ATI Nursing Care of Children

ATI Nursing Care of Children Related

Review ATI Nursing Care of Children related questions and content

Two 3-year-old clients are playing together in a hospital playroom. One is working on a puzzle, while the other is stacking blocks. Which type of play is this?

  • A. Cooperative play
  • B. Solitary play
  • C. Parallel play
  • D. Associative play
Correct Answer: C

Rationale: The correct answer is C, parallel play. Parallel play is observed when children play alongside each other but do not directly interact. In this scenario, each child is engaged in their own activity without engaging or influencing each other's play, which characterizes parallel play. Cooperative play (choice A) involves children playing together towards a common goal, which is not evident in the given situation. Solitary play (choice B) is when a child plays alone, unrelated to the presence of others. Associative play (choice D) involves more interaction and sharing of toys between children, which is not happening in the described play scenario.

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The nurse is caring for a child with the following order: Methylprednisolone (Solu-Medrol) 20 mg IV, every 6 hours. The nurse has Methylprednisolone 100 mg in 2 mL available. How many mL should the nurse administer with each dose?

  • A. 0.4 mL
  • B. 0.2 mL
  • C. 0.5 mL
  • D. 0.6 mL
Correct Answer: A

Rationale: The correct dosage to administer 20 mg is 0.4 mL, calculated by dividing the dose (20 mg) by the concentration (100 mg in 2 mL). This calculation ensures the accurate administration of the prescribed medication. Choices B, C, and D are incorrect as they do not reflect the correct calculation based on the provided concentration of the medication.

Which describe the feelings and behaviors of early preschool children related to divorce? (Select all that apply.)

  • A. Regressive behavior
  • B. Fear of abandonment
  • C. Blame themselves for the divorce
  • D. All of the above
Correct Answer: D

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

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:

  • A. Admit the child to the hospital
  • B. Assess the child for other age-appropriate development
  • C. Suggest that the child is hearing impaired
  • D. Explain that the child has a significant developmental delay
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.

A 6-year-old child has patient-controlled analgesia (PCA) for pain management after orthopedic surgery. The parents are worried that their child will be in pain. What should your explanation to the parents include?

  • A. The child will continue to sleep and be pain-free
  • B. Parents cannot administer additional medication with the button
  • C. The pump can deliver baseline and bolus dosages
  • D. There is a high risk of overdose, so monitoring is done every 15 minutes
Correct Answer: C

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

When transitioning from intravenous to oral morphine, what would the nurse anticipate regarding the oral dose in comparison to the intravenous dose to achieve equianalgesia?

  • A. Same as the intravenous dose
  • B. Greater than the intravenous dose
  • C. One half of the intravenous dose
  • D. One fourth of the intravenous dose
Correct Answer: B

Rationale: When switching from intravenous to oral morphine, a higher oral dose is required to achieve equianalgesia due to significant metabolism from the first-pass effect. Choosing the same oral dose as the intravenous dose would provide less pain relief. Opting for a dose greater than the intravenous dose is necessary to achieve the same analgesic effect. Therefore, options A, C, and D are incorrect.

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