ATI RN
ATI Pediatrics Proctored Exam 2023
1. When teaching parents of a school-aged child with a new diagnosis of osteomyelitis of the tibia, which statement by the parents indicates an understanding of the teaching?
- A. My child will have a cast until healing is complete.
- B. My child will receive antibiotics for several weeks.
- C. My child can return to playing sports once he is discharged.
- D. My child needs to be in contact isolation.
Correct answer: B
Rationale: The correct answer is B. Osteomyelitis of the tibia typically requires antibiotic therapy for at least 4 weeks. Surgery may be necessary if the infection does not respond to antibiotics. Weight-bearing should be avoided with osteomyelitis to prevent complications. Choices A, C, and D are incorrect because a cast until healing, returning to sports immediately, and contact isolation are not primary management strategies for osteomyelitis.
2. The healthcare provider is explaining to a 17-year-old female the actions to prevent urinary tract infection. Which is the best beverage for the healthcare provider to recommend to keep urine acidic?
- A. Milk
- B. Grape juice
- C. Apple juice
- D. Orange juice
Correct answer: C
Rationale: To maintain the acidity of urine and potentially prevent urinary tract infections, juices such as apple or cranberry are recommended due to their ability to create an acidic environment in the urinary tract that may help inhibit bacterial growth.
3. What type of mode best describes Kasey's approach when meeting with the principal to change the cafeteria to better accommodate her client with difficulty eating in a noisy and distracting environment?
- A. Collaborating
- B. Instructing
- C. Advocating
- D. Encouraging
Correct answer: C
Rationale: Advocating best describes Kasey's approach in this scenario. Advocating involves presenting stories, research, and ideas to support and champion for a specific cause or individual, in this case, advocating for changes to better meet the child's needs in the cafeteria. Collaborating involves working together with others towards a common goal, instructing involves providing guidance or directions, and encouraging involves giving support or motivation, none of which fully capture Kasey's proactive and supportive advocacy actions in this context.
4. Which menu choices for a child diagnosed with renal failure and experiencing hyperkalemia indicate the need for further instruction by the nurse?
- A. Carrots and green, leafy vegetables
- B. Spaghetti and meat sauce with breadsticks
- C. Hamburger on a bun and cherry gelatin
- D. Chips, cold cuts, and canned foods
Correct answer: A
Rationale: Carrots and green, leafy vegetables are high in potassium, which should be avoided in hyperkalemia. Therefore, this choice requires further instruction by the nurse to prevent exacerbating the child's condition.
5. A parent is receiving discharge teaching following their infant's hypospadias repair. Which instruction should the parent follow?
- A. Apply a warm compress to the infant's surgical site twice daily.
- B. Avoid giving the infant a tub bath for 1 week.
- C. Apply an antibiotic ointment to the infant's penis daily.
- D. Clamp the infant's catheter for 30 minutes every 4 hours.
Correct answer: B
Rationale: After hypospadias repair, it is essential to avoid giving the infant a tub bath for 1 week to prevent infection and promote proper healing. Submerging the surgical site in water too soon can increase the risk of infection and compromise the healing process.
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