ATI Nursing Care of Children

ATI Nursing Care of Children Related

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The nurse is caring for a 2-year-old child in the postoperative period. Which pain assessment tool is most appropriate for assessing pain intensity in a 2-year-old?

  • A. Poker chip tool
  • B. Oucher Scale
  • C. Faces Pain Rating Scale
  • D. FLACC Behavioral Pain Assessment Scale
Correct Answer: D

Rationale: The FLACC Behavioral Pain Assessment Scale is the most suitable tool for assessing pain in 2-year-old children postoperatively. It assesses pain by evaluating facial expression, leg movement, activity, cry, and consolability, making it effective for non-verbal children. The Poker chip tool is not appropriate for this age group. The Oucher Scale and Faces Pain Rating Scale are more suitable for older children who can self-report pain levels.

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What is an appropriate screening test for hearing that the nurse can administer to a 5-year-old child?

  • A. Rinne test
  • B. Weber test
  • C. Pure tone audiometry
  • D. Eliciting the startle reflex
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The nurse is having difficulty communicating with a hospitalized 6-year-old child. Which technique should be most helpful?

  • A. Recommend that the child keep a diary.
  • B. Provide supplies for the child to draw a picture
  • C. Suggest that the parent read fairy tales to the child
  • D. Ask the parent if the child is always uncommunicative
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

What is the appropriate method for measuring the temperature of a 2-day-old neonate?

  • A. Tympanic
  • B. Oral
  • C. Axillary
  • D. Rectal
Correct Answer: C

Rationale: For a 2-day-old neonate, the most suitable method to measure temperature is the axillary method. This approach is considered safe and appropriate for neonates, minimizing the risk of injury. Tympanic temperature measurement may not be as accurate in neonates due to their small ear canals. Oral temperature measurement is not recommended for neonates as they may not be able to hold a thermometer properly in their mouths. Rectal temperature measurement is invasive and carries a higher risk of injury and should be avoided unless absolutely necessary.

With the National Center for Health Statistics criteria, which body mass index (BMI)-for-age percentiles should indicate the patient is at risk for being overweight?

  • A. 10th percentile
  • B. 75th percentile
  • C. 85th percentile
  • D. 95th percentile
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The parents of a 5-year-old child ask the nurse how they can minimize misbehavior. Which responses should the nurse give? (Select all that apply.)

  • A. Set clear and reasonable goals
  • B. Teach desirable behavior through your own example
  • C. Don't call attention to unacceptable behavior
  • D. All of the above
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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