ATI Child - RN NURSING CARE OF

CHILDREN questions and answers

verified 100%CORRECT!!
1. A nurse is teaching a group of parents about characteristics of infants who have
failure to thrive. Which of the following characteristics should the nurse include in the
teaching?
A. Intense fear of strangers
B. Increased risk for childhood obesity
C. Inability to form close relationships with siblings
D. Developmental delays - A. These infants do not exhibit the expected fear of
strangers.
B. These infants are not at an increased risk for childhood obesity.
C. These infants are able to form close relationships with siblings.
✅D. CORRECT: These infants can exhibit developmental delays due to decreased
nutritional intake needed for brain development.

NCLEX® Connection: Health Promotion and Maintenance, Health Screening CHAPTER

44 PSyCHOSOCIAL ISSUES OF INFANTS, CHILDREN, AND ADOLESCENTS
2. A nurse is providing instruction to the teacher of a child who has attention-
deficit/hyperactivity disorder (ADHD). Which of the following classroom strategies
should the nurse include
in the teaching? (Select all that apply.)
A. Eliminate testing.
B. Allow for regular breaks.
C. Combine verbal instruction with visual cues.
D. Establish consistent classroom rules.
E. Increasestimuliintheenvironment. - A. Allowing for added time when testing can
assist the client who has ADHD to be successful.
✅B. CORRECT: Allowing for regular breaks will assist the client who has ADHD to focus
on the required tasks.
✅C. CORRECT: Combining verbal instruction with visual cues will assist the client who
has ADHD with learning information.
✅D. CORRECT: Providing consistent classroom rules will assist the client who has
ADHD to become successful.
E. Stimuli in the environment distract the client who has ADHD, so it should be
decreased.

NCLEX® Connection: Physiological Adaptation, Pathophysiology CHAPTER 44

PSyCHOSOCIAL ISSUES OF INFANTS, CHILDREN, AND ADOLESCENTS
3. A nurse is teaching a parent about posttraumatic stress disorder (PTSD). Which of
the following information should the nurse include in
the teaching? (Select all that apply.)
A. Children who have PTSD can benefit from psychotherapy.
B. A manifestation of PTSD is phobias.
C. Personality disorders are a complication of PTSD.
D. PTSD develops following a traumatic event.
E. There are six stages of PTSD. - ✅A. CORRECT: Children who have PTSD should
be referred to psychotherapy to assist with resolution of the traumatic event

✅B. CORRECT: The child who is experiencing PTSD often has new phobias that can
be related to the traumatic event.

C. Personality disorders are not a complication of PTSD.

✅D. CORRECT: PTSD develops following a traumatic event (assault, serious injury, or
a life-threatening episode).

E. PTSD has three stages: the initial response, and second and third phase.

NCLEX® Connection: Reduction of Risk Potential, Therapeutic Procedures CHAPTER

44 PSyCHOSOCIAL ISSUES OF INFANTS, CHILDREN, AND ADOLESCENTS
4. A nurse is teaching the parent of a child about risk factors for attention-
deficit/hyperactivity disorder (ADHD). Which of the following should the nurse include in
the teaching?
A. Formula-feeding as an infant
B. History of head trauma
C. History of postterm birth
D. Child of a single parent - A. Being formula-fed as an infant is not a risk factor for
the development of ADHD.

✅B. CORRECT: History of head trauma is a risk factor for the development of ADHD.

C. History of a post-term birth is not a risk factor for the development of ADHD.

D. Being the child of a single parent does not increase the risk of development of
ADHD.

NCLEX® Connection: Reduction of Risk Potential, Therapeutic Procedures CHAPTER

44 PSyCHOSOCIAL ISSUES OF INFANTS, CHILDREN, AND ADOLESCENTS
5. A nurse is caring for a child who has depression. Which of the following findings
should the nurse expect? (Select all that apply.)
A. Preferring being with peers
B. Weight loss or gain
C. Report of low self-esteem
D. Sleeping more than usual
E. Hyperactivity - A. A preference for being alone is a finding associated with
depression.
✅B. CORRECT: Weight loss or gain are findings associated with depression.

