ATI RN
ATI Nursing Care of Children 2019 B
1. Which condition is often associated with a "ground-glass" appearance on a chest x-ray in neonates?
- A. Pneumonia
- B. Respiratory distress syndrome
- C. Bronchopulmonary dysplasia
- D. Congenital diaphragmatic hernia
Correct answer: B
Rationale: The correct answer is B, Respiratory distress syndrome. Respiratory distress syndrome often presents with a "ground-glass" appearance on a chest x-ray in neonates due to surfactant deficiency. Choice A, Pneumonia, typically appears as patchy infiltrates on chest x-ray. Choice C, Bronchopulmonary dysplasia, is characterized by hyperinflation and fibrosis, not a ground-glass appearance. Choice D, Congenital diaphragmatic hernia, usually shows mediastinal shift and bowel loops in the chest cavity on x-ray, not a ground-glass appearance.
2. The nurse is conducting a teaching session for parents on nutrition. Which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition? (Select all that apply.)
- A. Homelessness
- B. Lower income
- C. Migrant status
- D. All of the above
Correct answer: D
Rationale: Factors like homelessness, lower income, and migrant status can create barriers to providing adequate nutrition for children.
3. What should the nurse explain about ringworm?
- A. It is not contagious
- B. It is a sign of uncleanliness
- C. It is expected to resolve spontaneously
- D. It is spread by both direct and indirect contact
Correct answer: D
Rationale: Ringworm is a fungal infection that spreads through direct and indirect contact. Good hygiene practices can help prevent its spread.
4. The nurse is teaching parents guidelines for feeding their 8-month-old infant with failure to thrive (FTT). Which statement by the parents indicates a need for further teaching?
- A. We will continue to use the 24-kcal/oz formula.
- B. We will be sure to follow the formula preparation instructions.
- C. We will be sure to give our infant at least 8 oz of juice every day.
- D. We will be sure to feed our infant according to the written schedule.
Correct answer: C
Rationale: Providing 8 oz of juice daily is excessive for an 8-month-old infant and can displace other nutrient-rich foods or formulas that are necessary for growth, especially in an infant with FTT.
5. The nurse is assisting a child with celiac disease to select foods from a menu. What foods should the nurse suggest?
- A. Hamburger patty with no bun
- B. Spaghetti with marinara sauce
- C. Corn on the cob with butter
- D. Rice cakes with hummus
Correct answer: C
Rationale: The correct answer is C: Corn on the cob with butter. Corn is a gluten-free option suitable for children with celiac disease. Choice A is incorrect because the bun contains gluten, so suggesting a hamburger patty without the bun is a better option. Choice B is not ideal as spaghetti often contains gluten, but spaghetti with marinara sauce could be a safer choice if the spaghetti is gluten-free. Choice D, rice cakes with hummus, is a gluten-free alternative, but corn on the cob is a more straightforward and common choice for children.
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