ATI RN
ATI RN Nutrition Online Practice 2019
1. If the child does not have ear problem, using IMCI, what should you as the nurse do?
- A. Check for ear discharge
- B. Check for tender swellings behind the ear
- C. Check for ear pain
- D. Go to the next question, check for malnutrition
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
2. The client diagnosed with acute vein thrombosis is receiving a continuous heparin drip, an intravenous anticoagulant. The health care provider orders warfarin (Coumadin), an oral anticoagulant. Which action should the nurse take?
- A. Discontinue the heparin drip prior to initiating the Coumadin
- B. Check the client’s INR prior to beginning Coumadin
- C. Clarify the order with the health care provider as soon as possible
- D. Administer the Coumadin along with the heparin drip as ordered
Correct answer: D
Rationale: The correct action for the nurse to take is to administer the Coumadin along with the heparin drip as ordered. Heparin and warfarin are often given together initially because warfarin takes a few days to become effective. Discontinuing the heparin drip prior to initiating Coumadin could leave the patient without anticoagulation coverage during the period when warfarin's effects are not yet established. Checking the client's INR prior to beginning Coumadin is important but not the immediate action to take when both medications are ordered together. Clarifying the order with the health care provider is unnecessary in this scenario as it is common practice to give heparin and warfarin concurrently in the transition period.
3. When the parent returned in the strange situation experiment, babies with ____ attachment tend to remain upset for long periods of time, kicking, screaming, refusing to be distracted with toys, and sometimes arching back and away from contact?
- A. Secure
- B. Avoidant
- C. Ambivalent
- D. Disorganized
Correct answer: C
Rationale: In the strange situation experiment, babies with ambivalent attachment display distress and have difficulty calming down when a parent returns. They may kick, scream, refuse toys, and show signs of physical discomfort or resistance. This behavior is characteristic of ambivalent attachment, where the infant shows mixed emotions and finds it hard to be soothed by the returning parent. Secure attachment (Choice A) refers to babies who seek comfort from the parent but can be soothed upon return. Avoidant attachment (Choice B) involves babies showing little emotion upon reunion with the parent. Disorganized attachment (Choice D) displays inconsistent or confused behaviors in the strange situation experiment.
4. How does parenting style influence child development?
- A. Authoritative parenting is associated with the best outcomes.
- B. Permissive parenting leads to the best outcomes.
- C. Neglectful parenting is associated with the best outcomes.
- D. Authoritarian parenting is the most effective in child development.
Correct answer: A
Rationale: Authoritative parenting, which balances warmth and control, is associated with the best outcomes in child development. It fosters independence, self-regulation, and social competence in children. Choice B is incorrect because permissive parenting, which is characterized by low demands and high responsiveness, may lead to issues like lack of self-discipline. Choice C is incorrect as neglectful parenting, characterized by low demands and low responsiveness, can result in various negative outcomes for the child. Choice D is incorrect because authoritarian parenting, which is high on control but low on warmth, may lead to obedience but can also stifle a child's independence and creativity.
5. Which of the following best describes the concept of patient-centered care?
- A. Care that is directed solely by healthcare providers
- B. Care that involves coordination among multiple healthcare providers
- C. Care that prioritizes the patient's preferences, needs, and values
- D. Care that strictly adheres to the latest clinical guidelines
Correct answer: C
Rationale: Patient-centered care is a healthcare approach that places the patient at the center of decision-making, emphasizing their preferences, needs, and values. This approach ensures that care is tailored to individual patients, taking into account their unique circumstances and actively involving them in their own care. Choice A is incorrect because patient-centered care focuses on the patient's needs rather than being solely directed by healthcare providers. Choice B is incorrect as involving multiple healthcare providers doesn't necessarily mean care is patient-centered; instead, it's about tailoring care to the patient's individual needs. Choice D is also incorrect as patient-centered care goes beyond just following clinical guidelines to encompass individual patient preferences and values.