RN ATI MATERNAL NEWBORN PROCTORED EXAM
ATI. CHILD CARE 2.0
1 The parents of a 5-month-old infant state that their infant seems to eat very little. Most
... [Show More] of the
food comes out of the infant's mouth and onto his clothes. Which of the following explanations
should the nurse give to the parents?
Trying to introduce food after the intake of a bottle formula is usually not recommended because
the infant is satiated and has no inclination to try something new. Solid foods should be offered
at 4 to 6 months. The gastrointestinal tract has matured enough to handle more nutrients and is
less sensitive to potentially allergenic foods. This deprives the infant of the pleasure of learning
new tastes and developing a discriminating palate. It may cause problems with poor chewing
because of lack of experience. Due to the extrusion (protrusion) reflex, the infant’s tongue
pushes the food out of the mouth. It is most helpful to suggest using a long-handled spoon and
placing the food in the back of the infant's mouth to avoid the reflex.
"Give the baby a bottle of formula before solid food to assure adequate caloric intake."
"Stop the solid foods and try again when the baby is 12 months old."
"Put the cereal in a bottle and feed the baby through a nipple with a large hole."
"Place the food in the back of the baby's mouth using a long-handled spoon."
2 A nurse smells an odor identified as marijuana coming from a room. Which of the
following client findings would confirm inhalation of the substance?
All are findings of a client who has smoked/inhaled cannabis/marijuana. These clients are
typically euphoric or somewhat mildly intoxicated. They have poor coordination with bloodshot
(red) eyes and may laugh inappropriately. These findings are more commonly due to of the
effects of depressants. These findings are more commonly due to the effects of opiates. These
findings are more commonly due to the effects of cocaine.
Poor coordination, red eyes, and euphoriaSlurred speech, confusion, and combativeness
Loss of consciousness, respiratory depression, and coma
Hypertension, tachycardia, and hyperflexia
3 A nurse is checking children at an orthopedic outpatient setting. Which of the following
should the nurse expect to see as manifestations of scoliosis?
Lumbar curvature is a manifestation of lordosis. These are manifestations of scoliosis. Often
parents observe that a child's skirt doesn't hang straight or the pant legs are uneven. Tenderness
is a general symptom that may indicate something is wrong in an underlying organ. A nurse
could not see changes such as swelling of the spine. These symptoms could be associated with
other orthopedic problems but are not characteristic of scoliosis.
Pain and an exaggerated lumbar curvature
Uneven shoulder heights and poorly fitting slacks
Tenderness and swelling of the spine
Limited range of motion of the back and a limp
4 A nurse is providing client/patient education to the mother of an 8-year-old child
diagnosed with B-hemolytic streptococci infection (strep throat). The nurse emphasizes the
importance of promptly starting and completing the entire course of antibiotics. The mother asks
why this is important. The nurse states that the antibiotic will
Pain may interfere with oral intake, but this is not the priority concern with prompt diagnosis and
care of strep throat. Cool fluids or ice chips may be comforting. Relief to the neck may be
provided by the application of cold or warm compresses to the area. Warm saline gargles may
also relieve throat discomfort. Sinusitis and abscess formation on the pharyngeal and peri
tonsillar areas are complications that can develop with a strep throat infection, but these
complications are not of the greatest concern with this infection. Anterior cervical
lymphadenopathy is a symptom of a streptococcal infection resulting in pharyngitis and tender
lymph nodes. This usually subsides in 3 to 5 days if uncomplicated. Antibiotics should be
initiated as soon as possible and taken as prescribed to quickly and completely eliminate the
streptococcal organism, which can lead to acute rheumatic fever, glomerulonephritis, and acute
renal failure. alleviate painful swallowing to avoid complications of dehydration and
malnutrition.
prevent sinusitis or abscess formation on the pharyngeal or peri tonsillar areas.reduce the risk of anterior cervical lymphadenopathy. eliminate organisms
that might initiate acute renal failure or rheumatic fever.
5 A nurse is reinforcing teaching about accidental poisoning to a parent during a routine
wellchild visit. The nurse asks the parent, "What would be your first response if your child
accidentally took an overdose of acetaminophen (Tylenol)?" Which of the following statements
by the parent would indicate a correct understanding?
Syrup of ipecac is no longer recommended as a routine home treatment of poisoning. Giving
syrup of ipecac might possibly be appropriate, but certain substances that are corrosive would
make using this measure contraindicated because it would increase the damage to the mucosa
lining. Placing the child into a side-lying position is an appropriate measure to prevent
aspiration. Calling the Poison Control Center is the best initial response to an accidental
poisoning because each case needs to be dealt with by getting prompt medical attention to
initiate the appropriate emergency treatment actions. Giving the child one sip of water, not a full
glass, is appropriate to dilute the ingested poison. However, this is not the first action that should
be taken.
"I will give my child a dose of ipecac."
"I will place my child on her back."
"I will call the Poison Control Center."
