ATI RN
Nursing Care of Children Final ATI Questions
Question 1 of 9
How is family systems theory best described?
Correct Answer: D
Rationale: Family systems theory views the family as a whole, where changes in one member affect the entire system, and changes can occur at any point within the system.
Question 2 of 9
Which dietary information should the nurse include in the teaching plan for a school-age child with chronic renal failure?
Correct Answer: C
Rationale: A low-phosphorus diet is recommended for children with chronic renal failure to prevent hyperphosphatemia, which can lead to bone disease and other complications. Phosphorus is found in many processed foods and should be limited. Choices A, B, and D are incorrect because high sodium intake can lead to fluid retention and hypertension, while Vitamin D supplementation and vitamins C, E, K are not specifically indicated for dietary recommendations in chronic renal failure.
Question 3 of 9
A 5-year-old is hospitalized with a fractured femur. Which pain assessment tool is appropriate for this child?
Correct Answer: B
Rationale: The Faces Pain Rating Scale is appropriate for assessing pain in children who can express their feelings visually. For a 5-year-old child who can communicate effectively, using a tool like the Faces Pain Rating Scale, which uses facial expressions to indicate pain levels, is more suitable than the CRIES Scale (used for neonates), the SUN Scale (used for infants), or the NIPS Scale (used for preterm and term newborns).
Question 4 of 9
A parent of a school-age child tells the school nurse that the parents are going through a divorce. The child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as what?
Correct Answer: B
Rationale: Poor academic performance and sleep disturbances are common reactions in children going through their parents' divorce, reflecting stress and adjustment challenges.
Question 5 of 9
What do mortality statistics describe?
Correct Answer: B
Rationale: Mortality statistics describe the number of individuals who have died over a specific period, providing insight into public health concerns.
Question 6 of 9
Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?
Correct Answer: B
Rationale: Family stress theory explains how families respond to stress and identifies factors that help families adapt to and manage stressful events effectively.
Question 7 of 9
A new mom is ready to introduce solid foods to her infant. Which food would you recommend starting with?
Correct Answer: B
Rationale: The correct answer is B: Rice cereal. Rice cereal is typically the first solid food introduced to infants because it is easy to digest and unlikely to cause an allergic reaction. Starting with rice cereal helps assess the baby's readiness for solid foods and reduces the risk of allergic responses. Choice A (Meat) is not recommended as the initial solid food due to its higher allergenic potential. Choices C (Fruits) and D (Vegetables) are also not usually recommended as the first solid food, as they may be more challenging for infants to digest compared to rice cereal.
Question 8 of 9
A Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. Food items, such as Jell-O, Popsicles, and juices, are left. Which statement best explains this?
Correct Answer: C
Rationale: In Hispanic culture, the balance between hot and cold is important, and the parent may be giving the child broth to restore this balance while avoiding "cold" foods.
Question 9 of 9
Which physiological acid-base balance complication would be most important for the nurse to assess in a patient with diarrhea?
Correct Answer: D
Rationale: The correct answer is metabolic acidosis. Diarrhea can lead to the loss of bicarbonate, causing an imbalance in the acid-base status of the body, specifically resulting in metabolic acidosis. High serum pH (choice A) is incorrect as diarrhea-induced bicarbonate loss would lower pH, not increase it. Normal serum pH (choice B) is not the best answer as diarrhea can disrupt the acid-base balance. Metabolic alkalosis (choice C) is an alkaline state, which is less likely to be caused by diarrhea.