ATI RN
ATI Pediatrics Proctored Exam 2023
1. How do models of practice help therapists engage in sound therapeutic reasoning?
- A. They provide structure to guide thinking
- B. They address theory but not practice
- C. They predict the outcome of intervention
- D. They examine physical characteristics of the child
Correct answer: A
Rationale: Models of practice help therapists engage in sound therapeutic reasoning by providing a structured framework to guide their thinking process. These models offer a systematic approach that assists therapists in organizing their thoughts and decision-making processes during therapy sessions. By following a specific model, therapists can ensure they consider all relevant factors and make informed therapeutic choices, leading to effective interventions and better outcomes for their clients.
2. A client is being taught relaxation techniques to manage anxiety. Which of the following techniques should not be included in the teaching? Select all that apply.
- A. Deep breathing exercises
- B. Progressive muscle relaxation
- C. Mindfulness meditation
- D. Cognitive restructuring
Correct answer: D
Rationale: Deep breathing exercises, progressive muscle relaxation, and mindfulness meditation are commonly used relaxation techniques to manage anxiety. Cognitive restructuring is a cognitive-behavioral technique aimed at changing negative thought patterns and beliefs, not a relaxation technique. It focuses on altering cognitive distortions rather than inducing physical relaxation responses.
3. A nurse is caring for clients with electrolyte imbalances on a medical-surgical unit. Which clinical manifestations are correctly paired with the contributing electrolyte imbalance? (Select all that do not apply.)
- A. Hypokalemia Flaccid paralysis with respiratory depression
- B. Hyperphosphatemia Paresthesia with sensations of tingling and numbness
- C. . Hyponatremia Decreased level of consciousness
- D.
Correct answer: Hyperphosphatemia Paresthesia with sensations of tingling and numbness
Rationale:
4. A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following statements should the nurse include?
- A. You should avoid drinking alcohol while taking this medication.
- B. You should monitor for signs of infection.
- C. Take this medication with food to prevent gastrointestinal upset.
- D. Take this medication with a full glass of water.
Correct answer: B
Rationale: The correct statement the nurse should include when teaching a client taking clopidogrel is to monitor for signs of infection. Clopidogrel affects platelet levels and can increase the risk of bleeding. Monitoring for signs of infection is crucial because a compromised immune system can make the client more susceptible to infections. Choices A, C, and D are incorrect because clopidogrel is not directly linked to alcohol restrictions, food requirements, or specific water intake instructions.
5. Which food provides a 1-ounce serving of grains for a preschool child?
- A. 1 cup of ready-to-eat cereal flakes
- B. 1⁄2 slice of whole wheat bread
- C. 1⁄2 of a 6-inch flour tortilla
- D. 1 cup of cooked rice
Correct answer: A
Rationale: The correct answer is A: 1 cup of ready-to-eat cereal flakes. For a preschool child, 1 cup of ready-to-eat cereal flakes provides a 1-ounce serving of grains, meeting the requirement. Choice B, 1⁄2 slice of whole wheat bread, is not the correct answer as it does not constitute a 1-ounce serving of grains. Similarly, choice C, 1⁄2 of a 6-inch flour tortilla, does not offer a 1-ounce serving of grains. Choice D, 1 cup of cooked rice, also does not provide a 1-ounce serving of grains for a preschool child, making it an incorrect choice.
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