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. What statement best describes Hirschsprung disease?
- A. The colon has an aganglionic segment.
- B. It results in frequent evacuation of solids, liquid, and gas.
- C. The neonate passes excessive amounts of meconium.
- D. It results in excessive peristaltic movements within the gastrointestinal tract.
Correct answer: A
Rationale: Hirschsprung disease is characterized by the absence of ganglion cells in a segment of the colon, leading to a lack of peristalsis and obstruction. The other options do not accurately describe this condition.
3. What is the best initial intervention for a child experiencing moderate dehydration?
- A. Administer IV fluids
- B. Encourage oral rehydration
- C. Monitor vital signs
- D. Provide clear fluids
Correct answer: B
Rationale: The correct answer is B: Encourage oral rehydration. Oral rehydration is the first-line treatment for moderate dehydration in children. It helps restore fluid balance and electrolyte levels. Administering IV fluids (Choice A) is usually reserved for severe cases of dehydration where oral rehydration is not feasible or ineffective. Monitoring vital signs (Choice C) is important but should not replace the immediate need for rehydration. Providing clear fluids (Choice D) may not contain the necessary electrolytes required for effective rehydration.
4. Which food should be introduced first to a 6-month-old infant?
- A. Fruits
- B. Eggs
- C. Vegetables
- D. Meat
Correct answer: C
Rationale: Vegetables, particularly pureed ones, are often recommended as a first solid food for infants because they are easy to digest and less likely to cause allergies. Fruits can be introduced later due to their natural sweetness, while eggs and meat are typically introduced after fruits and vegetables as they may pose a higher risk of allergies.
5. A new mom is ready to introduce solid foods to her infant. Which food would you recommend starting with?
- A. Meat
- B. Rice cereal
- C. Fruits
- D. Vegetables
Correct answer: B
Rationale: The correct answer is B: Rice cereal. Rice cereal is typically the first solid food introduced to infants because it is easy to digest and unlikely to cause an allergic reaction. Starting with rice cereal helps assess the baby's readiness for solid foods and reduces the risk of allergic responses. Choice A (Meat) is not recommended as the initial solid food due to its higher allergenic potential. Choices C (Fruits) and D (Vegetables) are also not usually recommended as the first solid food, as they may be more challenging for infants to digest compared to rice cereal.
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