RN Preschooler: 3 to 6 years Assessment

ATI Questions > RN Pediatrics | Posted by Cleveland on May 2, 2026

Question 1

Question:

A nurse is observing a preschooler in a primary care office. The parent expresses concern over the child's weight, asking if it is normal for them to be so big for their age. Which of the following responses should the nurse make?

- Yes, they are big for their age
- Oh, that's just baby weight. They will regulate size as they get older
- They're not too big! They are just a kid. We don't worry about that now
- Let's look at what your child is doing well. What do they typically do during the day?
 


Answer:

- Let's look at what your child is doing well. What do they typically do during the day?


Question 2

Question:

A nurse is conducting a follow up visit for a four year old child after hospitalization. The parent states their child has shown increased aggression in their preschool classroom. Which of the following responses should the nurse make?

- I'm sure this will resolve given time
- Oh no! This is not okay. We'll need to have them seen by our resource team
- I'm sure being in the hospital was a big change. Let's monitor the behavior and we will check back
- Oh I'm sure they aren't meaning to act out
 


Answer:

- I'm sure being in the hospital was a big change. Let's monitor the behavior and we will check back



Question 3

Question:

A nurse is working in a primary care office. Which of the following are important for the nurse to include in education to caregivers on accidental poisonings in their household? Select all that apply.

- Ensuring all medications have safety locks
- Keeping cleaning supplies and childproof locations
- Putting medications in a place where children cannot reach them
- Knowing the number for the local poison control center
- Ensuring cleaning supplies have lids that children cannot open
 


Answer:


Question 4

Question:

A nurse is observing 4 year old children in a preschool classroom. Which of the following observations should the nurse find concerning?

- Two children playing with cars next to each other, not with each other
- Two children building a castle together
- Three children playing house in a play kitchen
- Two children drawing next to each other
 


Answer:

- Two children playing with cars next to each other, not with each other



Question 5

Question:

A nurse in an outpatient pediatric clinic is caring for a 5-year-old. Complete the following sentence by using the lists of options.


Answer:


Question 6

Question:

A nurse is observing a preschool classroom. Which of the following activities helps develop reading skills for the preschoolers?

-Saying the alphabet in circle time
- Naming objects of a specific color during the color of the day activity
- Recognizing a letter and the sound it makes during a letter of the day activity
- Singing the days of the week in circle time
 


Answer:

- Recognizing a letter and the sound it makes during a letter of the day activity



Question 7

Question:

A nurse is observing a preschool classroom. A child tells the nurse that their caregiver's friends told them a secret that they cannot tell anyone. Which of the following responses should the nurse make?

- Some secrets are healthy, and some aren't. Surprises are okay, but sometimes secrets can hurt someone
- Secrets are fun! They must really trust you
-I won't tell anyone. You can tell me
- You shouldn't share secrets with others


Answer:

some secrets are healthy and some arent. surprises

Question 8

Question:

A nurse is caring for a 5-year-old in a hospital which of the following statements by the nurse demonstrates allowing the child to advance using Erickson stages of development?

- I'll wash you before dinner
- Would you like me to help wash your toes?
- Here's a washcloth. Let me know when you're done washing yourself
- We'll let your parents help wash you up when they get here


Answer:

- Would you like me to help wash your toes?



Question 9

Question:

A nurse working in a pediatric hospital is discussing factitious disorder imposed on another. The nurse should recognize that which of the following findings are exhibited in clients who are experiencing factitious disorder imposed on another?


Answer:

Exaggerated symptoms

Coaching by parents

Inconclusive testing


Question 10

Question:

A nurse is conducting a well child visit for a 5-year-old child. The parents state they are always acting up and only listen when we yell at them. Which of the following describes the child's behavioral response?

- It is inappropriate because the child should show emotional regulation and not act out
- It is normal because the child is modeling their behavior around what they are shown
- It is normal because preschoolers should test limits
- It is inappropriate because the child is acting out for attention


Answer:

- It is normal because the child is modeling their behavior around what they are shown



Question 11

Question:

A nurse in a pediatric emergency department is caring for a preschooler.

For each potential provider's prescription, click to specify if the assessment finding is consistent with neglect, physical abuse, or factitious disorder imposed on another. Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.


Answer:


Question 12

Question:

A nurse is observing a preschool classroom. A teacher asked the nurse what they would see in a child that is emotionally abused. Which of the following responses should the nurse make?

