ATI RN
Nursing Care of Children ATI
1. In terms of gross motor development, what should the nurse expect an infant age 5 months to do?
- A. Sit erect without support
- B. Roll from the back to the abdomen
- C. Turn from the abdomen to the back
- D. Move from a prone to a sitting position
Correct answer: C
Rationale: At 5 months, infants typically can turn from their abdomen to their back. Rolling from back to abdomen and sitting erect without support occur later.
2. Which types of diabetes are characterized by the body's cells becoming resistant to insulin? (Select all that apply)
- A. Gestational diabetes
- B. Type II diabetes
- C. Type I diabetes
- D. Both A and B
Correct answer: D
Rationale: In both gestational diabetes and Type II diabetes, the body's cells become resistant to insulin, leading to elevated blood glucose levels. Insulin resistance in these types of diabetes prevents glucose from entering the cells, causing it to accumulate in the bloodstream. On the other hand, Type I diabetes is characterized by the body's inability to produce insulin because the immune system mistakenly attacks and destroys the insulin-producing cells in the pancreas. Therefore, the correct answer is both A and B. Choice C, Type I diabetes, is not characterized by insulin resistance but rather by the body's inability to produce insulin. Therefore, it is incorrect. Choice D, Both A and B, includes the correct options of gestational diabetes and Type II diabetes, making it the correct answer.
3. A client requires seclusion to prevent harm to others on the unit. What action should the nurse take?
- A. Offer fluids every 2 hours.
- B. Document the client's behavior prior to being placed in seclusion.
- C. Discuss the client's inappropriate behavior prior to seclusion.
- D. Assess the client's behavior every hour.
Correct answer: B
Rationale: The correct answer is to document the client's behavior prior to being placed in seclusion. Documenting the behavior is crucial as it ensures that the decision to use seclusion is based on appropriate justifications and helps in monitoring the client's progress and response to the intervention. Offering fluids every 2 hours (Choice A) is not directly related to the need for seclusion. Discussing the client's behavior prior to seclusion (Choice C) may not be appropriate at the moment when immediate action is required to prevent harm. Assessing the client's behavior every hour (Choice D) is important but not as immediate as documenting the behavior prior to seclusion.
4. What are nonsurgical treatment options for carpal tunnel syndrome? (Select all that apply)
- A. Using a splint
- B. Ultrasound therapy
- C. Endoscopic carpal tunnel release
- D. All of the above
Correct answer: D
Rationale: The correct answer is D, 'All of the above.' Non-surgical treatments for carpal tunnel syndrome include using a splint, ultrasound therapy, corticosteroid injections, and NSAIDs. Choice A is correct as using a splint helps to keep the wrist in a neutral position, reducing pressure on the median nerve. Choice B is correct as ultrasound therapy can help reduce inflammation and alleviate symptoms. Choice C, 'Endoscopic carpal tunnel release,' is incorrect as it is a surgical procedure, not a nonsurgical treatment option for carpal tunnel syndrome.
5. Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task 'Conduct physical training'?
- A. Accountability
- B. Personal/professional development
- C. Individual training
- D. Military appearance/physical condition
Correct answer: D
Rationale: The correct answer is D because 'Military appearance/physical condition' typically involves conducting physical training to ensure personnel meet certain physical standards. Choices A, B, and C are incorrect. Accountability deals with being answerable for one's actions, personal/professional development focuses on individual growth and advancement, and individual training refers to specific skill development rather than physical training.
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