ATI Proctored Nursing Care of Children
Questions and Correct Answers/ Latest
Update / Already Graded
death and dying: therapeutic communication chapter 11
Ans: allow an opportunity for anticipatory grieving.
consistency among nursing personnel. encourage parents to
remain with client. communicate with the client honestly and
respectfully. encourage independence. provide and clarify
information and explainations. encourage physical contact:
address feelings, and show concern empathy and support.
health promotion of adolescents (12-20 years): informed consent
chapter 7
Ans: Parents do not need to give consent for adolescents to
get tested for STD
infection control: teaching about methicillin-resistant staphylococcus
aureus chapter 11 fundamental
Ans: Treat with vancomycin and linezolid. Obtain specimen for
culture and sensitivity for antimicrobial therapy. Monitor to
make sure therapeutic levels are maintained. Complete full
course of antibioitics. Avoid overuse
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immunizations: recommended schedule for preschool-age child
chapter 35
Ans: 4-6 years: DTaP, MMR, IPV
3-6 years: Flue vaccine
immunizations: schedule for infant immunizations chapter 35
Ans: Birth: Hep B
2 months: DTaP, RV, IPV, Hib, PCV, and Hep B
4 months: DTaP, RV, IPV, Hib, PCV
6 months: DTaP, IVP, PCV, Hep B, RV, Hib
6-12 months: seasonal influenza vaccine
death and dying: age-appropriate response to death chapter 11
Ans: INFANTS/TODDLERS BIRTH TO 3 YEARS
o Have little to no concept of death
o Egocentric thinking prevents their understanding of death
(toddler)
o Mirror parental emotions (sadness, anger, depression,
anxiety).
o Can regress to an earlier stage of behavior.
PRESCHOOL CHILDREN (3 TO 6 YEARS)
o Egocentric Thinking
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o Magical thinking allows for the belief that thoughts can cause
an event such as death (as a result, child can feel guilt and
shame).
o View dying as temporary because of the lack of a concept of
time and because the dead person can still have attributes of
living (sleeping, eating, breathing).
SCHOOL- AGE CHILDREN (6 TO 12 YEARS)
o Begin to have an adult concept of death (inevitable,
irreversible, universal), which generally applies to older school -
age children (9 to 12 years).
o Experience death process, the unknown, and loss of control.
o Fear often displayed through uncooperative behavior.
o Can be curios about funeral services and what happens to the
body after death.
ADOLESCENTS (12 TO 20 YEARS)
o Can have an adult-like concept of death
o Can have difficulty accepting death because they are
discovering who they are, establishing an identity, and dealing
with issues of puberty.
o Can become increasingly stressed by the prospect of death.
dermatitis and acne: evaluating parent understanding of diaper rash
chapter 31
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Ans: Advise parents that their child should avoid bubble baths
and harsh soaps
Encourage children to wear long sleeves and pants when there
is risk of possible exposure to irritants
Educate parents to remove an offending agent as soon as
exposure takes place
Promptly remove the soiled diaper.
Clean urine the perineal area with a nonirritating cleanser.
Expose the affected area to air.
Use superabsorbent disposable diapers to reduce skin
exposure.
Apply a skin barrier, such as zinc oxide. Do not wash it off with
each diaper change
fractures: caring for a client who is in 90/90 skeletal traction 27
Ans: o Maintain body alignment
o Provide pharmacological and nonpharmacological
interventions for the management of pain and muscle spasms.
o Notify provider if the client experiences severe pain from
muscle spasms that is unrelieved by medications or
repositioning.
o Assess and monitor neurovascular status.
o Routinely monitor skin integrity and document findings.
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