✅C. CORRECT: Low self-esteem is a finding associated with depression.

✅D. CORRECT: Sleeping more than usual is a finding associated with depression.

E. Fatigue is a finding associated with depression.

NCLEX® Connection: Physiological Adaptation, Illness Management CHAPTER 44

PSyCHOSOCIAL ISSUES OF INFANTS, CHILDREN, AND ADOLESCENTS
1. A nurse is caring for a child who is experiencing respiratory distress. Which of the
following findings are early manifestations of respiratory distress? (Select all that apply.)

A. Bradypnea
B. Peripheral cyanosis
C. Tachycardia
D. Diaphoresis
E. Restlessness - ANS: C,D,E

a. Bradypnea is an advanced manifestation of respiratory distress.

B. cyanosis is an advanced manifestation of hypoxia.

✅c. CORRECT: tachycardia is an early manifestation of respiratory distress.

✅d. CORRECT: diaphoresis is an early manifestation of respiratory distress.

✅e. CORRECT: restlessness is an early manifestation of respiratory distress.

NCLEX® Connection: Health Promotion and Maintenance, Health Promotion/Disease

Prevention
CHAPTER 43 PEDIATRIC EmERGENCIES
2. A nurse in the emergency department is caring for a child whose parent reports that
the child has swallowed paint thinner. The child is lethargic, gagging, and cyanotic.
Which of the following actions should the nurse take?

A. Induce vomiting with syrup of ipecac.

B. Insert a nasogastric tube, and administer activated charcoal.
C. Prepare for intubation with a cuffed endotracheal tube.
D. Administer chelation therapy using deferoxamine mesylate. - a. inducing vomiting
with syrup of ipecac is contraindicated as a poison control measure.

B. activated charcoal is indicated for acetylsalicylic acid poisoning.

c. CORRECT: treatment for poisoning with hydrocarbons includes intubation to protect
the airway before proceeding with gastric decontamination.

d. chelation therapy is indicated for lead poisoning.

NCLEX® Connection: Physiological Adaptation, Alterations in Body Systems CHAPTER

43 PEDIATRIC EmERGENCIES
3. A nurse in the emergency department is admitting an infant who experienced a life-
threatening event. Which of the following prescriptions by the provider should the nurse
anticipate? (Select all that apply.)
A. Electroencephalogram
B. Electrocardiogram
C. Urine culture
D. Arterial blood gases
E. Blood cultures - ANS: A,B,C,E

✅a. CORRECT: EEG is performed to assess for epilepsy.

B. CORRECT: ECG is performed to assess for

long Qt syndrome or dysrhythmias.

c. CORRECT: a urine specimen is obtained

for a culture to assess for a Uti.

d. ABGs are not routinely performed for an infant who experienced an apparent life‐
threatening event.

e. CORRECT: a blood culture is obtained to

assess for bacterial or viral infections.

NCLEX® Connection: Physiological Adaptation, Alterations in Body Systems

4. A nurse is providing teaching to a caregiver about acetaminophen poisoning. Which
of the following information should the nurse include in the teaching?
A. Nausea begins 24 hr after ingestion.
B. Pallor can appear as early as 2 hr after ingestion.
C. Jaundice will appear in 12 hr if the child is toxic.
D. Children can have 4 g/day of acetaminophen. - a. nausea is a manifestation that
begins 2 to 4 hr after ingestion.

✅B. CORRECT: sweating is a manifestation that starts 2 to 4 hr after ingestion.

c. Jaundice will appear in 36 hr to 7 days.

d. the maximum dose of acetaminophen in children

2 to 5 years of age is 720 mg/day. in children 6 to 12 years of age, it is 2.6 g/day.
NCLEX® Connection: Physiological Adaptation, Illness Management CHAPTER 43
PEDIATRIC EmERGENCIES
5. A nurse in a community center is providing an in-service to a group of parents on
management of airway obstructions in toddlers. Which of the following responses by
one of the caregivers indicates understanding? (Select all that apply.)

