a preschool age child is admitted to the pediatric unit for surgery the parents request to stay with their child how should the nurse respond
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Nursing Elites

ATI RN

RN Nursing Care of Children Online Practice 2019 A

1. A preschool-age child is admitted to the pediatric unit for surgery. The parents request to stay with their child. How should the nurse respond?

Correct answer: C

Rationale: The correct response is to let the parents know they are allowed to stay with the child. Allowing parents to stay with the child can help reduce the child's anxiety and provide comfort. Choice A is incorrect as the parents should be encouraged to stay with their child. Choice B is not the immediate response the nurse should provide. Choice D is inappropriate as it does not address the benefits and importance of parental presence for the child's well-being during hospitalization.

2. The nurse is assisting a child with celiac disease to select foods from a menu. What foods should the nurse suggest?

Correct answer: C

Rationale: The correct answer is C: Corn on the cob with butter. Corn is a gluten-free option suitable for children with celiac disease. Choice A is incorrect because the bun contains gluten, so suggesting a hamburger patty without the bun is a better option. Choice B is not ideal as spaghetti often contains gluten, but spaghetti with marinara sauce could be a safer choice if the spaghetti is gluten-free. Choice D, rice cakes with hummus, is a gluten-free alternative, but corn on the cob is a more straightforward and common choice for children.

3. A preschooler pretending to do the dishes like her mother is an example of:

Correct answer: A

Rationale: Domestic mimicry is the correct answer. It refers to children imitating household activities they observe, aiding in their cognitive and social development. By engaging in such play, children understand and interact with the world around them. Choice B, 'Artificialism,' is incorrect as it pertains to the belief that environmental characteristics are created by human beings. Choice C, 'Magical thinking,' involves children believing in unrealistic events or powers. Choice D, 'Centering,' refers to a child focusing on only one aspect of a situation and not considering other viewpoints.

4. The nurse notes that a child has lost 3.6 kg (8 lb) after 4 days of hospitalization for acute glomerulonephritis. What is the most likely cause of this weight loss?

Correct answer: B

Rationale: The weight loss is most likely due to the reduction of edema, as glomerulonephritis often causes fluid retention that resolves with treatment, leading to significant weight loss.

5. The nurse is teaching a parent with a 2-month-old infant who has been diagnosed with colic about ways to relieve colic. Which statement by the parent indicates the need for additional teaching?

Correct answer: A

Rationale: Letting an infant cry for prolonged periods can exacerbate colic and increase the infant's distress. It is better to respond promptly to soothe the baby. Other methods like swaddling, gentle massage, and keeping the infant upright can help relieve colic symptoms.

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