the nurse is preparing to perform a physical assessment on a 10 year old girl the nurse gives her the option of her mother staying in the room or leav

ATI RN

ATI Nursing Care of Children

1. The nurse is preparing to perform a physical assessment on a 10-year-old girl. The nurse gives her the option of her mother staying in the room or leaving. This action should be considered which?

A. Appropriate because of the child's age
B. Appropriate, but the mother may be uncomfortable
C. Inappropriate because of the child's age
D. Inappropriate because the child is the same sex as the mother

Correct answer: A

Rationale: It is appropriate to give a 10-year-old the choice of having a parent present or not during an exam, respecting the child's growing need for privacy.

2. What factor predisposes an infant to fluid imbalances?

A. Decreased surface area
B. Lower metabolic rate
C. Immature kidney functioning
D. Decreased daily exchange of extracellular fluid

Correct answer: C

Rationale: Infants have immature kidneys that are less efficient at concentrating urine, making them more susceptible to fluid imbalances. Their higher surface area to volume ratio also contributes to greater insensible fluid losses.

3. When transitioning from intravenous to oral morphine, what would the nurse anticipate regarding the oral dose in comparison to the intravenous dose to achieve equianalgesia?

A. Same as the intravenous dose
B. Greater than the intravenous dose
C. One half of the intravenous dose
D. One fourth of the intravenous dose

Correct answer: B

Rationale: When switching from intravenous to oral morphine, a higher oral dose is required to achieve equianalgesia due to significant metabolism from the first-pass effect. Choosing the same oral dose as the intravenous dose would provide less pain relief. Opting for a dose greater than the intravenous dose is necessary to achieve the same analgesic effect. Therefore, options A, C, and D are incorrect.

4. What test is used to screen for carbohydrate malabsorption?

A. Stool pH
B. Urine ketones
C. C urea breath test
D. ELISA stool assay

Correct answer: A

Rationale: Stool pH testing is used to screen for carbohydrate malabsorption. A low pH indicates the presence of unabsorbed carbohydrates, which are fermented by bacteria, leading to acidic stool.

5. 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.