ATI RN
RN Nursing Care of Children Online Practice 2019 A
1. A 13-year-old boy comes to the school nurse complaining of sudden and severe scrotal pain. He denies any trauma to the scrotum. What is the most appropriate nursing action?
- A. Refer him for immediate medical evaluation
- B. Administer analgesics and recommend scrotal support.
- C. Apply an ice bag and observe for increasing pain.
- D. Reassure the adolescent that occasional pain is common with the changes of puberty.
Correct answer: A
Rationale: Sudden and severe scrotal pain in an adolescent male is a medical emergency and may indicate testicular torsion, which requires immediate evaluation and intervention to prevent testicular loss.
2. 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.
3. The nurse has just started assessing a young child who is febrile and appears ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion. Which is the most appropriate action?
- A. Ask the parent when the neck was injured
- B. Refer for immediate medical evaluation
- C. Continue assessment to determine the cause of the neck pain
- D. Record head lag on the assessment record and continue the assessment of the child
Correct answer: B
Rationale: Opisthotonos with pain on flexion is a sign of possible meningitis or other serious neurological conditions, requiring immediate medical evaluation.
4. The nurse is teaching a group of new nursing graduates about identifiable qualities of strong families that help them function effectively. Which quality should be included in the teaching?
- A. Lack of congruence among family members
- B. Clear set of family values, rules, and beliefs
- C. Adoption of one coping strategy that always promotes positive functioning in dealing with life events
- D. Sense of commitment toward growth of individual family members as opposed to that of the family unit
Correct answer: B
Rationale: Strong families have a clear set of values, rules, and beliefs that guide their interactions and help them function effectively as a unit.
5. Which responsibilities are included in the pediatric nurse's promotion of the health and well-being of children? (Select all that apply.)
- A. Promoting disease prevention
- B. Providing financial assistance
- C. Providing support and counseling
- D. A, C
Correct answer: D
Rationale: Pediatric nurses promote health through disease prevention, support, counseling, therapeutic relationships, and participating in ethical decision-making.
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