A. "I will push on my child's abdomen."

B. "I will hyperextend my child's head to open the airway."
C. "I will listen over my child's mouth for sounds of breathing."
D. "I will use my finger to check my child's mouth for objects."
E. "I will place my child in - ANS: A,C

✅a. CORRECT: the nurse should instruct the caregivers to use abdominal thrusts to
open an obstructed airway in a toddler.

B. the nurse should teach the caregiver to position the child with the chin elevated,
rather than hyperextended, to open the airway.

✅c. CORRECT: the nurse should teach the caregiver to look for chest motion and listen
for normal breath sounds over the child's mouth and nose when evaluating for an airway
obstruction.

d. Finger sweeps to check for an impaired airway are not performed because this action
can cause an object to be pushed further down into the toddler's throat, causing injury.

e. teach the caregivers to attempt to clear the child's airway according to AHA
guidelines and to call 911. attempting to independently transport the child
to an emergency facility delays treatment.

NCLEX® Connection: Physiological Adaptation, Illness Management CHAPTER 43

PEDIATRIC EmERGENCIES
1. A nurse is reviewing the medical record of a newborn who has necrotizing
enterocolitis (NEC). Which of the following findings is a risk factor for NEC?

A. macrosomia
B. Transient tachypnea of the newborn (TTN)
C. maternal gestational hypertension
D. Gestational age 36 weeks - 1. A. macrosomia does not place a newborn at risk for
NEC.

B. TTN does not place a newborn at risk for NEC.

C. maternal gestational hypertension does not

place a newborn at risk for NEC.

D. CORRECT: A gestational age of 36 weeks, or a

preterm birth, places a newborn at risk for NEC.

NCLEX® Connection: Physiological Adaptation, Medical Emergencies CHAPTER 42

COmPLICATIONS OF INFANTS
2. A nurse is assessing a newborn who has congenital hypothyroidism. Which of the
following findings should the nurse expect? (Select all that apply.)

A. Hypertonicity
B. Cool extremities
C. Short neck
D. Tachycardia
E. Hyper reflexia - ANS: B,C

A. Hypertonicity is not an expected finding in a newborn who has congenital

hypothyroidism.

✅B. CORRECT: Cool extremities are an expected finding in a newborn who has
congenital hypothyroidism.

✅C. CORRECT: A s Hey mate, need study materials email m at

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answers-verified-100hort neck is an expected finding in a newborn who has congenital
hypothyroidism.

D. Tachycardia is not an expected finding in a newborn who has congenital

hypothyroidism.

E. Hyperreflexia is not an expected finding in a newborn who has congenital

hypothyroidism.

NCLEX® Connection: Physiological Adaptation, Medical Emergencies CHAPTER 42

COMPLICATIONS OF INFANTS
3. A nurse is teaching the parent of a newborn how to treat the newborn's
plagiocephaly. Which of the following statements by the parent indicates an
understanding of the teaching?

A. "I should put my baby to sleep on the belly during her afternoon nap."
B. "I should ensure my baby's head is in the same position whenever sleeping."
C. "I should have my baby wear the prescribed helmet 23 hours a day."
D. "I should allow my baby to sleep in an infant swing." - A. A newborn who has
plagiocephaly should not be placed in the prone position to sleep.
B. A newborn's head should not be placed in the same position when sleeping.

✅C. CORRECT: A newborn who has plagiocephaly should wear the prescribed helmet
23 hr/day.

D. A newborn who has plagiocephaly should not

be allowed to sleep in an infant swing

NCLEX® Connection: Reduction of Risk Potential, Diagnostic Tests CHAPTER 42

COMPLICATIONS OF INFANTS
4. A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and is
to undergo phototherapy. Which of the following actions should the nurse include in the
plan of care?

