Question

A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?

Answer 1

Correct Answers:

The infant does not sit steadily without support.

Rationale :

🧷 At 10 months, an infant should be able to sit independently without support as part of expected gross motor milestones.

🧷 Failure to do so suggests a delay in gross motor development, which could indicate underlying neuromuscular or developmental issues.

🧷 While tower building, turning pages, and animal sounds (options B–D) are more advanced and expected closer to 12–15 months, sitting without support is a baseline milestone that should be present by this age.

🧷 This warrants early referral for developmental evaluation to initiate interventions like physical therapy if needed.

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Answer 2

Correct Answers:

Place the child in an upright position_

Rationale :

🚑 Suspected epiglottitis is a medical emergency characterized by drooling, dysphonia, stridor, and distress.

🚑 Placing the child upright promotes airway patency and ease of breathing.

🚑 Visualizing the throat or obtaining a culture may cause laryngospasm and sudden airway obstruction.

🚑 Radiology transport should be deferred until the airway is secured, often via controlled intubation in the OR.

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Answer 3

Correct Answers:

Call for help, then check for a pulse

Rationale :

🫀 If a child is unresponsive, the next immediate step per pediatric BLS is to activate the emergency response system (call for help).

🫀 Then assess circulation by checking the carotid pulse for at least 5–10 seconds.

🫀 Only if there is no pulse should the nurse initiate chest compressions.

🫀 Prioritizing airway first (A) is not consistent with current AHA guidelines, which emphasize C-A-B (Circulation-Airway-Breathing) in unresponsive children.

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Answer 4

Correct Answers:

The toddler cannot stand upright without support.

Rationale :

🧍 At 15 months, toddlers should be walking independently or with minimal assistance.

🧍 Inability to stand independently may indicate delayed gross motor development related to neuromuscular or orthopedic concerns.

🧍 Jumping (A), turning doorknobs (C), or building block towers (D) are milestones that typically develop closer to 18–24 months, and delay in these is less concerning at 15 months.

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Answer 5

Correct Answers:

Daytime symptoms occur more than twice a week.
Minor limitations with normal activity

Rationale :

🌬️ D. Daytime symptoms occur more than twice a week

📌This is a core criterion for diagnosing mild persistent asthma, according to the National Asthma Education and Prevention Program (NAEPP).

📌In contrast to intermittent asthma (which occurs ≤2 times per week), more than 2 days/week signals that the asthma is persistent, though still mild if it does not occur daily.

📌These daytime symptoms may include coughing, wheezing, or shortness of breath during play or exertion.

📌This frequency indicates the child needs daily controller medication, typically a low-dose inhaled corticosteroid.

🌬️ E. Minor limitations with normal activity

📌In mild persistent asthma, physical activity is mostly tolerated but may result in occasional symptoms, such as coughing or fatigue during running or active play.

📌This is classified as a minor limitation, as opposed to moderate or severe asthma, where activity is more significantly restricted.

📌The child may still attend school, engage in sports, and play, but symptoms might arise during increased physical exertion or environmental exposure (e.g., pollen, cold air).

📌Recognizing activity limitations is essential to determine the step level of therapy required.

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Answer 6

Correct Answers:

Negative behaviors characterized by the need for autonomy

Rationale :

🧸 Toddlers (1–3 years) are in Erikson’s stage of autonomy vs. shame/doubt.

🧸 After hospitalization or surgical procedures like tonsillectomy, toddlers may exhibit negative behavior (e.g., refusal, tantrums) as they reassert independence.

🧸 This behavior is developmentally appropriate and not necessarily regression.

🧸 Imaginary friends or sexual curiosity emerge in preschool years, and initiative vs. guilt is also a preschooler stage.

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Answer 7

Correct Answers:

Active psychiatric disorder

Rationale :

🧠 Among adolescents, the strongest predictor of suicide is the presence of an active mental health disorder such as major depression, bipolar disorder, or anxiety disorders.

🧠 Other risk factors (e.g., access to firearms, family conflict, LGBTQ identity) contribute to risk but are less predictive than psychiatric diagnosis.

🧠 Early mental health intervention is critical to reduce suicide attempts and completions.

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Answer 8

Correct Answers:

Frequent swallowing

Rationale :

🩸 Frequent swallowing, especially during sleep or while silent, is an early and subtle sign of bleeding from the tonsillar site.

🩸 Blood trickling down the throat may not be obvious externally, and children often swallow it reflexively.

🩸 Thirst , mouth breathing , and pain are expected after tonsillectomy but do not indicate active hemorrhage.

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Answer 9

Correct Answers:

Iron deficiency anemia

Rationale :

🥛 Drinking a quart or more of milk per day can lead to iron-deficiency anemia in toddlers due to:

📌Low iron content in cow’s milk

📌Interference with iron absorption

📌GI irritation leading to occult bleeding

🥛 Excessive milk also suppresses appetite for iron-rich foods, compounding the risk.

🥛 Diabetes, obesity, and rickets are associated with different dietary patterns.

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Answer 10

Correct Answers:

Babbles one-syllable sounds

Rationale :

🖐️ At 7 months, infants should begin using both hands in coordination (bidextrous grasp).

🖐️ A preference for one hand (unidextrous grasp) at this age can indicate motor asymmetry or neurologic impairment, such as hemiparesis.

🖐️ Stranger anxiety, babbling, and food preference are expected behaviors at this stage.

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RN ATI Paediatrics 2329G Exam Section 2

No.

1 :
A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?

2 :
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

4 :
A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?

5 :
A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

6 :
A nurse is assessing the psychosocial development of a toddler following a tonsillectomy. Which of the following findings is a manifestation of this following?

7 :
A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?

8 :
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

9 :
A parent tells a nurse that her toddler drinks a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddler is at risk for which of the following disorders?

10 :
A nurse in a clinic is assessing a 7-month-old infant. Which of the following indicates a need for further evaluation?

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RN ATI Paediatrics 2329G Exam Section 2

No.

1 : A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?

2 : A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

4 : A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?

5 : A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

6 : A nurse is assessing the psychosocial development of a toddler following a tonsillectomy. Which of the following findings is a manifestation of this following?

7 : A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?

8 : A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

9 : A parent tells a nurse that her toddler drinks a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddler is at risk for which of the following disorders?

10 : A nurse in a clinic is assessing a 7-month-old infant. Which of the following indicates a need for further evaluation?

1 :
A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?

2 :
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

4 :
A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?

5 :
A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

6 :
A nurse is assessing the psychosocial development of a toddler following a tonsillectomy. Which of the following findings is a manifestation of this following?

7 :
A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?

8 :
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

9 :
A parent tells a nurse that her toddler drinks a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddler is at risk for which of the following disorders?

10 :
A nurse in a clinic is assessing a 7-month-old infant. Which of the following indicates a need for further evaluation?