ATI RN
ATI Pediatrics Exam II Questions
Extract:
A 4-year old preschooler
Question 1 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:
An 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the toddler is sitting quietly in the corner of the crib, sucking her thumb and turning away from the nurse.
Question 2 of 5
The nurse should understand that these behaviors indicate which of the following developmental reactions?
Correct Answer: D
Rationale: Separation anxiety is a normal developmental stage for toddlers, especially when they are separated from their primary caregiver. The behaviors of turning away and thumb-sucking are common signs of distress due to separation from the mother.
Extract:
A hospitalized 10-month-old infant
Question 3 of 5
What would be the nurse's primary focus while caring for a hospitalized 10-month-old infant?
Correct Answer: D
Rationale: At 10 months, infants are in a stage where separation anxiety is prominent. Fear of strangers and distress due to separation from caregivers is a significant developmental challenge for hospitalized infants.
Extract:
A 10-month-old infant
Question 4 of 5
Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,E
Rationale: B: A snug-fitting mattress in the crib is crucial to prevent the child from getting trapped or suffocated. C: Tying plastic bags in knots helps prevent a child from suffocating or choking if they play with discarded bags. E: Serving food in small, non-circular pieces reduces the risk of choking, which is vital for a 10-month-old who is learning to eat solid foods.
Extract:
A 3-week-old infant with a respiratory infection and a respiratory rate of 35 breaths/minute
Question 5 of 5
On the basis of this finding, what is the most appropriate action?
Correct Answer: B
Rationale: A respiratory rate of 35 breaths/minute is normal for an infant, so the nurse should document this finding.