ATI RN
RN Nursing Care of Children 2019 With NGN
1. You are providing a home health care assessment for a very low-income mother with three young children under 5 who all appear to be at nutritional risk. Which program would you refer them to in an attempt to reduce the risk and safeguard the health of this family?
- A. Division of Maternal and Child Health
- B. Medicaid
- C. Supplemental Food Program for Women, Infants, and Children
- D. The State Children’s Health Insurance Program
Correct answer: C
Rationale: The correct answer is C, the Supplemental Food Program for Women, Infants, and Children (WIC). WIC provides nutritional assistance to low-income pregnant women, breastfeeding women, and children under 5. The Division of Maternal and Child Health (Choice A) focuses on promoting the health of mothers and children but does not provide direct nutritional assistance. Medicaid (Choice B) is a health insurance program for low-income individuals but does not specifically address nutritional needs. The State Children’s Health Insurance Program (Choice D) provides health insurance for children in low-income families but does not offer nutritional support like WIC does.
2. What is characteristic of a neonate’s vision?
- A. Pupils react to light
- B. Tear glands function
- C. Blink reflex is absent
- D. Ciliary muscles are mature
Correct answer: A
Rationale: The correct answer is A: 'Pupils react to light.' Newborns' pupils do react to light, indicating that the visual pathway is functioning. However, a neonate's vision is still developing, and they can only focus on objects close to their face. Choice B is incorrect because tear glands are functional at birth. Choice C is incorrect because the blink reflex is present in neonates and helps protect their eyes. Choice D is incorrect as neonates' ciliary muscles are not fully developed.
3. Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?
- A. Interactional theory
- B. Family stress theory
- C. Erikson's psychosocial theory
- D. Developmental systems theory
Correct answer: B
Rationale: Family stress theory explains how families respond to stress and identifies factors that help families adapt to and manage stressful events effectively.
4. The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury?
- A. Female, multiple siblings, stable home life
- B. Male, high activity level, stressful home life
- C. Male, even-tempered, history of previous injuries
- D. Female, reacts negatively to new situations, no serious previous injuries
Correct answer: B
Rationale: A male child with a high activity level and a stressful home life has multiple risk factors for childhood injuries, requiring closer supervision and preventive measures.
5. The nurse is caring for a child with Beta Thalassemia. Which child is in a group most at risk for Beta Thalassemia?
- A. A three-year-old girl of Mediterranean descent.
- B. A ten-year-old boy of Hispanic descent.
- C. A young girl of African descent.
- D. A baby of European descent.
Correct answer: A
Rationale: Corrected Rationale: Beta Thalassemia is most common in individuals of Mediterranean descent, such as those from Italy, Greece, and the Middle East. This genetic disorder affects hemoglobin production and can lead to severe anemia. Choice A is the correct answer as individuals of Mediterranean descent are at the highest risk for Beta Thalassemia. Choices B, C, and D are incorrect as they do not belong to the population group most at risk for this genetic disorder.
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