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. Which family theory is described as a series of tasks for the family throughout its life span?
- A. Exchange theory
- B. Developmental theory
- C. Structural-functional theory
- D. Symbolic interactional theory
Correct answer: B
Rationale: Developmental theory outlines the series of tasks and stages that a family goes through over its life span, helping to understand the family's development and needs over time.
3. Why are neonates predisposed to problems with thermoregulation?
- A. Renal function is not fully developed
- B. Flexed posture favors heat loss
- C. A large body surface area favors heat loss to the environment
- D. A thick layer of subcutaneous fat provides excellent insulation
Correct answer: C
Rationale: Newborns have a large surface area relative to their body weight, making them more susceptible to heat loss and requiring careful thermoregulation. Choice A is incorrect because renal function is not directly related to thermoregulation. Choice B is incorrect because a flexed posture actually helps reduce heat loss by minimizing the surface area exposed to the environment. Choice D is incorrect because neonates have limited subcutaneous fat, which contributes to their susceptibility to heat loss.
4. Why are neonates predisposed to problems with thermoregulation?
- A. Renal function is not fully developed.
- B. Flexed posture favors heat loss.
- C. A large body surface area favors heat loss to the environment.
- D. A thick layer of subcutaneous fat provides excellent insulation.
Correct answer: C
Rationale: Neonates have a large surface area relative to their weight, which makes them prone to heat loss to the environment, leading to thermoregulation issues. The underdeveloped kidney affecting urine concentration (Choice A) is unrelated to the thermal regulation process. While a flexed posture can help retain heat (Choice B), it does not outweigh the impact of the large body surface area in neonates. Although subcutaneous fat (Choice D) provides insulation, in neonates, the large body surface area is more significant in contributing to heat loss than the fat's insulating properties.
5. At which age do most infants begin to fear strangers?
- A. 2 months
- B. 4 months
- C. 6 months
- D. 12 months
Correct answer: C
Rationale: Fear of strangers typically begins around 6 months as infants start recognizing familiar and unfamiliar faces, which is part of their social development.
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