ATI RN
RN Nursing Care of Children 2019 With NGN Questions
Question 1 of 5
A preschool-age boy presents to the outpatient clinic for a sore throat. In the child's mind, which is the most likely cause for the sore throat?
Correct Answer: D
Rationale: The correct answer is D. Preschool-age children often attribute illness to their actions, like yelling at a sibling or not following instructions. They may not understand medical causes such as exposure to infections like strep throat (choice A), dietary factors (choice B), or vitamin deficiencies (choice C). It is common for young children to connect symptoms to recent behaviors or events within their limited understanding.
Question 2 of 5
A 7-year-old has been diagnosed with cystic fibrosis. Chest physiotherapy has been ordered. What information should the nurse give to the parents regarding when chest physiotherapy is done?
Correct Answer: D
Rationale: The correct answer is D: 'Before meals'. Chest physiotherapy should be performed before meals to reduce the risk of vomiting and to ensure that the airways are clear for effective nutrition. Choices A, B, and C are incorrect because chest physiotherapy is ideally done before meals to optimize its benefits and avoid complications associated with timing.
Question 3 of 5
A newborn has been diagnosed with Hirschsprung's disease. The parent asks the nurse about the symptoms that led to the diagnosis. Which symptoms should the nurse include in the response?
Correct Answer: C
Rationale: The correct answer is C: Failure to pass meconium and abdominal distension. Hirschsprung's disease is commonly diagnosed in newborns due to the failure to pass meconium within the first 24-48 hours after birth and abdominal distension, indicating a bowel obstruction. Choices A, B, and D are incorrect because they do not correspond to the typical symptoms of Hirschsprung's disease. Acute diarrhea and dehydration, current jelly-like stools and pain, and projectile vomiting with altered electrolytes are not characteristic of this condition.
Question 4 of 5
A teen with asthma asks the nurse why it is hard to breathe during an asthma attack. The nurse explains that exposure to a "trigger" results in which of these manifestations?
Correct Answer: D
Rationale: The correct answer is D. Asthma triggers cause bronchoconstriction, airway inflammation, and increased mucus production, leading to difficulty breathing. This combination of manifestations results in narrowing of the airways, making it hard for the individual to breathe effectively. Choices A, B, and C are incorrect because during an asthma attack, bronchodilation, muscle relaxation, and decreased mucus production do not occur. Instead, the airways constrict, become inflamed, and produce excess mucus, contributing to the breathing difficulties experienced by individuals with asthma.
Question 5 of 5
Which parental statement at the conclusion of a teaching session regarding environmental controls for childhood asthma indicates correct understanding of the information presented?
Correct Answer: D
Rationale: The correct answer is D. Replacing carpet with hard flooring helps to reduce allergens and asthma triggers in the child's environment. Choice A is incorrect as having a dog in the child's room can worsen asthma symptoms due to pet dander. Choice B is incorrect because keeping plants in the child's room can increase mold spores and allergens. Choice C is incorrect as using a fireplace can introduce smoke and other irritants into the air, worsening asthma symptoms.