ATI RN
ATI Pediatrics Proctored Exam 2023
1. When teaching a parent of a toddler with a new prescription for liquid ferrous sulfate, which of the following instructions should the nurse include?
- A. Mix the medication with milk.
- B. Give the medication with orange juice.
- C. Give the medication with meals.
- D. Administer the medication with an antacid.
Correct answer: B
Rationale: The correct answer is to give the medication with orange juice. Orange juice helps increase the absorption of iron from ferrous sulfate. This acidic environment aids in the absorption of iron, making it a suitable choice for administration. Mixing the medication with milk or an antacid may decrease iron absorption, and giving it with meals may not optimize its absorption as effectively as with orange juice.
2. What is the recommended sleep duration for 14-17-year-olds?
- A. 14-17 hours
- B. 8-10 hours
- C. 12-15 hours
- D. 9-11 hours
Correct answer: B
Rationale: The recommended sleep duration for adolescents aged 14-17 is 8-10 hours to promote optimal health. Getting enough sleep is crucial for their physical and mental well-being, as it supports growth, development, learning, and overall health.
3. Which assessment data would cause suspicion that a 3-year-old child has Hirschsprung disease?
- A. Clay-colored stools and dark urine
- B. History of early passage of meconium in the newborn period
- C. History of chronic, progressive constipation and failure to gain weight
- D. Continual bouts of foul-smelling diarrhea
Correct answer: C
Rationale: Hirschsprung disease is characterized by chronic, progressive constipation and failure to gain weight. These symptoms are indicative of the disorder due to the absence of ganglion cells in the distal colon, leading to impaired motility and obstruction.
4. 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.
5. The healthcare provider is providing teaching about Social Development to the parents of a preschooler. Which of the following play activities should the provider recommend for the child?
- A. Playing pat-a-cake
- B. Using a push-pull toy
- C. Creating a scrapbook
- D. Playing dress-up
Correct answer: D
Rationale: During the preschool age, play activities should promote social, mental, and physical development. Playing dress-up encourages imagination, creativity, and social interaction, making it an ideal play activity for preschoolers.
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