ATI RN
ATI Nursing Care of Children
1. A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
- A. This cannot be prevented
- B. Infants do not feel pain as adults do
- C. This is not a good reason for refusing
- D. A topical anesthetic can be applied
Correct answer: D
Rationale: The nurse should explain that a topical anesthetic can be applied to the injection site before the immunization to reduce discomfort.
2. Which valve opens during ventricular systole and closes during ventricular diastole?
- A. Aortic valve
- B. Pulmonary valve
- C. Mitral valve
- D. Tricuspid valve
Correct answer: B
Rationale: The correct answer is B: Pulmonary valve. The pulmonary valve opens during ventricular systole to allow blood to flow from the right ventricle into the pulmonary artery. The aortic valve opens during ventricular systole to allow blood to flow from the left ventricle into the aorta. The mitral valve and tricuspid valve are atrioventricular valves that open during ventricular diastole to allow blood to flow from the atria into the ventricles.
3. What impact do parenting styles have on child development?
- A. Authoritarian parenting leads to positive developmental outcomes.
- B. Permissive parenting is associated with positive developmental outcomes.
- C. Neglectful parenting is associated with positive developmental outcomes.
- D. All parenting styles produce similar developmental outcomes.
Correct answer: B
Rationale: Permissive parenting is associated with positive developmental outcomes because it involves warmth and a lack of strict control. Authoritarian parenting, as mentioned in choice A, is characterized by strict rules and harsh discipline, which may not lead to the best developmental outcomes. Neglectful parenting, as in choice C, involves a lack of responsiveness and support, which can have detrimental effects on a child's development. Choice D is incorrect because different parenting styles can have varying impacts on child development.
4. An occurrence of too high a concentration of which of the following electrolytes is associated with cardiac arrhythmias?
- A. chloride
- B. phosphorus
- C. potassium
- D. sodium
Correct answer: potassium
Rationale: The correct answer is potassium. High levels of potassium in the blood, known as hyperkalemia, can lead to cardiac arrhythmias by affecting the electrical activity of the heart. This can disrupt the normal rhythm of the heart and lead to serious complications. Chloride, phosphorus, and sodium imbalances are not typically associated with cardiac arrhythmias, making them incorrect choices.
5. A nurse is caring for a client who requires total parenteral nutrition (TPN). Which of the following actions should the nurse take when finding that the TPN solution is infusing too rapidly?
- A. Sit the client upright
- B. Stop the TPN infusion
- C. Turn the client on their left side
- D. Prepare to add insulin to the TPN infusion
Correct answer: B
Rationale: The correct action for the nurse to take when finding that the TPN solution is infusing too rapidly is to stop the TPN infusion. This is crucial to prevent fluid overload and ensure the client's safety. Sitting the client upright (Choice A) or turning the client on their left side (Choice C) are not appropriate responses to a rapidly infusing TPN solution and do not address the immediate issue of preventing complications from the rapid infusion. Adding insulin to the TPN infusion (Choice D) is not indicated unless specifically prescribed by the healthcare provider for the client's condition. Therefore, the priority action is to stop the TPN infusion to prevent potential harm.
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