the nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death

ATI RN

Nursing Care of Children Final ATI

1. 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.

2. The parents of a 2-month-old boy are concerned about spoiling their son by picking him up when he cries. What is the nurse's best response?

A. Allow him to cry for no longer than 15 minutes and then pick him up
B. Babies need comforting and cuddling. Meeting these needs will not spoil him
C. Babies this young cry when they are hungry. Try feeding him when he cries
D. If he isn’t soiled or wet, leave him, and he'll cry himself to sleep

Correct answer: B

Rationale: Comforting and cuddling a 2-month-old baby when they cry helps build trust and security. At this age, responding to cries does not lead to spoiling, but rather supports healthy emotional development.

3. The Denver II is a test used to assess children. What does it evaluate?

A. Behavior problems
B. Developmental status
C. Body mass index
D. Infection likelihood

Correct answer: B

Rationale: The Denver II Developmental Screening Test is used to assess a child's development in four areas: personal-social, fine motor-adaptive, language, and gross motor skills. It helps identify children who may need further evaluation. Choice A, behavior problems, is incorrect as the Denver II primarily focuses on developmental milestones rather than behavior. Choice C, body mass index, is unrelated to the assessment of child development. Choice D, infection likelihood, is also not evaluated by the Denver II test.

4. Which laboratory value at the time of diagnosis should the nurse anticipate would determine the worst prognosis for a child with leukemia?

A. Slow response to chemotherapy
B. Platelets of 150,000/mcL
C. Leukocytes less than 10,000/mcL
D. Leukocytes of 275,000/mcL

Correct answer: D

Rationale: A high white blood cell count (leukocytes of 275,000/mcL) at diagnosis is associated with a worse prognosis in leukemia because it indicates a more aggressive disease with a higher tumor burden. Slow response to chemotherapy (choice A) is a consequence of the aggressive disease and not a determining factor at diagnosis. Platelets of 150,000/mcL (choice B) and leukocytes less than 10,000/mcL (choice C) are within normal ranges and not indicative of a worse prognosis in leukemia.