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Preschooler Health and Development: A Q&A Review for Nursing Students, Exams of Pediatrics

Capella University Pediatrics

A comprehensive collection of questions and answers related to the health and development of preschoolers. it covers key milestones in language development, physical growth patterns, psychosocial development according to erikson's stages, pain management, vaccinations, common childhood illnesses (allergic rhinitis, food allergies, lyme disease, anaphylactic shock), and specific conditions like encopresis, rheumatic fever, and iron deficiency anemia. The questions are designed to assess understanding of these topics, making it a valuable resource for nursing students or professionals.

Typology: Exams

2024/2025

Available from 05/26/2025

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ATI PEDS EXAM 4|2025-2026|ACTUAL 250+QUESTIONS

& CORRECT ANSWERS|VERIFIED|GRADED A+

Which language milestone would the nurse expect in preschoolers? Select all.

a.starting to understand riddles and jokes

B.wanting to know the reason, asking "why"

C.having a vocabulary of 2,100 words

D.knowing that words may havew arbitrary meanings

E.unable to distinguish between phonetically similar words

B.wanting to know the reason, asking "why"

C.having a vocabulary of 2,100 words

E.unable to distinguish between phonetically similar words

Which education would the nurse provide the family of a preschool age child

about normal growth patterns?

a.the rate of physical growth accelerates during this stage of development

B.muscle and bone development are mature during this stage of development

C.you can expect your child to keep the potbelly appearance during this stage

of development

D.your child's legs will grow in length versus the trunk of the body during this

stage of development

D.your child's legs will grow in length versus the trunk of the body during this

stage of development

Partial preview of the text

Download Preschooler Health and Development: A Q&A Review for Nursing Students and more Exams Pediatrics in PDF only on Docsity!

ATI PEDS EXAM 4| 2025 - 2026|ACTUAL 250+QUESTIONS

& CORRECT ANSWERS|VERIFIED|GRADED A+

Which language milestone would the nurse expect in preschoolers? Select all. a.starting to understand riddles and jokes B.wanting to know the reason, asking "why" C.having a vocabulary of 2,100 words D.knowing that words may havew arbitrary meanings E.unable to distinguish between phonetically similar words B.wanting to know the reason, asking "why" C.having a vocabulary of 2,100 words E.unable to distinguish between phonetically similar words Which education would the nurse provide the family of a preschool age child about normal growth patterns? a.the rate of physical growth accelerates during this stage of development B.muscle and bone development are mature during this stage of development C.you can expect your child to keep the potbelly appearance during this stage of development D.your child's legs will grow in length versus the trunk of the body during this stage of development D.your child's legs will grow in length versus the trunk of the body during this stage of development

Eriksons stage for preschoolers? Initiative vs guilt

they achieve independence and realize they are separate humans from their parents
they become idependant with adls
they are egocentric about themselves Guilt:
occurs when preschoolers believe they misbehaved or when they are unable to accomplish a task
also occurs when parents dont allow them to explore Which developmental achievements distinguish preschoolers from school age children? Select all. A.preschoolers have imaginary playmates B.preschoolers are able to relate events to their causes C.preschoolers are curious to know about their surroundings D.preschoolers understand that one object can exist in two shapes E.preschooler believe that inanimate objects have lifelike qualities A.preschoolers have imaginary playmates

A.apply a topical anesthetic (emla) B.injecting the most painful vaccine last C.holding the child upright during the vaccination D.administering intramuscular injections rapidly without prior aspiration E.administering acetaminophen or ibuprofen after to vaccination → dont do this because it diminishes immune response A.apply a topical anesthetic (emla) B.injecting the most painful vaccine last C.holding the child upright during the vaccination D.Administering intramuscular injections rapidly without prior aspiration What is a soft locked restraint used for? If the patient is a harm to themselves or they are sedated What is a mummy device restraint used for? If the patient is getting a medication or injection What is a papoose board restraint used for? For a patient if they are getting at mri/ct scan

What is a welcome sleeve? They are elbow restraints Encoporesis Repeated passage of feces at least once a month for a at least 3 months that are uncontrollable Therapeutic management:

regimen to empty bowel of impacted stool (laxatives/ enemas) --> miralax is the most common and needs to be finished within 30 min Behavior interventions:
focus on relearning
set aside dedicated time to use the bathroom
high fiber diet
daily stool softener
give them praise on the days that it doesnt occur Allergic rhinitis:

pollen
pet dander
smoke Which laboratory finding would the nurse anticipate identifying in the repost of a client exposed to pollen who reports a runny, stuffy nose and itchy, watery eyes with the nasal examination revealing swollen and pink nasal mucosa? A.immunoglobulin e level of 150 iu/ml B.eosinophil count of 2% C.percentage of neutrophils of 80% D.total white blood cell count of 3 billion cells/l A.immunoglobulin e level of 150 iu/ml Food allergies: S/s:
hives
itching
rash
swelling
sneezing
wheezing

throat tightness
n/v
diarrhea Treatment:
epipen Dx:
skin testing Bites and stings: A local inflammatory response Bee sting:

