ATI RN
RN Nursing Care of Children Online Practice 2019 A Questions
Question 1 of 5
When teaching a mother how to administer eye drops, where should the nurse tell her to place them?
Correct Answer: C
Rationale: The correct answer is C) In the conjunctival sac when the lower eyelid is pulled down. When administering eye drops to a child, it is crucial to place the drops in the conjunctival sac, as this area allows for optimal absorption of the medication. By pulling down the lower eyelid, a pocket is created where the drops can be instilled without directly touching the eye, reducing the risk of contamination or injury. Option A) At the lacrimal duct is incorrect because placing the drops here can lead to rapid drainage of the medication into the nasolacrimal duct, reducing its effectiveness. Option B) On the sclera while the child looks to the outside is incorrect as it does not target the appropriate area for absorption. Option D) Carefully under the eyelid while it is gently pulled upward is incorrect as this method can be uncomfortable for the child and may not effectively deliver the medication to the right place. In an educational context, teaching parents the correct technique for administering eye drops to children is essential to ensure the child receives the full benefit of the medication. Proper administration can also help prevent complications and promote positive outcomes for the child's eye health. It is important to provide clear instructions and demonstrate the correct technique to parents to empower them to care for their child effectively.
Question 2 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 3 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 4 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 5 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.