ATI RN
RN Nursing Care of Children 2019 With NGN
1. What does the Hib conjugate vaccine protect against?
- A. Bacterial meningitis
- B. Epiglottitis
- C. Bacterial pneumonia
- D. All Correct
Correct answer: D
Rationale: The Hib conjugate vaccine is crucial for protecting children from several severe infections caused by Haemophilus influenzae type b, including bacterial meningitis, epiglottitis, bacterial pneumonia, septic arthritis, and sepsis. Therefore, all the provided options are correct. Bacterial meningitis, epiglottitis, and bacterial pneumonia are serious conditions that the Hib vaccine effectively prevents, making choice D the correct answer. Choices A, B, and C are incorrect when considered individually as the Hib vaccine does not protect against only one specific infection; rather, it provides immunity against multiple diseases caused by Haemophilus influenzae type b.
2. Which factor is most likely to cause a "brittle" diabetic state in a child with type 1 diabetes?
- A. Noncompliance with diet
- B. Insulin resistance
- C. Frequent infections
- D. Hypothyroidism
Correct answer: C
Rationale: Frequent infections can destabilize blood sugar levels, leading to a "brittle" diabetic state in children with type 1 diabetes. Infections increase metabolic demands and can result in significant blood glucose fluctuations, requiring careful monitoring and adjustment of insulin therapy. Noncompliance with diet may affect blood sugar control but is not the primary cause of a "brittle" state. Insulin resistance is more common in type 2 diabetes rather than type 1. Hypothyroidism can impact metabolism but is not directly linked to the development of a "brittle" diabetic state in type 1 diabetes.
3. What is the most important assessment for a patient with respiratory distress?
- A. Monitor oxygen saturation
- B. Check for abnormal breath sounds
- C. Check for pitting edema
- D. Perform a neurological exam
Correct answer: A
Rationale: Monitoring oxygen saturation is crucial in assessing a patient with respiratory distress because it helps determine if the patient is receiving adequate oxygen. Oxygen saturation levels provide immediate feedback on the efficiency of oxygen delivery to the tissues. Checking for abnormal breath sounds (Choice B) is relevant in respiratory assessments, but it is secondary to assessing oxygen saturation. Pitting edema (Choice C) and performing a neurological exam (Choice D) are not directly related to assessing respiratory distress and are not the primary focus when managing a patient with breathing difficulties.
4. In a historic experiment with 11-month-old Albert, John Watson demonstrated that __________.
- A. children cannot be conditioned to fear a formerly neutral stimulus
- B. infants as young as a few months old will repeat a behavior to obtain a desirable reward
- C. children can be conditioned to fear a formerly neutral stimulus
- D. children have an innate, inborn fear of rats Answer: C Page Ref: 16 Skill Level: Understand Topic: Mid-Twentieth-Century Theories Difficulty Level: Moderate
Correct answer: C
Rationale: In the historic experiment with 11-month-old Albert conducted by John Watson, it was demonstrated that children can be conditioned to fear a formerly neutral stimulus. This is known as classical conditioning, where a neutral stimulus is repeatedly paired with an unconditioned stimulus to create a conditioned response. In this case, Albert was conditioned to fear a white rat by pairing the rat with a loud noise. This experiment showcased the power of conditioning in shaping behavior and emotional responses in children.
5. What is a condition where the heart's valves do not function properly, leading to disrupted blood flow within the heart?
- A. Valvular heart disease
- B. Myocarditis
- C. Endocarditis
- D. Aneurysm
Correct answer: A
Rationale: Valvular heart disease is the correct answer. It occurs when the heart's valves malfunction, leading to disrupted blood flow within the heart. Myocarditis refers to inflammation of the heart muscle, not specifically related to valve function. Endocarditis is an infection of the inner lining of the heart chambers and valves, not necessarily caused by valve malfunction. Aneurysm is the abnormal bulging of a blood vessel, not directly related to heart valve function.