ATI RN
Nursing Care of Children Final ATI
1. The nurse is discussing issues that are important with parents considering a cross-racial adoption. Which statement made by the parents indicates further teaching is needed?
- A. "We will try to preserve the adopted child's racial heritage."
- B. "We are glad we will be getting full medical information when we adopt our child."
- C. "We will make sure to have everyone realize this is our child and a member of the family."
- D. "We understand strangers may make thoughtless comments about our child being different from us."
Correct answer: C
Rationale: The statement about making sure others realize the child is part of the family may indicate a focus on external validation rather than on the child’s needs and identity, suggesting a need for further teaching.
2. A child is admitted with suspected pyloric stenosis. Which of the following should be included in the plan of care?
- A. Monitor for signs of metabolic acidosis
- B. Observe for projectile vomiting
- C. Provide large, infrequent feedings to allow for rest
- D. Place the infant in a supine position after feeding
Correct answer: B
Rationale: The correct answer is B: 'Observe for projectile vomiting.' Projectile vomiting is a classic sign of pyloric stenosis, caused by obstruction at the pylorus. Choice A is incorrect as metabolic alkalosis, not acidosis, often occurs due to the loss of hydrochloric acid from persistent vomiting. Choice C is incorrect as frequent, small feedings are preferred to prevent overloading the stomach. Choice D is incorrect as placing the infant in an upright position after feeding can help reduce reflux.
3. When teaching about electrical fire prevention at a community health fair, which of the following information should be included?
- A. Use three-pronged grounded plugs.
- B. Cover extension cords with a rug.
- C. Check for tingling sensations around the cord to ensure electricity is working.
- D. Remove the plug from the socket by pulling the plug, not the cord.
Correct answer: A: Use three-pronged grounded plugs.
Rationale: The correct answer is to use three-pronged grounded plugs because they are safer and reduce the risk of electrical fires. Option B is incorrect as covering extension cords with a rug can pose a fire hazard. Option C is incorrect; tingling sensations around a cord indicate an electrical issue, not proper functioning. Option D is unsafe; plugs should be removed from the socket by pulling the plug, not the cord, to prevent damage and reduce the risk of electrical hazards.
4. A nurse is planning care for a client who has a new diagnosis of deep vein thrombosis (DVT). Which of the following interventions should the nurse include in the plan of care?
- A. Massage the affected extremity to promote circulation.
- B. Elevate the affected extremity.
- C. Apply cold packs to the affected extremity.
- D. Perform range-of-motion exercises on the affected extremity.
Correct answer: C
Rationale: The correct intervention for a client with DVT is to apply cold packs to the affected extremity. Cold packs can help reduce swelling and pain by constricting blood vessels. Massaging the affected extremity can dislodge a clot and worsen the condition. Elevating the affected extremity helps with blood flow but is not the priority intervention for DVT. Performing range-of-motion exercises on the affected extremity can also dislodge a clot and is contraindicated.
5. What is a chronic lung disease that includes chronic bronchitis and emphysema?
- A. Chronic Obstructive Pulmonary Disease (COPD)
- B. Pneumonia
- C. Asthma
- D. Tuberculosis
Correct answer: A
Rationale: The correct answer is Chronic Obstructive Pulmonary Disease (COPD). COPD is a chronic lung condition that encompasses chronic bronchitis and emphysema, causing airflow obstruction from the lungs. Pneumonia (choice B) is an infection in the lungs, while asthma (choice C) is characterized by airway inflammation and constriction. Tuberculosis (choice D) is a bacterial infection that primarily affects the lungs but is distinct from COPD.
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