ATI RN
ATI Nursing Care of Children 2019 B
1. The nurse is discussing home care with a mother whose 6-year-old child has hepatitis A. What information should the nurse include?
- A. Advise bed rest until 1 week after the icteric phase.
- B. Teach infection control measures to family members.
- C. Inform the mother that the child cannot return to school until 3 weeks after onset of jaundice.
- D. Reassure the mother that hepatitis A cannot be transmitted to other family members.
Correct answer: B
Rationale: Teaching infection control measures is crucial as Hepatitis A is highly contagious, especially in household settings. Proper hand hygiene and avoiding sharing personal items can prevent the spread of the virus within the family. Option A is incorrect because bed rest is not typically required for hepatitis A. Option C is incorrect as the child can return to school once feeling well and no longer contagious, not necessarily after a specific duration. Option D is incorrect because hepatitis A can be transmitted through contaminated food, water, or close personal contact.
2. The nurse is aware that which age group is at risk for childhood injury because of the cognitive characteristic of magical and egocentric thinking?
- A. Preschool
- B. Young school age
- C. Middle school age
- D. Adolescent
Correct answer: A
Rationale: Preschool children are at higher risk for injury due to magical and egocentric thinking, which can lead to misjudgments about their abilities and dangers.
3. The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death?
- A. Preschoolers
- B. Young school age
- C. Middle school age
- D. Late school age and adolescents
Correct answer: D
Rationale: Suicide is the third leading cause of death in late school-age children and adolescents, requiring careful assessment for ideation in these age groups.
4. According to Piaget, a 6-month-old infant should be in which developmental stage?
- A. Use of reflexes
- B. Primary circular reactions
- C. Secondary circular reactions
- D. Coordination of secondary schemata
Correct answer: C
Rationale: By 6 months, infants are usually in the stage of secondary circular reactions, where they start to intentionally repeat actions that bring pleasure or interesting results.
5. When the nurse interviews an adolescent, which is especially important?
- A. Focus the discussion on the peer group
- B. Allow an opportunity to express feelings
- C. Use the same type of language as the adolescent
- D. Emphasize that confidentiality will always be maintained
Correct answer: B
Rationale: Allowing adolescents to express their feelings helps them feel heard and supported, which is crucial for effective communication.
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