VATI ATI child test.
h h h
Ahnursehishteachinghthehparentshofhanhinfanthhowhtohadministerhantibioticheardrops.hWhichhofhthehfollowinghinstruc
tionshshouldhthehnursehincludehinhthehteaching?
Chillhthehmedicationhpriorhtohadministration.h
Thehnursehshouldhinstrucththehparentshthaththehotichsolutionhshouldhbehathroomhtemperaturehbeforehinstillinghinhth
ehearhtohminimizehdiscomfort.
Pullhthehpinnahuphandhbackhduringhmedicationhadministration.
Thehnursehshouldhinstrucththehparentshtohgentlyhpullhthehpinnahdownwardhandhstraighthbackhduringhadministratio
nhofhthehmedicationhtohthehinfant.hThishpositionshthehearhcanalhandheustachianhtubehtohensurehcorrecthplacementhof
h thehmedication.
Hyperextendhthehinfant'shneckhduringhmedicationhadministration.
Thehnursehshouldhnothinstrucththehparentshtohhyperextendhthehinfant'shneckhwhenhadministeringhearhdrops,hashthis
h ishthehpositionhusedhtohadministerhnasalhmedications.hThehnursehshouldhinstrucththehparentshtohturnhthehinfant'shh
eadhtohthehappropriatehsidehwhilehinhthehpronehorhsupinehposition.hAfterhinstillinghthehmedication,hthehparentshsho
uldhkeephthehinfanthinhahlateralhpositionhforhahfewhminuteshtohensurehthehmedicationhreacheshthehtargetharea.h
Massagehthehanteriorhareahofhthehearhfollowinghadministration.
MY h
ANSWER
Thehnursehshouldhinstrucththehparentshtohmassagehthehanteriorhareahofhthehear,hjusthinhfronthofhthehtragus,hfollowin
ghadministrationhtohfacilitatehinstillationhofhthehmedicationhintohthehearhcanal.hThishactionhassistshthehmedicationhin
h reachinghthehtargetharea.h
Ahnursehishprovidinghahpresentationhforhparentshofhahtoddlerhabouthpreventinghchildhoodhbu
rns.hWhichhofhthehfollowinghstatementshbyhahparenthindicateshanhunderstandinghofhthehteachi
ng?
"Ihwillhchangehthehbatterieshinhourhsmokehdetectorsheveryh24hmonths."
Parentshshouldhchangehthehbatterieshinhtheirhsmokehdetectorsh1htoh2htimeshahyearhtohensureht
hehdeviceshfunctionhproperlyhandhcontinuously.
,"IhwillhturnhpothhandleshturnedhtowardhmehwhenhIhamhcooking."
Parentshshouldhkeephpothhandleshturnedhtowardhthehbackhofhthehstovehathallhtimeshtohpreven
ththehtoddlerhfromhpullinghdownhonhthehhandleshandhspillinghhothcontents,hinflictinghserioush
burns.
"Ihdon'thneedhtohapplyhsunscreenhtohmyhchildhifhhehishoutsidehafterh3hp.m.”
ParentshshouldhapplyhsunscreenhofhSPFh15horhgreaterhwheneverhchildrenharehoutdoors.hTheh
nursehshouldhsuggesththehparentshkeephchildrenhindoorshduringh10ha.m.htoh2hp.m.hwhenhthehr
iskhforhsunburnshishthehgreatest.
"Ihwillhplughprotectivehguardshintohmyhelectricalhoutlets."h
MY h
ANSWER
Parentshshouldhplughprotectivehguardshintohelectricalhoutletshorhplacehfurniturehinhfronthofhth
ehoutletshtohprotecththehtoddlerhfromhelectricalhshockhorhburns.h
3.hAhnursehishteachinghahgrouphofhnewhparentshabouthexpectedhlanguagehdevelopment.hThehn
ursehshouldhincludehthathahchildhshouldhbeginhtohspeakh10horhmorehwordshabouthwhichhofhth
ehfollowinghages?h
6hmonths
Thehnursehshouldhexpecthinfantshtohbeginhaddinghconsonantshtohsimplehsyllablesh(“da-da,wa-
wa”)handhbeginhtohimitatehsoundsharoundh6hmonthshofhage.h
10hmonths
Thehnursehshouldhexpecthanhinfanthtohbeginhspeakinghtheirhfirsthwordshwithhmeaningharound
h10hmonthshofhage.
