ATI RN
Nursing Care of Children ATI
1. A mother has just given birth to a newborn with a cleft lip. Sensing that something is wrong, she starts to cry and asks the nurse, "What is wrong with my baby?" What is the most appropriate nursing action?
- A. Encourage the mother to express her feelings
- B. Explain in simple language that the baby has a cleft lip
- C. Provide emotional support until the practitioner can talk to the mother
- D. Tell the mother a pediatrician will talk to her as soon as the baby is examined
Correct answer: A
Rationale: Encouraging the mother to express her feelings allows her to process the situation and prepares her for receiving further information in a supportive environment.
2. A client is experiencing numbness and tingling distal to a new arm cast with no increase in pain. The nurse assesses that the client’s fingers are pale, cool and swollen. What action does the nurse take next?
- A. Remove the cast to decrease pressure
- B. Raise the arm above the level of the heart
- C. Apply heat to the affected hand
- D. Encourage range of motion
Correct answer: Raise the arm above the level of the heart
Rationale:
3. What are psychology's intellectual parents?
- A. Physics and physiology.
- B. Philosophy and physiology.
- C. Chemistry and physics.
- D. Philosophy and chemistry.
Correct answer: B
Rationale: Psychology's intellectual parents are philosophy and physiology. Philosophy contributed to the early development of psychology by exploring questions about the mind and behavior, while physiology provided a scientific foundation for understanding the biological aspects of human psychology. Choices A, C, and D are incorrect as they do not accurately represent the disciplines that significantly influenced the emergence of psychology as a distinct field of study.
4. What is the initial nursing action for a patient with a chest tube found to have an air leak?
- A. Check the tube connections
- B. Replace the chest tube
- C. Remove and reinsert the chest tube
- D. Document the incident
Correct answer: A
Rationale: When a patient with a chest tube is found to have an air leak, the priority action for the nurse is to check the tube connections. This step helps identify the source of the air leak, which can be caused by loose or disconnected tube connections. Once the source of the leak is identified and addressed, further interventions may be necessary. Replacing or removing and reinserting the chest tube should not be the initial response unless there are specific indications for these actions. Documenting the incident is important but comes after addressing the immediate concern of the air leak.
5. One reason for conducting a comprehensive medical exam on an applicant is:
- A. It is needed to protect the organization from legal actions.
- B. It is required after a strenuous interview.
- C. It is mandated by law.
- D. It is necessary to screen for disabilities that may impact employment.
Correct answer: A
Rationale: Conducting a comprehensive medical exam on an applicant is crucial to protect the organization from legal actions. This examination helps ensure that the applicant meets the health standards required for the job, reducing the risk of potential liabilities for the organization related to health issues that may arise during employment. Choice B is incorrect because the exam is not a follow-up to a strenuous interview. Choice C is incorrect as not all comprehensive medical exams are mandated by law; they are often part of an organization's policy. Choice D is incorrect as the primary goal of the exam is to assess the applicant's health status in relation to the job requirements, not to screen for disabilities.
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