a nurse is planning care for a 2 month old infant who is postoperative following surgical repair of a cleft lip which of the following actions should a nurse is planning care for a 2 month old infant who is postoperative following surgical repair of a cleft lip which of the following actions should
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Nursing Elites

ATI RN

ATI Pediatric Proctored Exam 2023

1. A nurse is planning care for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

Correct answer: D

Rationale: The nurse should keep the infant�s elbow restrained to prevent injury to the surgical site.

2. Cortisol is a hormone that ________.

Correct answer: C

Rationale: Cortisol is a hormone produced by the adrenal gland that mobilizes the body to deal with stress. Therefore, choice C is the correct answer. Choices A and B are incorrect as they inaccurately describe the origin and function of cortisol. Choice D is also incorrect as it describes the action of a different type of substance, not cortisol.

3. When starting on oral contraceptives, what key point should the nurse emphasize about taking the medication consistently?

Correct answer: A

Rationale: When starting on oral contraceptives, it is crucial to take them at the same time each day to maintain stable hormone levels and ensure their effectiveness in preventing pregnancy. Choice B is incorrect because consistency in timing is essential to maximize contraceptive efficacy. Choice C is incorrect as there is no evidence that taking oral contraceptives in the morning helps avoid nighttime side effects. Choice D is incorrect because oral contraceptives do not provide immediate effectiveness and require consistent use to prevent pregnancy.

4. What is the primary advantage of having a target client list?

Correct answer: A

Rationale: The primary advantage of having a target client list is that nurses do not need to go back to the Family Treatment Record to monitor treatment and services, which saves them time and effort. By having a specific list, they can efficiently track and manage the care provided without the need for repeated references to the records.

5. A healthcare provider is educating a group of new parents about immunizations. The provider should instruct the parents that the series for which of the following vaccines is completed prior to the first birthday?

Correct answer: D

Rationale: The correct answer is D, Rotavirus vaccine. The series for the Rotavirus vaccine is completed prior to the first birthday as it is only administered to infants less than 8 months of age. This vaccine provides protection against severe diarrhea and vomiting caused by rotavirus infection, which is common in infants and young children. Choices A, B, and C are incorrect because the series for these vaccines extends beyond the first birthday. Pneumococcal conjugate vaccine and Meningococcal conjugate vaccine are typically given in multiple doses up to 2 years of age, while the Varicella vaccine is usually administered between 12 to 15 months of age.

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