A. Reposition the newborn every 4 hr.

B. Lotion the newborn's skin twice per day.
C. Check the newborn's temperature every 8 hr.
D. Remove the newborn's eye mask during feedings. - A. A newborn undergoing
phototherapy should be repositioned every 2 hr.
B. A newborn undergoing phototherapy should not have lotion applied to the skin
because it can cause burns.
C. A newborn undergoing phototherapy should have their temperature monitored every
4 hr.
✅D. CORRECT: A newborn undergoing phototherapy should have the eye mask
removed for each feeding to allow for bonding and assessment of the newborn's eyes.
NCLEX® Connection: Pharmacological Therapies,
Adverse Effects/Contraindications/Side Effects/Interactions CHAPTER 42
COMPLICATIONS OF INFANTS
5. A nurse is providing preconception teaching with a client who has phenylketonuria
(PKU). Which of the following information should the nurse include in the teaching?
A. Follow a low-phenylalanine diet once pregnancy is confirmed.
B. The client will undergo testing of phenylalanine levels one to two times per week
throughout pregnancy.
C. Increase intake of dietary proteins prior to conception.
D. The client will require a cesarean section birth due to the likelihood of having a fetus
with mac - A. A client who has PKU should follow a low-phenylalanine diet for at least
3 months prior to conception and throughout the pregnancy.

✅B. CORRECT: A client who has PKU will have phenylalanine levels monitored one to
two times per week throughout pregnancy.

C. A client who has PKU should decrease dietary intake of protein prior to conception.

D. A client who ha Hey mate, need study materials email m at

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cesarean birth.

NCLEX® Connection: Physiological Adaptation, Medical Emergencies CHAPTER 42

COMPLICATIONS OF INFANTS
1. A nurse is caring for a child following an above-the-knee amputation. Which of the
following actions should the nurse take?
A. Avoid discussing the amputation.
B. Administer aspirin for phantom pain.
C. Prepare the child for a prosthesis fitting.
D. maintain the affected limb in the dependent position. - A. The loss of a limb entails
a grieving process. Encourage discussion to facilitate grieving.

B. Amitriptyline should be given for phantom pain because aspirin should be avoided in
children.

✅C. CORRECT: Temporary prostheses are fitted soon after surgery. Preparing the child
for a prosthesis will help the child cope with the transition.

D. The affected limb should be elevated after surgery to decrease swelling.

NCLEX® Connection: Reduction of Risk Potential, Potential for Complications from

Surgical Procedures and Health Alterations CHAPTER 41 BONE AND SOFT TISSUE
CANCERS
2. A nurse is caring for an adolescent who has a new diagnosis of osteosarcoma. Which
of the following actions should the nurse take first?

A. Ensure that the adolescent has a referral for a psychiatrist visit.

B. Prepare a teaching plan to educate the adolescent in detail about the diagnosis and
treatment.
C. Spend time with the adolescent to answer any questions.
D. Perform a mental status examination to assess the adolescent's thought patterns. -
A. A psychiatrist referral is not indicated at the time of diagnosis.

B. A detailed teaching plan is not indicated at the time of diagnosis.

✅C. CORRECT: Be available to answer the client's questions and to listen to any
concerns.

D. Performing a mental status examination is not indicated at the time of diagnosis.

NCLEX® Connection: Physiological Adaptation, Pathophysiology CHAPTER 41 BONE
AND SOFT TISSUE CANCERS
3. A nurse is providing home care instructions to a parent of a child who is receiving
chemotherapy. Which of the following instructions should the nurse include in the
teaching? (Select all that apply.)
A. manifestations of infection
B. Bleeding precautions
C. Hand hygiene
D. Homeschooling
E. Airborne precautions - ANS: A,B,C
✅A. CORRECT: Chemotherapy destroys healthy WBCs, which increases the risk of
infection. manifestations of infection should be included in the teaching.

✅B. CORRECT: Chemotherapy destroys healthy platelets, which increases the risk of
bleeding. Bleeding precautions should be included in the teaching.

✅C. CORRECT: Chemotherapy destroys healthy WBCs, which increases the risk of
infection. Hand hygiene should be included in the teaching.

D. Children who are receiving chemotherapy can continue to attend school following
recommendations of the prov

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