ATI RN
ATI Nursing Care of Children
1. Why is knowledge of developmental theories useful for the nurse?
- A. Allows the nurse to know exactly what to do when caring for pediatric patients
- B. Is predictable and aids in controlling the child’s development
- C. Is a set of facts that each child follows in a prescribed method
- D. Provides a framework to guide the nurse in caring for the patient
Correct answer: D
Rationale: The correct answer is D. Understanding developmental theories helps nurses anticipate and plan appropriate care based on the child’s developmental stage. Choice A is incorrect because developmental theories provide a framework but do not dictate exact actions. Choice B is incorrect as developmental processes are not entirely predictable and are not meant to control a child’s development. Choice C is incorrect as developmental theories are not a strict set of facts that all children follow in a prescribed manner, but rather guidelines for understanding and supporting a child's growth and development.
2. 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.
3. What is a common cause of acquired aplastic anemia in children?
- A. Deficient diet
- B. Ingestion of drugs such as chloramphenicol or antiepileptics
- C. Congenital defects
- D. Injury
Correct answer: B
Rationale: The correct answer is B. Acquired aplastic anemia in children is often caused by exposure to certain drugs, such as chloramphenicol or antiepileptics, which can lead to bone marrow failure and a decrease in all types of blood cells. Choices A, C, and D are incorrect because aplastic anemia is not commonly caused by deficient diet, congenital defects, or injury in children.
4. When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is called which?
- A. Permissive
- B. Dictatorial
- C. Democratic
- D. Authoritarian
Correct answer: A
Rationale: Permissive parenting is characterized by parents exerting little or no control over their children, leading to a lack of boundaries and structure.
5. A teenager is accompanied by his mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, which topic should the nurse avoid?
- A. School performance
- B. Seatbelt use
- C. Cigarette smoking
- D. School friends
Correct answer: C
Rationale: The correct answer is C: Cigarette smoking. Discussing sensitive topics like cigarette smoking in the presence of a parent may inhibit the teenager's willingness to be open and honest. It's important to provide an opportunity for the teenager to speak privately with the healthcare provider. Choices A, B, and D are more general topics that can be discussed openly in front of the parent without compromising the teenager's privacy or comfort.
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