ATI RN
RN Nursing Care of Children 2019 With NGN
1. A 2-year-old child has a chronic history of constipation and is brought to the clinic for evaluation. What should the therapeutic plan initially include?
- A. Bowel cleansing
- B. Dietary modification
- C. Structured toilet training
- D. Behavior modification
Correct answer: B
Rationale: Dietary modification is often the first step in managing chronic constipation in children, focusing on increasing fiber and fluid intake. Other interventions like bowel cleansing and toilet training may follow if dietary changes are insufficient.
2. Which of the following statements about Z-Track technique is false?
- A. Z-Track injections prevent irritation of the subcutaneous tissues
- B. The technique involves creating a Zig-Zag like pattern of medication
- C. It forces the medication to be contained in the subcutaneous tissues
- D. It is used when administering Parenteral Iron
Correct answer: B
Rationale: The Z-Track technique is aimed at preventing medication leakage into the surrounding tissues by sealing the medication in the muscle, not by creating a Zig-Zag pattern. Choice A is correct as Z-Track injections help prevent irritation. Choice C is correct as it accurately describes how the technique works. Choice D is also correct as the Z-Track technique is commonly used when administering Parenteral Iron to prevent staining and irritation of the surrounding tissues.
3. Onset frequently occurs after the age of 40.
- A. Type 1 Diabetes
- B. Type 2 Diabetes
- C.
- D.
Correct answer: B
Rationale: The correct answer is B, Type 2 Diabetes. Type 2 Diabetes commonly presents with an onset after the age of 40, although it is now also seen in younger individuals due to lifestyle factors such as poor diet and lack of exercise. Type 1 Diabetes, on the other hand, typically develops in childhood or adolescence and is not associated with age over 40. Choices C and D are left blank as they are not relevant to the question.
4. What is the first action for a healthcare provider when a patient experiences a fall?
- A. Assess the patient for injuries
- B. Call for help
- C. Document the fall
- D. Notify the healthcare provider
Correct answer: A
Rationale: The correct answer is to 'Assess the patient for injuries' when a patient experiences a fall. This is crucial to promptly identify any injuries and provide appropriate care. Calling for help may be necessary, but assessing the patient's condition takes precedence to ensure immediate attention to any injuries. Documenting the fall and notifying the healthcare provider would follow after the initial assessment and necessary actions have been taken.
5. What is extinction and how might it be used in treating a disorder?
- A. Extinction strengthens the conditioned response by continuously pairing the conditioned stimulus with the unconditioned stimulus.
- B. Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus.
- C. Extinction is ineffective and is not used in treating disorders.
- D. Extinction is the process of intensifying the conditioned response by pairing the conditioned stimulus with a stronger unconditioned stimulus.
Correct answer: B
Rationale: The correct answer is B. Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus. This helps in reducing or eliminating undesired behaviors. Choice A is incorrect because extinction does not strengthen the conditioned response but weakens it. Choice C is also incorrect as extinction is a valid technique used in treating disorders by reducing unwanted behaviors. Choice D is incorrect as extinction does not involve intensifying the conditioned response but rather diminishing it.
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