"I will get my child to drink a full glass of water."
6 A nurse is caring for a 23-month-old child with iron-deficiency anemia. The parents
indicate they have been taught about the diagnosis, but are concerned that they are not doing all
that they need to do. Which of the following should the nurse include when reinforcing
teaching?
Cow's milk contains substances that bind with iron and interfere with its absorption. Iron should
not be given with milk or milk products. There are no food limitations or suggestions when
children are taking oral iron preparations. Foods with vitamin C, such as citrus fruits, enhance
the absorption of iron. Oral iron supplements do not cause GI bleeding or ulcers. Liquid iron
may stain the teeth, so the nurse should instruct the parents to give it through a straw placed in
the back of the child's mouth to avoid staining the teeth.
Give the oral iron supplementation with a glass of cow's milk to prevent stomach problems.
Provide diet instructions including limiting citrus fruits in favor of more vegetables.Provide information about complications of iron including gastrointestinal bleeding and ulcers.
Give liquid iron through a straw placed in the back of the mouth.
7 A nurse is reviewing discharge teaching with the parents of a child who has pediculosis.
Which of the following should the nurse include in the teaching?
Children should not share combs, hair ornaments, hats, caps, scarves, coats, and other items used
on or near the hair. Pets are not carriers of lice. Clothes should be dried in a hot dryer for at least
20 min to kill the lice. Lice need a blood source to survive. Placing the nonwashable items in a
sealed plastic bag for 14 days will kill the lice.
"Children can share scarves and coats, but not hats or combs."
"Household pets can carry and transmit lice to people."
"After washing clothing, hang clothes outside to dry."
"Seal nonwashable items in plastic bags for 14 days."
8 A nurse is caring for a toddler who is in an oxygen tent. Which of the following actions
should the nurse take in order to promote comfort while maintaining the child's safety?
Not all toys are safe to put inside an oxygen tent. Vinyl or plastic toys that do not absorb
moisture are suitable to put inside the tent. Stuffed animals absorb moisture and are difficult to
dry. High levels of oxygen are a source of sparks, so mechanical or electrical toys are a potential
fire hazard. The moisture inside an oxygen tent will make the child cold and the child’s clothes
moist. Therefore, the nurse should try to keep the child warm and dry by changing bedding and
clothes, which will enhance the child's comfort without compromising safety. Oxygen is heavier
than air; therefore, oxygen loss will be greater at the bottom of the tent. The tent should be
tucked snugly without open edges to prevent oxygen loss. Some tents are opened at the top.
Oxygen is a heavy gas and most of it will stay at the bottom of the tent. This measure does not
promote the child's comfort while in the oxygen tent.
Give the child a stuffed animal and car with rubber wheels to play with.
Change the bedding and the child's clothing frequently or as often as needed.
Tuck the bottom of the tent under the mattress on three sides, leaving one side open so the child
can look out.
Cover the opening on the roof of the tent with a blanket to prevent the child from becoming
chilled.9 A nurse is reinforcing teaching with the parent of a child with a urinary tract infection. Which
of the following statements made by the parent indicates understanding of how to prevent future
infections?
Children should be encouraged to void frequently, especially before long trips or other
circumstances in which toilet facilities may not be available for an extended period of time.
Urine that is held can harbor bacteria that can result in a urinary tract infection. Cotton
underwear allows for more air flow to the perineal area and reduces the risk of urinary tract
infections. Wiping from back to front increases the risk of feces entering the urethra and causing
a urinary tract infection. Bubble baths and perfumed perineal products can irritate the urethra
and lead to a urinary tract infection. These should be avoided, especially for girls.
"I will bring my child to the bathroom before we leave for extended trips."
"I need to switch my child from cotton underwear to nylon underwear."
"I should teach my child to wipe from back to front after urinating."
"I will have my child soak in a bubble bath once or twice a week."
10 A nurse is reviewing discharge instructions with the parent of an infant who has acute
laryngotracheobronchitis (croup). Which of the following statements made by the parent
indicates a need for further teaching?
This is a correct intervention. Corticosteroids have an anti-inflammatory effect that decreases
subglottic edema. This will make breathing easier. This is a correct intervention. Clearing the
nasal passages decreases the amount of secretions in the upper and lower airways. Dry air will
exacerbate the child's croup. Cool temperature therapies are advocated for this condition. Cool
mist constricts edematous blood vessels. A cool air vaporizer can be used at home to maintain
high humidity and provide relief. Warm mist from warm running water such as a hot shower in a
closed bathroom may be beneficial. It is essential that children with laryngotracheobronchitis
(croup) be allowed and encouraged to drink any fluids they like to increase fluid intake.
"I will give my child the corticosteroids prescribed by the doctor."
"I will clear the child's nasal passages with a bulb syringe to aid in breathing."
"I will place a dehumidifier in my child's room."
"I will encourage my child to take plenty of fluids over the next several days." [Show Less]