ATI RN
ATI Nursing Care of Children 2019 B
1. When caring for a child with probable appendicitis, the nurse should be alert to recognize which sign or symptom as a manifestation of perforation?
- A. Anorexia
- B. Bradycardia
- C. Sudden relief from pain
- D. Decreased abdominal distention
Correct answer: C
Rationale: When caring for a child with probable appendicitis, sudden relief from pain is a critical sign that could indicate perforation of the appendix. Perforation results in the release of pressure and inflammation, leading to a temporary relief of pain. Anorexia (loss of appetite) and decreased abdominal distention are symptoms commonly associated with appendicitis itself, not perforation. Bradycardia (slow heart rate) is not typically a direct manifestation of appendicitis or its complications.
2. A parent of a child who is terminally ill tells a nurse that she wants to take her child home. Which of the following responses should the nurse make?
- A. Your provider will be here later today.
- B. I can give you information on what that would involve.
- C. I understand how you feel. I felt the same way when my sister was terminally ill.
- D. I think you should speak with social services about your request.
Correct answer: B
Rationale: The nurse should offer to explain the process of taking the child home and provide resources for the parent's decision. Choice B is the best response as it shows willingness to support the parent by offering information on what taking the child home would involve. Choices A, C, and D do not directly address the parent's request or provide the necessary information and support needed in this situation.
3. What teaching should be provided after cataract surgery?
- A. Avoid NSAIDs
- B. Wear dark glasses outdoors
- C. Creamy white drainage is normal
- D. Avoid bright lights
Correct answer: A
Rationale: The correct teaching that should be provided after cataract surgery is to avoid NSAIDs. NSAIDs should be avoided to prevent bleeding, especially in the eye area. While wearing dark glasses outdoors is important to protect the eyes, it is not the most critical teaching after cataract surgery. Creamy white drainage being normal is not relevant to post-cataract surgery teaching. Avoiding bright lights is generally recommended for patients with certain eye conditions but is not a specific teaching point after cataract surgery.
4. The system used at the division level and forward is comprised of six basic modules. Which module is composed of a dental officer, dental specialist, x-ray specialist, laboratory specialist, and needed equipment?
- A. Treatment squad
- B. Area support squad
- C. Medical service squad
- D. Dental squad
Correct answer: D
Rationale: The correct answer is D, Dental squad. The Dental squad is composed of a dental officer, dental specialist, x-ray specialist, laboratory specialist, and necessary equipment. This module specifically focuses on dental care and services. Choices A, B, and C are incorrect as they do not include the specific specialists mentioned in the question or focus on dental services.
5. What is the primary advantage of having a target client list?
- A. Nurses do not need to go back to the Family Treatment Record to monitor treatment and services, thus saving time and effort
- B. Helps monitor services rendered to clients in general
- C. Facilitates monitoring and supervision of services
- D. Facilitates easier reporting
Correct answer: A
Rationale: The primary advantage of having a target client list is that nurses do not need to go back to the Family Treatment Record to monitor treatment and services, which saves them time and effort. By having a specific list, they can efficiently track and manage the care provided without the need for repeated references to the records.
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