- Presence of itching or bleeding in the genital area
- The child cries loudly when the parents leave the school after drop off
- Some children show emotional abuse by eating disorders delayed development or enuresis
- Bruising at various stages of healing is commonly noted


Answer:

- Some children show emotional abuse by eating disorders delayed development or enuresis



Question 13

Question:

A nurse is educating preschool teachers and staff on child neglect and how to identify it. Which of the following should the nurse include as findings in preschool children who are experiencing neglect? select all that apply.

- Withdrawal
- Malnutrition
- Aggression
- Masturbation
- Poor school performance


Answer:

- Withdrawal
- Malnutrition
- Aggression
- Poor school performance


Question 14

Question:

A nurse is observing a preschool classroom. A three-year old child is crying after their parents dropped them off. Which of the following describes the child's behavior?

- The child is acting out because they do not want to go to school
- This behavior is expected in a preschool child
- This behavior is concerning at this age
- The child is crying because they are hurt


Answer:

- This behavior is expected in a preschool child



Question 15

Question:

The nurse is preparing to obtain vital signs from a three-year old child who appears nervous and is clinging to a stuffed bear. Which of the following actions by the nurse would help them obtain vital signs from the client?

- Apply the blood pressure cuff and tell the child it will only take a moment
- Tell the child they will come back when the child is feeling more comfortable
- Ask the child if they can check the bear first before taking the child's vital signs
- Have a coworker help them keep the child still for vital signs


Answer:

- Ask the child if they can check the bear first before taking the child's vital signs



Question 16

Question:

A nurse working in a primary care office is beginning a well child visit for a 5 year old client. The parent expresses concern about the child having frequent outbursts throughout the day and difficulty falling asleep at night. Which of the following responses should the nurse make?

- Does your child still take naps?
- It's probably just a phase, but how long has this been going on?
- Changes can affect a preschooler's behaviors. Maybe they're having an off day?
- What is your child's normal sleep routine like?


Answer:

- What is your child's normal sleep routine like?


Question 17

Question:

A nurse is observing A4 year old patient in a primary care office. Which of the following actions by the child should the nurse recognize requires follow up?

- Climbing onto the examination table
- Walking on their toes
- Skipping to the examination table
- Walking backwards to be weighed on the scale


Answer:

- Walking on their toes



Question 18

Question:

A nurse is conducting an education session for a primary care office on possible manifestations of physical abuse. Which of the following clinical findings should the nurse include in this education? Select all that apply.

- Bruising of the shins
- Bite marks
- Burns
- Head injury
- Forearm fracture
- Spiral fracture


Answer:

- Bite marks
- Burns
- Spiral fracture


Question 19

Question:

A nurse is preparing to administer a vaccine to a four-year-old client. Which of the following statements should the nurse make?

- This won't hurt a bit
- This might hurt a little bit, but only for a few seconds
- I'm just going to give you a little stick
- This is just a poke, it shouldn't hurt


Answer:

- This might hurt a little bit, but only for a few seconds



Question 20

Question:

A nurse is working at a community health clinic. A caregiver tells the nurse they do not take their child to the dentist. Which of the following responses should the nurse make?

- You really should be going to the dentist
- Is there anything preventing you from going to the dentist?
- Have you ever been to the dentist?
- Oh that's okay. Dental care isn't as important as getting a yearly wellness visit


Answer:

- Is there anything preventing you from going to the dentist?



Question 21

Question:

A nurse is beginning a well child visit with a three-year old child and their caregiver. Which of the following statements by the caregiver requires more education by the nurse?

- We still use the five-point harness seat facing forward in the car
- We just adjusted to the booster seat back height to fix where the seat belt rests on their chest
- They complained about the seat belt so they use regular booster seats without the back
- We still use the rear facing car seats


Answer:

- They complained about the seat belt so they use regular booster seats without the back



Question 22

Question:

A nurse is working in a primary care office and is caring for a 5 year old client. The child's caregiver tells the nurse they just joined the pool for the summer. Which of the following education should the nurse provide about pool safety? Select all that apply.

- Invest in swimming lessons for the child
- Use floatation devices appropriate for the child swimming skill
- Encourage caregivers supervising the child in water to take swim lessons
- The caregiver should learn first aid and CPR
- Encourage the child to swim with their one-year-old sibling so they can both learn swimming skills


Answer:


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