ATI RN
Nursing Care of Children Final ATI Questions
Question 1 of 9
The nurse is caring postoperatively for an 8-year-old child with multiple fractures and other traumatic injuries from a motor vehicle crash. The child is experiencing severe pain. What is an important consideration in managing the child's pain?
Correct Answer: C
Rationale: For severe postoperative pain, a preventive around-the-clock schedule is necessary to prevent decreased plasma levels of medications. Providing only an opioid analgesic at this time may not be sufficient for effective pain management. Increasing the dosage without an order is unsafe and may lead to oversedation. Planning a preventive schedule of pain medication around the clock ensures consistent pain relief and better management. Giving the child a clock and explaining when they can have pain medications may increase the child's focus on waiting for relief rather than addressing the pain promptly, making it a less effective strategy.
Question 2 of 9
The nurse discovers welts on the back of a Vietnamese child during a home health visit. The child's mother says she has rubbed the edge of a coin on her child's oiled skin. The nurse should recognize this as what?
Correct Answer: B
Rationale: This practice, known as "coining," is a cultural method believed to rid the body of illness and is not indicative of child abuse.
Question 3 of 9
Which family theory is described as a series of tasks for the family throughout its life span?
Correct Answer: B
Rationale: Developmental theory outlines the series of tasks and stages that a family goes through over its life span, helping to understand the family's development and needs over time.
Question 4 of 9
When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is called which?
Correct Answer: A
Rationale: Permissive parenting is characterized by parents exerting little or no control over their children, leading to a lack of boundaries and structure.
Question 5 of 9
The nurse is evaluating research studies according to the GRADE criteria and has determined the quality of evidence on the subject is moderate. Which type of evidence does this determination indicate?
Correct Answer: B
Rationale: Moderate evidence typically indicates that results from randomized clinical trials were inconsistent, highlighting the need for further research to confirm findings.
Question 6 of 9
The predominant characteristic of the intellectual development of a child aged 2 to 7 years is egocentricity. Which of the following best describes this concept?
Correct Answer: B
Rationale: Egocentricity in children aged 2 to 7 years means they are unable to see things from another person's perspective. This characteristic is a normal part of their cognitive development during this stage. Choice A, 'Selfishness,' is not an accurate description as egocentricity is more about a limited ability to understand others' viewpoints rather than intentional selfishness. Choice C, 'Able to put self in another's place,' is incorrect as egocentric children struggle to do this. Choice D, 'Prefers to play alone,' is not directly related to egocentricity but may be a behavior exhibited by some children for various reasons.
Question 7 of 9
A parent brings their 4-year-old child for a check-up. Which finding would concern the nurse?
Correct Answer: B
Rationale: A resting pulse rate of 120 is elevated for a 4-year-old and may indicate an underlying issue that needs further investigation. An ectomorphic body type is a body shape and not typically a cause for concern. Weight gain within normal limits and no significant change in appetite are generally positive findings in a growing child.
Question 8 of 9
The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning?
Correct Answer: A
Rationale: Clinical reasoning is purposeful and goal-directed, involving the use of critical thinking and decision-making skills to provide effective patient care.
Question 9 of 9
The nurse is caring postoperatively for an 8-year-old child with multiple fractures and other traumatic injuries from a motor vehicle crash. The child is experiencing severe pain. What is an important consideration in managing the child's pain?
Correct Answer: C
Rationale: For severe postoperative pain, a preventive around-the-clock schedule is necessary to prevent decreased plasma levels of medications. Providing only an opioid analgesic at this time may not be sufficient for effective pain management. Increasing the dosage without an order is unsafe and may lead to oversedation. Planning a preventive schedule of pain medication around the clock ensures consistent pain relief and better management. Giving the child a clock and explaining when they can have pain medications may increase the child's focus on waiting for relief rather than addressing the pain promptly, making it a less effective strategy.