ATI RN
RN Nursing Care of Children Online Practice 2019 A Questions
Question 1 of 5
The nurse on a pediatric unit is writing guidelines for age-specific preparation of children for procedures based on developmental characteristics. What guideline is accurate?
Correct Answer: D
Rationale: The correct answer is D) Use simple diagrams of anatomy and physiology to explain a procedure to a school-age child. This guideline is accurate because school-age children are typically at a developmental stage where they can understand more complex information compared to younger children. Using simple diagrams helps them visualize and comprehend the procedure, making it less intimidating and reducing anxiety. Option A is incorrect because informing toddlers about an upcoming procedure 2 hours before may cause unnecessary anxiety and confusion due to their limited understanding of time. Option B is incorrect as school-age children may benefit from prior preparation to reduce anxiety and allow them to ask questions or express concerns. Option C is incorrect as parent presence can provide comfort and support for infants and toddlers during procedures, promoting a sense of security and trust. In an educational context, understanding age-specific developmental characteristics is crucial in providing effective nursing care to children. Tailoring preparation strategies based on developmental stages ensures optimal communication and support for pediatric patients.
Question 2 of 5
The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering intravenous antibiotics. The child starts to cry and tells the nurse, "Do it later, okay?" What action should the nurse take?
Correct Answer: B
Rationale: In this scenario, the correct action for the nurse to take is option B: Start the IV line and then allow for expression of feelings. This response is appropriate because it balances the immediate need to administer antibiotics with the child's emotional needs and autonomy. Starting the IV line promptly is important to initiate the necessary treatment. However, it is equally vital to acknowledge and address the child's fear and discomfort. Allowing the child to express their feelings validates their emotions and fosters trust in the nurse-child relationship. This approach promotes a sense of control and empowerment for the child, which is crucial in pediatric care. Option A is incorrect because postponing the IV until the next shift may delay necessary treatment, which can compromise the child's health. Option C, changing the route to oral antibiotics, may not be feasible if IV administration is indicated for more rapid or effective treatment. Option D, postponing until the child is ready, does not address the immediate medical need and may not be in the best interest of the child's health. In an educational context, this question highlights the importance of holistic care in pediatric nursing. It underscores the significance of therapeutic communication, patient-centered care, and balancing clinical needs with emotional support when caring for pediatric patients. This rationale reinforces the principles of child-centered care and the significance of empathy and communication in nursing practice.
Question 3 of 5
When checking the intravenous (IV) site on a child, the nurse should take which action?
Correct Answer: C
Rationale: In the context of nursing care for children with intravenous (IV) sites, the correct action for a nurse to take when checking the site is to look at the site while palpating the area (Option C). This approach allows the nurse to visually inspect the site for signs of redness, swelling, or infiltration while also assessing for tenderness or warmth through palpation. Palpation can help identify any potential issues like phlebitis or infiltration that may not be immediately visible. Option A, simply looking at the site, is not comprehensive enough as it does not involve a tactile assessment that palpation provides. Option B, asking the child if the site hurts, relies on subjective information from a child who may not always accurately express discomfort. Option D, taking all the tape off, assessing the site, and redressing, is excessive and can increase the risk of dislodging the IV or introducing infection. In an educational context, it is crucial for nurses caring for children with IV sites to develop skills in thorough assessment techniques that involve both visual and tactile components. Teaching proper assessment methods helps ensure early detection of complications, promotes patient safety, and optimizes the delivery of care to pediatric patients.
Question 4 of 5
The clinic nurse is teaching parents about when to call the office immediately for a child with a fever. What should the nurse include in the teaching session? (Select all that apply.)
Correct Answer: D
Rationale: In this scenario, understanding when to seek immediate medical attention for a child with a fever is crucial for parents. The correct answer is D, which includes all of the options provided. Option A, "The child has a stiff neck," is important to include because it can be a sign of meningitis, a serious condition requiring urgent medical evaluation. Option B, "The fever is over 40.6 C (105 F)," is essential to emphasize as high fevers can indicate a severe infection or other underlying health issue. Option C, "The child is younger than 2 months," is also critical because infants in this age group have immature immune systems and are at higher risk for serious infections if they develop a fever. Educationally, this question highlights the significance of recognizing specific signs and symptoms that warrant immediate medical attention in children with fevers. It reinforces the importance of parental awareness and prompt action in seeking medical help to prevent potential complications or deterioration of the child's health. By understanding these key indicators, parents can better advocate for their child's well-being and collaborate effectively with healthcare providers in managing febrile illnesses.
Question 5 of 5
What play activities should the nurse implement to encourage fluid intake for a child? (Select all that apply.)
Correct Answer: D
Rationale: Encouraging fluid intake in children is crucial for maintaining hydration and overall health. The correct answer, "D) All of the above," is the most appropriate because it offers a variety of engaging play activities that can make drinking fluids more enjoyable for children. Having a tea party (option A) can create a fun and social environment that encourages the child to drink more fluids. Using a crazy straw (option B) adds an element of novelty and excitement to the act of drinking, making it more appealing. Cutting gelatin into fun shapes (option C) not only makes the drink visually appealing but also adds an element of playfulness to the experience. In contrast, the other options may not be as effective in encouraging fluid intake. Option A, having a tea party, is a good choice, but alone may not provide enough variety to sustain the child's interest in drinking fluids. Option C, cutting gelatin into fun shapes, is creative but may not apply to all types of fluids. Option B, using a crazy straw, is effective, but by itself may not offer enough variety in play activities to consistently encourage fluid intake. By incorporating a combination of these play activities, the nurse can make the process of drinking fluids more enjoyable and engaging for the child, ultimately promoting better hydration and overall well-being. This approach aligns with the principles of child-centered care, where interventions are tailored to meet the unique needs and preferences of each child to promote positive health outcomes.