ATI RN
RN Nursing Care of Children Online Practice 2019 A
1. Which immunization should the nurse include in a teaching session for parents of toddler-age clients to decrease the risk for epiglottitis?
- A. Hepatitis B
- B. Polio
- C. Measles, mumps, and rubella (MMR)
- D. Hemophilus influenzae type B (Hib)
Correct answer: D
Rationale: The correct answer is D, Hemophilus influenzae type B (Hib) vaccine. Hib vaccine is crucial in preventing epiglottitis, a serious respiratory condition caused by Haemophilus influenzae type b bacteria. This vaccine is recommended for toddlers to protect them from developing epiglottitis. Choices A, B, and C are incorrect because while they are important vaccines for children, they do not specifically target the prevention of epiglottitis, unlike the Hib vaccine.
2. The nurse is preparing a presentation on compensated, decompensated, and irreversible shock in children. What clinical manifestations related to decompensated shock should the nurse include? (Select all that apply.)
- A. All below
- B. Oliguria
- C. Confusion
- D. Pale extremities
Correct answer: A
Rationale: Decompensated shock is characterized by signs such as oliguria, confusion, pale extremities, hypotension, and a thready pulse. These indicate that the body is no longer able to maintain adequate circulation to vital organs.
3. At which age can most infants sit steadily unsupported?
- A. 4 months
- B. 6 months
- C. 8 months
- D. 12 months
Correct answer: C
Rationale: Most infants can sit steadily without support by 8 months, indicating advanced gross motor skill development.
4. The nurse is aware that which age group is at risk for childhood injury because of the cognitive characteristic of magical and egocentric thinking?
- A. Preschool
- B. Young school age
- C. Middle school age
- D. Adolescent
Correct answer: A
Rationale: Preschool children are at higher risk for injury due to magical and egocentric thinking, which can lead to misjudgments about their abilities and dangers.
5. An infant weighed 8 lb at birth and was 18 inches in length. What weight and length should the infant be at 5 months of age?
- A. 12 lb, 20 inches
- B. 14 lb, 21.5 inches
- C. 16 lb, 23 inches
- D. 18 lb, 24.5 inches
Correct answer: C
Rationale: By 5 months, an infant's weight should typically double from birth, and length should increase by approximately 50%.