ATI RN
ATI Nursing Care of Children
1. The nurse is caring for a 2-year-old child in the postoperative period. Which pain assessment tool is most appropriate for assessing pain intensity in a 2-year-old?
- A. Poker chip tool
- B. Oucher Scale
- C. Faces Pain Rating Scale
- D. FLACC Behavioral Pain Assessment Scale
Correct answer: D
Rationale: The FLACC Behavioral Pain Assessment Scale is the most suitable tool for assessing pain in 2-year-old children postoperatively. It assesses pain by evaluating facial expression, leg movement, activity, cry, and consolability, making it effective for non-verbal children. The Poker chip tool is not appropriate for this age group. The Oucher Scale and Faces Pain Rating Scale are more suitable for older children who can self-report pain levels.
2. What is the primary focus of public health?
- A. Preventing disease and promoting health
- B. Providing health education
- C. Ensuring access to health care services
- D. Reducing health disparities
Correct answer: A
Rationale: The primary focus of public health is to prevent disease and promote health at the population level. This includes implementing interventions and policies that aim to improve the overall health of communities, rather than focusing solely on individual care or education. By addressing the root causes of health issues and promoting wellness, public health efforts strive to create healthier environments and populations.
3. The nurse is reviewing the record of a client with Crohn’s disease. Which of the following stool characteristics would the nurse expect to note documented on the client’s record?
- A. Chronic constipation
- B. Diarrhea
- C. Constipation alternating with diarrhea
- D. Stool constantly oozing from the rectum
Correct answer: B
Rationale: Diarrhea is a common stool characteristic in clients with Crohn’s disease due to inflammation of the gastrointestinal tract.
4. You are developing a plan of care for a hospitalized child. Which age group is most likely to view illness as a punishment for misdeeds?
- A. Adolescence
- B. Preschool age
- C. Infancy
- D. School age
Correct answer: B
Rationale: Preschool-aged children often engage in magical thinking, where they may believe that illness is a punishment for misdeeds. This belief is related to their cognitive development stage, where they may attribute cause and effect in a magical or unrealistic way. Adolescents are more likely to view illness as a disruption to their sense of independence or control. Infants lack the cognitive development to associate illness with punishment for misdeeds. School-aged children typically have a more concrete understanding of illness and its causes, moving away from magical thinking.
5. An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is which?
- A. Ask her why she wants to know.
- B. Determine why she is so anxious.
- C. Explain in simple terms how it works.
- D. Tell her she will see how it works as it is used.
Correct answer: C
Rationale: Providing a simple explanation satisfies the child's curiosity and helps reduce any anxiety about the procedure.