ATI RN
ATI Pediatrics Proctored Exam 2023 Quizlet
1. When educating a patient about sildenafil (Viagra), which adverse effect should be a priority for the patient to report to his prescriber?
- A. Flushing
- B. Diarrhea
- C. Hearing loss
- D. Dyspepsia
Correct answer: C
Rationale: The correct answer is 'C: Hearing loss.' In rare cases, Viagra has been associated with sudden hearing loss, typically in one ear, which can be partial or complete. Any onset of hearing problems while using Viagra should be reported promptly to the prescriber. It is recommended to discontinue the medication if it is used for erectile dysfunction. 'Flushing,' 'Diarrhea,' and 'Dyspepsia' are known adverse effects of Viagra but are generally less serious compared to hearing loss.
2. A baby born between the seventh and eighth months of pregnancy __________.
- A. is just as healthy as a full-term baby
- B. usually needs oxygen assistance to breathe
- C. only has about a 10 percent survival rate
- D. is considered small-for-date
Correct answer: B
Rationale: A baby born between the seventh and eighth months of pregnancy is considered premature. Premature babies are born before they are fully developed and may need assistance with breathing, including oxygen. They are at a higher risk for complications compared to full-term babies. Choice A is incorrect because premature babies are at a higher risk for health issues compared to full-term babies. Choice C is incorrect as modern medical advancements have significantly increased the survival rate of premature babies. Choice D is incorrect as being small-for-date does not solely depend on the gestational age at birth.
3. The client with peripheral venous disease is scheduled to go to the whirlpool for a dressing change. Which is the nurse’s priority intervention?
- A. Escort the client to the physical therapy department
- B. Medicate the client 30 minutes before going to the whirlpool
- C. Obtain the sterile dressing supplies for the client
- D. Assist the client to the bathroom prior to the treatment
Correct answer: B
Rationale: The correct answer is B. Pain management is essential before the procedure to ensure the client’s comfort and cooperation during the dressing change. Escorting the client to the physical therapy department (choice A) is not the priority at this time. While obtaining sterile dressing supplies (choice C) is important, ensuring pain management takes precedence. Assisting the client to the bathroom (choice D) is not directly related to the priority intervention of pain management before the whirlpool treatment.
4. A healthcare provider is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the healthcare provider use to elicit the child's cooperation?
- A. Offer the child a choice of taking the medication with juice or water
- B. Tell the child it is candy
- C. Hide the medication in a large dish of ice cream
- D. Tell the child they will have a shot instead
Correct answer: A
Rationale: Offering children choices empowers them and can help in gaining cooperation, especially when it comes to taking medications. By providing options like taking the medication with juice or water, the child feels a sense of control and may be more willing to cooperate. This approach respects the child's autonomy and can make the experience more positive for both the child and the healthcare provider. Choices B, C, and D are not ideal strategies as they involve deception or coercion, which can lead to distrust and make the child more resistant to taking medication in the future.
5. The nurse evaluates the client’s stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
- A. The stoma is slightly edematous
- B. The stoma is dark red to purple
- C. The stoma oozes a small amount of blood
- D. The stoma does not expel stool
Correct answer: B
Rationale: A dark red to purple stoma may indicate compromised blood flow or ischemia, which requires immediate medical attention. This color change could be a sign of inadequate blood supply to the stoma tissue, leading to tissue damage or necrosis. Reporting this observation promptly is crucial to prevent further complications. Choices A, C, and D are not indicative of immediate medical concern. A slightly edematous stoma, oozing a small amount of blood, or not expelling stool may not be uncommon findings during the initial post-op period and can be managed without urgent intervention.
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