q 12 h doses. What is the safe dosage (of a single dose) of this med for this patient?
Correct Answer: 562.5 mg
Rationale:
To calculate the safe dosage for the patient, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 33 pounds, which is approximately 15 kilograms (33 / 2.2). According to the drug guide, the safe dosage is 75 mg/kg/day. For a child weighing 15 kg, the total safe daily dosage would be 1125 mg (15 kg * 75 mg/kg). Since the medication is to be divided into two doses per day (every 12 hours), the safe single dose would be half of the daily dosage, which is 562.5 mg.
Extract:
A 2 1/2-year-old child
Question 5 of 5
Which statement by the mother indicates she has an understanding of how to best help the child succeed in her age-related psychosocial developmental tasks?
Correct Answer: B
Rationale: Encouraging a toddler to try things for themselves fosters independence and supports their developmental task of gaining autonomy, which is essential at this stage.