ATI RN
ATI Pediatrics Proctored Exam 2023
1. 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.
2. The nurse is planning care for a school-age client who is postoperative for the surgical removal of the appendix. In addition to pharmacologic pain management, what should the nurse include in the plan of care to address pain?
- A. Applying a warm, moist pack every 4 hours
- B. Applying EMLA cream to the incision site prior to ambulation
- C. Applying a cold, moist pack every 2 hours
- D. Applying a pillow against the abdomen to splint the incision site when coughing
Correct answer: D
Rationale: After an appendectomy, applying a pillow against the abdomen to splint the incision site when coughing helps reduce pain by providing support and minimizing movement that could cause discomfort.
3. An 80-year-old patient with a history of renal insufficiency was recently started on cimetidine. Which assessment finding indicates that the patient may be experiencing an adverse effect of the medication?
- A. Pain with urination
- B. New onset disorientation to time and place
- C. HR changes from a baseline of 70-80bpm to 110-120bpm
- D. #ERROR!
Correct answer: B
Rationale: The correct answer is B: New onset disorientation to time and place. Cimetidine can cause adverse effects on the CNS system, especially in elderly patients with renal or hepatic impairment. This may manifest as confusion, hallucinations, lethargy, restlessness, or seizures. Pain with urination (choice A) is not typically associated with cimetidine use, and HR changes (choice C) are more likely related to other factors. Choice D is not a valid option.
4. A parent of an infant with diaper dermatitis is being taught by a nurse. Which of the following instructions should the nurse include?
- A. Use baby wipes that contain alcohol to clean the baby's skin.
- B. Expose the baby's skin to air.
- C. Use a blow dryer on the warm setting to dry the baby's skin.
- D. Give the baby a bath once a week.
Correct answer: B
Rationale: The nurse should instruct the parent to expose the infant's skin to air as it helps in promoting the healing process of diaper dermatitis by allowing the skin to breathe and reducing moisture, which can worsen the condition.
5. What is the goal of pharmacologic therapy in the treatment of Parkinson�s disease?
- A. To increase the amount of acetylcholine at the pre-synaptic neurons
- B. To reduce the amount of dopamine available in the substantia nigra
- C. To balance cholinergic and dopaminergic activity in the brain
- D. To block dopamine receptors in pre-synaptic and post-synaptic neurons
Correct answer: C
Rationale: Parkinson�s disease results from a decrease in dopaminergic (inhibitory) activity, leaving an imbalance with too much cholinergic (excitatory) activity. With an increase in dopamine, the neurotransmitter activity becomes more balanced, and symptoms are controlled.
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