ATI RN
ATI RN Nursing Care of Children 2019 Questions
Extract:
2-month-old infant with developmental dysplasia of the hip and Pavlik harness
Question 1 of 5
A nurse is providing teaching to the parents of a 2-month-old infant who has developmental dysplasia of the hip and has a prescription for a Pavlik harness. Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C - We will place the diaper under the straps.
Rationale: Placing the diaper under the straps ensures proper positioning and prevents skin irritation. The harness should be worn 24/7, except during baths. Adjusting the straps daily (choice
A) is unnecessary and may disrupt the harness' effectiveness. Applying lotion (choice
B) could interfere with the harness's grip on the skin. Expecting the baby to wear the harness for only 2 months (choice
D) may be too short a duration for effective treatment.
Extract:
3-month-old infant with a cleft of the soft palate
Question 2 of 5
A nurse is caring for a 3-month-old infant who has a cleft of the soft palate. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Elevate the infant's head to a 10° angle during feedings.
Rationale: Elevating the infant's head helps prevent regurgitation and aspiration due to the cleft palate. This position facilitates easier swallowing and minimizes the risk of choking during feedings.
Summary:
A - Discontinuing feeding based on watery eyes is not a relevant response to cleft palate.
B - Postponing burping can lead to increased gas and discomfort for the infant.
D - Feeding a specific volume of formula is not individualized care and may not address the specific needs of the infant with a cleft palate.
Extract:
Infant undergoing pilocarpine iontophoresis testing for cystic fibrosis
Question 3 of 5
A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: The test will measure the amount of chloride in your baby's sweat. This statement should be included in the teaching because pilocarpine iontophoresis testing is used to measure the chloride levels in sweat, which is a diagnostic test for cystic fibrosis. This test helps identify individuals with cystic fibrosis by measuring the amount of chloride in their sweat.
Incorrect answers:
A: A nurse will insert an IV prior to the test - This statement is incorrect because an IV is not required for pilocarpine iontophoresis testing.
B: We will measure the amount of protein in your baby's urine over a 24-hour period - This statement is incorrect as measuring urine protein levels is not part of pilocarpine iontophoresis testing.
D: Your baby will need to fast for 8 hours prior to the test - This statement is incorrect because fasting is not necessary for this test and does not affect the results.
Extract:
2-year-old client weighing 10 kg receiving amoxicillin 80 mg/kg/day
Question 4 of 5
A nurse is preparing to administer amoxicillin 80 mg/kg/day divided into two doses daily to a 2-year-old client who weighs 10 kg (22 lb). Available is amoxicillin suspension 400 mg/5 mL. How many mL of amoxicillin should the nurse administer per dose?
Correct Answer: C
Rationale:
To calculate the correct dosage, first, find the total daily dose: 80 mg/kg/day x 10 kg = 800 mg/day. Since the dose is divided into two, each dose is 400 mg. Next, convert 400 mg to mL using the concentration of the suspension: 400 mg / 400 mg/5 mL = 5 mL.
Therefore, the nurse should administer 8 mL per dose. Option A (2 mL) is too low, Option B (4 mL) is half the correct dose, and Option D (16 mL) is double the correct dose. Option C (8 mL) is the correct answer based on the calculation.
Extract:
Child with scabies
Question 5 of 5
A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Treat everyone who came into close contact with the child. This is important to prevent the spread of scabies since it is highly contagious and can easily spread through close contact. Treating close contacts helps to eliminate any potential sources of reinfection. Washing the child's hair with ketoconazole shampoo (
Choice
A) is not effective against scabies mites. Soaking combs and brushes in boiling water (
Choice
C) is not necessary as scabies mites do not typically survive long off the body. Applying petroleum jelly (
Choice
D) may suffocate the mites but is not as effective as treating close contacts.