ATI RN
Nursing Care of Children ATI
1. The nurse is assessing a child suspected of having pinworms. Which is the most common symptom the nurse expects to assess?
- A. Restlessness
- B. Distractibility
- C. Rectal discharge
- D. Intense perianal itching
Correct answer: D
Rationale: Intense perianal itching is the most common symptom of pinworm infection, especially at night when the female worms lay their eggs
2. By which age should the nurse expect that an infant will be able to pull to a standing position?
- A. 5 to 6 months
- B. 7 to 8 months
- C. 11 to 12 months
- D. 14 to 15 months
Correct answer: C
Rationale: Pulling to a standing position typically occurs between 11 to 12 months, marking the progression towards walking.
3. At what point in the hospitalization of the pediatric patient should discharge planning and teaching begin?
- A. Post-operatively
- B. Right when the patient is being discharged with the parents and support members present
- C. On the morning that the patient is scheduled to go home
- D. On admission
Correct answer: D
Rationale: Discharge planning should begin on admission to ensure that all necessary teaching and preparations are completed in a timely manner. Starting discharge planning early allows for a comprehensive assessment of the patient's needs, coordination with the healthcare team, and adequate time for patient and family education. Choice A, post-operatively, is too late in the process and may lead to rushed planning. Choice B, right at discharge, may not allow enough time for thorough preparation. Choice C, on the morning of discharge, also does not provide sufficient time for effective planning and education.
4. The nurse is teaching parents about diarrhea in young children. A parent asks the nurse what causes most cases of diarrhea in young children. How should the nurse respond?
- A. Rotavirus
- B. Giardia
- C. Shigella
- D. Salmonella
Correct answer: A
Rationale: Rotavirus is the most common cause of diarrhea in young children, particularly those under the age of 2. Giardia, Shigella, and Salmonella can also cause diarrhea, but in the context of young children, Rotavirus is the primary pathogen responsible for diarrheal illnesses.
5. 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
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