ATI RN
Nursing Care of Children ATI
1. What may be a clinical manifestation of failure to thrive (FTT) in a 13-month-old include?
- A. Irregularity in activities of daily living
- B. Preferring solid food to milk or formula
- C. Weight that is at or below the 10th percentile
- D. Appropriate achievement of developmental landmarks
Correct answer: C
Rationale: FTT is characterized by weight that falls below the 10th percentile, often accompanied by delayed developmental milestones and poor feeding habits. Regularity in activities and preference for solid food over milk or formula are less commonly associated with FTT.
2. Each statement is true, except one. Which is the exception?
- A. Infant formulas should be discontinued at approximately 1 year of age
- B. Low-fat milk is not recommended for children younger than 2 years
- C. Special toddler formulas are available but are unnecessary
- D. Vitamin D-fortified whole milk should not be provided until 2 years
Correct answer: D
Rationale: The correct answer is D. Vitamin D-fortified whole milk should be provided starting at age 1 after discontinuing breast feeding or infant formulas, not at 2 years. Providing whole milk at age 2 is appropriate. Choices A, B, and C are correct statements: infant formulas are typically discontinued around 1 year of age, low-fat milk is not recommended for children under 2 years, and special toddler formulas are unnecessary.
3. What nursing intervention is best to improve communication with a hearing-impaired client?
- A. Speak slowly and clearly while facing the client
- B. Write down the message
- C. Talk in a regular voice in the good ear
- D. Shout in the impaired
Correct answer: A
Rationale: Speaking slowly and clearly while facing the client improves communication with hearing-impaired clients.
4. What is a set of age norms defining a sequence of life experiences that is considered normal in a given culture and that all individuals in that culture are expected to follow, which may lead to ____?
- A. Normative age-graded influence; sexism
- B. Social clock; ageism
- C. Critical period; normative age-graded influence
- D. Sensitive period
Correct answer: B
Rationale: The correct answer is B: Social clock; ageism. A social clock refers to the normal sequence of life events in a culture, and not meeting these norms can result in ageism. Choice A is incorrect because normative age-graded influence is not directly related to sexism. Choice C is incorrect as critical period refers to specific time frames for development, not a set of age norms. Choice D, sensitive period, does not directly relate to the concept described in the question.
5. Dr. Dias's research shows that the death of a spouse in old age is correlated with a decline in the surviving partner's physical health. Which conclusion is supported by this study?
- A. The death of a spouse causes a decline in the surviving partner's physical health.
- B. The death of a spouse is related to a decline in the surviving partner's physical health.
- C. A decline in a surviving partner's physical health can cause the death of a spouse.
- D. A third variable, such as memory loss, causes a surviving partner's decline in physical health following the death of a spouse.
Correct answer: B
Rationale: Dr. Dias's research findings indicate a correlation between the death of a spouse and a decline in the surviving partner's physical health. This correlation suggests a relationship between the two variables, but it does not necessarily imply a direct cause-and-effect relationship. Therefore, the correct conclusion supported by this study is option B - 'The death of a spouse is related to a decline in the surviving partner's physical health.' Option A is too direct in its causation claim, which is not proven by correlation alone. Option C reverses the cause and effect relationship suggested by the research. Option D introduces an unrelated third variable, which is not supported by the study's findings.
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