ATI RN
ATI Nursing Care of Children
1. A four-year-old child has a history of repeated otitis media despite antibiotic treatment. Which treatment measure should the nurse discuss with the parents?
- A. Antibiotic treatment
- B. Adenoidectomy
- C. The insertion of tympanostomy (pressure equalizing) tubes
- D. Tonsillectomy
Correct answer: C
Rationale: The correct answer is C: The insertion of tympanostomy (pressure equalizing) tubes. This treatment measure is appropriate for a child with recurrent otitis media as it helps drain fluid from the middle ear and prevent further infections. Adenoidectomy (choice B) involves the removal of the adenoids, which may not directly address the ear infections. Antibiotic treatment (choice A) has already been ineffective in this case, so alternative measures are necessary. Tonsillectomy (choice D) is not typically indicated for otitis media unless there are specific reasons such as enlarged tonsils contributing to the condition.
2. Which statement is true concerning early intervention services for children 0-2 years?
- A. Only healthcare professionals can determine if the child is eligible for services
- B. Specific diagnoses are not required to qualify for services
- C. Families must not pay for services
- D. Services are provided to a diverse group of children and families
Correct answer: D
Rationale: Early intervention services aim to support a diverse group of children and families without the need for a specific diagnosis. These services are inclusive and provided to all eligible children and families, regardless of their background or particular condition.
3. Worldwide, what is the most common nutrient deficiency?
- A. magnesium deficiency
- B. iron deficiency
- C. selenium deficiency
- D. zinc deficiency
Correct answer: B
Rationale: Iron deficiency is the most common nutrient deficiency globally. It leads to anemia and affects many populations, especially women and children. Magnesium, selenium, and zinc deficiencies are important, but they are not as prevalent as iron deficiency on a global scale.
4. Which best describes the role of surveillance in public health?
- A. Monitoring the spread of diseases
- B. Providing direct patient care
- C. Offering health education workshops
- D. Conducting epidemiological research
Correct answer: A
Rationale: Surveillance in public health primarily involves monitoring the spread of diseases. By tracking patterns of diseases and behaviors in populations, public health officials can identify potential outbreaks, assess the effectiveness of interventions, and make informed decisions to protect and improve community health. Surveillance is crucial for early detection, timely response, and prevention of the spread of infectious diseases and other health threats.
5. The nurse instructs the ileostomy client to do which of the following as a part of essential care of the stoma?
- A. Cleanse the peristomal skin meticulously
- B. Take in high-fiber foods such as nuts
- C. Massage the area below the stoma
- D. Limit fluid intake to prevent diarrhea.
Correct answer: A
Rationale: Cleansing the peristomal skin meticulously is crucial to prevent irritation and infection around the stoma.