18hmonths
MY h
ANSWER
Thehnursehshouldhexpecthahtoddlerhtohspeakh10horhmorehwordsharoundh18hmonthshofhage.hTh
ehtoddlerhshouldhalsohformhsimplehwordhcombinations.h
,24hmonths
Thehnursehshouldhexpecthahtoddlerhtohspeakhapproximatelyh300hwordsharoundh24hmonthshof
hage.hThehtoddlerhshouldhalsohusehtwo-handhthree-wordhphraseshandhpronouns.h
4.hAhnursehinhthehemergencyhdepartmenthishcaringhforhahpreschool-
agehchildhwhohhashhemophiliahAhandhsustainedhanhabdominalhtraumahfollowinghahmotorhvehi
clehcrash.hWhichhofhthehfollowinghactionshshouldhthehnursehtake?h(Selecthallhthathapply.)
AdministerhfactorhVIII.
Assesshforhchangeshinhlevelhofhconsciousness.h
Applyhahwarminghblankethoverhthehchild.h
Performhpassivehrangehofhmotionhhourly.h
AdministerhfactorhIX.
MY h
ANSWER
AdministerhfactorhVIIIhishcorrect.hHemophiliahAhishahbleedinghdisorderhcausedhbyhahfactorh
VIIIhdeficiency;htherefore,hthehnursehshouldhplanhtohadministerhfactorhVIIIhprophylacticallyht
ohpreventhorhminimizehbleeding.
Assesshforhchangeshinhlevelhofhconsciousnesshishcorrect.hHemophiliahAhcanhcausehcerebra
lhbleeding;htherefore,hthehnursehshouldhassesshthehchildhforhheadacheshandhdecreasedhlevelho
fhconsciousness.
Applyhahwarminghblankethoverhthehchildhishincorrect.hThehnursehshouldhapplyhicehorhcold
hpackshtohthehchildhtohvasoconstricththehchild'shbloodhflow.
Performhpassivehrangehofhmotionhhourlyhishincorrect.hThehnursehshouldhresththehjointshd
uringhthehacutehphasehofhbleedinghtohpreventhstretchinghthehjointhorhbleedinghtohrecur.
AdministerhfactorhIXhishincorrect.hThehnursehshouldhidentifyhthathchildrenhwhohhavehhem
ophiliahBhhavehahdeficiencyhinhfactorhIXhandhthehnursehshouldhplanhtohadministerhfactorhIXhpr
ophylacticallyhtohpreventhorhminimizehbleeding.
, 5.
Ahnursehishcreatinghahplanhofhcarehforhahschool-agehchildhwhohhashmoderatehpartial-
thicknesshburnshonhbothhlowerhextremities.hWhichhofhthehfollowinghinterventionshshouldhthe
hnursehincludehinhthehplan?
Maintainhaseptichtechniquehduringhthehchild'shdressinghchanges.
Thehnursehshouldhperformhdressinghchangeshusinghaseptichtechniquehtohpreventhinfection.hD
elayedhwoundhhealinghcanhoccurhduehtohinfection,hwhichhcanhalsohcausehpartial-
thicknesshwoundshtohdevelophintohfull-thicknesshwounds.
Providehlow-caloriehsnackshforhthehchildhseveralhtimesheachhday.
Burnhinjurieshcreatehahhypermetabolichstate,hrequiringhanhincreasehofhuphtohthreehtimeshtheh
normalhcaloriehrequirements.hThehnursehshouldhprovidehhigh-calorie,hhigh-
proteinhsnackshtohpromotehhealinghandhreplacehcalorieshandhproteinshthatharehexpendedhdue
htohthehchild'shincreasedhmetabolism.
Applyhcontinuoushpassivehmotionhdeviceshtohthehchild'shlowerhextremitieshduringhperiodshofh
rest.
Thehnursehshouldhapplyhsplintshtohthehchild'shlowerhextremitieshduringhperiodshofhresthandhsl
eephtohminimizehthehdevelopmenthofhflexionhcontractions.
Administerhpainhmedicationhtohthehchildh30hminhfollowinghphysicalhtherapy.
MY h
ANSWER
Thehnursehshouldhadministerhpainhmedicationhtohthehchildh30htoh45hminhpriorhtohpainfulhpro
cedures,hsuchhashphysicalhtherapyhorhdressinghchanges.hAdequatehpainhcontrolhishneededhsoht
hehchildhwillhactivelyhparticipatehandhcooperatehduringhphysicalhtherapy.
6.
Ahnursehishperforminghanhinitialhphysicalhexaminationhonhahchild.hThehnursehshouldhrecogniz
ehthathwhichhofhthehfollowinghmanifestationshindicateshahpossiblehbrainhtumor?h(Selecthallhth
athapply.)
h h h
Ahnursehishteachinghthehparentshofhanhinfanthhowhtohadministerhantibioticheardrops.hWhichhofhthehfollowinghinstruc
tionshshouldhthehnursehincludehinhthehteaching?
