ATI RN
ATI Nursing Care of Children
1. Which describe the feelings and behaviors of early preschool children related to divorce? (Select all that apply.)
- A. Regressive behavior
- B. Fear of abandonment
- C. Blame themselves for the divorce
- D. All of the above
Correct answer: D
Rationale: Preschool children may exhibit regressive behavior, fear abandonment, and blame themselves for their parents' divorce due to their limited understanding of the situation.
2. How is family systems theory best described?
- A. The family is viewed as the sum of individual members
- B. A change in one family member cannot create a change in other members
- C. Individual family members are readily identified as the source of a problem
- D. When the family system is disrupted, change can occur at any point in the system
Correct answer: D
Rationale: Family systems theory views the family as a whole, where changes in one member affect the entire system, and changes can occur at any point within the system.
3. When assessing a preschooler's chest, what should the nurse expect?
- A. Respiratory movements to be chiefly thoracic
- B. Anteroposterior diameter to be equal to the transverse diameter
- C. Retraction of the muscles between the ribs on respiratory movement
- D. Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
Correct answer: D
Rationale: In a preschooler, chest movement should be symmetric and coordinated with breathing, indicating healthy respiratory function.
4. A sixteen-year-old boy is diagnosed with osteosarcoma. What information should the nurse know regarding the treatment plan?
- A. Amputation of the affected extremity is rarely necessary.
- B. Intensive radiation is the primary treatment modality.
- C. Treatment usually consists of surgery and chemotherapy.
- D. Bone marrow transplantation is the preferred option for long-term survival.
Correct answer: C
Rationale: Osteosarcoma is typically treated with a combination of surgery and chemotherapy. This approach aims to remove the tumor and reduce the risk of metastasis. Amputation of the affected extremity may be necessary in some cases to ensure complete removal of the tumor. Intensive radiation is not the primary treatment for osteosarcoma, and bone marrow transplantation is not the standard treatment for this type of cancer.
5. What is a physical characteristic of infants whose mothers smoked during pregnancy?
- A. Being large for gestational age
- B. Growth restriction in weight only
- C. Preterm but size appropriate for gestational age
- D. Growth restriction in weight, length, and chest and head circumference
Correct answer: D
Rationale: The correct answer is D: Growth restriction in weight, length, and chest and head circumference. Infants born to mothers who smoke during pregnancy exhibit growth failure in weight, length, chest, and head circumference. This growth failure is directly related to the number of cigarettes smoked by the mother. Choices A, B, and C are incorrect because infants exposed to maternal smoking do not tend to be large for gestational age, experience growth restriction in weight only, or be preterm but size appropriate for gestational age.
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