the physician tells the parents of a 2 year old that the child probably has rsv the parents ask how the diagnosis will be confirmed how should the nur

ATI RN

RN Nursing Care of Children 2019 With NGN

1. The physician tells the parents of a 2-year-old that the child probably has RSV. The parents ask how the diagnosis will be confirmed. How should the nurse respond?

A. We will swab your child's nose and send the secretions for testing.
B. There is no specific test for RSV. The diagnosis is based on symptoms.
C. We will send a viral culture to an outside lab for testing.
D. There is no specific test for RSV. The diagnosis is based on symptoms.

Correct answer: A

Rationale: The correct answer is A. RSV is typically diagnosed by swabbing the nose and testing the secretions. This method helps confirm the presence of the respiratory syncytial virus. Choice B is incorrect because while symptoms are important in diagnosis, specific tests like swabbing for RSV do exist. Choice C is incorrect as sending a viral culture to an outside lab is not the primary method for diagnosing RSV. Choice D is a duplicate of choice B and is incorrect for the same reasons.

2. Which immunization is recommended for all newborns?

A. Hepatitis A vaccine
B. Hepatitis B vaccine
C. Hepatitis C vaccine
D. Hepatitis A, B, and C vaccines

Correct answer: B

Rationale: The correct answer is B, the Hepatitis B vaccine. This vaccine is recommended for all newborns to prevent Hepatitis B infection, which can lead to chronic liver disease and liver cancer. The Hepatitis B vaccine is a crucial part of the routine immunization schedule for infants. Choices A, C, and D are incorrect because the recommended vaccine for newborns is specifically Hepatitis B, not Hepatitis A, Hepatitis C, or a combination of Hepatitis A, B, and C vaccines.

3. Which is an accurate description of homosexual (or gay-lesbian) families?

A. A nurturing environment is lacking.
B. The children become homosexual like their parents.
C. The stability needed to raise healthy children is lacking.
D. The quality of parenting is equivalent to that of nongay parents.

Correct answer: D

Rationale: Research shows that the quality of parenting in homosexual families is equivalent to that in heterosexual families, and children thrive in nurturing environments provided by same-sex parents.

4. The nurse is assessing a 3-year-old African American child whose height and weight are at the 20th percentile on the growth chart. What should the nurse recognize?

A. The data suggest the child requires nutritional intervention
B. The NCHS charts are accurate for U.S. African American children
C. A correction factor is used for nonwhite ethnic groups
D. No assessment can be made until several measurements are plotted over time

Correct answer: B

Rationale: The NCHS growth charts serve as reference guides for all racial or ethnic groups, including African American children. The 20th percentile for height and weight does not indicate nutritional failure but provides a reference point for ongoing assessment. Choice A is incorrect because being at the 20th percentile does not automatically imply the need for nutritional intervention. Choice C is incorrect as there is no correction factor specifically used for nonwhite ethnic groups in this context. Choice D is incorrect as a single measurement at the 20th percentile can provide valuable information for assessment.

5. What is an appropriate screening test for hearing that the nurse can administer to a 5-year-old child?

A. Rinne test
B. Weber test
C. Pure tone audiometry
D. Eliciting the startle reflex

Correct answer: C

Rationale: Pure tone audiometry is an appropriate and effective screening test for hearing in a 5-year-old child, helping to assess the ability to hear various frequencies and volumes.