ATI RN
ATI Nursing Care of Children
1. Play activities of the preschool-age child include:
- A. Having imaginary playmates
- B. Selective collection of objects
- C. Complex board games
- D. Associative play
Correct answer: A
Rationale: The correct answer is A, 'Having imaginary playmates.' Preschool-age children often engage in imaginative play, which includes creating imaginary friends or playmates. This type of play helps them develop creativity, social skills, and emotional expression. Choice B, 'Selective collection of objects,' may be more common in older children and is not a typical play activity for preschoolers. Choice C, 'Complex board games,' are usually beyond the developmental level of preschoolers as they require more advanced cognitive skills. Choice D, 'Associative play,' is a term used to describe a type of play where children play alongside each other but not necessarily together, which is different from the imaginative play involving imaginary playmates that preschoolers often engage in.
2. The school nurse is explaining to older school children that obesity increases the risk for which disorders? (Select all that apply.)
- A. Asthma
- B. Hypertension
- C. Dyslipidemia
- D. All of the above
Correct answer: D
Rationale: Obesity increases the risk for conditions like asthma, hypertension, dyslipidemia, and altered glucose metabolism, but not typically irritable bowel disease.
3. A nurse is evaluating the effectiveness of teaching regarding care of a child with minimal change nephrotic syndrome (MCNS) that is in remission after administration of prednisone. The nurse realizes further teaching is required if the parents state what?
- A. We will keep our child away from anyone who is ill.
- B. We will be sure to administer the prednisone as ordered.
- C. We will encourage our child to eat a balanced diet, but we will watch his salt intake.
- D. We understand our child will not be able to attend school, so we will arrange for home schooling.
Correct answer: D
Rationale: Children with MCNS in remission can usually return to school. Home schooling may be necessary only if there are complications. The other options show an understanding of proper care during remission.
4. Which term best describes the sharing of common characteristics that differentiate one group from other groups in a society?
- A. Race
- B. Culture
- C. Ethnicity
- D. Superiority
Correct answer: C
Rationale: Ethnicity refers to the shared characteristics such as nationality, culture, language, and beliefs that differentiate one group from another.
5. In planning care for children, the nurse considers children’s anxiety about hospitalization. Which measure should be included in the child’s plan of care to help reduce anxiety?
- A. Therapeutic play
- B. Time-out
- C. Counseling
- D. Movies
Correct answer: A
Rationale: Therapeutic play should be included in the child’s plan of care to help reduce anxiety during hospitalization. It is an effective strategy that allows children to express their feelings, understand procedures, and reduce anxiety levels. Time-out (choice B) is not suitable for addressing anxiety related to hospitalization. Counseling (choice C) may be beneficial but is not as specifically tailored to reduce anxiety in the hospital setting as therapeutic play. Movies (choice D) may provide a temporary distraction but do not actively involve the child in addressing their emotions and fears associated with hospitalization.
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