ATI RN
RN Nursing Care of Children Online Practice 2019 A Questions
Question 1 of 5
After a 7-year-old with acute diarrhea has been rehydrated with oral rehydration solutions, what type of diet should the nurse recommend following rehydration?
Correct Answer: A
Rationale: After rehydration, a regular diet is generally recommended to ensure proper nutrition and recovery. A regular diet includes a balanced intake of all food groups and nutrients. Fruit juices may be too high in simple sugars and lack necessary nutrients, which can exacerbate diarrhea. While a high carbohydrate diet may be beneficial in some cases, a regular diet is more comprehensive. The BRAT diet, consisting of bananas, rice, apples, and toast or tea, was previously recommended for diarrhea, but it lacks adequate protein and fat, so a regular diet is now preferred for overall better nutrition and recovery.
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
The nurse is caring for a child who had a tonsillectomy. Which clinical manifestation should the nurse observe the child for in the postoperative period?
Correct Answer: B
Rationale: Correct Answer: B. Increased swallowing can indicate bleeding at the surgical site, which is a potential complication after tonsillectomy. Choice A, Arrhythmias, are not typically associated with tonsillectomy. Choice C, Increased blood sugar, is not a common clinical manifestation after a tonsillectomy. Choice D, Increased urinary output, is not a typical clinical manifestation to observe for in the postoperative period after a tonsillectomy.
Question 4 of 5
A young mother asks if her 9-month-old can begin drinking cow's milk instead of formula. You explain that:
Correct Answer: B
Rationale: Breast milk or formula should be used for now because whole cow's milk is not recommended for infants under 1 year. Cow's milk is not suitable for infants under 1 year of age as it lacks essential nutrients like iron and can lead to iron deficiency. Therefore, it is important to continue with breast milk or formula to ensure the baby's nutritional needs are met. Choice A is incorrect as cow's milk is not easier to digest than formula for infants. Choice C is incorrect as the type of milk, whether whole or skim, is not the primary concern at this age. Choice D is incorrect as cow's milk can actually increase the risk of iron deficiency anemia in infants.
Question 5 of 5
In general, how much is a child that was 10 pounds at birth expected to weigh at 6 months old?
Correct Answer: A
Rationale: In general, a child's weight should double by 6 months of age compared to their birth weight. This is due to the rapid growth and development that occurs during the first 6 months of life. In this case, a child who was 10 pounds at birth would be expected to weigh around 20 pounds at 6 months old. Option A is correct because it aligns with the normal growth pattern for infants. By doubling their birth weight at 6 months, it indicates that the child is growing and developing appropriately. Options B, C, and D are incorrect because they do not reflect the expected weight gain pattern for infants. Infants typically follow a predictable growth curve, and doubling their birth weight by 6 months is considered a key milestone in their growth and development. Educationally, understanding typical growth patterns in infants is crucial for healthcare providers, especially in pediatric nursing. By knowing what to expect in terms of weight gain, nurses can assess a child's growth and development, identify any potential issues early on, and provide appropriate interventions if needed. This knowledge helps ensure optimal health outcomes for children in their crucial early stages of life.