Take stinger out
Ice
Benadryl Lyme disease:

s/s --> bullseye rash
treatment --> antibiotics

wheezes, stridor, or hoarseness
pain with swallowing
cough
loss of bladder control
n/v or diarrhea Treatment:
#1 epinephrine (need to assess q 4 hrs)
2nd line treatment --> corticosteroids (methylprednisone) After giving epi patient needs to be brought to the hospital Which first line medication would the nurse anticipate administering to a client to treat anaphylactic reactions? A.epinephrine B.norepinephrine C.dexamethasone D.diphenhydramine A.epinephrine

Which parental statement would prompt the nurse to provide additional education to the parent of a preschool age client with a severe food allergy? A.i will send the self-injectable epinephrine device with my child to pre-school B.i have reviewed the symptoms of an anaphylactic reaction with the pre- school C.i have created an emergency action plan in case an anaphylactic reaction occurs D.i am going to create a food allergy plan wit the director to avoid the risk of an accidental exposure A.i will send the self-injectable epinephrine device with my child to pre-school Rheumatic fever: Autoimmune disease reaction to strep a (group a beta hemolytic strep infection)

creates fibrin deposits on endocardium and valves
most common in poor and urban areas Causes inflammatory lesions on the heart and blood vessels --> endocarditis Treatment:
penicillin S/s: must have two major or one major and two minor manifestations

Which complication will the nurse monitor for when caring for a client with an infection caused by group a beta-hemolytic streptococci? a.hepatitis a B.rheumatic fever C.spinal meningitis D.rheumatoid arthritis B.rheumatic fever Iron deficiency anemia: Without iron hemoglobin cant be incorporated into rbcs

most common cause of this in preschoolers is inadeqaute dietary intake S/s:
pale mucous membranes
enlarged heart and spleen
poor muscle tone and decreased activity
tachycardia
cool extremities
fatigue
sob
chest pain

dizziness
headaches Treatment:
iron supplement
11 - 16 mg/day
take with orange juice to help absorb vit d Diet:
iron fortified cereals
dried beans
lentils
peanut butter
red meat Labs:
low mcv
low ferritin
low rbc
low h&h

B.increased pulse rate C.increased blood pressure D.cyanosis of the nail beds B.increased pulse rate A client with iron-deficiency anemia is prescribed iron supplementation daily. To help the client increase iron absorption, the nurse would suggest the client eat foods/drink high in which substance? A.vitamin c B.fat content C.water content D.vitamin b complex A.vitamin c Hemophilia a: A genetic disorder that lacks clotting factor vii (8); bleeding time is extended d/t lack of factor required for blood to clot

females can carry it but only males show symptoms S/s:

swelling and warmth of joints (d/t bleeding in joints)
bleeding gums when brushing teeth
blood in stool
hematomas on lower extremities Nursing interventions:
encourage rest and apply ice to affected joints
monitor urine, stool, and ng fluid for occult blood
prior to surgery --> give factor vii so they dont bleed out (can be given subcut or iv) Medications:
ddvap desmopressin --> helps the patients body create the factor
plasma factor viii --> used to treat and prevent hemorrhages; needs to be given as close to the time of bleeding as possible Safety:
helmets
no contact sports
soft tooth brush
medical alert bracelet

D.easy bruising G.dark-colored tarry stools The nurse teaches the parents of a child with celiac disease about the food that should be eliminated from the diet. Which foods do the parents name that indicate to the nurse that the teaching has been understood? Select all. a.milk B.cheese C.oatmeal D.rice cakes E.corn on the cob F.whole wheat bread C.oatmeal F.whole wheat bread Constipation: Two or less bowel movements in a week that causes distress to the child

as passing stool is painful the child represses the next urge to avoid the pain S/s:

hard abdomen
hyperactive or hypoactive bs
encopresis
nausea and decreased appetite Management:
miralax --> in 8ox of fluid that needs to be finished within 30 min
milk of mag (2nd line treatment)
docusate
upper gi --> ng to suck poop out
sedation for manual disimpactation Which suggestion would the nurse provide to the parent whose child has been constipated for 3 days? Select all. A.give laxatives to the child B.reduce the child's fluid intake C.include dairy products in the child's diet daily D.increase the child's physical activity E.include food with a high fiber content in the child's diet A.give laxatives to the child D.increase the child's physical activity

Preschooler Health and Development: A Q&A Review for Nursing Students, Exams of Pediatrics

Related documents

Partial preview of the text

Download Preschooler Health and Development: A Q&A Review for Nursing Students and more Exams Pediatrics in PDF only on Docsity!

ATI PEDS EXAM 4| 2025 - 2026|ACTUAL 250+QUESTIONS

& CORRECT ANSWERS|VERIFIED|GRADED A+