Question

A nurse is reinforcing teaching about accidental drowning with the parents of a toddler. Which of the following information should the nurse include in the teaching?

Answer 1

Correct Answers:

An adult should remain within arm's reach of the child when near water.

Rationale :

🔷 Direct supervision is essential because toddlers are naturally curious and can drown quickly and silently, even in shallow water.

🔷 Teaching a child to swim does not eliminate the risk, as toddlers are not developmentally able to swim independently or respond to emergencies.

🔷 Most accidental drownings in young children occur in bathtubs, swimming pools, or even buckets, not just in ponds or lakes.

🔷 Barriers like pool fences help, but children can find ways around them, so supervision is always necessary.

🔷 Accidents can happen within seconds, making constant, close supervision (within arm's reach) the most effective prevention.

🔷 Toddlers lack judgment and fear of water, increasing their risk without direct adult oversight.

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Answer 2

Correct Answers:

Prematurity

Rationale :

🔶 Prematurity is a recognized risk factor for physical maltreatment due to increased caregiver stress and medical needs.

🔶 Premature infants often have complex health issues that can overwhelm caregivers.

🔶 Other options like adoption or acute illness do not have a strong link to maltreatment risk.

🔶 Early identification of risk factors allows for targeted support and prevention.

🔶 Health care providers watch for prematurity as a red flag in child protection.

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Answer 3

Correct Answers:

Measles

Rationale :

💎 Measles is a notifiable disease because of its high contagion and public health importance.

💎 Reporting allows for tracking and outbreak control by health authorities.

💎 Diseases like roseola or scabies are not notifiable and do not require public reporting.

💎 Prompt notification helps protect vulnerable populations through isolation and vaccination.

💎 Notifiable status is based on the disease’s potential for rapid spread.

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Answer 4

Correct Answers:

Difficult to arouse

Rationale :

🔹 Subdural hematoma increases intracranial pressure, leading to decreased arousability or lethargy.

🔹 Change in level of consciousness is the most specific and urgent sign of brain injury in infants.

🔹 Depressed fontanels signal dehydration, not increased pressure.

🔹 Neurological signs outweigh temperature or cry changes in indicating brain compromise.

🔹 Rapid recognition of altered responsiveness can be life-saving.

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Answer 5

Correct Answers:

Rounded facial features

Rationale :

♦️ Cushing’s syndrome causes excess cortisol, leading to rounded (“moon”) facies.

♦️ Weight gain in face and trunk is a hallmark of this endocrine disorder.

♦️ Other symptoms may be present, but facial rounding is most visually obvious.

♦️ Rapid weight loss or low blood pressure are not seen in Cushing’s syndrome.

♦️ Recognition of physical changes guides further testing and management.

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Answer 6

Correct Answers:

Uses four words in a sentence

Rationale :

💠 At age 3, sentence formation using three to four words is expected.

💠 Tying shoelaces and skipping develop in older children, not at three years.

💠 Monitoring developmental milestones ensures early identification of delays.

💠 Language skills indicate both cognitive and social development at this stage.

💠 Timely assessment and intervention are crucial if delays are present.

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Answer 7

Correct Answers:

Keep the infant at a 30° angle for 1 hr following each feeding.

Rationale :

🟦 Upright positioning after feeding reduces reflux and risk of aspiration.

🟦 Regular, small feeds are better than limiting frequency for infants with GER.

🟦 Soy-based formula is only indicated if there is a protein allergy or intolerance.

🟦 Avoid feeding immediately before sleep to prevent reflux episodes.

🟦 This is a primary non-pharmacologic intervention for gastroesophageal reflux.

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Answer 8

Correct Answers:

Use a bleach-based solution to clean the bedside table.

Rationale :

🔴 C. difficile forms spores resistant to alcohol-based cleaners, but bleach kills them.

🔴 Environmental cleaning is essential for infection control.

🔴 Use soap and water for hand hygiene; hand sanitizer does not remove spores.

🔴 Loperamide should not be used in infectious diarrhea like C. difficile.

🔴 Negative-airflow rooms are not required for this organism.

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Answer 9

Correct Answers:

Determine the parent's understanding of the procedure.

Rationale :

🟠 Confirming understanding ensures informed consent is valid.

