ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 1 of 49
An infant age 4 months comes to the clinic for a well-infant check-up. Immunizations she should receive are DTaP (diphtheria, tetanus, acellular pertussis) and IPV (inactivated poliovirus vaccine). She is recovering from a cold but is otherwise healthy and afebrile. Her older sister has cancer and is receiving chemotherapy. Nursing considerations include which of the following?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 2 of 49
The nurse attends a conference about pain management. The nurse correctly relates that which of the following age groups can rate pain with use of the Wong-Baker pain faces system?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 3 of 49
What is the earliest age at which an infant is able to sit steadily alone?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 4 of 49
The nurse instructs the mother of an infant about infant safety factors. The nurse would assess the need for further instruction if the caregiver states:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 5 of 49
A recently hospitalized 2-year old client screams and shouts that he wants a 'bottle.' His parents are puzzled, and state that he has been drinking from a cup for the past year. The nurse explains that:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 6 of 49
Which of the following is the most consistent and commonly used data for assessment of pain in infants?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 7 of 49
The nurse knows that a postterm infant may experience which potential problems? (Select one that does not apply.)
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 8 of 49
A 4-year-old attends a preschool group three mornings a week. He has been treated kindly and lovingly at home. At school, according to Kohlberg's theory of moral development, he is likely to:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 9 of 49
The nurse is plotting the height and weight of children during a school assessment clinic. Which aspect of the childrens health is the nurse assessing?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 10 of 49
A mother expresses surprise to the nurse that her toddler daughter has begun masturbating. The most important initial nursing response is:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 11 of 49
The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 12 of 49
The nurse is caring for a 4-year-old boy with Ewing sarcoma who is scheduled for a computed axial tomography (CAT) scan tomorrow. Which is the best example of therapeutic communication?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 13 of 49
Which predisposes the adolescent to feel an increased need for sleep?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 14 of 49
A teenage male refuses to wear the clothes his mother bought for him. He states he wants to look like the other kids at school and wear the types of clothes they wear. The nurse explains this behavior is an example of teenage rebellion related to internal conflicts of:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 15 of 49
The nurse assesses the vital signs of a 12-month-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths per minute. Based on this finding, which action is most appropriate?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 16 of 49
Which of the following statements is correct about toilet training?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 17 of 49
The nurse is teaching a staff development program about levels of sedation in the pediatric population. Which of the following statements by one of the participants would indicate a correct understanding of the teaching?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 18 of 49
The nurse in a pediatric clinic is performing an assessment on an infant in the presence of both parents. The parents are short and moderately overweight. One parent states, 'We are going to do everything we can to raise a strong, tall, athletic child.' How does the nurse respond?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 19 of 49
The nurse is interviewing the father of a 10-month-old. The child is playing on the floor when she notices an electrical outlet and reaches up to touch it. Her father says 'no' firmly and moves her away from the outlet. The nurse should use this opportunity to teach the father that the child:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 20 of 49
Untreated respiratory distress in the newborn could cause which complication?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 21 of 49
Which stage of cognitive development is a 9-year-old child in according to Piaget?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 22 of 49
The following statements regarding the persistence of ductus arteriosus are true in the premature infant (choose one):
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 23 of 49
Assessment reveals that a child weighs 73 lb and is 4 ft 1 in tall. The nurse calculates this child's body mass index as:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 24 of 49
A dejected 8-year-old has brought home an art project that was finished at school that didn't get put up on the bulletin board with some better projects. The best way to support the child's sense of industry would be for the parents to:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 25 of 49
An 8-year-old's mother asked the child to set the table, but then remarked that it was not very neat and then reset the table herself. According to Erikson, this sort of behavior on the part of the mother will cause the child to feel:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 26 of 49
The nurse is assessing a 20-month-old toddler during a well-child visit and notices tooth decay. The nurse should understand that early childhood caries are caused by which of the following?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 27 of 49
A parent is concerned because her infant has a diaper rash. What is the best action the nurse would advise the parent to implement?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 28 of 49
Vocabulary of 1½ year old child is
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 29 of 49
The grandmother is the primary caregiver of her 2-year-old granddaughter. She expresses her concern that the child has temper tantrums two or three times a day, often in public places. She explains that she spanked her own children when they did this but now she is worried that spanking is not the best way to handle the situation. She asks the nurse for help with ways to deal with the temper tantrums. In answer to her question, the nurse makes the following statements. Which statement is the most appropriate regarding dealing with the child who has a temper tantrum?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 30 of 49
Which of the following characteristics best describes the fine motor skills of an infant at age 5 months?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 31 of 49
The nurse is caring for a teen who will be hospitalized for physical rehabilitation for an extended period of time after an auto accident. When working to promote a good working relationship with the teen, what action by the nurse will be most beneficial?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 32 of 49
The nurse is preparing to take a tympanic temperature reading of a 4-year-old. In order to get an accurate reading, what does the nurse need to do?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 33 of 49
The mother of a 2-year-old tells you she is constantly scolding him for having wet pants. She says her son was trained at 12 months, but since he started to walk, he wets all the time. Which nursing diagnosis would be most applicable?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 34 of 49
When evaluating a hypoglycemic infant, the first thing to assess is:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 35 of 49
A nurse educator believes that teaching students without caring about them is an exercise in futility. This educator also believes that in meeting the students needs, educators must also work to take care of themselves and care for their own needs. From which stage of Gilligans theory is the educator approaching the teaching of students?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 36 of 49
The nurse is administering a hepatitis B vaccine to a child. What is the classification of this type of vaccine?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 37 of 49
During the health history, the mother of a 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. What is the nurse's best response?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 38 of 49
Developmental and behavioral conditions occur in approximately what percentage of children?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 39 of 49
Normal height with decreased bone age is seen in
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 40 of 49
A child is in the playroom on the unit with parents. It is time for the child's physical therapy. The nurse correctly,
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 41 of 49
A 2 year old child with developmental delays in gross and fine motor activities can get a free program called a/an:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 42 of 49
When teaching a class about pubertal changes in boys, a question is asked about when development appears. Which of the following would be the order of the changes as they occur? 1. Voice changes, 2. Pubic hair appears, 3. Size of testes increase, 4. Downy hair appears on upper lip, 5. Axillary hair grows, 6. Rapid growth of genitalia occurs
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 43 of 49
The nurse encourages the parent to allow the toddler to dress himself and feed himself and make simple choices about clothing or food in order to follow the theory of:
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 44 of 49
Which of the following factors should be strongly considered in determining whether an exchange transfusion is indicated in a term neonate with an indirect bilirubin of 21 mg%.
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 45 of 49
When assessing a preterm infant, the nurse observes nasal flaring, sternal retractions, and expiratory grunting. What do these findings indicate?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 46 of 49
Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 47 of 49
What will the nurse take into consideration when educating parents regarding infant nutrition?(Select one tha dose not apply)
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 48 of 49
After analyzing behavior, the nurse determines that a client is demonstrating defense mechanisms. According to Freud, what should the nurse realize as being the cause of this behavior?
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ATI LPN · NCLEX Pediatrics Questions Growth and Development
Question 49 of 49
A toddler's parents want to begin toilet training him. As a rule, the best instruction you could give them is
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