ATI RN
ATI Pediatrics Proctored Exam 2023 Quizlet
1. A child is being cared for by a nurse and has rheumatic fever. Which of the following actions should the nurse plan to take?
- A. Administer aspirin to the child as prescribed based on the healthcare provider's instructions.
- B. Encourage adequate fluid intake for the child.
- C. Elevate the child's joints and provide warm compresses.
- D. Monitor the child's heart rate for dysrhythmias.
Correct answer: D
Rationale: Rheumatic fever can lead to cardiac complications, such as dysrhythmias. Therefore, it is essential for the nurse to monitor the child's heart rate closely for any signs of dysrhythmias. This will help in early identification and prompt management of potential cardiac issues associated with rheumatic fever. Choices A, B, and C are not the priority actions in this scenario. While aspirin may be used in the treatment of rheumatic fever, monitoring for cardiac complications takes precedence. Encouraging fluid intake and providing warm compresses are helpful interventions but do not directly address the cardiac risks associated with rheumatic fever.
2. A client reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?
- A. Decrease bulk in the diet to counteract the adverse effect of diarrhea.
- B. Take the medication with dairy products to increase absorption.
- C. Reduce sodium intake.
- D. Drink a glass of water after taking the medication.
Correct answer: D
Rationale: The correct recommendation for taking calcium carbonate antacid is to drink a glass of water after taking the medication. This practice enhances the effectiveness of the antacid by promoting its dissolution and absorption in the stomach, providing relief from symptoms of heartburn and indigestion. Choices A, B, and C are incorrect. Choice A is not relevant as calcium carbonate antacid does not typically cause diarrhea. Choice B is inaccurate as taking calcium carbonate with dairy products may decrease its absorption due to the presence of calcium in both sources. Choice C is unrelated to the administration of calcium carbonate antacid.
3. A nurse is admitting a client who practices Hinduism. The nurse should identify that which of the following foods is prohibited according to Hindu dietary practices?
- A. Pork
- B. Chicken
- C. Beef
- D. Seafood
Correct answer: C
Rationale: Beef is prohibited in Hindu dietary practices due to religious beliefs.
4. Which information would indicate more teaching is needed regarding hypersensitivity reactions? Type _______ hypersensitivity reactions involve an antibody response.
- A. I
- B. II
- C. III
- D. IV
Correct answer: D
Rationale: The correct answer is D: Type IV hypersensitivity reactions involve cell-mediated immunity, not an antibody response. This question tests knowledge of hypersensitivity reactions and their classification. Type I hypersensitivity reactions involve IgE antibodies, Type II involves IgG or IgM antibodies, and Type III involves immune complex deposition. Type IV hypersensitivity reactions are delayed and involve T cells, not antibodies. Therefore, if a person believes that Type IV hypersensitivity reactions involve an antibody response, more teaching is required.
5. What is the primary goal of care for a client diagnosed with sickle cell anemia?
- A. The client will contact the healthcare provider if feeling unwell.
- B. The client will adhere to the medical regimen.
- C. The client will live as normal a life as possible.
- D. The client will demonstrate understanding of treatments.
Correct answer: C
Rationale: The primary goal of care for a client diagnosed with sickle cell anemia is to help them live as normal a life as possible. This involves managing symptoms, preventing crises, and promoting overall well-being. While options A, B, and D are important aspects of care, the ultimate goal is to enhance the client's quality of life and support them in leading a fulfilling and active lifestyle despite their condition.
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