the nurse suspects that a child has ingested some type of poison what clinical manifestation would be most suggestive that the poison was a corrosive

ATI RN

RN Nursing Care of Children Online Practice 2019 A

1. The nurse suspects that a child has ingested some type of poison. What clinical manifestation would be most suggestive that the poison was a corrosive product?

A. Tinnitus
B. Disorientation
C. Stupor, lethargy, and coma
D. Edema of the lips, tongue, and pharynx

Correct answer: D

Rationale: Edema of the lips, tongue, and pharynx is a characteristic sign of corrosive poisoning, indicating damage to mucous membranes from ingestion of a caustic substance. Other symptoms may vary depending on the poison but are not as specific to corrosive ingestion.

2. When assessing a preschooler's chest, what should the nurse expect?

A. Respiratory movements to be chiefly thoracic
B. Anteroposterior diameter to be equal to the transverse diameter
C. Retraction of the muscles between the ribs on respiratory movement
D. Movement of the chest wall to be symmetric bilaterally and coordinated with breathing

Correct answer: D

Rationale: In a preschooler, chest movement should be symmetric and coordinated with breathing, indicating healthy respiratory function.

3. Which disease requires strict isolation due to its mode of transmission?

A. Mumps
B. Chickenpox
C. Exanthema subitum (roseola)
D. Erythema infectiosum (fifth disease)

Correct answer: B

Rationale: The correct answer is Chickenpox (choice B). Chickenpox is highly communicable and requires strict isolation to prevent the spread of the virus through direct contact, droplet transmission, and contaminated objects. Mumps (choice A) is also contagious but does not typically require strict isolation. Exanthema subitum (roseola) (choice C) and Erythema infectiosum (fifth disease) (choice D) are not as highly contagious as chickenpox and do not necessitate strict isolation.

4. The nurse is presenting a staff development program about understanding culture in the healthcare encounter. Which components should the nurse include in the program? (Select all that apply.)

A. Cultural humility
B. All are applicable
C. Cultural sensitivity
D. Cultural competency

Correct answer: B

Rationale: Cultural humility, sensitivity, and competency are key components in providing culturally competent care in healthcare encounters.

5. Children are taught the values of their culture through observation and feedback relative to their own behavior. In teaching a class on cultural competence, the nurse should be aware that which factor may be culturally determined?

A. Ethnicity
B. Racial variation
C. Status
D. Geographic boundaries

Correct answer: C

Rationale: Status, or the social standing within a culture, is often culturally determined and plays a significant role in shaping behaviors and expectations.