the nurse is preparing to admit a child to the hospital with a diagnosis of minimal change nephrotic syndrome the nurse understands that the peak age

ATI RN

RN Nursing Care of Children 2019 With NGN

1. The nurse is preparing to admit a child to the hospital with a diagnosis of minimal change nephrotic syndrome. The nurse understands that the peak age at onset for this disease is what?

A. 2 to 3 years
B. 4 to 5 years
C. 6 to 7 years
D. 8 to 9 years

Correct answer: B

Rationale: The peak age for the onset of minimal change nephrotic syndrome (MCNS) is typically between 4 and 5 years old. MCNS is the most common cause of nephrotic syndrome in children, particularly within this age range.

2. Using knowledge of child development, what approach is best when preparing a toddler for a procedure?

A. Avoid asking the child to make choices.
B. Plan for a teaching session to last about 20 minutes.
C. Demonstrate on a doll how the procedure will be done.
D. Show the necessary equipment without allowing child to handle it.

Correct answer: C

Rationale: Demonstrating on a doll helps the toddler understand what will happen in a non-threatening way, making the procedure less intimidating. Long teaching sessions or avoiding choices can increase anxiety.

3. A nurse is working with the local community on promoting physical fitness for children. The nurse encourages the community to develop programs that meet the needs of the school-aged child for physical activity, based on the understanding that this age group requires how much physical activity daily?

A. 30 minutes
B. 60 minutes
C. 90 minutes
D. 15 minutes

Correct answer: B

Rationale: The correct answer is B: 60 minutes. School-aged children require at least 60 minutes of physical activity daily according to recommendations. This level of activity helps in promoting overall health, development, and well-being. Choice A (30 minutes) is incorrect as it falls short of the recommended duration. Choice C (90 minutes) is excessive and not the standard guideline for this age group. Choice D (15 minutes) is insufficient to meet the physical activity needs of school-aged children.

4. Nursing care of children focuses on improving quality by:

A. Improving sanitation
B. Focusing on curing childhood illnesses
C. Addressing problems caused by communicable disease
D. Providing a holistic environment for optimal growth and development

Correct answer: D

Rationale: The correct answer is D because nursing care for children should encompass a holistic approach that considers not only physical health but also emotional, social, and developmental aspects. Providing a holistic environment promotes optimal growth and development by addressing all these dimensions. Choices A, B, and C are incorrect because while sanitation, curing illnesses, and addressing communicable diseases are important aspects of child healthcare, they do not encompass the comprehensive care provided by a holistic approach.

5. The nurse is preparing to admit a 6-year-old child with celiac disease. What clinical manifestations should the nurse expect to observe?

A. Steatorrhea
B. All are correct
C. Malnutrition
D. Foul-smelling stools

Correct answer: B

Rationale: Celiac disease often presents with steatorrhea, malnutrition, and foul-smelling stools due to the malabsorption of nutrients. Therefore, all the manifestations listed (steatorrhea, malnutrition, foul-smelling stools) are expected in a child with celiac disease. Polycythemia is not associated with celiac disease, making choice B the correct answer.