ATI RN
RN Nursing Care of Children 2019 With NGN
1. What name is given to inflammation of the bladder?
- A. Cystitis
- B. Urethritis
- C. Urosepsis
- D. Bacteriuria
Correct answer: A
Rationale: Cystitis is the medical term for inflammation of the bladder. Urethritis refers to inflammation of the urethra, urosepsis to a systemic infection stemming from the urinary tract, and bacteriuria to the presence of bacteria in the urine.
2. Which inpatient pediatric patient would not be able to go to the playroom due to their physical condition?
- A. A 4-year-old with chickenpox
- B. A 12-year-old with a fractured femur
- C. A 7-year-old with new-onset diabetes mellitus
- D. A 10-year-old postoperative appendectomy
Correct answer: A
Rationale: The correct answer is A. A child with chickenpox should not go to the playroom due to being contagious, as the virus can easily spread to other children. Children with fractures (choice B), new-onset diabetes mellitus (choice C), or postoperative appendectomy (choice D) do not pose a risk of spreading an infectious disease, so they can safely go to the playroom.
3. A preschool-age boy presents to the outpatient clinic for a sore throat. In the child’s mind, which is the most likely cause for the sore throat?
- A. Being exposed to a classmate with strep throat
- B. Not eating the right foods
- C. Not taking daily vitamins
- D. Yelling at sibling for being annoying
Correct answer: D
Rationale: The correct answer is D. Preschool-age children often attribute illness to their actions, like yelling at a sibling or not following instructions. They may not understand medical causes such as exposure to infections like strep throat (choice A), dietary factors (choice B), or vitamin deficiencies (choice C). It is common for young children to connect symptoms to recent behaviors or events within their limited understanding.
4. When teaching a mother how to administer eye drops, where should the nurse tell her to place them?
- A. At the lacrimal duct
- B. On the sclera while the child looks to the outside
- C. In the conjunctival sac when the lower eyelid is pulled down
- D. Carefully under the eyelid while it is gently pulled upward
Correct answer: C
Rationale: Eye drops should be placed in the conjunctival sac, which allows the medication to be absorbed properly without causing irritation. Placing drops directly on the sclera or near the lacrimal duct is less effective and can cause discomfort.
5. What is a suitable nutritional goal for a preschool-aged child?
- A. Minimize messiness and spills.
- B. Introduce new foods gradually and provide variety.
- C. Finish all the food on the plate.
- D. Allow the child to eat only preferred foods.
Correct answer: B
Rationale: Introducing new foods gradually and offering a variety of options is a suitable nutritional goal for preschool-aged children as it helps in providing essential nutrients and expanding their palate. Choice A is incorrect as reducing messiness and spills is more related to behavior than nutrition. Choice C is incorrect as forcing a child to finish all the food on the plate may override their natural hunger and fullness cues. Choice D is incorrect as allowing a child to eat only preferred foods may lead to an imbalanced diet lacking in essential nutrients.
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