the nurse is assessing a child suspected of having pinworms which is the most common symptom the nurse expects to assess

ATI RN

Nursing Care of Children ATI

1. The nurse is assessing a child suspected of having pinworms. Which is the most common symptom the nurse expects to assess?

A. Restlessness
B. Distractibility
C. Rectal discharge
D. Intense perianal itching

Correct answer: D

Rationale: Intense perianal itching is the most common symptom of pinworm infection, especially at night when the female worms lay their eggs

2. The nurse is preparing a 9-year-old boy before obtaining a blood specimen by venipuncture. The child tells the nurse he does not want to lose his blood. What approach is best by the nurse?

A. Explain that it will not be painful.
B. Suggest to him that he not worry about losing just a little bit of blood.
C. Discuss with him how his body is always in the process of making blood.
D. Tell the child that he will not even need a Band-Aid afterward because it is a simple procedure.

Correct answer: C

Rationale: Discussing how the body continuously makes blood helps the child understand that losing a small amount is normal and not harmful. This educational approach also helps reduce anxiety by giving the child a sense of control over the situation.

3. What is the first sign of puberty in boys?

A. Enlargement of testes
B. Decreased levels of testosterone
C. Voice deepening
D. Pubic hair

Correct answer: A

Rationale: The first sign of puberty in boys is typically the enlargement of the testes. This is due to the increase in production of testosterone, which leads to physical changes such as growth of the testes. Choice B, decreased levels of testosterone, is incorrect as puberty is marked by an increase in testosterone levels. Choice C, voice deepening, and choice D, pubic hair growth, usually occur later in the puberty process compared to testicular enlargement, making them incorrect answers.

4. What do mortality statistics describe?

A. Disease occurring regularly within a geographic location
B. The number of individuals who have died over a specific period
C. The prevalence of specific illness in the population at a particular time
D. Disease occurring in more than the number of expected cases in a community

Correct answer: B

Rationale: Mortality statistics describe the number of individuals who have died over a specific period, providing insight into public health concerns.

5. What is the primary treatment goal for a child with juvenile idiopathic arthritis?

A. Pain management
B. Cure of the disease
C. Reduction of joint deformity
D. Physical therapy

Correct answer: A

Rationale: The primary treatment goal for a child with juvenile idiopathic arthritis is pain management. Juvenile idiopathic arthritis is a chronic condition with no known cure, making pain management crucial to improve the quality of life for these children. While reducing joint deformity and physical therapy are important aspects of managing the condition, the primary focus is on alleviating pain and improving function.