ATI RN
ATI Nursing Care of Children
1. Which action should the nurse implement when taking an axillary temperature?
- A. Take the temperature through one layer of clothing
- B. Add a degree to the result when recording
- C. Place the tip of the thermometer under the arm in the center of the axilla
- D. Hold the child's arm away from the body while taking the temperature
Correct answer: C
Rationale: The correct technique involves placing the thermometer tip in the center of the axilla to ensure an accurate reading, with the arm held close to the body.
2. Which best describes an effective approach to community health assessment?
- A. Using standardized assessment tools
- B. Collecting qualitative and quantitative data
- C. Engaging community members in the assessment process
- D. Analyzing health trends over time
Correct answer: C
Rationale: Engaging community members in the assessment process is crucial for an effective community health assessment. By involving community members, the assessment becomes more comprehensive, inclusive, and reflective of the actual needs and priorities of the community. This approach helps in gathering insights, perspectives, and first-hand experiences that may not be captured through standardized tools or data analysis alone. Community engagement fosters trust, collaboration, and empowerment within the community, leading to more meaningful and sustainable health interventions.
3. When the body is placed in the anatomical position, which of the following is not true?
- A. The head is facing to the front.
- B. The palms are facing forward.
- C. The body is erect.
- D. The upper limbs are at the sides.
Correct answer: The palms are facing forward.
Rationale: In the anatomical position, the palms are facing forward, not backward. Choice A is correct because the head is indeed facing to the front. Choice C is correct as the body is erect. Choice D is correct as the upper limbs are positioned at the sides. Therefore, the incorrect statement is that the palms are facing forward.
4. What are the signs of infection that should be monitored in a postoperative patient?
- A. Fever and chills
- B. All of the above
- C. Increased pain or tenderness
- D. Redness, swelling, and warmth at the surgical site
Correct answer: D
Rationale: The correct answer is D: 'Redness, swelling, and warmth at the surgical site.' These are specific signs of infection at the surgical site that a nurse should monitor for in a postoperative patient. While fever, chills, and increased pain can also indicate infection, the most direct signs are redness, swelling, and warmth at the surgical site. Therefore, 'D' is the best choice as it directly relates to the site of the surgery and is crucial to monitor for potential postoperative infections.
5. A nurse is caring for a 30-month-old toddler and is preparing a nutritional snack. Which of the following foods is appropriate for the nurse to offer the toddler?
- A. Plain popcorn
- B. Grapes
- C. Raw carrots
- D. Cheese
Correct answer: D
Rationale: Cheese is a safe and nutritious option for toddlers, providing calcium and protein without choking hazards.
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