the nurse is planning care for a patient with a different ethnic background which should be an appropriate goal

ATI RN

Nursing Care of Children Final ATI

1. The nurse is planning care for a patient with a different ethnic background. Which should be an appropriate goal?

A. Adapt, as necessary, ethnic practices to health needs
B. Attempt, in a nonjudgmental way, to change ethnic beliefs
C. Encourage continuation of ethnic practices in the hospital setting
D. Strive to keep ethnic background from influencing health needs

Correct answer: A

Rationale: Adapting ethnic practices to health needs respects the patient's cultural background while ensuring that care is effective and culturally sensitive.

2. Which muscle is contraindicated for the administration of immunizations in infants and young children?

A. Deltoid
B. Dorsogluteal
C. Ventrogluteal
D. Anterolateral thigh

Correct answer: B

Rationale: The dorsogluteal muscle is contraindicated for immunizations in infants and young children due to the risk of injury to the sciatic nerve. The anterolateral thigh is the preferred site.

3. 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.

4. The nurse is using a bulb syringe to suction a neonate after delivery. What is an important consideration?

A. Compress the bulb before insertion.
B. Clear the mouth and pharynx before the nasal passages.
C. Use two bulb syringes, one for the mouth and pharynx and one for the nasal passages.
D. Continue using a bulb syringe until secretions are removed as mechanical suction is contraindicated.

Correct answer: B

Rationale: The correct consideration when using a bulb syringe to suction a neonate after delivery is to clear the mouth and pharynx before the nasal passages to prevent aspiration of amniotic fluid. Compressing the bulb syringe before insertion is important to create suction. Using two bulb syringes is unnecessary, as one is sufficient for both the mouth/pharynx and nasal passages. It is not recommended to continue using a bulb syringe until all secretions are removed; instead, mechanical suction can be employed if more forceful removal of secretions is required.