an 80 year old patient with a history of renal insufficiency recently was started on cimetidine which assessment finding indicates that the patient ma an 80 year old patient with a history of renal insufficiency recently was started on cimetidine which assessment finding indicates that the patient ma
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ATI RN

ATI Pediatrics Proctored Exam 2023

1. An 80-year-old patient with a history of renal insufficiency was recently started on cimetidine. Which assessment finding indicates that the patient may be experiencing an adverse effect of the medication?

Correct answer: B

Rationale: The correct answer is B: New onset disorientation to time and place. Cimetidine can cause adverse effects on the CNS system, especially in elderly patients with renal or hepatic impairment. This may manifest as confusion, hallucinations, lethargy, restlessness, or seizures. Pain with urination (choice A) is not typically associated with cimetidine use, and HR changes (choice C) are more likely related to other factors. Choice D is not a valid option.

2. A patient presents in the Emergency Department immediately following a shooting incident in a school where she has been teaching. There is no evidence of physical injury, but she appears very hyperactive and talkative. Which of these symptoms manifested by the patient is an uncommon initial biological response to stress?

Correct answer: A

Rationale: Increased lacrimal secretions, palpitations, and increased heart rate are common initial biological responses to stress. Constricted pupils are not typical in the initial response to stress and are more associated with the opposite response, the Rest and Digest system. Watery eyes, palpitations, and increased heart rate are indicative of the body's fight or flight response to stress. Unusual food cravings are not a typical biological response to stress.

3. The origin of the term 'anatomy' is related to

Correct answer: the Greek word for 'cutting up.'

Rationale: The correct answer is C: the Greek word for 'cutting up.' The term 'anatomy' originates from the Greek words 'ana' (up) and 'temnein' (to cut), which means 'cutting up' or 'dissection.' This term refers to the process of dissecting bodies to study their structure. Choices A, B, and D are incorrect because 'anatomy' is not related to the Greek word for 'function,' the name of the first anatomist, or the function of internal organs, but rather to the act of cutting up for study and examination.

4. Which nursing action is developmentally appropriate when caring for a hospitalized school-age child?

Correct answer: C

Rationale: Offering medical equipment to play with prior to a procedure is developmentally appropriate when caring for a hospitalized school-age child. Allowing the child to familiarize themselves with the equipment helps reduce fear and anxiety about the upcoming procedure. Choices A, B, and D are not as appropriate for a school-age child. Providing brochures regarding sexuality is not developmentally appropriate for this age group. Giving clear instructions about treatment details may overwhelm a child of this age. Using toys for distraction during a painful procedure is more suitable for younger children.

5. Which of the following is NOT an example of public health services?

Correct answer: C

Rationale: Public health services focus on promoting and protecting the health of communities. Control of communicable diseases, environmental sanitation, and health education directly impact the overall well-being of populations. However, hospital management is typically associated with the administration and operations of healthcare facilities rather than public health initiatives.

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