ATI RN
ATI Pediatrics Proctored Exam 2023
1. A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to administer?
- A. Furosemide (Lasix)
- B. Hydrochlorothiazide (Aquazide)
- C. Spironolactone (Aldactone)
- D. Mannitol (Osmitrol)
Correct answer: A
Rationale: Furosemide (Lasix) is a loop diuretic that acts on the ascending loop of Henle in the kidney to increase calcium excretion. In the setting of hypercalcemia, where there is an elevated level of calcium in the blood, Furosemide can help promote the elimination of excess calcium through the urine, thereby aiding in the management of hypercalcemia.
2. A healthcare professional is preparing to administer an IV fluid bolus of 500 mL over 4 hours to a client who is dehydrated. The healthcare professional should set the IV pump to deliver how many mL/hr?
- A. 75 mL/hr.
- B. 100 mL/hr.
- C. 125 mL/hr.
- D. 150 mL/hr.
Correct answer: C
Rationale: Setting the IV pump to 125 mL/hr ensures the correct infusion rate for delivering 500 mL over 4 hours. To calculate the mL/hr rate, divide the total volume to be infused (500 mL) by the total time for infusion (4 hours): 500 mL / 4 hours = 125 mL/hr. Choice A (75 mL/hr) is too low and would result in an insufficient infusion rate, potentially delaying fluid resuscitation. Choice B (100 mL/hr) would also be too low and not deliver the fluid within the specified time frame. Choice D (150 mL/hr) is too high and would infuse the fluid too quickly, potentially causing fluid overload and complications.
3. How should a healthcare professional manage a patient with respiratory distress?
- A. Administer bronchodilators
- B. Administer oxygen
- C. Check oxygen saturation
- D. Reposition the patient
Correct answer: B
Rationale: Administering oxygen is crucial in managing a patient with respiratory distress as it helps improve oxygenation and alleviate breathing difficulties. While administering bronchodilators may be beneficial in certain respiratory conditions like asthma or COPD, in a patient with respiratory distress, ensuring adequate oxygen supply takes precedence. Checking oxygen saturation is important, but the immediate intervention to address respiratory distress is providing supplemental oxygen. Repositioning the patient may be helpful in optimizing ventilation but is not the primary intervention in managing acute respiratory distress.
4. When interviewing a new member of the psychology department for the university newspaper, the faculty member states, 'Internal states undoubtedly exist, but it is not necessary to draw inferences about unobservable states in order to understand behavior.' This faculty member's views are most similar to the views held by?
- A. William James.
- B. F. Skinner.
- C. Sigmund Freud.
- D. Carl Rogers.
Correct answer: B
Rationale: F. Skinner's views emphasized the importance of observable behavior and dismissed the need to infer unobservable mental states. This aligns with the faculty member's statement that internal states exist but are not essential for understanding behavior. William James, known for his work in functionalism, did consider internal mental states important. Sigmund Freud focused on unconscious motives and internal conflicts. Carl Rogers emphasized the importance of subjective experiences and personal growth, which differs from the faculty member's perspective.
5. How does the environment interact with genetic predispositions to influence mental health?
- A. The environment has no influence on mental health.
- B. The environment interacts with genetic predispositions to either enhance or mitigate mental health risks.
- C. The environment can only influence physical health, not mental health.
- D. The environment has a minimal effect on mental health outcomes.
Correct answer: B
Rationale: The correct answer is B. The environment interacts with genetic predispositions to either enhance or mitigate mental health risks. This highlights the intricate relationship between one's genetic makeup and the environmental factors they are exposed to, both contributing significantly to mental health outcomes. Choice A is incorrect as numerous studies show that the environment plays a crucial role in mental health. Choice C is incorrect as the environment can influence both physical and mental health. Choice D is incorrect as research indicates that the environment can have a substantial impact on mental health outcomes.
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