ATI RN
Nursing Care of Children Final ATI
1. The nurse is conducting a teaching session for parents on nutrition. Which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition? (Select all that apply.)
- A. Homelessness
- B. Lower income
- C. Migrant status
- D. All of the above
Correct answer: D
Rationale: Factors like homelessness, lower income, and migrant status can create barriers to providing adequate nutrition for children.
2. The nurse is assisting a child with celiac disease to select foods from a menu. What foods should the nurse suggest?
- A. Hamburger patty with no bun
- B. Spaghetti with marinara sauce
- C. Corn on the cob with butter
- D. Rice cakes with hummus
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. Which is the most frequently used test for measuring visual acuity?
- A. Snellen letter chart
- B. Ishihara vision test
- C. Allen picture card test
- D. Denver eye screening test
Correct answer: A
Rationale: The Snellen letter chart is the most commonly used test for measuring visual acuity, particularly in school-age children and adults.
4. Which laboratory value at the time of diagnosis should the nurse anticipate would determine the worst prognosis for a child with leukemia?
- A. Slow response to chemotherapy
- B. Platelets of 150,000/mcL
- C. Leukocytes less than 10,000/mcL
- D. Leukocytes of 275,000/mcL
Correct answer: D
Rationale: A high white blood cell count (leukocytes of 275,000/mcL) at diagnosis is associated with a worse prognosis in leukemia because it indicates a more aggressive disease with a higher tumor burden. Slow response to chemotherapy (choice A) is a consequence of the aggressive disease and not a determining factor at diagnosis. Platelets of 150,000/mcL (choice B) and leukocytes less than 10,000/mcL (choice C) are within normal ranges and not indicative of a worse prognosis in leukemia.
5. Which is an accurate description of homosexual (or gay-lesbian) families?
- A. A nurturing environment is lacking.
- B. The children become homosexual like their parents.
- C. The stability needed to raise healthy children is lacking.
- D. The quality of parenting is equivalent to that of nongay parents.
Correct answer: D
Rationale: Research shows that the quality of parenting in homosexual families is equivalent to that in heterosexual families, and children thrive in nurturing environments provided by same-sex parents.
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