ATI RN
RN Nursing Care of Children Online Practice 2019 A Questions
Question 1 of 5
A child with acetylsalicylic acid (aspirin) poisoning is being admitted to the emergency department. What early clinical manifestation does the nurse expect to assess on this child?
Correct Answer: D
Rationale: Early signs of aspirin poisoning include hyperventilation due to the stimulation of the respiratory center and the resultant respiratory alkalosis. Hematemesis, hematochezia, and hyperglycemia can occur later in the poisoning process or may not be directly related to aspirin toxicity.
Question 2 of 5
During the nurse's initial assessment of a school-age child, the child reports a pain level of 6 out of 10. The child is lying quietly in bed watching television. What action should the nurse take?
Correct Answer: B
Rationale: Pain management should be based on the child's report of pain, regardless of their activity level. Administering the prescribed analgesic is the appropriate action. Reassessing the child in 15 minutes without providing immediate pain relief may not be in the child's best interest. Doing nothing since the child appears to be resting may lead to inadequate pain management. Asking the child's parents if they think the child is hurting does not replace the need for direct assessment and intervention by the nurse.
Question 3 of 5
What play activities should the nurse implement to encourage fluid intake for a child? (Select all that apply.)
Correct Answer: D
Rationale: Encouraging fluid intake can be fun and engaging through activities like having a tea party, using a crazy
Question 4 of 5
What clinical manifestation(s) is associated with calcium depletion (hypocalcemia)?
Correct Answer: D
Rationale: Hypocalcemia can lead to neuromuscular irritability, causing symptoms such as muscle cramps, tetany, or seizures. Other symptoms like nausea, vomiting, and weakness are less specific and can be related to various conditions.
Question 5 of 5
Which disease requires strict isolation due to its mode of transmission?
Correct Answer: B
Rationale: The correct answer is Chickenpox (choice B). Chickenpox is highly communicable and requires strict isolation to prevent the spread of the virus through direct contact, droplet transmission, and contaminated objects. Mumps (choice A) is also contagious but does not typically require strict isolation. Exanthema subitum (roseola) (choice C) and Erythema infectiosum (fifth disease) (choice D) are not as highly contagious as chickenpox and do not necessitate strict isolation.
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