ATI RN
Nursing Care of Children ATI
1. In teaching parents about appropriate pacifier selection, the nurse should recommend which characteristic?
- A. Easily grasped handle
- B. Detachable shield for cleaning
- C. Soft, pliable material
- D. Ribbon or string to secure to clothing
Correct answer: A
Rationale: A pacifier with an easily grasped handle is safer and more convenient for the infant to use without the risk of choking hazards that detachable parts might pose.
2. At which age does an infant start to recognize familiar faces and objects, such as his or her own hand?
- A. 1 month
- B. 2 months
- C. 3 months
- D. 4 months
Correct answer: C
Rationale: By 3 months, infants begin to recognize familiar faces and objects, such as their own hands. This marks the early stages of visual recognition and cognitive development.
3. At an 8-month-old well-baby visit, the parent tells the nurse that her infant falls asleep at night during the last bottle feeding but wakes up when moved to the infant’s crib. What is the most appropriate response for the nurse to make?
- A. You should put your baby to sleep 1 hour earlier without the nighttime feeding but with a pacifier for soothing.
- B. You could place rice cereal in the last bottle feeding of the day to ensure a longer sleep pattern.
- C. You should have your partner give the last bottle of the day and observe whether your infant stays awake for your partner.
- D. You could increase daytime feeding intervals to every 4 hours and put your baby in the crib while the baby is still awake.
Correct answer: D
Rationale: Encouraging the baby to fall asleep in the crib while still awake can help establish healthy sleep habits and reduce night waking.
4. The nurse is caring for a child with Neuroblastoma. Where is the tumor most commonly located?
- A. Bone
- B. Kidneys
- C. Cortex
- D. Abdomen
Correct answer: D
Rationale: Neuroblastoma is a cancer that commonly originates in the adrenal glands located in the abdomen. It can also occur in nerve tissues along the spine, but it is most frequently found in the abdominal region. Therefore, the correct answer is D. Choices A, B, and C are incorrect as Neuroblastoma typically arises from neural crest cells in the adrenal glands or sympathetic ganglia, not in the bones, kidneys, or cortex.
5. The nurse is caring for a very low-birth-weight (VLBW) infant with a peripheral intravenous infusion. What nursing considerations regarding infiltration should be included in planning IV care?
- A. Infiltration is not solely related to the activity level of VLBW infants.
- B. Continuous infusion pumps do not always stop automatically when infiltration occurs.
- C. Hypertonic solutions can cause severe tissue damage if infiltration occurs.
- D. The infusion site should be checked regularly to prevent infiltration-related complications.
Correct answer: C
Rationale: Hypertonic solutions can damage tissues if they leak from the vein due to infiltration. It is crucial to monitor for this complication to prevent severe tissue damage. Infiltration is not solely related to the activity level of VLBW infants; it can occur due to various reasons such as vein condition, catheter placement, and fluid type. Continuous infusion pumps may not always detect infiltration, as they typically alarm for pressure changes but not all infiltration instances. Checking the infusion site regularly, preferably hourly, is essential to prevent complications like tissue damage from extravasations, fluid overload, and dehydration.
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