ATI RN
RN Nursing Care of Children 2019 With NGN
1. What major complication is associated with a child with chronic renal failure?
- A. Hypokalemia
- B. Metabolic alkalosis
- C. Water and sodium retention
- D. Excessive excretion of blood urea nitrogen
Correct answer: C
Rationale: Water and sodium retention is a major complication in chronic renal failure, leading to hypertension and edema. Hypokalemia and metabolic alkalosis are less common, and while BUN levels rise, retention rather than excretion is problematic in chronic renal failure.
2. What interventions should be implemented to maintain the skin integrity of a preterm infant born at 30 weeks?
- A. Avoid cleaning the skin
- B. Bathe the infant with sterile water
- C. Cleanse the skin with a gentle alkaline-based soap and water
- D. Thoroughly rinse the skin with plain water after bathing
Correct answer: B
Rationale: The correct intervention to maintain the skin integrity of a preterm infant born at 30 weeks is to bathe the infant with sterile water. Bathing with sterile water or a neutral pH solution is recommended to protect the delicate skin of preterm infants, which is more permeable and prone to damage. Choices A, C, and D are incorrect as avoiding cleaning the skin may lead to hygiene issues, cleansing with alkaline-based soap can be harsh on the delicate skin, and thoroughly rinsing with plain water after bathing may not be as gentle and protective for preterm infants.
3. Which should the nurse teach to parents regarding oral health of children? (Select all that apply.)
- A. Fluoridated water should be used.
- B. Early childhood caries is a preventable disease
- C. All options are correct
- D. Dental hygiene should begin with the first tooth eruption
Correct answer: C
Rationale: Fluoridated water helps prevent caries, early childhood caries is preventable, and dental hygiene should start with the first tooth eruption.
4. The nurse is explaining different parenting styles to a group of parents. The nurse explains that an authoritative parenting style can lead to which child behavior?
- A. Shyness
- B. Self-reliance
- C. Submissiveness
- D. Self-consciousness
Correct answer: B
Rationale: An authoritative parenting style, which balances warmth with firmness, is associated with fostering self-reliance and independence in children.
5. What are classified as hydrocarbon poisons?
- A. All below
- B. Gasoline
- C. Turpentine
- D. Lighter fluid
Correct answer: A
Rationale: Hydrocarbon poisons include substances like gasoline, turpentine, and lighter fluid, which are typically liquids derived from petroleum. Bleach is a corrosive substance, not a hydrocarbon.
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