ATI RN
Nursing Care of Children ATI
1. 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.
2. A nurse is providing dietary teaching to a client who has chronic kidney disease. Which of the following foods should the nurse instruct the client to avoid?
- A. Apples.
- B. White bread.
- C. Bananas.
- D. Grapes.
Correct answer: C
Rationale: Bananas are high in potassium, which should be avoided by clients with chronic kidney disease to prevent hyperkalemia. Apples, white bread, and grapes do not have high potassium levels and are generally acceptable for clients with chronic kidney disease unless they have other specific dietary restrictions.
3. What is the most appropriate action for a healthcare provider if a child presents with suspected meningitis?
- A. Administer antibiotics immediately
- B. Perform a lumbar puncture
- C. Isolate the child
- D. Obtain a complete blood count
Correct answer: C
Rationale: Isolating the child is a priority to prevent the spread of infection until meningitis is confirmed or ruled out. Meningitis, particularly bacterial, is highly contagious and can lead to outbreaks if not properly managed. Isolation and prompt treatment are critical in preventing serious complications. Administering antibiotics immediately without confirmation of the diagnosis can be harmful if the cause is viral or non-infectious. Performing a lumbar puncture is a diagnostic procedure that should be done by a healthcare provider but is not the initial action when suspecting meningitis. Obtaining a complete blood count may be part of the diagnostic workup but is not the most appropriate initial action in suspected meningitis.
4. A nurse is teaching a group of clients who are at risk for heart disease about decreasing saturated fats in their diet. Which of the following fats should the nurse recommend the clients use when cooking?
- A. Palm oil
- B. Peanut oil
- C. Canola oil
- D. Stick margarine
Correct answer: C
Rationale: Canola oil is lower in saturated fats and is a healthier option for clients at risk for heart disease.
5. What term refers to the mental processes involved in acquiring knowledge?
- A. Cognition.
- B. Pedagogy.
- C. Empiricism.
- D. Introspection.
Correct answer: A
Rationale: The correct answer is A, cognition. Cognition encompasses mental processes like thinking, remembering, and problem-solving, all crucial in acquiring knowledge. Pedagogy (choice B) refers to the method and practice of teaching. Empiricism (choice C) is a theory that states knowledge comes from sensory experience. Introspection (choice D) involves examining one's own conscious thoughts and feelings, not specifically focused on acquiring knowledge.