ATI RN
RN Nursing Care of Children Online Practice 2019 A
1. An appropriate method for administering oral medications that are bitter to an infant or small child should be to mix them with which?
- A. Bottle of formula or milk
- B. Any food the child is going to eat
- C. One teaspoon of something sweet-tasting such as jam
- D. Carbonated beverage, which is then poured over crushed ice
Correct answer: C
Rationale: Mixing bitter medication with a small amount of something sweet, like jam, can mask the taste effectively without diluting the medication too much. Mixing with milk or formula is not recommended as the child may refuse future feedings, and carbonated beverages are not suitable for infants.
2. After a 7-year-old with acute diarrhea has been rehydrated with oral rehydration solutions, what type of diet should the nurse recommend following rehydration?
- A. Regular diet
- B. Fruit juices
- C. High carbohydrate diet
- D. BRAT diet (bananas, rice, apples, and toast or tea)
Correct answer: A
Rationale: After rehydration, a regular diet is generally recommended to ensure proper nutrition and recovery. A regular diet includes a balanced intake of all food groups and nutrients. Fruit juices may be too high in simple sugars and lack necessary nutrients, which can exacerbate diarrhea. While a high carbohydrate diet may be beneficial in some cases, a regular diet is more comprehensive. The BRAT diet, consisting of bananas, rice, apples, and toast or tea, was previously recommended for diarrhea, but it lacks adequate protein and fat, so a regular diet is now preferred for overall better nutrition and recovery.
3. What physiologic state(s) produces the clinical manifestations of nervous system stimulation and excitement, such as overexcitability, nervousness, and tetany?
- A. Metabolic acidosis
- B. Respiratory alkalosis
- C. Metabolic and respiratory acidosis
- D. Metabolic and respiratory alkalosis
Correct answer: D
Rationale: Both metabolic and respiratory alkalosis can cause overexcitability and nervous system stimulation due to a decrease in ionized calcium levels, which can cause symptoms such as tetany and paresthesias. Acidosis typically has the opposite effect, leading to depression of the nervous system.
4. When teaching a mother how to administer eye drops, where should the nurse tell her to place them?
- A. At the lacrimal duct
- B. On the sclera while the child looks to the outside
- C. In the conjunctival sac when the lower eyelid is pulled down
- D. Carefully under the eyelid while it is gently pulled upward
Correct answer: C
Rationale: Eye drops should be placed in the conjunctival sac, which allows the medication to be absorbed properly without causing irritation. Placing drops directly on the sclera or near the lacrimal duct is less effective and can cause discomfort.
5. What is a suitable nutritional goal for a preschool-aged child?
- A. Minimize messiness and spills.
- B. Introduce new foods gradually and provide variety.
- C. Finish all the food on the plate.
- D. Allow the child to eat only preferred foods.
Correct answer: B
Rationale: Introducing new foods gradually and offering a variety of options is a suitable nutritional goal for preschool-aged children as it helps in providing essential nutrients and expanding their palate. Choice A is incorrect as reducing messiness and spills is more related to behavior than nutrition. Choice C is incorrect as forcing a child to finish all the food on the plate may override their natural hunger and fullness cues. Choice D is incorrect as allowing a child to eat only preferred foods may lead to an imbalanced diet lacking in essential nutrients.
Similar Questions
Access More Features
ATI RN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI RN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99