ATI RN
ATI Pediatric Proctored Exam
1. A school nurse is assessing a school-age child�s blood pressure while he is seated in a chair. The child starts to experience a tonic-clonic seizure. Which of the following actions should the nurse take first?
- A. Clear the immediate area around the child of hazardous objects
- B. loosen the child�s restrictive clothing
- C. assist the child to a side-lying position on the floor
- D. apply an oxygen mask to the child
Correct answer: C
Rationale: The greatest risk to this child is aspiration, occlusion of the airway, and bodily injury from falling out of the chair. The nurse should ease the child down to the floor in a side-lying position immediately.
2. What clinical manifestation(s) should the nurse expect to see as shock progresses in a child and becomes decompensated shock?
- A. Thirst
- B. Irritability
- C. Apprehension
- D. Confusion and somnolence
Correct answer: D
Rationale: As shock progresses and decompensation occurs, confusion and somnolence are indicative of reduced cerebral perfusion. Early signs include thirst and irritability, while confusion and altered consciousness appear as the condition worsens.
3. Which part of the superego develops from our experiences with rewards for proper behavior and tells us what we should do?
- A. Conscience
- B. Ego-ideal
- C. Regressing back to the anal stage
- D. Regressing back to the oral stage
Correct answer: B
Rationale: The correct answer is B, the Ego-ideal. The Ego-ideal is a subsystem of the superego that develops from experiences with rewards for proper behavior. It guides individuals on what they should do, setting standards and ideals for behavior. Choice A, Conscience, represents the part of the superego that focuses on what one should not do, based on experiences with punishment for improper behavior. Choices C and D, regressing back to the anal and oral stages respectively, are irrelevant to the development of the superego's components and are not related to experiences with rewards for proper behavior.
4. Which is an accurate description of homosexual (or gay-lesbian) families?
- A. A nurturing environment is lacking.
- B. The children become homosexual like their parents.
- C. The stability needed to raise healthy children is lacking.
- D. The quality of parenting is equivalent to that of nongay parents.
Correct answer: D
Rationale: Research shows that the quality of parenting in homosexual families is equivalent to that in heterosexual families, and children thrive in nurturing environments provided by same-sex parents.
5. What is a major feature of the therapeutic lifestyle changes (TLC) recommended for the treatment of high blood cholesterol?
- A. Avoiding all foods that contain cholesterol
- B. Reducing sodium intake to less than 2 g/day
- C. Limiting total fat intake to less than 30% of energy intake
- D. Limiting saturated fat intake to less than 7% of energy intake
Correct answer: D
Rationale: The correct answer is D, 'Limiting saturated fat intake to less than 7% of energy intake.' This is a central feature of the therapeutic lifestyle changes (TLC) recommended for treating high blood cholesterol. Saturated fats can increase low-density lipoprotein (LDL) cholesterol, a significant risk factor for heart disease. Choice A is incorrect because while it is recommended to limit cholesterol intake, it's not suggested to avoid all foods containing cholesterol entirely in the TLC. Choice B is also incorrect as although reducing sodium intake is beneficial for controlling blood pressure, it's not specifically targeted in the TLC for managing high cholesterol. Lastly, while limiting total fat intake is a healthy guideline, it's not as specific or effective as limiting saturated fat intake, making choice C also incorrect.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99