ATI: Nursing Care of children Exam Questions With Correct
Solutions.
Gastrointestinal Structural and Inflammatory Disorders: Manifestations of
Intussusception - accurate answers-1. Sudden episodic abdominal pain,
screaming with drawing knees to chest during episodes of pain, sausage-
shaped abdominal mass, stools mixed with blood and mucus that resemble the
consistency of red currant jelly, vomiting, fever, tender, distended abdomen
2. Detected by ultrasound
3. Nursing care: stabilize the child prior to the procedure. IV fluids. NG tube.
ATI Ch 23
Acute Infectious Appropriate Food Choices Gastrointestinal Disorders: for a
Toddler Who Has Diarrhea-Related Dehydration - accurate answers-1. Acute
diarrhea is a sudden increase in change in consistency of stool. It is usually
secondary to an infectious agent in the GI tract, upper respiratory infection,
urinary tract infection, antibiotic use, or laxative use.
lf-resolution occurs in less than 14 days if dehydration does not occur.
Acute infectious diarrhea is caused by a variety of viral, bacterial,or parasitic
pathogens.
2. start dehydration therapy with oral agent
Cognitive and Sensory Impairments: Identifying Need for Extensive
Assessment of Hearing - accurate answers--risks for hearing impairment:
exposure to loud environmental sounds, atomic malformation, maternal
ingestion of toxic substances during pregnancy, perinatal asphyxia, perinatal
infection, chronic ear infection, and ototoxic medications, chronic conditions
such as Down syndrome and cerebral palsy-signs in infants: lack of startle
reflex, failure to respond to noise, absence of vocalization by 7 months, lack of
response to the spoken word-older children: using gestures rather than
talking after 15 months, failure to develop understood speech by 24, yelling to
express emotions, irritability due to inability to gain attention, seeming shy or
withdrawn, inattentive to surroundings, speaking in monotone, need for
repeated conversation, speaking loudly for situation
Acute Infectious Assessing Moderate to Severe Gastrointestinal Disorders:
Dehydration - accurate answers-Acute diarrhea
, The most common way acute infectious disorders of the GI tract is exhibited
is through diarrhea. Vomiting may also occur.2. Acute infectious causes are
viral, bacterial, or parasitic pathogens.3. Acute diarrhea w/o infectious agents
results from upper respiratory infection, UTI, antibiotic use, or laxative use.4.
Self-resolution occurs in less than 14 days if dehydration does not occur.
Chronic diarrhea
Intermittent but goes on for more than 14 days. May last 2 weeks or more.2. It
is caused by chronic conditions such as malabsorption syndrome, food
allergies, or inflammatory bowel disease.
Risk Factors
Lack of clean water, poor hygiene, crowded living environments, poor
sanitation, and nutritional deficiency.
Subjective and Objective Data
1. Reports of fatigue, malaise, change in behavior, change in stool pattern,
poor appetite, weight loss, and pain.2. Dehydration is the biggest problem to
result from diarrhea so always assess hydration status.
Rotavirus signs and symptoms
1. Onset of foul-smelling, watery stools, diarrhea for 5 to 7 days
2. Vomiting for approximately 2 days
3. Incubation period: 48 hr
Gastrointestinal Disorders: Dietary Teaching for Celiac Disease - accurate
answers--gluten is not broken down
-avoid foods that contain gluten such as wheat, barley, grains
-rice and quinoa, fruits and vegetables, seeds, legumes, and nuts are
acceptable alternative
-avoid breads, pastas, crackers
Dehydration Acute Infectious Gastrointestinal Disorders Priority Findings for
Gastroenteritis - accurate answers-1. Fatigue, malaise, change in behavior,
change in stool pattern, poor appetite, weight loss, pain, dehydration
2. Tested through blood and stool cultures.
, 3. Commonly caused by Rotavirus, E. coli, salmonella, C. difficult, C. botulinum,
staphyloccous, G. lamblia, shigellosis, calciviruses, and yersinia enterocolitis.
ATI Ch 22
Understanding Pain Managernent: Assessing the Pain Level of a Toddler -
accurate answers-FACES
0: No hurt
1: Hurts a bit
2: Hurts a little more
3: Hurts even more
4: Hurts a whole lot
5: Hurts worse
Antibiotics Affecting Protein Synthesis: Identifying Risk Factors for Hearing
Loss - accurate answers-1. Risk factors for hearing impairments include
exposure to loud environmental sounds, anatomic malformation, maternal
ingestion of toxic substances during pregnancy, perinatal asphyxia, perinatal
infection, chronic ear infection, and ototoxic medications.
2. Hearing defects are often associated with chronic conditions such as Down
syndrome and cerebral palsy
.3. Conductive losses involve interference of sound transmission, which can
result from otitis media, external ear infection, foreign bodies, or excessive ear
wax.ATI Ch 15
Pain Management: Minimizing Procedural Pain for an Infant - accurate
answers-Grimace
crying
Safe Administration of Medication: Actions to Reduce a Child's Pain During
Immunization - accurate answers-*intradermal-- 26 to 30 guage, subq-- 26 to
30 guage,
IM-- 22 to 25 guage, IV 24 to 20 guage
IM should be 1/2 to 1 inch needle*
Determine appropriate parental involvement
Solutions.
