ATI RN
Nursing Care of Children Final ATI
1. What is one focus of current health care?
- A. Increased provision of nursing services
- B. Disease prevention
- C. Symptom management
- D. Identification of disease processes
Correct answer: B
Rationale: The correct answer is 'Disease prevention.' Modern healthcare places emphasis on preventing diseases to enhance overall health and well-being. While nursing services, symptom management, and disease identification are crucial components of healthcare, disease prevention plays a key role in reducing the burden of illness on individuals and communities.
2. The clinic nurse is teaching parents about when to call the office immediately for a child with a fever. What should the nurse include in the teaching session? (Select all that apply.)
- A. The child has a stiff neck.
- B. The fever is over 40.6 C (105 F).
- C. The child is younger than 2 months.
- D. All of the above
Correct answer: D
Rationale: High fever, especially in very young infants, or the presence of a stiff neck can indicate a serious infection requiring immediate attention. A fever lasting more than 3 days also warrants medical evaluation.
3. The nurse suspects that a child has ingested some type of poison. What clinical manifestation would be most suggestive that the poison was a corrosive product?
- A. Tinnitus
- B. Disorientation
- C. Stupor, lethargy, and coma
- D. Edema of the lips, tongue, and pharynx
Correct answer: D
Rationale: Edema of the lips, tongue, and pharynx is a characteristic sign of corrosive poisoning, indicating damage to mucous membranes from ingestion of a caustic substance. Other symptoms may vary depending on the poison but are not as specific to corrosive ingestion.
4. What urine test result is considered abnormal?
- A. pH 4.0
- B. WBC 1 or 2 cells/ml
- C. Protein level absent
- D. Specific gravity 1.020
Correct answer: A
Rationale: A urine pH of 4.0 is abnormally low, indicating possible acidosis or other metabolic conditions. WBC count of 1-2 cells/ml, absence of protein, and a specific gravity of 1.020 are within normal limits.
5. Parents would suspect hearing loss if their child did not:
- A. Turn away from a sound
- B. Startle with sudden loud noises immediately after birth
- C. Talk at 4 months
- D. Babble at 2 months
Correct answer: D
Rationale: The correct answer is D because babbling is an early indicator of hearing ability in infants. Lack of babbling by 2 months may suggest a potential hearing issue. Choices A, B, and C are incorrect because turning away from a sound, startling with sudden loud noises immediately after birth, and talking at 4 months are not primary indicators of hearing loss in infants.
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