ATI RN
Nursing Care of Children ATI
1. What information should be given to the parents of a 12-month-old child regarding appropriate play activities for this age?
- A. Give large push-pull toys for kinetic stimulation
- B. Place a cradle gym across the crib to help develop fine motor skills
- C. Provide the child with finger paints to enhance fine motor skills
- D. Provide a stick horse to develop gross motor coordination
Correct answer: A
Rationale: Large push-pull toys are suitable for a 12-month-old as they encourage gross motor skills and physical activity, which are crucial for their development at this age.
2. The LPN is assessing for fontanels on the head of a 6-month-old. Which fontanel is expected to still be present?
- A. Posterior
- B. Anterior
- C. Sphenoid
- D. Lambdoid
Correct answer: B
Rationale: The correct answer is B: Anterior. The anterior fontanel usually remains open until about 12-18 months of age, while the posterior fontanel closes by 2-3 months. Choices A, C, and D are incorrect as the posterior fontanel closes by 2-3 months of age, and the sphenoid and lambdoid fontanels are not typically assessed in routine infant head examinations.
3. Congenital defects of the genitourinary tract, such as hypospadias, are usually repaired as early as possible to accomplish what?
- A. Minimize separation anxiety
- B. Prevent urinary complications.
- C. Increase acceptance of hospitalization.
- D. Promote development of normal body image.
Correct answer: D
Rationale: Early repair of congenital genitourinary defects like hypospadias is important to promote a normal body image and avoid psychological issues as the child grows. It also helps prevent urinary complications and allows for normal development.
4. The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination?
- A. The United States is ranked last among 27 countries
- B. The United States is ranked similar to 20 other developed countries
- C. The United States is ranked in the middle of 20 other developed countries
- D. The United States is ranked highest among 27 other industrialized countries
Correct answer: A
Rationale: The United States is ranked last among developed countries with similar populations in terms of infant mortality rates, highlighting a significant public health concern.
5. The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active?
- A. Ask her, "Are you sexually active?"
- B. Ask her, "Are you having sex with anyone?"
- C. Ask her, "Are you having sex with a boyfriend?"
- D. Ask both the girl and her parent if she is sexually active
Correct answer: A
Rationale: Directly asking the adolescent if she is sexually active is the most straightforward and respectful approach, ensuring privacy and fostering trust.
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