🟠 The nurse’s role is to verify comprehension, not to explain details or discuss risks/benefits in depth.

🟠 Informed consent is not just a signature but proof of adequate knowledge.

🟠 Ethical standards require clarification and correcting any misconceptions.

🟠 Communication at this stage builds trust and supports safe, ethical care.

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Answer 10

Correct Answers:

Elevate the extremity above the level of the heart.

Rationale :

🟡 Elevation helps reduce swelling through improved venous return.

🟡 The first 12–24 hours are vital to limit inflammation after a sprain.

🟡 Active motion and heat can worsen swelling if used too soon.

🟡 Compression is helpful, but elevation is most effective early.

🟡 Quick, proper first aid can shorten recovery time and prevent complications.

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ATI PN Nursing Care of Children-2020 with NGN II

No.

1 :
A nurse is reinforcing teaching about accidental drowning with the parents of a toddler. Which of the following information should the nurse include in the teaching?

2 :
A nurse is reviewing the medical record of a school-age child who was admitted for suspected physical maltreatment. Which of the following findings in the child's medical history should the nurse identify as a potential risk factor for physical maltreatment?

3 :
A nurse is reviewing the medical records of a group of toddlers. The nurse should identify that which of the following conditions is a notifiable infectious disease?

4 :
A nurse is assisting with the care of a 2-month-old infant who has a subdural hematoma. Which of the following findings should the nurse expect?

5 :
A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

6 :
A nurse is collecting data from a 3-year-old child. Which of the following developmental milestones should the nurse expect the child to demonstrate?

7 :
A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?

8 :
A nurse is caring for an 18-month-old toddler who has acute diarrhea caused by Clostridium difficile bacteria. Which of the following actions should the nurse take?

9 :
A nurse is assisting with obtaining informed consent from the parent of a toddler who is scheduled for a surgical procedure. Which of the following actions should the nurse take?

10 :
A nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hr to minimize swelling?

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ATI PN Nursing Care of Children-2020 with NGN II

No.

1 : A nurse is reinforcing teaching about accidental drowning with the parents of a toddler. Which of the following information should the nurse include in the teaching?

2 : A nurse is reviewing the medical record of a school-age child who was admitted for suspected physical maltreatment. Which of the following findings in the child's medical history should the nurse identify as a potential risk factor for physical maltreatment?

3 : A nurse is reviewing the medical records of a group of toddlers. The nurse should identify that which of the following conditions is a notifiable infectious disease?

4 : A nurse is assisting with the care of a 2-month-old infant who has a subdural hematoma. Which of the following findings should the nurse expect?

5 : A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

6 : A nurse is collecting data from a 3-year-old child. Which of the following developmental milestones should the nurse expect the child to demonstrate?

7 : A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?

8 : A nurse is caring for an 18-month-old toddler who has acute diarrhea caused by Clostridium difficile bacteria. Which of the following actions should the nurse take?

9 : A nurse is assisting with obtaining informed consent from the parent of a toddler who is scheduled for a surgical procedure. Which of the following actions should the nurse take?

10 : A nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hr to minimize swelling?

1 :
A nurse is reinforcing teaching about accidental drowning with the parents of a toddler. Which of the following information should the nurse include in the teaching?

2 :
A nurse is reviewing the medical record of a school-age child who was admitted for suspected physical maltreatment. Which of the following findings in the child's medical history should the nurse identify as a potential risk factor for physical maltreatment?

3 :
A nurse is reviewing the medical records of a group of toddlers. The nurse should identify that which of the following conditions is a notifiable infectious disease?

4 :
A nurse is assisting with the care of a 2-month-old infant who has a subdural hematoma. Which of the following findings should the nurse expect?

5 :
A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

6 :
A nurse is collecting data from a 3-year-old child. Which of the following developmental milestones should the nurse expect the child to demonstrate?

7 :
A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?

8 :
A nurse is caring for an 18-month-old toddler who has acute diarrhea caused by Clostridium difficile bacteria. Which of the following actions should the nurse take?

9 :
A nurse is assisting with obtaining informed consent from the parent of a toddler who is scheduled for a surgical procedure. Which of the following actions should the nurse take?

10 :
A nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hr to minimize swelling?