Gastrointestinal Structural and Inflammatory Disorders: Manifestations of
Intussusception - accurate answers-1. Sudden episodic abdominal pain,
screaming with drawing knees to chest during episodes of pain, sausage-
shaped abdominal mass, stools mixed with blood and mucus that resemble the
consistency of red currant jelly, vomiting, fever, tender, distended abdomen
2. Detected by ultrasound
3. Nursing care: stabilize the child prior to the procedure. IV fluids. NG tube.
ATI Ch 23
Acute Infectious Appropriate Food Choices Gastrointestinal Disorders: for a
Toddler Who Has Diarrhea-Related Dehydration - accurate answers-1. Acute
diarrhea is a sudden increase in change in consistency of stool. It is usually
secondary to an infectious agent in the GI tract, upper respiratory infection,
urinary tract infection, antibiotic use, or laxative use.
lf-resolution occurs in less than 14 days if dehydration does not occur.
Acute infectious diarrhea is caused by a variety of viral, bacterial,or parasitic
pathogens.
2. start dehydration therapy with oral agent
Cognitive and Sensory Impairments: Identifying Need for Extensive
Assessment of Hearing - accurate answers--risks for hearing impairment:
exposure to loud environmental sounds, atomic malformation, maternal
ingestion of toxic substances during pregnancy, perinatal asphyxia, perinatal
infection, chronic ear infection, and ototoxic medications, chronic conditions
such as Down syndrome and cerebral palsy-signs in infants: lack of startle
reflex, failure to respond to noise, absence of vocalization by 7 months, lack of
response to the spoken word-older children: using gestures rather than
talking after 15 months, failure to develop understood speech by 24, yelling to
express emotions, irritability due to inability to gain attention, seeming shy or
withdrawn, inattentive to surroundings, speaking in monotone, need for
repeated conversation, speaking loudly for situation
Acute Infectious Assessing Moderate to Severe Gastrointestinal Disorders:
Dehydration - accurate answers-Acute diarrhea
, The most common way acute infectious disorders of the GI tract is exhibited
is through diarrhea. Vomiting may also occur.2. Acute infectious causes are
viral, bacterial, or parasitic pathogens.3. Acute diarrhea w/o infectious agents
results from upper respiratory infection, UTI, antibiotic use, or laxative use.4.
Self-resolution occurs in less than 14 days if dehydration does not occur.
Chronic diarrhea
Intermittent but goes on for more than 14 days. May last 2 weeks or more.2. It
is caused by chronic conditions such as malabsorption syndrome, food
allergies, or inflammatory bowel disease.
Risk Factors
Lack of clean water, poor hygiene, crowded living environments, poor
sanitation, and nutritional deficiency.
Subjective and Objective Data
1. Reports of fatigue, malaise, change in behavior, change in stool pattern,
poor appetite, weight loss, and pain.2. Dehydration is the biggest problem to
result from diarrhea so always assess hydration status.
Rotavirus signs and symptoms
1. Onset of foul-smelling, watery stools, diarrhea for 5 to 7 days
2. Vomiting for approximately 2 days
3. Incubation period: 48 hr
Gastrointestinal Disorders: Dietary Teaching for Celiac Disease - accurate
answers--gluten is not broken down
-avoid foods that contain gluten such as wheat, barley, grains
-rice and quinoa, fruits and vegetables, seeds, legumes, and nuts are
acceptable alternative
-avoid breads, pastas, crackers
Dehydration Acute Infectious Gastrointestinal Disorders Priority Findings for
Gastroenteritis - accurate answers-1. Fatigue, malaise, change in behavior,
change in stool pattern, poor appetite, weight loss, pain, dehydration
2. Tested through blood and stool cultures.
, 3. Commonly caused by Rotavirus, E. coli, salmonella, C. difficult, C. botulinum,
staphyloccous, G. lamblia, shigellosis, calciviruses, and yersinia enterocolitis.
ATI Ch 22
Understanding Pain Managernent: Assessing the Pain Level of a Toddler -
accurate answers-FACES
0: No hurt
1: Hurts a bit
2: Hurts a little more
3: Hurts even more
4: Hurts a whole lot
5: Hurts worse
Antibiotics Affecting Protein Synthesis: Identifying Risk Factors for Hearing
Loss - accurate answers-1. Risk factors for hearing impairments include
exposure to loud environmental sounds, anatomic malformation, maternal
ingestion of toxic substances during pregnancy, perinatal asphyxia, perinatal
infection, chronic ear infection, and ototoxic medications.
2. Hearing defects are often associated with chronic conditions such as Down
syndrome and cerebral palsy
.3. Conductive losses involve interference of sound transmission, which can
result from otitis media, external ear infection, foreign bodies, or excessive ear
wax.ATI Ch 15
Pain Management: Minimizing Procedural Pain for an Infant - accurate
answers-Grimace
crying
Safe Administration of Medication: Actions to Reduce a Child's Pain During
Immunization - accurate answers-*intradermal-- 26 to 30 guage, subq-- 26 to
30 guage,
IM-- 22 to 25 guage, IV 24 to 20 guage
IM should be 1/2 to 1 inch needle*
Determine appropriate parental involvement
