ATI RN
ATI Nursing Care of Children Questions
Question 1 of 5
During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is which?
Correct Answer: A
Rationale: A brilliant, uniform red reflex in both eyes is a normal finding, indicating that the retina is healthy and there are no significant obstructions in the visual pathway.
Question 2 of 5
Which describe the feelings and behaviors of early preschool children related to divorce? (Select all that apply.)
Correct Answer: D
Rationale: Preschool children may exhibit regressive behavior, fear abandonment, and blame themselves for their parents' divorce due to their limited understanding of the situation.
Question 3 of 5
When the nurse interviews an adolescent, which is especially important?
Correct Answer: B
Rationale: Allowing adolescents to express their feelings helps them feel heard and supported, which is crucial for effective communication.
Question 4 of 5
What interventions would the nurse implement to maintain the skin integrity of a preterm infant born at 30 weeks?
Correct Answer: B
Rationale: To maintain the skin integrity of a preterm infant born at 30 weeks, the nurse should bathe the infant with sterile water no more than two or three times per week. The eyes, oral and diaper areas, and pressure points should be cleansed daily. It is essential to avoid using alkaline-based soaps as they might destroy the 'acid mantle' of the skin. Additionally, cleansing with mild solutions and rinsing thoroughly with plain water is recommended to prevent skin irritation and maintain skin integrity. Therefore, options A, C, and D are incorrect as they do not align with the best practices for preterm infant skin care.
Question 5 of 5
The nurse is performing an oral examination on a preschool child. Which strategies should the nurse use to encourage the child to open the mouth for the examination? (Select all that apply.)
Correct Answer: D
Rationale: Using a cotton swab, allowing the child to observe, and demonstrating on someone else are effective ways to encourage a preschooler to open their mouth for examination.
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