A nurse is assessing a 4-year-old child at a well-child visit. Which of the following 

developmental milestones should the nurse expect to observe?

a. Identifies right from left hand

b. Uses a utensil to spread butter

c. Cuts a shape using scissors

d. Draws a stick figure with seven body parts

c. Cuts a shape using scissors

A- Identifying the right from left hand is an expected developmental milestone of a 6-year-old 

child.

B- Using a utensil to spread butter is an expected developmental milestone of a 6-year-old 

child.

D- Drawing a stick figure with seven body parts is an expected developmental milestone of a 5-

year-old child.

A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age 

child who weighs 75lb. Available is atomexetine 40 mg/capsule. How many capsules should 

the nurse administer per day?

1

A nurse in the emergency department is assessing a toddler who has Kawasaki disease. 

Which of the following findings should the nurse expect? (select all that apply.)

a. Increased temperature

b. Gingival hyperplasia

c. Xerophthalmia

d. Bradycardia

e. Cervical lymphadenopathy

Answer- a,c,e

Increased temperature is correct. Kawasaki disease is an acute illness associated with a fever 

lasting more than 4 days that is unresponsive to antipyretics or antibiotics.

Gingival hyperplasia is incorrect. Children who have Kawasaki disease develop a strawberry 

tongue, cracked lips, and edema of the oral mucosa and pharynx. A child who is receiving 

phenytoin therapy can develop gingival hyperplasia.

Xerophthalmia is correct. Ophthalmic manifestations of Kawasaki disease include reddening of 

the conjunctiva and dryness of the eyes, or xerophthalmia.

Bradycardia is incorrect. Kawasaki disease is an infection that affects the vascular system, 

including the heart. The nurse should expect the child to be tachycardic with a gallop rhythm.

Long term effects of Kawasaki disease include the development of coronary artery aneurysms 

or myocardial infarction.

N212 PEDS ATI PRACTICE B QUIZ

Cervical lymphadenopathy is correct. The child who has Kawasaki disease may develop 

enlarged cervical nodes on one side of the neck that are nontender and greater than 1.5 cm in 

size.

A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes MELITIS. 

The nurse should identify which of the following statements by the child as understanding 

the teaching?

a. I will puncture the pad of my finger when I am testing my blood glucose."

b. "I will give myself a shot of regular insulin 30 minutes before I eat breakfast."

c. "I will eat a snack of 5 grams of carbohydrates if my blood glucose is low."

d. "I will decrease the amount of fluids I drink when I am sick."

Answer- b. "I will give myself a shot of regular insulin 30 minutes before I eat breakfast." The 

child should administer regular insulin 30 min before meals so that the onset coincides with 

food intake.