ATI RN
ATI Pediatrics Proctored Exam 2023 Quizlet
1. A child is being assessed for acute poststreptococcal glomerulonephritis (APSGN). Which of the following findings should the nurse expect?
- A. Hematuria
- B. Polyuria
- C. Hypertension
- D. Diarrhea
Correct answer: C
Rationale: In acute poststreptococcal glomerulonephritis (APSGN), hypertension is a common finding due to fluid retention and decreased kidney function. This condition often presents with hypertension as a result of sodium and water retention, as well as reduced glomerular filtration rate. Hematuria, not diarrhea, is also a common symptom of APSGN due to inflammation and damage to the glomeruli. Polyuria, an increase in urine output, is not a typical finding in APSGN unless severe kidney damage leads to decreased urine concentrating ability.
2. When educating a patient about sildenafil (Viagra), which adverse effect should be a priority for the patient to report to his prescriber?
- A. Flushing
- B. Diarrhea
- C. Hearing loss
- D. Dyspepsia
Correct answer: C
Rationale: The correct answer is 'C: Hearing loss.' In rare cases, Viagra has been associated with sudden hearing loss, typically in one ear, which can be partial or complete. Any onset of hearing problems while using Viagra should be reported promptly to the prescriber. It is recommended to discontinue the medication if it is used for erectile dysfunction. 'Flushing,' 'Diarrhea,' and 'Dyspepsia' are known adverse effects of Viagra but are generally less serious compared to hearing loss.
3. Which statement is true regarding playful children?
- A. They exhibit flexible problem-solving.
- B. They have low intelligence scores.
- C. They need clear rules and directions to succeed.
- D. They do not perform well in school.
Correct answer: A
Rationale: The correct statement is that playful children exhibit flexible problem-solving. Playful children often engage in creative and imaginative thinking, allowing them to approach problems in unique ways. This fosters better problem-solving abilities compared to those who may be more rigid in their thinking. Choice B is incorrect as there is no direct correlation between being playful and having low intelligence scores. Choice C is incorrect as playful children may thrive in environments that encourage creativity rather than rigid rules. Choice D is incorrect as being playful does not necessarily equate to poor academic performance.
4. A child with nephrotic syndrome has not experienced diuresis after a month on corticosteroids. What protocol can the nurse encourage to induce diuresis?
- A. Ibuprofen, an anti-inflammatory agent
- B. Furosemide (Lasix), a diuretic
- C. Ciprofloxacin (Cipro), an antibiotic
- D. Cyclophosphamide (Cytoxan), an immunosuppressant
Correct answer: B
Rationale: To induce diuresis in a child with nephrotic syndrome who has not responded to corticosteroids, a diuretic like Furosemide (Lasix) is appropriate. Furosemide helps increase urine production and reduce fluid retention. Ibuprofen is an anti-inflammatory agent and does not directly induce diuresis. Ciprofloxacin is an antibiotic and is not used to promote diuresis. Cyclophosphamide is an immunosuppressant, not an antisuppressant, and is not typically used to induce diuresis in nephrotic syndrome.
5. Why is it important to share information with the family about why you are asking certain things as you evaluate the child?
- A. It helps them to understand the role of occupational therapy
- B. It establishes your goals with the family up front
- C. It communicates your level of expertise to the family
- D. It allows them to understand your point of view
Correct answer: A
Rationale: Sharing information with the family about the reasons for your questions is crucial as it helps them comprehend the purpose and role of occupational therapy in the evaluation process. This transparency fosters trust, collaboration, and empowers families to actively engage in the therapy journey. Choice B is incorrect because while it is essential to establish goals with the family, the focus here is on sharing information about the evaluation process. Choice C is incorrect as the main purpose is not to showcase expertise but rather to involve the family in understanding the assessment. Choice D is incorrect as the primary goal is not for the family to understand your point of view, but rather the purpose of the evaluation within the occupational therapy context.
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