ATI RN
RN Nursing Care of Children 2019 With NGN
1. Apgar scoring is conducted at 1 minute and 5 minutes after birth. It is used to determine:
- A. Major body systems’ responses at birth
- B. Future intelligence of the newborn
- C. Level of parent and newborn interaction
- D. Gestational age of the newborn
Correct answer: A
Rationale: The Apgar score assesses a newborn's physical condition immediately after birth by evaluating heart rate, respiratory effort, muscle tone, reflex response, and color. Therefore, the correct answer is A. The other choices are incorrect because B) the Apgar score does not predict future intelligence, C) it does not measure parent and newborn interaction, and D) it is not used to determine gestational age.
2. A child is admitted for minimal change nephrotic syndrome (MCNS). The nurse recognizes that the child’s prognosis is related to what factor?
- A. Admission blood pressure
- B. Creatinine clearance
- C. Amount of protein in urine
- D. Response to steroid therapy
Correct answer: D
Rationale: The prognosis for children with MCNS is closely related to their response to steroid therapy. A favorable response to steroids usually indicates a better prognosis, while poor response may require alternative treatments and can indicate a more complicated disease course.
3. The nurse is planning an educational session with a group of school-age children. Which primary task from Erikson’s theory of psychosocial development should be addressed?
- A. Establishing trust in others
- B. Developing a sense of autonomy
- C. Developing a sense of industry
- D. Establishing a sense of identity
Correct answer: C
Rationale: In Erikson’s theory of psychosocial development, school-age children typically focus on developing a sense of industry. This stage, occurring during middle childhood, involves the desire to feel competent and productive in their skills and abilities. Choices A, B, and D are incorrect because establishing trust in others (A) is related to the first stage of Erikson's theory (trust vs. mistrust) which occurs in infancy, developing a sense of autonomy (B) is linked to the second stage (autonomy vs. shame and doubt) which occurs in early childhood, and establishing a sense of identity (D) is associated with the fifth stage (identity vs. role confusion) which occurs in adolescence.
4. The nurse is planning to counsel family members as a group to assess the family's group dynamics. Which theoretical family model is the nurse using as a framework?
- A. Feminist theory
- B. Family stress theory
- C. Family systems theory
- D. Developmental theory
Correct answer: C
Rationale: Family systems theory views the family as an interconnected system where changes in one member affect the entire family, making it ideal for assessing group dynamics.
5. The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death?
- A. Preschoolers
- B. Young school age
- C. Middle school age
- D. Late school age and adolescents
Correct answer: D
Rationale: Suicide is the third leading cause of death in late school-age children and adolescents, requiring careful assessment for ideation in these age groups.