ATI RN
ATI RN Nursing Care of Children 2019 Questions
Extract:
Group of female adolescents
Question 1 of 5
A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Increase the amount of your dietary iron intake. Female adolescents are at higher risk for iron deficiency due to menstrual blood loss. Iron is essential for proper growth and development. Increasing dietary iron intake can prevent anemia and support overall health.
Incorrect answers:
A: Limiting sodium intake is important, but not the priority in this context.
B: Caloric needs vary based on individual factors, so a specific range may not be appropriate for all adolescents.
D: Vitamin D is important for bone health, so decreasing intake during menstruation is not recommended.
Extract:
Child recently admitted for suspected rheumatic fever
Question 2 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis?
Correct Answer: B,C,E
Rationale: The correct laboratory tests to confirm rheumatic fever are ESR, ASO titer, and CRP. ESR measures inflammation and can be elevated in rheumatic fever. ASO titer helps detect a recent streptococcal infection, a trigger for rheumatic fever. CRP is a marker for inflammation and can be elevated in rheumatic fever. BUN is not specific to rheumatic fever. PTT is used to evaluate blood clotting and is not indicative of rheumatic fever.
Therefore, choices A, D, and E are incorrect for confirming rheumatic fever.
Extract:
3-month-old infant
Question 3 of 5
A nurse is discussing coping mechanisms with a parent of a 3-month-old infant. Which of the following therapeutic questions should the nurse ask the parent?
Correct Answer: B
Rationale: The correct answer is B: "What do you do when your infant is fussy?" This question is therapeutic as it encourages the parent to reflect on their current coping strategies. It promotes self-awareness and allows the nurse to provide tailored support.
Other choices are incorrect:
A: Assumes the parent needs new parenting classes, which may not be the issue.
C: Implies stress without exploring specific situations or coping mechanisms.
D: Focuses on overwhelming moments rather than specific strategies for coping.
Extract:
Four children: toddler with nephrotic syndrome, adolescent with Crohn's disease, preschool-age child with muffled voice, school-age child with diabetes mellitus
Question 4 of 5
A nurse in an urgent care clinic is prioritizing care for four children. Which of the following children should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C: A preschool-age child who has a muffled voice and no spontaneous cough. This child should be assessed first as they are exhibiting symptoms of potential airway obstruction, which is a medical emergency requiring immediate attention to ensure proper oxygenation. A muffled voice and absence of spontaneous cough may indicate an obstructed airway, possibly due to a foreign body or infection. Prompt assessment and intervention are crucial to prevent respiratory compromise.
Choice A: A toddler with nephrotic syndrome and facial edema may require medical attention but does not present an immediate threat to airway or breathing.
Choice B: An adolescent with Crohn's disease and recent weight loss may also require medical attention, but it is not as urgent as assessing a potential airway obstruction in a preschool-age child.
Choice D: A school-age child with diabetes mellitus and a blood glucose of 200 mg/dL may require monitoring and intervention, but it is not as time-sensitive as addressing a potential air
Extract:
Infant with intussusception
Question 5 of 5
A nurse is assessing an infant who has intussusception. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Sausage-shaped abdominal mass. Intussusception is a medical emergency where one part of the intestine slides into another, causing obstruction. The nurse should expect to feel a sausage-shaped mass in the abdomen due to the telescoping of the intestines. This finding is classic for intussusception. Option A, board-like abdomen, is more indicative of peritonitis. Option B, increased urinary output, is not typically associated with intussusception. Option D, constipation, is a common symptom but not a specific finding for intussusception.