Practice Question
A nurse is conducting a health history assessment on a pediatric patient newly admitted to the pediatric floor. Which of the following questions should the nurse include to gather comprehensive information? (Select all that apply.)
Answer Choices:
Correct Answer:
"Can you tell me about any allergies your child has?"
Rationale:
✅ A. "Can you tell me about any allergies your child has?"
🟠 Identifying allergies is crucial to prevent adverse reactions to medications, foods, or environmental factors.
🟠 It ensures that treatments such as antibiotics or vaccines are administered safely.
🟠 Nurses must note allergies on all documentation to support care coordination across providers.
🟠 Food or medication allergies may also explain unresolved or recurring symptoms, like rashes or GI upset.
🟠 Knowledge of allergic reactions contributes to life-saving decisions, especially with anaphylaxis risk.
✅ C. "Has your child had any recent illnesses or hospitalizations?"
🟠 This question helps identify acute or chronic conditions, guiding the current plan of care.
🟠 It uncovers patterns such as recurrent infections, hospital admissions, or complications from previous illnesses.
🟠 Prior health events may indicate a weakened immune system or underlying pathology.
🟠 This context informs decisions on medications, lab work, and specialist referrals.
🟠 It’s also key to understanding emotional or behavioral issues related to frequent illness.
✅ D. "Has your child met all their developmental milestones?"
🟠 Developmental milestones reflect neurological and physical health; delays can suggest various disorders.
🟠 This inquiry supports early detection of delays in motor, speech, social, and problem-solving domains.
🟠 Early recognition allows timely referrals for intervention services, such as physical therapy or occupational therapy.
🟠 Developmental monitoring aligns with Bright Futures guidelines and AAP standards for pediatric care.
🟠 Tracking milestones over time enables longitudinal evaluation of growth and cognitive progress.
✅ E. "Does your child have any siblings?"
🟠 Family structure influences social development and stress adaptation, especially in hospital settings.
🟠 Understanding sibling dynamics helps nurses plan holistic care, including addressing sibling jealousy or caregiver strain.
🟠 Sibling presence may affect the child's coping skills, attachment, and support system.
🟠 It also assists in identifying the need for family-centered interventions or counseling.
🟠 Knowing about siblings helps during health promotion teaching, e.g., safety planning for multiple children.
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This question is from RN ATI Pediatrics Exam VII which contains 66 questions.
More Questions from This Exam
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A nurse is assessing a 4-year old preschooler. 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.)
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A nurse is providing health promotion teaching to the parents of an infant. Which of the following conditions should the nurse identify as the leading cause of death among this age group?
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The parent of a recently readmitted 3-year-old child with a chronic illness tells the nurse, "I am not sure what to do about my other children. Every time she comes back to the hospital, they have to go to the babysitter. They are telling me that it is not fair that their sister gets all my attention." Which is the nurse's best assessment of this situation?
Answer Choices:
A nurse is teaching a class about expected developmental milestones in 2-year-old toddlers. The nurse should include which of the following milestones?
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 5