ATI RN
Nursing Care of Children ATI
1. Which intervention is the most appropriate recommendation for relief of teething pain?
- A. Rub gums with aspirin to relieve inflammation
- B. Apply hydrogen peroxide to gums to relieve irritation
- C. Give the infant a frozen teething ring to relieve inflammation
- D. Have the infant chew on a warm teething ring to encourage tooth eruption
Correct answer: C
Rationale: A frozen teething ring is effective for relieving teething pain as the cold helps numb the gums and reduce inflammation, making it a safe and effective method for managing discomfort
2. The nurse is providing anticipatory guidance to parents of a 4-month-old infant on preventing an aspiration injury. What should the nurse include in the teaching?
- A. Keep baby powder out of reach.
- B. Inspect toys for removable parts.
- C. Allow the infant to take a bottle to bed.
- D. Teething biscuits can be used for teething discomfort.
Correct answer: A
Rationale: Baby powder can be inhaled by the infant and cause respiratory distress. Toys should be inspected to prevent choking hazards. Allowing an infant to take a bottle to bed can increase the risk of aspiration, and hard foods like teething biscuits should be given with caution.
3. What changes could the school nurse implement at the school to help reduce students’ risk for developing type 2 diabetes?
- A. Increase the amount of daily physical activity.
- B. Decrease the amount of daily physical activity.
- C. Test each child’s urine monthly.
- D. Teach parents to avoid administering aspirin to their child.
Correct answer: A
Rationale: Increasing physical activity helps improve insulin sensitivity and can prevent or delay the onset of type 2 diabetes in children. Regular physical activity is a key component in managing weight and reducing the risk of chronic diseases. Decreasing physical activity (Choice B) would not be beneficial in reducing the risk of type 2 diabetes. Testing each child’s urine monthly (Choice C) is not directly related to preventing type 2 diabetes. Teaching parents to avoid administering aspirin to their child (Choice D) is important for Reye's syndrome prevention but not directly related to reducing the risk of type 2 diabetes.
4. When should the dressing change for a post-op pediatric patient that is expected to be very painful and frightening be performed?
- A. In the patient’s room
- B. In the treatment room
- C. After discharge when the patient is at home
- D. In the playroom
Correct answer: B
Rationale: The correct answer is B: 'In the treatment room.' Performing painful procedures in the treatment room helps the child associate their own room with safety and comfort, not pain. Choice A is incorrect because performing the dressing change in the patient’s room may create a negative association with their safe space. Choice C is incorrect as it is important to ensure proper wound care and pain management before discharge. Choice D is incorrect as the playroom may not be equipped for a sterile dressing change.
5. The parents of an infant with a cleft palate ask the nurse, "What follow-up care will our infant need after the repair?" Which is an accurate response by the nurse?
- A. Your infant will not need any subsequent follow-up care
- B. Your infant will only need to be evaluated by an audiologist
- C. Your infant will only need follow-up with a speech pathologist
- D. Your infant will need follow-up with audiologists and orthodontists
Correct answer: D
Rationale: After cleft palate repair, the child will need ongoing follow-up with audiologists, speech pathologists, and orthodontists to monitor hearing, speech development, and dental alignment.
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