ATI Nursing Care of Children

ATI Nursing Care of Children Related

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What is the priority assessment for a nurse when caring for an infant suspected of having necrotizing enterocolitis (NEC)?

  • A. Hold feedings.
  • B. Check gastric residuals before feedings.
  • C. Take rectal temperature.
  • D. Closely monitor abdominal distention.
Correct Answer: D

Rationale: The correct answer is D: Closely monitor abdominal distention. Monitoring the abdomen for signs of distention is crucial in the early detection of necrotizing enterocolitis (NEC). In NEC, the bowel wall is edematous and breaking down, leading to abdominal distention. Holding feedings is important in the management of NEC, as feedings may need to be stopped temporarily. Checking gastric residuals before feedings helps in assessing the infant's tolerance to feedings. Taking rectal temperatures is contraindicated in NEC as it can lead to the perforation of the bowel.

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During examination of a toddler's extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is which?

  • A. Abnormal and requires further investigation
  • B. Abnormal unless it occurs in conjunction with knock-knee
  • C. Normal if the condition is unilateral or asymmetric
  • D. Normal because the lower back and leg muscles are not yet well developed
Correct Answer: D

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

The nurse is caring for a non-English-speaking child and family. Which should the nurse consider when using an interpreter?

  • A. Pose several questions at a time
  • B. Use medical jargon when possible
  • C. Communicate directly with family members when asking questions
  • D. Carry on some communication in English with the interpreter about the family's needs
Correct Answer: C

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

During an otoscopic examination on an infant, in which direction is the pinna pulled?

  • A. Up and back
  • B. Up and forward
  • C. Down and back
  • D. Down and forward
Correct Answer: C

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

The mother of an infant diagnosed with bronchiolitis asks the nurse what causes the disease. How should the nurse respond?

  • A. Respiratory syncytial virus (RSV)
  • B. Haemophilus influenzae
  • C. Parainfluenza
  • D. Rotavirus
Correct Answer: A

Rationale: The correct answer is A: Respiratory syncytial virus (RSV). RSV is the most common cause of bronchiolitis, especially in infants. Bronchiolitis is characterized by inflammation of the small airways in the lungs. Choice B, Haemophilus influenzae, is a bacterium that can cause respiratory infections but is not the primary cause of bronchiolitis. Choice C, Parainfluenza, is a common viral infection that can cause croup and other respiratory illnesses but is not the main cause of bronchiolitis. Choice D, Rotavirus, is a virus that primarily affects the gastrointestinal system, causing diarrhea and vomiting, and is not associated with bronchiolitis.

Where is the best place to observe for the presence of petechiae in dark-skinned individuals?

  • A. Face
  • B. Buttocks
  • C. Oral mucosa
  • D. Palms and soles
Correct Answer: C

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

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