ATI RN
ATI Nursing Care of Children Questions
Question 1 of 5
A child is admitted with suspected pyloric stenosis. Which of the following should be included in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: 'Observe for projectile vomiting.' Projectile vomiting is a classic sign of pyloric stenosis, caused by obstruction at the pylorus. Choice A is incorrect as metabolic alkalosis, not acidosis, often occurs due to the loss of hydrochloric acid from persistent vomiting. Choice C is incorrect as frequent, small feedings are preferred to prevent overloading the stomach. Choice D is incorrect as placing the infant in an upright position after feeding can help reduce reflux.
Question 2 of 5
The nurse is assessing a 3-year-old child. Which assessment finding would the nurse identify as abnormal?
Correct Answer: C
Rationale: The correct answer is C. Falling when bending over to touch toes could indicate a developmental delay or a balance issue that may need further assessment. Choices A, B, and D are typical developmental milestones for a 3-year-old child. Pedaling a tricycle without assistance, unscrewing a bolt on a toy, and building a tower of 10 cubes are all age-appropriate activities for a child of this age.
Question 3 of 5
A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
Correct Answer: D
Rationale: The nurse should explain that a topical anesthetic can be applied to the injection site before the immunization to reduce discomfort.
Question 4 of 5
Which is the single most important factor to consider when communicating with children?
Correct Answer: C
Rationale: The child's developmental level is the most important factor, as it determines how information should be communicated and what the child can understand.
Question 5 of 5
At a well-visit, a mother voices concern that her 30-month-old has a smaller vocabulary than other children in his daycare. The nurse should:
Correct Answer: B
Rationale: When a parent expresses concern about a child's development, it is essential to conduct a comprehensive assessment of all areas of development before jumping to conclusions. Choosing option B allows the nurse to evaluate the child for other age-appropriate developmental milestones to determine if there are any delays or concerns. Admitting the child to the hospital (option A) is not necessary at this point and may cause unnecessary stress. Suggesting hearing impairment (option C) without proper evaluation can lead to misdiagnosis. Explaining a significant developmental delay (option D) should only be done after a thorough assessment and diagnosis.
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