ATI RN
RN Nursing Care of Children Online Practice 2019 A Questions
Question 1 of 5
When checking the intravenous (IV) site on a child, the nurse should take which action?
Correct Answer: C
Rationale: Looking at and palpating the IV site helps assess for signs of infiltration or infection, such as swelling, redness, or pain. Simply looking or asking the child may miss subtle signs, and removing all the tape unnecessarily disrupts the site.
Question 2 of 5
What is a clinical manifestation of acetaminophen poisoning?
Correct Answer: B
Rationale: Acetaminophen poisoning primarily affects the liver, leading to hepatic involvement, which may present as jaundice, liver failure, or elevated liver enzymes. Hyperpyrexia, severe pain, and drooling are more associated with other types of poisoning.
Question 3 of 5
A preschool-age child is admitted to the pediatric unit for surgery. The parents request to stay with their child. How should the nurse respond?
Correct Answer: C
Rationale: The correct response is to let the parents know they are allowed to stay with the child. Allowing parents to stay with the child can help reduce the child's anxiety and provide comfort.
Choice A is incorrect as the parents should be encouraged to stay with their child.
Choice B is not the immediate response the nurse should provide.
Choice D is inappropriate as it does not address the benefits and importance of parental presence for the child's well-being during hospitalization.
Question 4 of 5
Chemicals, agents, or factors that cause physical defects in the developing embryo and are most harmful during organogenesis are:
Correct Answer: A
Rationale: Teratogens are substances that can cause congenital abnormalities, especially during the first trimester when organogenesis occurs.
Choice A, Teratogens, is the correct answer as it specifically refers to substances that cause physical defects in the developing embryo.
Choices B, Heterozygous, C, Inborn errors, and D, Multifactorial, are incorrect as they do not directly relate to substances that cause physical defects in embryos during organogenesis.
Question 5 of 5
A school-age child with cancer is being prepared for a procedure. The child says, "I have had one of these before. They hurt." The nurse bases her response on what knowledge related to pain in this patient?
Correct Answer: D
Rationale: The correct answer is D. Pain is frequently reported by children with cancer, with around 84% experiencing it. Most children report moderate to severe pain, with about half finding it highly distressing. There is no evidence to suggest that children often misrepresent their pain experiences. Pain tolerance is not solely based on age but is a complex phenomenon. Children do not become accustomed to painful procedures, as each experience of pain is unique.