ATI RN
ATI Pediatrics Proctored Exam 2023 Quizlet
1. A nurse is teaching a group of parents about preventing childhood obesity. Which of the following instructions should the nurse include?
- A. Serve your child 1 to 2 cups of fruit juice daily
- B. Feed your child whole milk until 2 years of age
- C. Eat at least one fruit or vegetable with each meal
- D. Limit your child's TV watching to 1 to 2 hr per day
Correct answer: D
Rationale: The nurse should instruct parents to limit their child�s TV watching to 1 to 2 hours per day to prevent childhood obesity.
2. A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?
- A. Urinary tract infection
- B. Nephrotic syndrome
- C. Acute glomerulonephritis
- D. Vesicoureteral reflux
Correct answer: A
Rationale: The signs and symptoms of dysuria and urgency in a child with daytime enuresis typically indicate a urinary tract infection (UTI). These symptoms, along with urinary frequency and pain during urination, are common manifestations of a UTI in children. Nephrotic syndrome is characterized by edema, proteinuria, hypoalbuminemia, and hyperlipidemia, rather than dysuria and urgency. Acute glomerulonephritis presents with hematuria, proteinuria, hypertension, and oliguria, not dysuria and urgency. Vesicoureteral reflux can lead to recurrent UTIs but does not directly cause dysuria and urgency.
3. Which statement best describes the use of activity or task analysis?
- A. A foundational tool in occupational therapy for over a century
- B. A technique used to evaluate motor deficits in pediatrics
- C. Recently applied in some areas of pediatric occupational therapy
- D. A tool used exclusively by occupational therapy practitioners
Correct answer: A
Rationale: The correct answer is A: 'A foundational tool in occupational therapy for over a century.' Activity or task analysis has been a fundamental method in occupational therapy for a long time. It involves breaking down activities or tasks into smaller components to understand the skills required and identify areas of difficulty. This process helps occupational therapists develop effective intervention strategies to improve a client's ability to perform daily activities independently. Choices B, C, and D are incorrect because activity or task analysis is not limited to evaluating motor deficits in pediatrics, recently applied only in some areas of pediatric occupational therapy, or exclusively used by occupational therapy practitioners. It is a widely used and established method in the field of occupational therapy.
4. Which statement by the parents indicates understanding of the process involved with a kidney transplant for a child with renal failure?
- A. We are happy that our child will not have to take any more medicine after the transplant.
- B. We understand that our child will not be at risk anymore for catching colds from other children at school.
- C. We will be glad that we will not have to bring our child in to see the doctor again.
- D. We know it is important to ensure that our child takes prescribed medications after the transplant.
Correct answer: D
Rationale: The correct answer is D because parents should understand the importance of medication adherence post-transplant to prevent rejection. Following the prescribed medication regimen is crucial for the success of the kidney transplant and the overall health of the child. Monitoring and ensuring the child takes their medications as directed by the healthcare provider are essential components of post-transplant care. Choices A, B, and C are incorrect because they do not address the critical aspect of medication management post-transplant, which is vital for the child's well-being and the success of the procedure.
5. The healthcare professional is completing the intake and output record for a child admitted for fluid volume deficit. The child has had the following intake and output during the shift: 4 oz of Pedialyte, One-half of an 8-oz cup of clear orange Jell-O, Two graham crackers, 200 mL of D5 1/2 sodium chloride IV. Output: 345 mL of urine, 50 mL of loose stool. How many milliliters should the healthcare professional document as the client's total intake? Give the numerical answer only. Do not include any units of measurement.
- A. 440
- B. 400
- C. 410
- D. 450
Correct answer: A
Rationale: The total intake is 440 mL (4 oz of Pedialyte = 120 mL, half of an 8 oz cup of Jell-O = 120 mL, and 200 mL of IV fluids). The graham crackers are not counted as intake. Therefore, the correct answer is 440. Choice B (400) is incorrect because it does not account for the intake of Jell-O. Choice C (410) is incorrect as it does not include the Pedialyte intake. Choice D (450) is incorrect because it overestimates the total intake by including the graham crackers.
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