ATI RN
RN Nursing Care of Children Online Practice 2019 A Questions
Question 1 of 5
What is the required number of milliliters of fluid needed per day for a 14-kg child?
Correct Answer: D
Rationale: The fluid requirement for a 14-kg child is approximately 100 mL/kg/day, so for a 14-kg child, the requirement is around 1400 mL/day.
Question 2 of 5
A young mother asks if her 9-month-old can begin drinking cow's milk instead of formula. You explain that:
Correct Answer: B
Rationale: Breast milk or formula should be used for now because whole cow's milk is not recommended for infants under 1 year. Cow's milk is not suitable for infants under 1 year of age as it lacks essential nutrients like iron and can lead to iron deficiency. Therefore, it is important to continue with breast milk or formula to ensure the baby's nutritional needs are met. Choice A is incorrect as cow's milk is not easier to digest than formula for infants. Choice C is incorrect as the type of milk, whether whole or skim, is not the primary concern at this age. Choice D is incorrect as cow's milk can actually increase the risk of iron deficiency anemia in infants.
Question 3 of 5
When describing play by the school-aged child to a group of nursing students, the instructor would emphasize the need for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Rules. When discussing play in school-aged children, rules are essential as they help in structuring games and social interactions. Rules provide a framework for play, ensuring fairness and cooperation among children. Choice A, recreation, is too broad and doesn't specifically address the importance of rules in play. Choice B, ritualism, is unrelated to the concept of play in school-aged children. Choice C, physical activity, is important for overall health but doesn't capture the specific aspect of rules that are crucial in the play of school-aged children.
Question 4 of 5
When caring for a child with an intravenous (IV) infusion, what is an appropriate nursing action?
Correct Answer: B
Rationale: Frequent monitoring of the IV site for signs of infiltration is crucial to prevent tissue damage, especially in pediatric patients. Changing the site every 24 hours is unnecessary unless complications arise, and using a macrodropper is not specific to pediatric care.
Question 5 of 5
Nurses should be alert for increased fluid requirements in which circumstance?
Correct Answer: A
Rationale: Fever increases metabolic rate, leading to insensible water loss, thus requiring increased fluid intake. Mechanical ventilation, CHF, and increased intracranial pressure generally require fluid restriction rather than increased fluid intake.
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