ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
The nurse observes yellow staining in the sclera of eyes, soles of feet, and palms of hands. How should the nurse document these findings?
Correct Answer: C
Rationale: Jaundice is the yellow discoloration of the skin, sclera (white part of the eyes), soles of feet, and palms of hands that occurs due to elevated levels of bilirubin in the blood. Bilirubin is a yellow pigment produced during the breakdown of red blood cells and is normally processed by the liver and excreted in bile. When the liver is unable to process bilirubin effectively, it can accumulate in the blood and cause jaundice. Therefore, the nurse should document these findings as jaundice, which is a sign of liver dysfunction or other underlying health issues that need further assessment and management.
Question 2 of 5
A parent asks the nurse "at what age do most infants begin to fear strangers?" The nurse should give which response?
Correct Answer: C
Rationale: Most infants begin to exhibit fear or stranger anxiety around 6 months of age. This is a normal developmental stage where infants become more aware of their surroundings and become wary of unfamiliar people. Infants may become anxious or cry when approached by strangers, showing that they prefer familiar faces like parents or caregivers. This behavior typically peaks between 6 to 9 months and gradually decreases as the child grows older and gains more social experience.
Question 3 of 5
Which leading cause of death topic should the nurse emphasize to a group of African- American boys ranging in age from 15 to 19 years?
Correct Answer: C
Rationale: The nurse should emphasize the leading cause of death topic related to firearm homicide to a group of African-American boys ranging in age from 15 to 19 years. This population is at a higher risk of being victims of firearm violence due to various socio-economic factors and systemic issues. By addressing the issue of firearm homicide, the nurse can provide important information on violence prevention, conflict resolution strategies, and community resources to help keep these young males safe. This education can potentially help reduce the risk of injury or death from firearm-related incidents within this vulnerable population.
Question 4 of 5
Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A previously "potty-trained" 30-month-old child has reverted to wearing diapers while hospitalized. The nurse should reassure the parents that this is normal because of which reason?
Correct Answer: A
Rationale: Regression in toilet training is a common behavior seen in young children, especially during times of stress or change, such as hospitalization. The child may revert to familiar behaviors, such as wearing diapers, as a way of seeking comfort and security during a stressful experience like being in the hospital. It is important for the nurse to reassure the parents that this regression is temporary and normal under the circumstances. By providing support and understanding, the child will likely return to their previous toilet training habits once they are back in their usual environment.