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NGN ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM QUESTIONS & ANSWERS WITH RATIONALES(ANSWERS AT THE END)

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NGN ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM QUESTIONS & ANSWERS WITH RATIONALES(ANSWERS AT THE END)

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  • May 14, 2024
  • 15
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • ngn ati rn nursing care of children proctored exam

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  • NGN ATI RN NURSING CARE OF CHILDREN
  • NGN ATI RN NURSING CARE OF CHILDREN

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NGN ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM
QUESTIONS & ANSWERS WITH RATIONALES(ANSWERS AT THE
END)
6. A mother tells the nurse that it is difficult to
1. A 4-year-old child, who is hospitalized with get her 4-year-old child to bed at night.
pneumonia, tells the nurse, “I got sick because I Which of the following should the nurse
was bad. I yelled at my little sister yesterday.” The suggest that the mother do?
nurse determines that which of the following is an 1. Give the child a small present if he goes to
accurate explanation for the child’s comment? bed when he is asked to.
The child is: 2. Play a running game with the child right
1. Trying to get sympathy from the nurse. before bedtime.
2. Exhibiting an example of magical thinking. 3. Develop a bedtime routine that is followed
3. Making up stories to entertain the nurse. every night.
4. Expressing remorse for having yelled at her 4. Let the child stay up late on weekends if he
goes to bed on time on weeknights.
sister.
7. Parents inform the nurse that their 4½-year-old
2. A kindergarten child, who has developed a fever daughter “stutters a lot.” The nurse should advise
since arriving at school, is resting in the school the parents to do which of the following? Select
nurse’s office. It is 11:30 a.m. The child asks, all that apply.
“When is my mommy going to get me?” The 1. Wait patiently for the child to complete
nurse knows that the mother will arrive in her sentences.
approximately 30 minutes. Which is the best
response for the nurse to give to the child? “Your 2. Give the child a treat whenever she speaks clearly.
mommy should get here: 3. Look directly at the child while she is speaking.
1. in about a half hour.” 4. Respond to the child by speaking slowly
2. when both hands on the clock reach 12.” and clearly.
5. Refrain from making any comments about
3. when lunch time begins for everyone.” the stuttering.
4. at 12 o’clock noon.”
8. A parent asks the nurse the following question:
3. The nurse is giving a 5-year-old child a vaccine “My son plays with his penis all the time. What
injection. The child cries loudly during the should I do?” Which of the following responses is
procedure. Which of the following interventions appropriate for the nurse to give the parent?
would be appropriate for the nurse to perform “Advise your child that:
after the injection? 1. he should touch his penis only when he
1. Advise the child that big children are quiet is urinating.”
during injections. 2. the behavior is appropriate when he is alone
2. Explain to the child why vaccinations in a private place.”
are administered. 3. only boys who are old enough to have sex
3. Inform the child that the vaccine was ordered should touch their penises.”
by the primary health-care provider. 4. bad men may try to hurt him if they see
4. Comfort the child and give the child a sticker as him playing with his penis.”
a present.
9. A parent telephones the nurse in the primary
4. A nurse is preparing to give a 5-year-old child health-care provider’s office and states, “My 4½-
preoperative teaching for abdominal surgery. year- old child was screaming and kicking in her
Which of the nurse’s actions is most appropriate? sleep. She really scared me, but by the time I got
1. Explain the procedures that the child into her bedroom, she seemed to be quiet again.
will experience. What should I do if that happens again?” Which of
2. Allow the child to dress up in surgical attire. the following responses by the nurse is
3. Tell the child why the surgery will make the appropriate?
child healthier. 1. “The best way to stop night terrors is to have
4. Have the child meet another child who has your child talk about her fears during the day.”
had surgery. 2. “The best way to deal with nightmares is
5. A nurse is having difficulty communicating with a to keep a night light lit in your child’s
hospitalized 5-year-old child. Which of the room all night.”
following techniques is appropriate for the nurse 3. “Night terrors usually go away on their own
to use to improve communication? just like your daughter’s did. It is best not to
awaken the child.”
1. Have the child keep a diary of his or her
4. “Nightmares are very common in children
feelings. your daughter’s age. Next time wake her up,
2. Read a fairy tale about scary adventures to and tell her that she is safe.”
the child.
3. Ask the mother to interpret the child’s feelings.
4. Interact with the child through nurse and
patient puppets.

, NGN ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM
QUESTIONS & ANSWERS WITH RATIONALES(ANSWERS AT THE
END)

10. The mother of a 5½-year-old child who is 36 11. A nurse is educating the parents of a 4½-year-old
inches tall and who weighs 42 pounds states that child regarding personal safety issues. Which of
the child complains every time she attempts to the following statements should the nurse
strap her child into the car seat. The nurse include in the teaching? Select all that apply.
searches the Internet and finds the specifications The parents should:
of the child’s car seat are as follows: 1. Choose a safety word for the child to
• Maximum weight forward facing: 40 lb remember in cases of an emergency.
• Minimum weight forward facing: 22 lb 2. Warn the child to report any unfamiliar adult
• Maximum weight rear facing: 40 lb who offers the child candy or toys.
3. Inform the child that it is safe to be alone
• Minimum weight rear facing: 5 lb with any of the parents’ friends or
• Maximum height forward facing: 40 in. neighbors.
• Minimum height forward facing: 28 in. 4. Advise the child to report any adult who
Which of the following statements would be attempts to touch the child’s shoulders and
appropriate for the nurse to make at this back.
time? 5. Instruct the child regarding the information
1. “Because your child is not yet 40 inches tall, that should be given when a 911 call is made.
the child should still sit in the car seat.”
2. “Because your child is over 40 pounds, the 12. A nurse is educating a group of parents
child should now be sitting in a booster seat.” regarding disciplinary actions that they can
3. “The minimum height of 28 inches means that take if their preschool child disobeys. Which of
your child would be safer if the child were the following recommendations should the
sitting in a booster seat.” nurse make?
4. “The minimum weight for forward facing is 1. “Up to a 5-minute time out is often very
22 pounds, so your child may now sit in a effective when a preschooler disobeys.”
booster seat in the car.” 2. “At this age, it is appropriate and effective
to spank the child lightly on the behind.”
3. “When preschool children disobey, it is
very effective to send them to their rooms
without supper.”
4. “An excellent form of punishment when a
preschooler disobeys is to take away the
child’s favorite toy for a few days.”

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