ATI Nursing Care of Children Proctored
exam study guide Fall updated Summer
2022.
What is a dictorial or authoritarian parenting style?
*ANS- parents try to control the child’s behaviors and attitudes through
unquestioned rules and expectations
What is an authoriatitive parenting style?
*ANS- also known as democratic, parents direct the child’s behavior by setting
rules and explaining the reson for each rule setting
What is passive parenting?
*ANS- parents are uninvolved, indifferent, and emotionally removed
A nurse manager on a pediatric floor is preparing an education program on
working with families for a group of newly hired nurses. Which of the following
should the nurse include when discussing the developmental theory?
A. describes that stress is inevitable
B. emphasizes that change with one member affects the entire family
C. provides guidance to assist families adapting to stress
D. Defines consistencies in how families change *ANS- D
A nurse is assisting a group of parents of adolescents to develop skills that will
improve communication. The nurse heads one parent states “my son knows he
better do what I say”. Which of the parenting styles is he exhibiting?
A. Authoritarian
B. Permissive
C. Authroitative
D. Passive *ANS- A
A nurse is performimg family assessment. Which of the following should the nurse
include? (select all that apply)
A. medical history
B. parents’ education level
C. child’s physical growth
D. Support systems
E. Stressors
*ANS- A, B, D, E
What is the expected pulse rate of a newborn?
*ANS- 80 to 180/min
What is the expected pulse of a baby 1 week to 3 months? *ANS- 12 to 180/min
What is the expected pulse of a child 3 months to 2 years? *ANS- 70 to 150/min
What is the expected pulse of a child 2 to 10 years? *ANS- 60 to 110/min
What is the expected pulse of a child 10 years and older? *ANS- 50 to 90/min
What are the expected respirations fo a newborn to one year? *ANS- 30 to
35/min
What are the expected respirations of a 1 to 2 year old? *ANS- 25 to 30/min
What are the expected respirations of a 2 to 6 year old? *ANS- 21 to 25/min
What are the expected respirations of a child 6 to 12 years old? *ANS- 19 to
21/min
What are the expected respirations of a 12 year old and older? *ANS- 16 to
19/min
What are the normal vitals of an infant? *ANS- HR: 80-180
RR: 30-35
BP: 65-80/40-50
Fontanels *ANS- should be flat and soft, posterior closes between 6 and 8 weeks,
anterior closes between 12 and 18 months
Teeth *ANS- 6 to 8 teeth by 1 year of age, 20 baby teeth and 32 permanent teeth
How long is the Moro reflex present? *ANS- until 4 months of age
How long is the Tonic neck reflex present? *ANS- until 3 to 4 months of age
How long does the Babinski reflex last? *ANS- usually until a year
Expected findings of the olfactory (I) nerve in infants , children, and adolescents
*ANS- Infants: difficult to test
Children and Adolescents: indentifies smell through each nostril individually
Expected findings of optic nerve (II)? *ANS- Infants: looks at face and tracks with
eyes
Children and adolescents: has intact visual acuity, peripheral vision, and color
vision
Expected findings for trigeminal nerve? *ANS- infants: has rooting and sucking
relfex
children and adolescents: is able to clencg teeth together and can detect touch
on face with eyes closed
A nurse is preparing to assess a preschool-age child. Which of the following is an
appripirate action by the nurse to prepare the child?
A. Allow the child to role play using miniature equipment
B. use medical terminology to describe what will happen
C. separate th child from her parents during examination
D. keep medical equipment visible to the child *ANS- A
A nurse is checking the vital signs of a 3-year-old during a well child visit, which of
the following findings should the nurse report to the provider?
A. temperature 37.2C (99.0F)
B. Heart rate of 106/min
C. Respirations 30/min
D. Blood pressure 88/54 mmHg *ANS- C
A nurse is assessing a child’s ears. Which of the following is an expected finding?
A. Light reflex is located at the 2 o clock position
B. Tympanic membrane is red in color
C. bone landmarks are not visible
D. Cerumen is present bilaterally *ANS- D
A nurse is assessing a 6-month-old infant. Which of the following reflexes shoudl
the infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic necl *ANS- B
A nurse is performing a neurological assessment on an adolescent. Which of the
following is an appropriate reaction by the adolescent when the nurse checks the
trigeminal cranial nerve? (select all that apply)
A. clencing the teeth together tightly
B. recognizing a sour tast
C. identifying smells through each nostril
D. detecing facial touches when eyes closed
E. Looking down and in with the eyes *ANS- A, D
What happens to a baby’s birth weight? *ANS- it should double by 6 months and
triple by 1 year
How do infants grow? *ANS- 1 inch per month (2.5cm) for 6 months, then by 12
months, height/length should be doubled
When do the first teeth arupt? *ANS- between 6 and 10 months
Gross and fine motor by 3 months *ANS- only have slight head lag
Gross and fine motor by 4 months *ANS- should be able to roll from back to side
Gross and fine motor by 5 months *ANS- should be able to roll from front to back
Gross and fine motor by 6 months *ANS- should be able to roll from back to fron
and hold a bottle