ATI RN
Nursing Care of Children ATI
1. Which intervention is the most appropriate recommendation for relief of teething pain?
- A. Rub gums with aspirin to relieve inflammation
- B. Apply hydrogen peroxide to gums to relieve irritation
- C. Give the infant a frozen teething ring to relieve inflammation
- D. Have the infant chew on a warm teething ring to encourage tooth eruption
Correct answer: C
Rationale: A frozen teething ring is effective for relieving teething pain as the cold helps numb the gums and reduce inflammation, making it a safe and effective method for managing discomfort
2. At which age can most infants sit steadily unsupported?
- A. 4 months
- B. 6 months
- C. 8 months
- D. 12 months
Correct answer: C
Rationale: Most infants can sit steadily without support by 8 months, indicating advanced gross motor skill development.
3. The parent of an 8.2-kg (18-lb) 9-month-old infant is borrowing a federally approved car seat from the clinic. The nurse should explain that the safest way to put in the car seat is what?
- A. Front facing in back seat
- B. Rear facing in back seat
- C. Front facing in front seat with air bag on passenger side
- D. Rear facing in front seat if an air bag is on the passenger side
Correct answer: B
Rationale: Infants should be placed rear-facing in the back seat until they are at least 2 years old or exceed the weight/height limit of their car seat for optimal safety.
4. An effective means of establishing rapport with the hospitalized pre-schooler is through:
- A. Lengthy discussion
- B. Explanation with drawings and models
- C. Play
- D. Silence
Correct answer: C
Rationale: Play is an effective way to communicate and build rapport with young children, especially pre-schoolers. It helps them feel comfortable, express themselves, and establish a connection with the caregiver. Lengthy discussions may not be suitable for their age and attention span, while explanation with drawings and models can enhance communication but may not engage them as effectively as play. Silence, on the other hand, may create a sense of unease or lack of interaction for pre-schoolers.
5. In the newborn, into what muscle is intramuscular vitamin K administered?
- A. Deltoid
- B. Dorsogluteal
- C. Rectus femoris
- D. Vastus lateralis
Correct answer: D
Rationale: In newborns, intramuscular vitamin K is traditionally administered into the vastus lateralis muscle. This site is preferred due to its large muscle mass and accessibility. The dorsogluteal site is not recommended for newborns due to the risk of injury to the sciatic nerve. The deltoid site is also not recommended for newborns. The rectus femoris muscle is not commonly used for intramuscular injections in newborns.
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