ATI RN
ATI Nursing Care of Children 2019 B
1. The nurse is preparing to admit a 7-year-old child with Crohn disease. What clinical manifestations should the nurse expect to observe?
- A. Pain is common.
- B. Weight loss is severe.
- C. All are correct.
- D. Diarrhea is moderate to severe.
Correct answer: C
Rationale: The correct answer is C because Crohn's disease commonly presents with pain, severe weight loss, and moderate to severe diarrhea in affected individuals. Therefore, all the manifestations listed are typically observed in patients with Crohn's disease. Choice A alone is not sufficient as weight loss and diarrhea are also prominent symptoms. Choice B is incorrect as it only mentions weight loss, omitting other common manifestations. Choice D is also incorrect as it does not cover the full range of expected clinical signs in Crohn's disease.
2. What may be a clinical manifestation of failure to thrive (FTT) in a 13-month-old include?
- A. Irregularity in activities of daily living
- B. Preferring solid food to milk or formula
- C. Weight that is at or below the 10th percentile
- D. Appropriate achievement of developmental landmarks
Correct answer: C
Rationale: FTT is characterized by weight that falls below the 10th percentile, often accompanied by delayed developmental milestones and poor feeding habits. Regularity in activities and preference for solid food over milk or formula are less commonly associated with FTT.
3. The presence of which pair of factors is a good predictor of a fluid deficit of at least 5% in an infant?
- A. Weight loss and decreased heart rate
- B. Capillary refill of less than 2 seconds and no tears
- C. Increased skin elasticity and sunken anterior fontanel
- D. Dry mucous membranes and generally ill appearance
Correct answer: D
Rationale: Dry mucous membranes and an ill appearance are good indicators of dehydration in infants, often correlating with a fluid deficit of at least 5%. Sunken fontanels and poor skin turgor are also indicative but were not options here.
4. What is the major cause of death for children older than 1 year in the United States?
- A. Heart disease
- B. Childhood cancer
- C. Unintentional injuries
- D. Congenital anomalies
Correct answer: C
Rationale: Unintentional injuries are the leading cause of death among children older than 1 year in the United States.
5. The nurse is administering the first hepatitis A vaccine to an 18-month-old child. When should the child return to the clinic for the second dose of hepatitis A vaccination?
- A. After 2 months
- B. After 3 months
- C. After 4 months
- D. After 6 months
Correct answer: D
Rationale: The second dose of the hepatitis A vaccine is recommended 6 months after the first dose to ensure full immunity.
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