ATI RN
ATI Pediatrics Proctored Exam 2023
1. The nurse is teaching a patient with cancer about a new prescription for a fentanyl patch, 25mcg/hr. for chronic back pain. Which statement is the most appropriate to include in the teaching plan.
- A. You will need to change this patch every day, regardless of your pain level.
- B. This type of pain medication is not as likely to cause breathing problems.
- C. With the first patch, it will take about 24hrs before you feel the full effects.
- D. Use your heating pad for the back pain. It will also improve the patch�s effectiveness.
Correct answer: C
Rationale: Full analgesic effects can take up to 24 hours to develop with fentanyl patches. Most patches are changed every 72 hours. Has the same adverse effects as other opioids, including respiratory depression. Should avoid exposing the patch to external heat sources, because this may increase toxicity.
2. Which type of parenting style is associated with children who rank higher on many measures of social and cognitive development?
- A. Warm, responsive, positive
- B. Neutral, rigid, critical
- C. Absent, unstructured, negative
- D. Cold, neglectful, negative
Correct answer: A
Rationale: Research has shown that a warm, responsive, and positive parenting style is associated with children who rank higher on many measures of social and cognitive development. This style promotes secure attachment, emotional regulation, and overall well-being in children. In contrast, parenting styles characterized by neutrality, rigidity, negativity, or neglect have been linked to poorer outcomes in children's development. Understanding different parenting styles can help professionals tailor interventions to support families effectively and respectfully.
3. The healthcare provider should question an order for glucocorticoids in the treatment of a patient with what condition?
- A. Systemic fungal infection
- B. Diabetes Mellitus
- C. Myasthenia Gravis
- D. Glaucoma
Correct answer: A
Rationale: Glucocorticoids are contraindicated in the treatment of a patient with systemic fungal infection or in patients receiving live vaccines due to their immunosuppressive effects. Glucocorticoids can exacerbate fungal infections by suppressing the immune response. While caution is advised in patients with diabetes mellitus, myasthenia gravis, and glaucoma, the presence of a systemic fungal infection warrants questioning the use of glucocorticoids to prevent worsening of the fungal infection.
4. Which statement is not part of the developmental care approach?
- A. Family-centered care
- B. Care on a sliding payment scale
- C. Healing environment
- D. Protected sleep
Correct answer: B
Rationale: The developmental care approach emphasizes creating an environment that supports the infant's developmental needs, including family-centered care, a healing environment, and promoting protected sleep. Payment scale considerations are not a component of developmental care.
5. Which statement fosters cultural competence?
- A. Treat everyone the same regardless of their culture
- B. Provide an outline of your beliefs as a starting point
- C. Acknowledge and respond to influences of cultural beliefs in the intervention plan
- D. Ask the family to outline how their beliefs will influence therapy
Correct answer: C
Rationale: Cultural competence involves recognizing and considering the impact of cultural beliefs on individuals. By acknowledging and responding to these cultural influences in the intervention plan, professionals can tailor their approach effectively and respectfully. This approach helps build trust, enhances communication, and improves outcomes in culturally diverse settings.
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