ATI RN
ATI Pediatric Proctored Exam
1. A 9-month-old infant who is not sitting independently has been diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations would the nurse expect to see in the baby?
- A. Hypotonia and muscle instability
- B. Hypertonia and persistence of primitive reflexes
- C. Tremors and exaggerated posturing
- D. Hemiplegia and hypertonia
Correct answer: A
Rationale: In ataxic cerebral palsy, the characteristic features include hypotonia (low muscle tone) and muscle instability. These manifestations contribute to the infant's difficulty in achieving independent sitting. Hypertonia (increased muscle tone) and persistence of primitive reflexes, as mentioned in option B, are more commonly associated with other types of cerebral palsy like spastic CP. Tremors and exaggerated posturing (option C) are not typical features of ataxic CP. Hemiplegia (paralysis of one side of the body) and hypertonia (increased muscle tone) mentioned in option D are more commonly seen in other types of cerebral palsy, such as spastic CP.
2. A client has a new prescription for enoxaparin. Which of the following instructions should the nurse include?
- A. Take this medication with food to reduce stomach upset.
- B. Inject this medication into the muscle.
- C. Massage the injection site after administering the medication.
- D. Inject this medication into the abdomen.
Correct answer: D
Rationale: The correct answer is D because enoxaparin should be injected into the abdomen to ensure proper absorption. Choice A is incorrect as enoxaparin should not be taken with food. Choice B is incorrect as enoxaparin should be injected subcutaneously, not into the muscle. Choice C is incorrect as massaging the injection site after administering enoxaparin is not recommended.
3. Nurse Edna thinks that the patient is somewhat like his father. She then identifies positive feeling for the patient that affects the objectivity of her nursing care. This emotional reaction is called:
- A. Transference
- B. Counter Transference
- C. Reaction formation
- D. Sympathy
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
4. Which of the following is NOT considered a withdrawal behavior?
- A. Turnover
- B. Strategies
- C. Stress
- D. Punctuality
Correct answer: B
Rationale: The correct answer is B, 'Strategies.' Withdrawal behaviors are actions employees take to mentally escape the work environment. Turnover, stress, and punctuality are examples of withdrawal behaviors. Turnover refers to employees leaving the workplace, stress leads to disengagement, and lack of punctuality can indicate disinterest or withdrawal. 'Strategies' do not fit the definition of withdrawal behaviors, making it the correct answer.
5. A nurse provides discharge instructions to a client about the food items that interact with warfarin effectiveness. Which food item indicates that the teaching was effective?
- A. Cauliflower
- B. Zucchini
- C. Green beans
- D. Broccoli
Correct answer: A
Rationale: Cauliflower is high in vitamin K, which can interact with warfarin.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99