RN Nursing Care of Children Online Practice 2019 A

ATI RN

ATI RN Test Bank

RN Nursing Care of Children Online Practice 2019 A Questions

Question 1 of 5

The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering intravenous antibiotics. The child starts to cry and tells the nurse, "Do it later, okay?" What action should the nurse take?

A. Postpone starting the IV until the next shift. B. Start the IV line and then allow for expression of feelings. C. Change the route of the antibiotics to PO. D. Postpone starting the IV line until the child is ready.

Correct Answer: B

Rationale: Starting the IV as planned while allowing the child to express feelings afterward helps build trust and ensures the timely administration of necessary antibiotics. Delaying the procedure or changing the route could compromise the child's treatment.

Question 2 of 5

What is an advantage of the ventrogluteal muscle as an injection site in young children?

A. Easily accessible from many directions B. Free of significant nerves and vascular structures C. Can be used until the child reaches a weight of 9 kg (20 lb) D. Increased subcutaneous fat, which provides sustained drug absorption

Correct Answer: B

Rationale: The ventrogluteal site is free of significant nerves and vascular structures, making it a safer choice for intramuscular injections in young children compared to other sites that may be more prone to complications.

Question 3 of 5

By what age does birth weight usually triple?

A. 1 year B. 1 month C. 2 years D. 6 months

Correct Answer: A

Rationale: The correct answer is A: 1 year. By the age of 1 year, a baby's birth weight typically triples. This period allows for significant growth and development in infants.

Choices B, C, and D are incorrect because birth weight does not usually triple by 1 month, 2 years, or 6 months of age, respectively.

Question 4 of 5

Which information about hemophilia will the nurse include in the teaching plan for the parents of a child diagnosed with hemophilia?

A. Autosomal dominant disorder in which the blood clotting factors are deficient. B. X-linked recessive inherited disorder in which blood clotting factors are deficient. C. X-linked recessive inherited disorder involving decreased platelets causing prolonged bleeding. D. Autosomal recessive disorder in which the blood clotting factors are deficient.

Correct Answer: B

Rationale: The correct answer is B: Hemophilia is an X-linked recessive disorder, primarily affecting males and passed from mothers to sons. It involves a deficiency in clotting factors, leading to prolonged bleeding.
Choice A is incorrect as hemophilia is not autosomal dominant.
Choice C is incorrect as hemophilia does not involve platelets.
Choice D is incorrect as hemophilia is not autosomal recessive.

Question 5 of 5

The presence of which pair of factors is a good predictor of a fluid deficit of at least 5% in an infant?

A. Weight loss and decreased heart rate B. Capillary refill of less than 2 seconds and no tears C. Increased skin elasticity and sunken anterior fontanel D. Dry mucous membranes and generally ill appearance

Correct Answer: D

Rationale: Dry mucous membranes and an ill appearance are good indicators of dehydration in infants, often correlating with a fluid deficit of at least 5%. Sunken fontanels and poor skin turgor are also indicative but were not options here.

Join Our Community Today!

Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for ATI RN and 3000+ practice questions to help you pass your ATI RN exam.

Nurselytic

ATI RN

ATI RN