MATERNAL CHILD HEALTH NURSING: Nursing Care
Of Children I (ATI Testing - Learning System RN 2.0)
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
- Minimize physical contact with the child initially
*The nurse should initially minimize physical contact with the toddler, and then
progress from the least traumatic to the most traumatic procedures.
A nurse is developing a plan of care for a school-age child who underwent a
surgical procedure that resulted in a temporary loss of vision. Which of the
following interventions should the nurse include in the plan of care?
- Explain sounds the child is hearing
*The noises in a facility can be frightening to a child who is experiencing a sensory
loss. It is important to explain these noises to allay the child's fears.
A nurse is preparing to administer a liquid medication to an infant. Which of the
following actions should the nurse take?
- Give the medication at the side of the infant's mouth
*When administering medication to an infant, a needleless oral syringe or
medicine dropper is placed in the side of the mouth (buccal cavity alongside the
tongue) to prevent gagging and aspiration.
A nurse is assessing a 9-month-old infant during a well-child visit. Which of the
following findings indicates that the infant has a developmental delay?
- Inability to Vocalize vowel sounds
*The infant should begin vocalizing vowel sounds at the age of 7 months, and by
the age of 10 months, be able to say at least one word.
, A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride
100 mL IV to infuse over 4 hours. The drop factor of the manual IV tubing is 60
gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
(Round the answer to the nearest whole number. use a leading zero if it applies. Do
not use a trailing zero.) - 25 gtt/min
*Dimensional Analysis
Step 1: What is the unit of measurement to calculate? gtt/min
Step 2: What is the volume needed? 100 mL
Step 3: What is the total infusion time? 4 hours
Step 4: Should the nurse convert the units of measurement? Yes (min does not
equal hr)
Step 5: Set up an equation and solve for X.
X = Quantity / 1 mL x Conversion (hr) / Conversion (min) x Volume (mL) / Time
(hr)
X gtt/min = 60 gtt/1 mL x 1 hr/60 min x 100 mL/4 hr
X = 25
Step 6: Round if necessary.
Step 7: Reassess to determine whether the amount to administer makes sense. If
the prescription reads 100 mL of 0.9% sodium chloride IV to infuse over 4 hours,
it makes sense to administer 25 gtt/min. The nurse should set the manual IV
infusion to deliver 0.9% sodium chloride IV at 25 gtt/min.
A nurse is planning to implement relaxation strategies with a young child prior to a
painful procedure. Which of the following actions should the nurse take?
- Rock the child in long rhythmic movements
*The nurse can implement relaxation strategies by sitting with the child in a well-
supported position such as against the chest, and then rocking or swaying back and
forth in long, wide movements.
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead
level of 3 mcg/dL. When teaching the toddler's parent about the correlation of
Of Children I (ATI Testing - Learning System RN 2.0)
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
- Minimize physical contact with the child initially
*The nurse should initially minimize physical contact with the toddler, and then
progress from the least traumatic to the most traumatic procedures.
A nurse is developing a plan of care for a school-age child who underwent a
surgical procedure that resulted in a temporary loss of vision. Which of the
following interventions should the nurse include in the plan of care?
- Explain sounds the child is hearing
*The noises in a facility can be frightening to a child who is experiencing a sensory
loss. It is important to explain these noises to allay the child's fears.
A nurse is preparing to administer a liquid medication to an infant. Which of the
following actions should the nurse take?
- Give the medication at the side of the infant's mouth
*When administering medication to an infant, a needleless oral syringe or
medicine dropper is placed in the side of the mouth (buccal cavity alongside the
tongue) to prevent gagging and aspiration.
A nurse is assessing a 9-month-old infant during a well-child visit. Which of the
following findings indicates that the infant has a developmental delay?
- Inability to Vocalize vowel sounds
*The infant should begin vocalizing vowel sounds at the age of 7 months, and by
the age of 10 months, be able to say at least one word.
, A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride
100 mL IV to infuse over 4 hours. The drop factor of the manual IV tubing is 60
gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
(Round the answer to the nearest whole number. use a leading zero if it applies. Do
not use a trailing zero.) - 25 gtt/min
*Dimensional Analysis
Step 1: What is the unit of measurement to calculate? gtt/min
Step 2: What is the volume needed? 100 mL
Step 3: What is the total infusion time? 4 hours
Step 4: Should the nurse convert the units of measurement? Yes (min does not
equal hr)
Step 5: Set up an equation and solve for X.
X = Quantity / 1 mL x Conversion (hr) / Conversion (min) x Volume (mL) / Time
(hr)
X gtt/min = 60 gtt/1 mL x 1 hr/60 min x 100 mL/4 hr
X = 25
Step 6: Round if necessary.
Step 7: Reassess to determine whether the amount to administer makes sense. If
the prescription reads 100 mL of 0.9% sodium chloride IV to infuse over 4 hours,
it makes sense to administer 25 gtt/min. The nurse should set the manual IV
infusion to deliver 0.9% sodium chloride IV at 25 gtt/min.
A nurse is planning to implement relaxation strategies with a young child prior to a
painful procedure. Which of the following actions should the nurse take?
- Rock the child in long rhythmic movements
*The nurse can implement relaxation strategies by sitting with the child in a well-
supported position such as against the chest, and then rocking or swaying back and
forth in long, wide movements.
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead
level of 3 mcg/dL. When teaching the toddler's parent about the correlation of
