ATI RN
ATI Pediatric Proctored Exam 2023
1. When teaching a school-age child and the parent how to administer insulin, which of the following instructions should the nurse include?
- A. Store the insulin in the refrigerator after each use.
- B. Rotate injection sites each time you give the injection.
- C. You should give the insulin at room temperature.
- D. Administer the insulin within 30 minutes of each meal.
Correct answer: C
Rationale: It is essential to give insulin at room temperature to prevent discomfort during administration. Cold insulin can cause stinging and pain, which can be avoided by allowing the insulin to reach room temperature before administration. Storing insulin in the refrigerator is correct for long-term storage, but it should be brought to room temperature before use. Rotating injection sites is important to prevent lipohypertrophy, a condition characterized by fatty lumps that can develop if injections are consistently given in the same area. Administering insulin within 30 minutes of a meal is generally recommended to match the insulin peak action with the peak glucose levels after eating, but giving insulin at room temperature is more crucial to ensure comfort and proper absorption.
2. Why is cultural competence important in community health nursing?
- A. It helps nurses provide care that is respectful and responsive to the health beliefs and practices of diverse patients.
- B. It mandates all health care providers to undergo cultural training.
- C. It ensures that nurses are knowledgeable about different medical practices.
- D. It prevents nurses from encountering cultural misunderstandings.
Correct answer: A
Rationale: Cultural competence is essential in community health nursing as it enables nurses to deliver care that respects and responds to the health beliefs and practices of patients from diverse cultural backgrounds. By understanding and incorporating cultural considerations into their practice, nurses can enhance communication, build trust, and improve health outcomes for all individuals within the community.
3. A healthcare professional is reviewing the notes written by a previous shift. Which documentation reflects proper guidelines?
- A. Incomplete entries are acceptable as long as they are justified
- B. Documentation should include objective observations only
- C. Corrections in documentation should be signed and dated
- D. Entries should be modified by another healthcare professional if necessary
Correct answer: B
Rationale: The correct answer is B. Proper documentation should include objective observations and detailed notes to ensure continuity of care. Choice A is incorrect because incomplete entries can lead to gaps in information and compromise patient care. Choice C is not completely accurate as corrections should be made in a manner that does not obscure the original entry but does not necessarily require a signature. Choice D is incorrect as entries should ideally be corrected by the original author to maintain accountability and accuracy.
4. A patient states he experiences anxiety and has panic attacks at least once a week. What might be helpful for this patient?
- A. Phenytoin (Dilantin)
- B. Lithium
- C. Alprazolam (Xanax)
- D. Spironolactone
Correct answer: C
Rationale: Alprazolam (Xanax) is a medication commonly prescribed to treat anxiety disorders and panic attacks. It belongs to the class of medications known as benzodiazepines, which work by enhancing the effects of gamma-aminobutyric acid (GABA) in the brain to produce a calming effect. Phenytoin is an antiepileptic drug, not typically used for anxiety or panic attacks. Lithium is primarily used to treat bipolar disorder, not anxiety. Spironolactone is a diuretic primarily used to treat conditions like high blood pressure and heart failure, not anxiety or panic attacks.
5. A nurse is assessing a client who has a history of angina and reports chest pain. Which of the following actions should the nurse take first?
- A. Administer oxygen at 2 L/min via nasal cannula.
- B. Obtain a 12-lead ECG.
- C. Administer nitroglycerin sublingually.
- D. Notify the provider.
Correct answer: B
Rationale: The correct answer is to obtain a 12-lead ECG. In a client with a history of angina and reporting chest pain, the priority action is to assess for myocardial infarction, which is best done through an ECG. Administering oxygen, nitroglycerin, or notifying the provider can be important actions but obtaining an ECG takes precedence in evaluating the client's condition.
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