ATI RN
RN Pediatric Nursing 2023 ATI
1. A patient is taking a first-generation H1 blocker for the treatment of allergic rhinitis. It is most important for the nurse to assess for which adverse effect?
- A. Skin flushing
- B. Wheezing
- C. Insomnia
- D. Dry mouth
Correct answer: D
Rationale: Adverse Effect of Histamine – First Generation H1 blockers include dry mouth.
2. Which statement best reflects the role of the therapeutic relationship in fostering positive behaviors in children?
- A. It may be used as an intervention strategy to help a child with positive behaviors
- B. The relationship with parents or teachers is more important
- C. It is not essential for the child's behaviors
- D. Children will not pay attention to the therapist
Correct answer: A
Rationale: A strong therapeutic relationship can significantly influence the development of positive behaviors in children. When a child feels connected, understood, and supported by a therapist, it can lead to better outcomes in promoting positive behaviors and emotional well-being.
3. The patient with bipolar disorder is being treated with lithium and has a new prescription for captopril for hypertension. The combination of these two drugs makes which assessment particularly important?
- A. Potassium level
- B. Lithium level
- C. Creatinine level
- D. Blood pressure
Correct answer: B
Rationale: When captopril, an ACE inhibitor, is combined with lithium, it can lead to lithium accumulation. Therefore, monitoring lithium levels is crucial to prevent toxicity. While ACE inhibitors like captopril can cause hyperkalemia, renal insufficiency, and hypotension, the risk of these effects is not increased by the combination of lithium and captopril.
4. Which frame of reference emphasizes techniques to teach children movement that resemble coaching?
- A. Motor control/motor learning
- B. Rehabilitation
- C. Biomechanical
- D. Ayres' sensory integration
Correct answer: A
Rationale: The correct frame of reference that emphasizes techniques to teach children movement resembling coaching is Motor control/motor learning. This approach focuses on improving movement skills through techniques that are similar to coaching methods. It helps children develop and refine their motor skills in a structured and goal-oriented manner. Rehabilitation, Biomechanical, and Ayres' sensory integration have different emphases and objectives in therapy, making them incorrect choices for this question.
5. A healthcare provider is assessing the pain level of a three-year-old toddler. Which of the following pain assessment scales should the healthcare provider use?
- A. FACES Pain rating scale
- B. Numeric pain rating scale
- C. CRIES pain assessment scale
- D. Non-communicating children's pain checklist
Correct answer: A
Rationale: The healthcare provider should use the FACES pain rating scale for pediatric clients who are 3 years old and older. This scale allows the toddler to point to the face that depicts the current level of pain, making it a suitable choice for non-verbal or young children who may have difficulty expressing their pain verbally.
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