ATI RN
Nursing Care of Children Final ATI Questions
Question 1 of 5
The parent asks when the soft area in the infant's head will go away. What is the best response by the nurse?
Correct Answer: A
Rationale: The best response by the nurse is A, as the anterior fontanel typically closes between 12-18 months of age, allowing for brain growth during infancy. Choice B is incorrect because it does not provide a specific timeframe for the closure of the fontanel. Choice C is incorrect as it suggests a later closure timeframe than usual. Choice D is incorrect as it states that the soft spots should have closed already, which is inaccurate for a 6-month-old infant.
Question 2 of 5
The nurse is taking vital signs on a group of assigned preschool-aged children. Which assessment finding would indicate the need for further action?
Correct Answer: C
Rationale: A heart rate of 120 beats per minute is high for a preschool-aged child and may indicate an underlying issue that requires further assessment. A respiratory rate of 20 breaths per minute (choice A) is within the normal range for preschool children. Similarly, a heart rate of 89 beats per minute (choice B) falls within the expected range. A respiratory rate of 24 breaths per minute (choice D) is slightly elevated but may not be as concerning as a heart rate of 120 beats per minute.
Question 3 of 5
An anxious 12-year-old child receives an injection from the nurse and sighs with relief when it is done. After a moment of reflection, the girl asks the nurse, 'Is it hard to give someone an injection?' This child's question is evidence that the child has developed which cognitive skill?
Correct Answer: C
Rationale: The correct answer is C: Decentering. Decentering is the ability to consider multiple aspects of a situation, which the child's question demonstrates. In this scenario, the child's question shows that she is thinking beyond her own experience and considering the difficulty or complexity of giving an injection from the nurse's perspective. Choices A, B, and D are incorrect. Conservation refers to understanding that certain properties of an object remain the same despite changes in its appearance. Accommodation is the process of adjusting existing knowledge or creating new mental categories to incorporate new information. Class inclusion involves understanding the relationship between a whole set and its subsets, which is not demonstrated in the child's question.
Question 4 of 5
The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination?
Correct Answer: A
Rationale: The correct answer is A) The United States is ranked last among 27 countries. This is indicative of the high infant mortality rate in the United States compared to other developed countries with a similar population size. The U.S. ranks poorly in terms of infant health outcomes, which is a critical indicator of the overall health of a population. Option B) stating that the United States is ranked similar to 20 other developed countries is incorrect because it does not accurately reflect the poor ranking of the U.S. in comparison to its counterparts. Option C) claiming that the United States is ranked in the middle of 20 other developed countries is also incorrect as it downplays the severity of the issue of high infant mortality rates in the U.S. Option D) suggesting that the United States is ranked highest among 27 other industrialized countries is incorrect as it contradicts the statistical data on infant mortality rates. From an educational perspective, understanding comparative health statistics such as infant mortality rates is crucial for nurses to advocate for evidence-based practices and policies that promote better health outcomes for children and families. By being aware of such data, nurses can contribute to improving healthcare delivery and promoting health equity within their communities.
Question 5 of 5
Which is the leading cause of death in infants younger than 1 year in the United States?
Correct Answer: A
Rationale: The leading cause of death in infants younger than 1 year in the United States is congenital anomalies. This is the correct answer because congenital anomalies are abnormalities present at birth, which can impact the infant's health and survival. These anomalies can affect various organ systems and can lead to serious health complications or even death in some cases. Option B, Sudden Infant Death Syndrome (SIDS), is a sudden and unexplained death of an apparently healthy infant, usually during sleep. While SIDS is a significant concern for infant health, it is not the leading cause of death in this age group. Option C, disorders related to short gestation and low birth weight, are risk factors for various health issues in infants, but they are not the primary cause of death among infants younger than 1 year. Option D, maternal complications specific to the perinatal period, can have implications for the health of both the mother and the infant, but they are not the leading cause of death in infants. Understanding the leading causes of infant mortality is crucial for healthcare providers working with children and their families. By recognizing and addressing these risk factors, healthcare professionals can implement preventive measures and interventions to improve infant outcomes and reduce mortality rates.