ATI Nursing Care of Children

Questions 110

ATI RN

ATI RN Test Bank

ATI Nursing Care of Children Questions

Question 1 of 5

What is the earliest age at which a satisfactory radial pulse can be taken in children?

Correct Answer: C

Rationale: A satisfactory radial pulse can typically be taken starting at around 3 years of age, as younger children often have pulses that are too fast and irregular for accurate measurement.

Question 2 of 5

During a routine health assessment, the nurse notes that an 8-month-old infant has a significant head lag. Which is the most appropriate action?

Correct Answer: C

Rationale: Significant head lag at 8 months is concerning and warrants further evaluation, as it may indicate developmental delays or neurological issues.

Question 3 of 5

The nurse is performing an oral examination on a preschool child. Which strategies should the nurse use to encourage the child to open the mouth for the examination? (Select all that apply.)

Correct Answer: D

Rationale: Using a cotton swab, allowing the child to observe, and demonstrating on someone else are effective ways to encourage a preschooler to open their mouth for examination.

Question 4 of 5

Which data should be included in a health history?

Correct Answer: A

Rationale: The review of systems is a critical part of a health history, helping to identify any symptoms or conditions that need further evaluation.

Question 5 of 5

Which heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood?

Correct Answer: C

Rationale: A murmur is produced by turbulent blood flow within the heart or major arteries, resulting in audible vibrations.

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