ATI RN
RN Nursing Care of Children Online Practice 2019 A
1. What is known as providing families with information on normal growth and development and nurturing child-rearing practices before the child enters that stage of development?
- A. Holistic nursing
- B. Evidence-based practice
- C. Morbidity
- D. Anticipatory guidance
Correct answer: D
Rationale: Anticipatory guidance is the process of providing parents with information about expected developmental milestones and how to address common issues that may arise during different stages of their child's growth. This proactive approach helps parents prepare for and support their child's development. Holistic nursing (choice A) refers to a comprehensive and integrated approach to healthcare that considers the whole person. Evidence-based practice (choice B) involves making clinical decisions based on the best available evidence. Morbidity (choice C) refers to the prevalence of a disease in a population.
2. What urine test result is considered abnormal?
- A. pH 4.0
- B. WBC 1 or 2 cells/ml
- C. Protein level absent
- D. Specific gravity 1.020
Correct answer: A
Rationale: A urine pH of 4.0 is abnormally low, indicating possible acidosis or other metabolic conditions. WBC count of 1-2 cells/ml, absence of protein, and a specific gravity of 1.020 are within normal limits.
3. The nurse is preparing to administer a prescribed, as-needed antiemetic drug for a child diagnosed with cancer. Which action by the nurse is most appropriate?
- A. Administering the drug only if the child is nauseated.
- B. Administering the drug prophylactically before the next dose of chemotherapy.
- C. Administering the drug after the next dose of chemotherapy.
- D. Administering the drug only if the child is experiencing diarrhea.
Correct answer: B
Rationale: Administering the antiemetic prophylactically before the next dose of chemotherapy is the most appropriate action. This approach helps prevent nausea and vomiting associated with chemotherapy. Waiting until the child is already nauseated, as stated in option A, is less effective as it is reactive rather than proactive. Administering the drug after chemotherapy, as in option C, may not be as beneficial in preventing chemotherapy-induced nausea and vomiting. Option D, administering the drug only if the child is experiencing diarrhea, is not relevant to the prevention of chemotherapy-induced nausea.
4. At which age should the nurse expect most infants to begin to say mama and dada with meaning?
- A. 4 months
- B. 6 months
- C. 10 months
- D. 14 months
Correct answer: C
Rationale: By around 10 months, infants often start to say "mama" and "dada" with meaning, associating these words with their parents.
5. The parents of a 2-year-old boy who had a repair of exstrophy of the bladder at birth ask when they can begin toilet training their son. The nurse replies based on what knowledge?
- A. Most boys in the United States can be toilet trained at age 3 years.
- B. Training can begin when he has sufficient bladder capacity.
- C. Additional surgery may be necessary to achieve continence.
- D. They should begin now because he will require additional time.
Correct answer: B
Rationale: Toilet training should begin when the child has sufficient bladder capacity and control, which may be delayed in children who have undergone surgical repairs for conditions like bladder exstrophy. Premature training can lead to frustration and setbacks.
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