ATI RN
RN Nursing Care of Children 2019 With NGN
1. The nurse is caring for a child with Beta Thalassemia. Which child is in a group most at risk for Beta Thalassemia?
- A. A three-year-old girl of Mediterranean descent.
- B. A ten-year-old boy of Hispanic descent.
- C. A young girl of African descent.
- D. A baby of European descent.
Correct answer: A
Rationale: Corrected Rationale: Beta Thalassemia is most common in individuals of Mediterranean descent, such as those from Italy, Greece, and the Middle East. This genetic disorder affects hemoglobin production and can lead to severe anemia. Choice A is the correct answer as individuals of Mediterranean descent are at the highest risk for Beta Thalassemia. Choices B, C, and D are incorrect as they do not belong to the population group most at risk for this genetic disorder.
2. Parents of a preschool child ask the nurse, "Should we set rules for our child as part of a discipline plan?" Which is an accurate response by the nurse?
- A. It is best to delay the punishment if a rule is broken.
- B. The child is too young for rules. At this age, unrestricted freedom is best.
- C. It is best to set the rules and reason with the child when the rules are broken.
- D. Set clear and reasonable rules and expect the same behavior regardless of the circumstances.
Correct answer: D
Rationale: Clear and reasonable rules provide structure and help children understand expectations, promoting consistent behavior and discipline.
3. At a well-child visit, parents ask the nurse how to know if a daycare facility is a good choice for their infant. Which observation should the nurse stress as especially important to consider when making the selection?
- A. Developmentally appropriate toys
- B. Nutritious snacks served to the children
- C. Handwashing by providers after diaper changes
- D. Certified caregivers for each of the age groups at the facility
Correct answer: C
Rationale: Ensuring that providers practice proper handwashing after diaper changes is crucial in preventing the spread of infections and maintaining a hygienic environment for the infants.
4. Which parameter correlates best with measurements of total muscle mass?
- A. Height
- B. Weight
- C. Skinfold thickness
- D. Upper arm circumference
Correct answer: D
Rationale: Upper arm circumference correlates best with total muscle mass because it includes both muscle and fat components, making it a reliable indicator of muscle mass.
5. Urinary tract anomalies are frequently associated with what irregularities in fetal development?
- A. Myelomeningocele
- B. Cardiovascular anomalies
- C. Malformed or low-set ears
- D. Defects in lower extremities
Correct answer: C
Rationale: Malformed or low-set ears are often associated with congenital urinary tract anomalies, as both the ears and kidneys develop around the same time during fetal growth. Myelomeningocele, cardiovascular anomalies, and lower extremity defects are less commonly associated with UT anomalies.
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