Chillhthehmedicationhpriorhtohadministration.h
Thehnursehshouldhinstrucththehparentshthaththehotichsolutionhshouldhbehathroomhtemperaturehbeforehinstillinghinhth
ehearhtohminimizehdiscomfort.
Pullhthehpinnahuphandhbackhduringhmedicationhadministration.
Thehnursehshouldhinstrucththehparentshtohgentlyhpullhthehpinnahdownwardhandhstraighthbackhduringhadministratio
nhofhthehmedicationhtohthehinfant.hThishpositionshthehearhcanalhandheustachianhtubehtohensurehcorrecthplacementhof
h thehmedication.
Hyperextendhthehinfant'shneckhduringhmedicationhadministration.
Thehnursehshouldhnothinstrucththehparentshtohhyperextendhthehinfant'shneckhwhenhadministeringhearhdrops,hashthis
h ishthehpositionhusedhtohadministerhnasalhmedications.hThehnursehshouldhinstrucththehparentshtohturnhthehinfant'shh
eadhtohthehappropriatehsidehwhilehinhthehpronehorhsupinehposition.hAfterhinstillinghthehmedication,hthehparentshsho
uldhkeephthehinfanthinhahlateralhpositionhforhahfewhminuteshtohensurehthehmedicationhreacheshthehtargetharea.h
Massagehthehanteriorhareahofhthehearhfollowinghadministration.
MY h
ANSWER
Thehnursehshouldhinstrucththehparentshtohmassagehthehanteriorhareahofhthehear,hjusthinhfronthofhthehtragus,hfollowin
ghadministrationhtohfacilitatehinstillationhofhthehmedicationhintohthehearhcanal.hThishactionhassistshthehmedicationhin
h reachinghthehtargetharea.h
Ahnursehishprovidinghahpresentationhforhparentshofhahtoddlerhabouthpreventinghchildhoodhbu
rns.hWhichhofhthehfollowinghstatementshbyhahparenthindicateshanhunderstandinghofhthehteachi
ng?
"Ihwillhchangehthehbatterieshinhourhsmokehdetectorsheveryh24hmonths."
Parentshshouldhchangehthehbatterieshinhtheirhsmokehdetectorsh1htoh2htimeshahyearhtohensureht
hehdeviceshfunctionhproperlyhandhcontinuously.
,"IhwillhturnhpothhandleshturnedhtowardhmehwhenhIhamhcooking."
Parentshshouldhkeephpothhandleshturnedhtowardhthehbackhofhthehstovehathallhtimeshtohpreven
ththehtoddlerhfromhpullinghdownhonhthehhandleshandhspillinghhothcontents,hinflictinghserioush
burns.
"Ihdon'thneedhtohapplyhsunscreenhtohmyhchildhifhhehishoutsidehafterh3hp.m.”
ParentshshouldhapplyhsunscreenhofhSPFh15horhgreaterhwheneverhchildrenharehoutdoors.hTheh
nursehshouldhsuggesththehparentshkeephchildrenhindoorshduringh10ha.m.htoh2hp.m.hwhenhthehr
iskhforhsunburnshishthehgreatest.
"Ihwillhplughprotectivehguardshintohmyhelectricalhoutlets."h
MY h
ANSWER
Parentshshouldhplughprotectivehguardshintohelectricalhoutletshorhplacehfurniturehinhfronthofhth
ehoutletshtohprotecththehtoddlerhfromhelectricalhshockhorhburns.h
3.hAhnursehishteachinghahgrouphofhnewhparentshabouthexpectedhlanguagehdevelopment.hThehn
ursehshouldhincludehthathahchildhshouldhbeginhtohspeakh10horhmorehwordshabouthwhichhofhth
ehfollowinghages?h
6hmonths
Thehnursehshouldhexpecthinfantshtohbeginhaddinghconsonantshtohsimplehsyllablesh(“da-da,wa-
wa”)handhbeginhtohimitatehsoundsharoundh6hmonthshofhage.h
10hmonths
Thehnursehshouldhexpecthanhinfanthtohbeginhspeakinghtheirhfirsthwordshwithhmeaningharound
h10hmonthshofhage.
