ATI RN
RN Pediatric Nursing 2023 ATI
1. A nurse is planning care to address nutritional needs for a preschooler with cystic fibrosis. Which interventions should the nurse include in plans?
- A. Administer pancreatic enzymes 2 hours after meals.
- B. Monitor and adjust the use of pancreatic enzymes if steatorrhea develops.
- C. Encourage adequate fluid intake based on the child's needs.
- D. Increase fat content in the child's diet to 40% of total calories.
Correct answer: D
Rationale: Increasing fat content in the diet is essential for meeting the high energy needs of a child with cystic fibrosis. Cystic fibrosis impairs the absorption of nutrients, particularly fats, so increasing the fat content in the child's diet to 40% of total calories helps ensure adequate caloric intake. This intervention can help maintain the child's nutritional status and support growth and development.
2. A guideline that is utilized in determining priorities is to assess the status of the following, EXCEPT:
- A. perfusion
- B. locomotion
- C. respiration
- D. mentation
Correct answer: D
Rationale: When determining priorities in patient care, assessing perfusion, respiration, and locomotion are crucial. However, assessing mentation is also important but not typically included in the ABCs of emergency care. Monitoring mentation is essential for neurological assessment and detecting changes in mental status, but it is not part of the immediate priorities in life-threatening situations.
3. Which of the following is the most appropriate diagnostic method for identifying lung cancer in its early stages?
- A. CT scan
- B. MRI
- C. X-ray
- D. Biopsy
Correct answer: D
Rationale: A biopsy is the most appropriate method for diagnosing lung cancer in its early stages. A biopsy involves taking a small tissue sample from the lung for examination under a microscope. This method provides a definitive diagnosis by identifying cancerous cells. CT scans, MRIs, and X-rays can help detect abnormalities in the lungs, but a biopsy is necessary to confirm the presence of lung cancer. CT scans offer detailed images of the lung's structure, MRIs use magnetic fields for imaging soft tissues, and X-rays provide a basic view of the lungs, but none of these imaging techniques can definitively confirm the presence of cancer without a biopsy.
4. Dr. Asgaard believes that in order to fully understand complex processes, such as auditory processing, it is first necessary to understand all the separate component parts. Dr. Asgaard's views are most consistent with those of?
- A. William James.
- B. Ivan Pavlov.
- C. Carl Rogers.
- D. Edward Titchener.
Correct answer: D
Rationale: The correct answer is D, Edward Titchener. Dr. Asgaard's belief aligns with Titchener's approach of structuralism, which emphasizes understanding the components of consciousness. William James (choice A) was associated with functionalism, focusing on the purpose of behavior rather than its structure. Ivan Pavlov (choice B) was known for classical conditioning in behaviorism, not structuralism. Carl Rogers (choice C) was a major figure in humanistic psychology, emphasizing personal growth and self-actualization, which is not directly related to understanding component parts of processes.
5. A healthcare provider gives a verbal order for a medication. The nurse is uncomfortable with the order and questions its appropriateness. What should the nurse do?
- A. Refuse to administer the medication and document the refusal.
- B. Clarify the order with the provider before proceeding.
- C. Administer the medication and monitor the patient.
- D. Call a pharmacy consult to discuss the medication.
Correct answer: B
Rationale: The correct action for the nurse to take when uncomfortable with a verbal order for medication is to clarify the order with the provider before proceeding. This ensures patient safety by confirming the appropriateness of the order and prevents any potential harm. Choice A is incorrect because refusing to administer the medication without clarification may delay necessary treatment for the patient. Choice C is incorrect as administering the medication without clarification could pose risks if the order is indeed inappropriate. Choice D is also incorrect as the first step should be direct clarification with the provider before involving others.
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