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. Which parameter correlates best with measurements of total muscle mass?
- A. Height
- B. Weight
- C. Skinfold thickness
- D. Upper arm circumference
Correct answer: D
Rationale: Upper arm circumference correlates best with total muscle mass because it includes both muscle and fat components, making it a reliable indicator of muscle mass.
3. What is the most effective way to prevent sudden infant death syndrome (SIDS)?
- A. Use a firm mattress
- B. Place the baby on their back to sleep
- C. Keep the room warm
- D. Breastfeed exclusively
Correct answer: B
Rationale: The correct answer is to place the baby on their back to sleep. This position is the most effective way to prevent sudden infant death syndrome (SIDS) according to research and recommendations from healthcare providers. Choice A, using a firm mattress, is important for infant safety but not as directly related to preventing SIDS. Keeping the room warm, as mentioned in choice C, is not recommended as it may increase the risk of SIDS. While breastfeeding has many benefits, choice D, breastfeeding exclusively is not the most effective method for preventing SIDS.
4. 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.
5. The nurse is administering the first hepatitis A vaccine to an 18-month-old child. When should the child return to the clinic for the second dose of hepatitis A vaccination?
- A. After 2 months
- B. After 3 months
- C. After 4 months
- D. After 6 months
Correct answer: D
Rationale: The second dose of the hepatitis A vaccine is recommended 6 months after the first dose to ensure full immunity.
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