18hmonths
MY h
ANSWER
Thehnursehshouldhexpecthahtoddlerhtohspeakh10horhmorehwordsharoundh18hmonthshofhage.hTh
ehtoddlerhshouldhalsohformhsimplehwordhcombinations.h
,24hmonths
Thehnursehshouldhexpecthahtoddlerhtohspeakhapproximatelyh300hwordsharoundh24hmonthshof
hage.hThehtoddlerhshouldhalsohusehtwo-handhthree-wordhphraseshandhpronouns.h
4.hAhnursehinhthehemergencyhdepartmenthishcaringhforhahpreschool-
agehchildhwhohhashhemophiliahAhandhsustainedhanhabdominalhtraumahfollowinghahmotorhvehi
clehcrash.hWhichhofhthehfollowinghactionshshouldhthehnursehtake?h(Selecthallhthathapply.)
AdministerhfactorhVIII.
Assesshforhchangeshinhlevelhofhconsciousness.h
Applyhahwarminghblankethoverhthehchild.h
Performhpassivehrangehofhmotionhhourly.h
AdministerhfactorhIX.
MY h
ANSWER
AdministerhfactorhVIIIhishcorrect.hHemophiliahAhishahbleedinghdisorderhcausedhbyhahfactorh
VIIIhdeficiency;htherefore,hthehnursehshouldhplanhtohadministerhfactorhVIIIhprophylacticallyht
ohpreventhorhminimizehbleeding.
Assesshforhchangeshinhlevelhofhconsciousnesshishcorrect.hHemophiliahAhcanhcausehcerebra
lhbleeding;htherefore,hthehnursehshouldhassesshthehchildhforhheadacheshandhdecreasedhlevelho
fhconsciousness.
Applyhahwarminghblankethoverhthehchildhishincorrect.hThehnursehshouldhapplyhicehorhcold
hpackshtohthehchildhtohvasoconstricththehchild'shbloodhflow.
Performhpassivehrangehofhmotionhhourlyhishincorrect.hThehnursehshouldhresththehjointshd
uringhthehacutehphasehofhbleedinghtohpreventhstretchinghthehjointhorhbleedinghtohrecur.
AdministerhfactorhIXhishincorrect.hThehnursehshouldhidentifyhthathchildrenhwhohhavehhem
ophiliahBhhavehahdeficiencyhinhfactorhIXhandhthehnursehshouldhplanhtohadministerhfactorhIXhpr
ophylacticallyhtohpreventhorhminimizehbleeding.
, 5.
Ahnursehishcreatinghahplanhofhcarehforhahschool-agehchildhwhohhashmoderatehpartial-
thicknesshburnshonhbothhlowerhextremities.hWhichhofhthehfollowinghinterventionshshouldhthe
hnursehincludehinhthehplan?
Maintainhaseptichtechniquehduringhthehchild'shdressinghchanges.
Thehnursehshouldhperformhdressinghchangeshusinghaseptichtechniquehtohpreventhinfection.hD
elayedhwoundhhealinghcanhoccurhduehtohinfection,hwhichhcanhalsohcausehpartial-
thicknesshwoundshtohdevelophintohfull-thicknesshwounds.
Providehlow-caloriehsnackshforhthehchildhseveralhtimesheachhday.
Burnhinjurieshcreatehahhypermetabolichstate,hrequiringhanhincreasehofhuphtohthreehtimeshtheh
normalhcaloriehrequirements.hThehnursehshouldhprovidehhigh-calorie,hhigh-
proteinhsnackshtohpromotehhealinghandhreplacehcalorieshandhproteinshthatharehexpendedhdue
htohthehchild'shincreasedhmetabolism.
Applyhcontinuoushpassivehmotionhdeviceshtohthehchild'shlowerhextremitieshduringhperiodshofh
rest.
Thehnursehshouldhapplyhsplintshtohthehchild'shlowerhextremitieshduringhperiodshofhresthandhsl
eephtohminimizehthehdevelopmenthofhflexionhcontractions.
Administerhpainhmedicationhtohthehchildh30hminhfollowinghphysicalhtherapy.
MY h
ANSWER
Thehnursehshouldhadministerhpainhmedicationhtohthehchildh30htoh45hminhpriorhtohpainfulhpro
cedures,hsuchhashphysicalhtherapyhorhdressinghchanges.hAdequatehpainhcontrolhishneededhsoht
hehchildhwillhactivelyhparticipatehandhcooperatehduringhphysicalhtherapy.
6.
Ahnursehishperforminghanhinitialhphysicalhexaminationhonhahchild.hThehnursehshouldhrecogniz
ehthathwhichhofhthehfollowinghmanifestationshindicateshahpossiblehbrainhtumor?h(Selecthallhth
athapply.)
