ATI RN
RN Pediatric Nursing 2023 ATI
1. When providing teaching to the family of a school-age child with juvenile idiopathic arthritis, which instruction should the nurse include?
- A. Limit the child's movement of the large joints.
- B. Encourage the child to perform independent self-care.
- C. Provide the child with a soft mattress for sleeping.
- D. Schedule a 2-hour daily nap for the child in the afternoon.
Correct answer: B
Rationale: Encouraging the child to perform independent self-care is essential when managing juvenile idiopathic arthritis. This instruction helps minimize pain and stiffness in the child's joints while promoting mobility and independence. It is crucial for the child to learn self-management skills early to cope better with the condition in the long term.
2. Which school of psychology is associated with understanding the purpose of behavior?
- A. Functionalism.
- B. Behaviorism.
- C. Neodynamism.
- D. Psychoanalysis.
Correct answer: A
Rationale: The correct answer is A, Functionalism. Functionalism, founded by William James, emphasizes understanding the purpose and adaptive function of behavior. This school of psychology focuses on how mental processes help individuals adapt to their environment. Choice B, Behaviorism, is incorrect as behaviorism emphasizes observable behaviors rather than the purpose behind them. Choice C, Neodynamism, is not a recognized school of psychology. Choice D, Psychoanalysis, founded by Sigmund Freud, focuses on unconscious processes and early childhood experiences, not specifically on the purpose of behavior.
3. Which of the following diuretics inhibits sodium reabsorption in the kidneys while sparing K+ and hydrogen ions?
- A. Spironolactone
- B. Furosemide
- C. Hydrochlorothiazide
- D. Bumetanide
Correct answer: A
Rationale: Spironolactone is the correct answer as it is classified as a potassium-sparing diuretic. It works by inhibiting sodium reabsorption in the kidneys while promoting the retention of potassium and hydrogen ions. This mechanism of action helps in reducing fluid retention without causing excessive loss of potassium, which is a common side effect of other diuretics. Furosemide (choice B), Hydrochlorothiazide (choice C), and Bumetanide (choice D) are not correct as they are not potassium-sparing diuretics. Furosemide and Bumetanide are loop diuretics that inhibit sodium, potassium, and chloride reabsorption in the loop of Henle. Hydrochlorothiazide is a thiazide diuretic that inhibits sodium and chloride reabsorption in the distal convoluted tubule, leading to potassium loss.
4. What dietary teaching should be provided to a patient with pre-dialysis end-stage kidney disease?
- A. Limit phosphorus intake to 700 mg/day
- B. Increase protein intake to 1.5 g/kg/day
- C. Restrict sodium intake to 1 g/day
- D. Increase potassium intake to 3 g/day
Correct answer: A
Rationale: The correct answer is to limit phosphorus intake to 700 mg/day for a patient with pre-dialysis end-stage kidney disease. Excess phosphorus can lead to complications such as bone and heart issues in these patients. Increasing protein intake (Choice B) is generally not recommended as it can lead to increased waste production that the kidneys may struggle to eliminate. Restricting sodium intake (Choice C) is important for managing blood pressure, but the recommendation is usually higher than 1 g/day. Increasing potassium intake (Choice D) is not typically advised in patients with kidney disease, as they often need to limit potassium due to impaired kidney function.
5. A client with hypertension is being taught about dietary modifications by a nurse. Which of the following food choices by the client indicates an understanding of the teaching?
- A. I will choose processed meats for meals.
- B. I will eat canned vegetables to reduce my sodium intake.
- C. I will eat fresh fruits and vegetables each day.
- D. I will increase my intake of canned soups.
Correct answer: C
Rationale: The correct answer is C. Choosing fresh fruits and vegetables is a healthy choice for someone with hypertension as they are low in sodium and high in nutrients. Processed meats (A) are high in sodium and unhealthy fats, which can worsen hypertension. Canned vegetables (B) often have added sodium, so fresh is a better choice. Canned soups (D) are typically high in sodium and should be limited in a hypertensive diet.
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