ATI RN
Nursing Care of Children ATI Questions
Question 1 of 5
The nurse is assessing a child suspected of having pinworms. Which is the most common symptom the nurse expects to assess?
Correct Answer: D
Rationale: In assessing a child suspected of having pinworms, the most common symptom the nurse expects to find is intense perianal itching (Option D). This itching is caused by the presence of pinworms in the perianal area and is a hallmark sign of pinworm infestation. Children often experience discomfort and irritation due to the movement of the worms in this area, leading to the urge to scratch. Restlessness (Option A) and distractibility (Option B) are non-specific symptoms that can be seen in various childhood conditions. While a child with pinworms may potentially feel restless due to discomfort, it is not the most specific or common symptom associated with pinworms. Rectal discharge (Option C) is not a typical symptom of pinworm infestation. Pinworms usually do not cause discharge from the rectum, so this option is not the most expected symptom in a child with suspected pinworms. Educationally, understanding the typical symptoms of common childhood conditions like pinworm infestation is crucial for nurses caring for pediatric patients. Recognizing the specific signs and symptoms of pinworms can lead to early detection, appropriate treatment, and prevention of transmission to others. This knowledge helps nurses provide optimal care and promote the health and well-being of children in their care.
Question 2 of 5
The clinic nurse is reviewing the immunization guidelines for hepatitis B. Which are true of the guidelines for this vaccine?
Correct Answer: B
Rationale: The correct answer is B) All are applicable. This option is correct because the immunization guidelines for hepatitis B vaccination recommend initiating the vaccination series at birth, with subsequent doses given at specific intervals based on the individual's age and immunization history. This guideline ensures early protection against hepatitis B virus infection, especially for infants born to infected mothers. Option A is incorrect because it presents only one aspect of the guidelines without considering the full scope of recommendations. While initiating the series at birth is important, the schedule for subsequent doses is also crucial. Option C is incorrect because it oversimplifies the dosing schedule. Children who have not been vaccinated at birth may require additional doses beyond just two, depending on their age and previous vaccination history. Option D is incorrect because the dosing schedule provided is not aligned with the standard guidelines for hepatitis B vaccination in children. The recommended dosing schedule for an unimmunized 10-year-old child would typically involve a different number of doses given at specific intervals. Educationally, understanding the nuances of vaccination schedules is crucial for nurses caring for children. By following the correct guidelines, nurses can ensure that children receive appropriate protection against vaccine-preventable diseases like hepatitis B, promoting overall health and well-being in pediatric populations.
Question 3 of 5
The clinic nurse is assessing a child with a heavy ascariasis lumbricoides (common roundworm) infection. Which assessment findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D) Intestinal colic. Ascariasis lumbricoides infection is caused by a common roundworm and can lead to intestinal colic due to the presence of the worms in the intestines. The worms can cause obstruction and inflammation in the intestines, leading to symptoms such as abdominal pain and colic. Option A) Anemia is not typically associated with ascariasis infection. While chronic infections can lead to malnutrition and possibly iron deficiency anemia, anemia is not a common presenting symptom of this specific infection. Option B) Anorexia is not a typical symptom of ascariasis infection. In fact, many individuals with this infection may have an increased appetite due to the worms consuming essential nutrients from the host. Option C) All options are applicable is incorrect because not all the symptoms listed are typically seen in ascariasis infection. Educationally, it is important for nursing students to understand the common clinical manifestations of parasitic infections in children to provide appropriate care and interventions. Recognizing the specific signs and symptoms of ascariasis infection can help nurses effectively assess, diagnose, and treat pediatric patients presenting with this condition.
Question 4 of 5
The parents of an infant with a cleft palate ask the nurse, "What follow-up care will our infant need after the repair?" Which is an accurate response by the nurse?
Correct Answer: D
Rationale: In this scenario, option D, which states that the infant will need follow-up with audiologists and orthodontists, is the correct response by the nurse. Following the repair of a cleft palate, infants often require multidisciplinary care to address potential issues related to speech development, feeding difficulties, and dental alignment. Audiologists are needed to assess hearing, as children with cleft palate may be at increased risk for hearing problems. Orthodontists are essential for monitoring dental and facial growth to ensure proper alignment as the child grows. Option A is incorrect because infants with a repaired cleft palate typically require ongoing follow-up care. Option B is also incorrect as evaluation by an audiologist alone is not sufficient to address the comprehensive needs of a child with a cleft palate. Option C is incorrect because while speech pathology may be necessary, it is not the only follow-up care required for infants with a cleft palate. Educationally, this question highlights the importance of understanding the comprehensive and multidisciplinary care required for children with cleft palate. It underscores the role of different healthcare professionals in providing holistic care and emphasizes the importance of ongoing monitoring and intervention to support optimal development in these children.
Question 5 of 5
The nurse is caring for a child after a cleft palate repair who is on a clear liquid diet. Which feeding device should the nurse use to deliver the clear liquid diet?
Correct Answer: D
Rationale: In caring for a child after a cleft palate repair on a clear liquid diet, using an open cup (Option D) is the most appropriate feeding device. This is because an open cup allows for controlled flow of liquid, minimizing the risk of aspiration, which is crucial in children with cleft palate repairs to prevent complications such as choking and respiratory issues. Using a straw (Option A) may increase the risk of aspiration as it requires stronger sucking and may introduce air into the stomach, leading to discomfort. Similarly, a sippy cup (Option C) may not provide the precise control needed for children with cleft palate repairs and could result in spills or improper swallowing. A spoon (Option B) is not ideal for delivering clear liquids as it is more suited for thicker consistencies. Understanding the appropriate feeding devices for children post-cleft palate repair is vital for nurses to ensure safe and effective care, promoting optimal recovery and preventing complications.