ATI RN
ATI Nursing Care of Children
1. The Asian parent of a child being seen in the clinic avoids eye contact with the nurse. What is the best explanation for this considering cultural differences?
- A. The parent feels inferior to the nurse
- B. The parent is showing respect for the nurse
- C. The parent is embarrassed to seek health care
- D. The parent feels responsible for her child's illness
Correct answer: B
Rationale: In many Asian cultures, avoiding eye contact is a sign of respect, especially towards authority figures such as healthcare providers.
2. The caregiver asks why the 6-month-old infant needs to have solid foods when breast milk is such a good source of nutrition. What would be the best response by the nurse?
- A. Solid foods, especially iron-fortified cereals, are introduced to meet the infant's increased nutritional needs, including iron, which breast milk alone may not provide adequately.
- B. The extrusion reflex must be developed and feeding solid foods will help the infant to develop this reflex.
- C. Breastfeeding will become painful when the infant gets more teeth, so the infant needs to eat solid foods.
- D. By this age the infant becomes interested in trying new skills.
Correct answer: A
Rationale: The correct response is A. Solid foods, especially iron-fortified cereals, are introduced to meet the infant's increased nutritional needs, including iron, which breast milk alone may not provide adequately. Choice B is incorrect because the extrusion reflex is related to the tongue-thrust reflex, not the nutritional needs of the infant. Choice C is incorrect as breastfeeding does not become painful when the infant gets more teeth, and it is not a reason for introducing solid foods. Choice D is incorrect as the infant's interest in trying new skills is not a primary reason for introducing solid foods at this age.
3. The nurse is providing anticipatory guidance to the parent of a 9-month-old infant during a well-baby visit. Which topic would be most appropriate?
- A. Cautioning about putting the infant in a walker
- B. Advising how to create a toddler-safe home
- C. Instructing on safety procedures during baths
- D. Warning about leaving small objects on the floor
Correct answer: D
Rationale: The correct answer is D because at 9 months, infants become more mobile, increasing the risk of choking hazards from small objects left on the floor. Cautioning about putting the infant in a walker (Choice A) is not as crucial at this age as warning about choking hazards. While advising how to create a toddler-safe home (Choice B) is essential, the most critical concern at 9 months is small objects. Instructing on safety procedures during baths (Choice C) is important but does not address the immediate risk of choking hazards associated with small objects.
4. Evidence-based practice (EBP), a decision-making model, is best described as which?
- A. Using information in textbooks to guide care
- B. Combining knowledge with clinical experience and intuition
- C. Using a professional code of ethics as a means for decision-making
- D. Gathering all evidence that applies to the child’s health and family situation
Correct answer: D
Rationale: Evidence-based practice involves gathering and integrating all relevant evidence to guide clinical decision-making, ensuring that care is based on the best available research.
5. A parent asks the nurse what would be the first indication that acute glomerulonephritis was improving. What would be the nurse's best response?
- A. Blood pressure will stabilize.
- B. Your child will have more energy.
- C. Urine will be free of protein.
- D. Urine output will increase.
Correct answer: D
Rationale: Increased urine output is often the first sign that acute glomerulonephritis is improving, as it indicates a reduction in fluid retention and better kidney function. Stabilization of blood pressure and other symptoms typically follow.
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