ATI RN
RN Nursing Care of Children Online Practice 2019 A Questions
Question 1 of 5
What is an advantage of the ventrogluteal muscle as an injection site in young children?
Correct Answer: B
Rationale: The correct answer is B) Free of significant nerves and vascular structures. The ventrogluteal muscle is preferred as an injection site in young children because it is relatively free of major nerves and blood vessels, reducing the risk of accidental injury during the injection. This site provides a safe and effective option for administering medications to pediatric patients. Option A) Easily accessible from many directions is incorrect because while the ventrogluteal muscle is accessible, the primary advantage lies in its safety due to the absence of major nerves and vessels. Option C) Can be used until the child reaches a weight of 9 kg (20 lb) is incorrect because the suitability of the ventrogluteal site is not determined by the child's weight but rather by the muscle mass and development at the site. Option D) Increased subcutaneous fat, which provides sustained drug absorption is incorrect as the advantage of the ventrogluteal site is not related to fat thickness but rather to the safety of the muscle site for injections. Understanding the anatomical considerations of injection sites in pediatric patients is crucial for safe and effective nursing care. Educators should emphasize the importance of selecting appropriate injection sites based on anatomical landmarks to prevent complications and ensure optimal medication delivery in children.
Question 2 of 5
What is a priority intervention for an infant with a temporary colostomy for Hirschsprung disease?
Correct Answer: B
Rationale: In caring for an infant with a temporary colostomy for Hirschsprung disease, the priority intervention is option B) Protecting the skin around the colostomy. This is crucial because infants have delicate skin that is prone to breakdown and irritation from stool output. By protecting the skin around the colostomy, we can prevent skin breakdown, infection, and discomfort for the infant. Option A) Teaching how to irrigate the colostomy is not a priority for an infant with a temporary colostomy. This intervention is more relevant for older children or adults with a permanent colostomy. Option C) Discussing the implications of a colostomy during puberty is not a priority for an infant. This is a consideration for later stages of development and can be addressed at an appropriate time. Option D) Using simple, straightforward language to prepare the child is also not a priority for an infant who is not yet at an age where they can comprehend such information. In an educational context, understanding the priority interventions in caring for infants with colostomies is essential for nurses working in pediatric settings. By prioritizing skin protection, nurses can ensure the infant's comfort, prevent complications, and promote optimal healing.
Question 3 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 4 of 5
The nurse is preparing to give acetaminophen (Tylenol) to a child who has a fever. What nursing action is appropriate?
Correct Answer: C
Rationale: In this scenario, option C is the correct answer because it demonstrates safe medication administration practices. When giving acetaminophen (Tylenol) to a child with a fever, it is crucial to calculate the correct dosage based on the child's weight to prevent medication errors and potential harm. The recommended dose of acetaminophen should not exceed 15 mg/kg to avoid overdosing. Option A is incorrect because retaking the temperature in 15 minutes is not the most appropriate nursing action after administering acetaminophen. The priority should be to ensure the correct dosage is given. Option B is incorrect as placing a warm blanket on the child is not directly related to administering acetaminophen and managing fever. Option D is incorrect because using cold compresses instead of Tylenol may not effectively reduce the child's fever and does not address the need for appropriate medication administration. Educationally, this question highlights the importance of accurate medication dosing in pediatric patients and the necessity of calculating medication doses based on weight. It also emphasizes the nurse's role in ensuring safe and effective care for children.
Question 5 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.