ATI RN
ATI Pediatric Proctored Exam 2023
1. During an assessment, an infant is suspected to have intussusception. Which of the following findings should the nurse expect?
- A. Currant jelly stools
- B. Projectile vomiting
- C. Scaphoid abdomen
- D. Frequent stools
Correct answer: A
Rationale: Intussusception is a condition where one segment of the intestine telescopes into another, causing obstruction. The classic presentation includes currant jelly stools, which are a mixture of blood and mucus due to the sloughing of the intestinal mucosa. This finding is a result of the compromised blood supply to the affected area and is a key characteristic associated with intussusception.
2. Which of the following is a common issue experienced by families of children with ASD?
- A. Financial limitations
- B. Social isolation
- C. Difficulty accessing needed services
- D. Difficulty obtaining early diagnosis
Correct answer: C
Rationale: Families of children with ASD commonly experience challenges in accessing needed services. This can include difficulties in obtaining appropriate therapies, educational support, and specialized interventions. While financial limitations and social isolation are also significant issues faced by these families, the primary concern often revolves around the challenges in accessing essential services for their children.
3. Which principle does not follow neuromaturational theory?
- A. The sequence and rate of motor development are consistent among infants
- B. Movement emerges from an interaction and cooperation of many systems
- C. Movement progresses from primitive reflexes to voluntary control
- D. Low-level skills are prerequisites for certain high-level skills
Correct answer: B
Rationale: Neuromaturational theory emphasizes that motor development progresses in a predictable sequence and rate, starting from primitive reflexes to voluntary control. It also states that low-level skills are foundational for higher-level skills. However, the theory does not support the idea that movement solely emerges from an interaction and cooperation of many systems, as it focuses more on the hierarchical development of motor skills.
4. Which type of parenting style is associated with children who rank higher on many measures of social and cognitive development?
- A. Warm, responsive, positive
- B. Neutral, rigid, critical
- C. Absent, unstructured, negative
- D. Cold, neglectful, negative
Correct answer: A
Rationale: Research has shown that a warm, responsive, and positive parenting style is associated with children who rank higher on many measures of social and cognitive development. This style promotes secure attachment, emotional regulation, and overall well-being in children. In contrast, parenting styles characterized by neutrality, rigidity, negativity, or neglect have been linked to poorer outcomes in children's development. Understanding different parenting styles can help professionals tailor interventions to support families effectively and respectfully.
5. In which frame of reference do activities involve responses to movement, balance, weight bearing, and tactile activities?
- A. Motor control/motor learning
- B. Ayres' sensory integration
- C. Neurodevelopmental treatment
- D. Developmental
Correct answer: B
Rationale: Ayres' sensory integration focuses on activities that target responses to movement, balance, weight bearing, and tactile stimuli to improve sensory processing and integration. This approach aims to address sensory challenges through structured activities to enhance overall function and participation. Motor control/motor learning (Choice A) deals with the control and coordination of voluntary movements. Neurodevelopmental treatment (Choice C) focuses on facilitating normal movement patterns and postural control. Developmental (Choice D) refers to the natural sequence of growth and development in children.
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