ATI RN
ATI Nursing Care of Children
1. When assessing a preschooler's chest, what should the nurse expect?
- A. Respiratory movements to be chiefly thoracic
- B. Anteroposterior diameter to be equal to the transverse diameter
- C. Retraction of the muscles between the ribs on respiratory movement
- D. Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
Correct answer: D
Rationale: In a preschooler, chest movement should be symmetric and coordinated with breathing, indicating healthy respiratory function.
2. The Asian parent of a child being seen in the clinic avoids eye contact with the nurse. What is the best explanation for this considering cultural differences?
- A. The parent feels inferior to the nurse
- B. The parent is showing respect for the nurse
- C. The parent is embarrassed to seek health care
- D. The parent feels responsible for her child's illness
Correct answer: B
Rationale: In many Asian cultures, avoiding eye contact is a sign of respect, especially towards authority figures such as healthcare providers.
3. The nurse is preparing to assess a 10-month-old infant. He is sitting on his father's lap and appears to be afraid of the nurse and of what might happen next. Which initial actions by the nurse should be most appropriate?
- A. Initiate a game of peek-a-boo.
- B. Ask the infant's father to place the infant on the examination table
- C. Talk softly to the infant while taking him from his father
- D. Undress the infant while he is still sitting on his father’s lap
Correct answer: A
Rationale: Engaging the infant in a familiar game like peek-a-boo can help reduce fear and build rapport before starting the assessment.
4. The nurse is testing an infant's visual acuity. By which age should the infant be able to fix on and follow a target?
- A. 1 month
- B. 1 to 2 months
- C. 3 to 4 months
- D. 6 months
Correct answer: C
Rationale: By 3 to 4 months of age, an infant should be able to fix on and follow a target, indicating proper visual development.
5. Which is considered a block to effective communication?
- A. Using silence
- B. Using clichés
- C. Directing the focus
- D. Defining the problem
Correct answer: B
Rationale: Using clichés is a communication block because it can come across as dismissive or insincere, hindering meaningful dialogue.
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