2024 ATI Nursing Care of Children Wn23 NS
122 New Latest Version Updated 2024-2025 with
All Questions, Answers and Rationale
Question 1:
The nurse is talking with the caregiver of a 13-year-old diagnosed with
scoliosis.
The child has come to the clinic to be fitted with a brace to begin her treatment.
The child appears upset and angry and states, "I hate this brace; I hate it
already." In an effort to support this child, which statement would be the most
appropriate for the nurse to make to this child's caregiver?
A. "If you can afford it, let your daughter choose an article or two of clothing
that she can wear with the brace that will help her feel that she looks good.".
B. "Remind your child that her spine needs to be corrected in order to keep her
whole musculoskeletal system healthy for a long, long time.".
C. "Children her age often withdraw during stressful times: let her have some time
alone to think about the situation and to get used to the brace.".
D. "Take your daughter to an oncology floor for a few minutes so she can see
children who are much sicker than she is.".
Show correct answer and explanation
Explanation
Allowing the child to choose an article or two of clothing that she can wear with
the brace can help her feel more confident and in control of her appearance.
This can help her feel better about wearing the brace and improve her overall
attitude toward the treatment.
,Choice B is not the best answer because it focuses on the long-term benefits of
the treatment without addressing the child’s immediate concerns and emotions.
Choice C is not the best answer because it suggests that the child should be left
alone to deal with her emotions, which may not be helpful in this situation.
Choice D is not the best answer because it suggests comparing the child’s
situation to others who are sicker, which may not be helpful or appropriate.
Question 2:
A nurse is reinforcing teaching with the mother of a 2-month-old infant whose
provider applied a Pavlik harness 1 week earlier for the treatment of
developmental hip dysplasia.
Which of the following statements by the mother indicates an understanding
of the teaching?
,A. "I will adjust the harness straps every day.".
B. "I will place the diaper over the harness.".
C. "I will gently massage lotion on his skin around the harness clasps.".
D. "I will check my baby's skin three times each day.".
Show correct answer and explanation
Explanation
Checking the baby’s skin three times each day can help the mother monitor for
any skin irritation or breakdown caused by the harness.
This can help prevent complications and ensure that the harness is being used
safely and effectively.
Choice A is not the best answer because the mother should not adjust the
harness straps on her own.
This should be done by a healthcare provider to ensure that the harness is
properly fitted.
Choice B is not the best answer because the diaper should be placed under the
harness, not over it.
Choice C is not the best answer because massaging lotion on the skin around
the harness clasps may not be necessary and could potentially cause skin
irritation.
Question 3:
, The nurse is teaching family members of a child newly diagnosed with
muscular dystrophy about early signs.
The nurse knows that teaching was successful when a parent states that which
of the following signs may indicate the condition early?
A. High fevers and tiredness.
B. Increased muscle strength.
C. Respiratory infections and obesity.
D. Difficulty climbing stairs.
Show correct answer and explanation
Explanation
Difficulty climbing stairs is an early sign of muscular dystrophy.
This is because the condition causes progressive muscle weakness, which can
make it difficult for the child to perform physical activities that require muscle
strength.
122 New Latest Version Updated 2024-2025 with
All Questions, Answers and Rationale
Question 1:
The nurse is talking with the caregiver of a 13-year-old diagnosed with
scoliosis.
The child has come to the clinic to be fitted with a brace to begin her treatment.
The child appears upset and angry and states, "I hate this brace; I hate it
already." In an effort to support this child, which statement would be the most
appropriate for the nurse to make to this child's caregiver?
A. "If you can afford it, let your daughter choose an article or two of clothing
that she can wear with the brace that will help her feel that she looks good.".
B. "Remind your child that her spine needs to be corrected in order to keep her
whole musculoskeletal system healthy for a long, long time.".
C. "Children her age often withdraw during stressful times: let her have some time
alone to think about the situation and to get used to the brace.".
D. "Take your daughter to an oncology floor for a few minutes so she can see
children who are much sicker than she is.".
Show correct answer and explanation
Explanation
Allowing the child to choose an article or two of clothing that she can wear with
the brace can help her feel more confident and in control of her appearance.
This can help her feel better about wearing the brace and improve her overall
attitude toward the treatment.
,Choice B is not the best answer because it focuses on the long-term benefits of
the treatment without addressing the child’s immediate concerns and emotions.
Choice C is not the best answer because it suggests that the child should be left
alone to deal with her emotions, which may not be helpful in this situation.
Choice D is not the best answer because it suggests comparing the child’s
situation to others who are sicker, which may not be helpful or appropriate.
Question 2:
A nurse is reinforcing teaching with the mother of a 2-month-old infant whose
provider applied a Pavlik harness 1 week earlier for the treatment of
developmental hip dysplasia.
Which of the following statements by the mother indicates an understanding
of the teaching?
,A. "I will adjust the harness straps every day.".
B. "I will place the diaper over the harness.".
C. "I will gently massage lotion on his skin around the harness clasps.".
D. "I will check my baby's skin three times each day.".
Show correct answer and explanation
Explanation
Checking the baby’s skin three times each day can help the mother monitor for
any skin irritation or breakdown caused by the harness.
This can help prevent complications and ensure that the harness is being used
safely and effectively.
Choice A is not the best answer because the mother should not adjust the
harness straps on her own.
This should be done by a healthcare provider to ensure that the harness is
properly fitted.
Choice B is not the best answer because the diaper should be placed under the
harness, not over it.
Choice C is not the best answer because massaging lotion on the skin around
the harness clasps may not be necessary and could potentially cause skin
irritation.
Question 3:
, The nurse is teaching family members of a child newly diagnosed with
muscular dystrophy about early signs.
The nurse knows that teaching was successful when a parent states that which
of the following signs may indicate the condition early?
A. High fevers and tiredness.
B. Increased muscle strength.
C. Respiratory infections and obesity.
D. Difficulty climbing stairs.
Show correct answer and explanation
Explanation
Difficulty climbing stairs is an early sign of muscular dystrophy.
This is because the condition causes progressive muscle weakness, which can
make it difficult for the child to perform physical activities that require muscle
strength.
