ATI RN
RN Nursing Care of Children Online Practice 2019 A
1. Nursing care of children focuses on improving quality by:
- A. Improving sanitation
- B. Focusing on curing childhood illnesses
- C. Addressing problems caused by communicable disease
- D. Providing a holistic environment for optimal growth and development
Correct answer: D
Rationale: The correct answer is D because nursing care for children should encompass a holistic approach that considers not only physical health but also emotional, social, and developmental aspects. Providing a holistic environment promotes optimal growth and development by addressing all these dimensions. Choices A, B, and C are incorrect because while sanitation, curing illnesses, and addressing communicable diseases are important aspects of child healthcare, they do not encompass the comprehensive care provided by a holistic approach.
2. Normal human cells have ________.
- A. twenty-two chromosome pairs and one pair of sex chromosomes.
- B. twenty-one trisomy chromosome pairs, one autosomal pair, and one pair of sex chromosomes.
- C. twenty-one chromosome pairs and two trisomy chromosome pairs.
- D. twenty-three chromosome pairs.
Correct answer: A
Rationale: The correct answer is A. Normal human cells have twenty-two chromosome pairs and one pair of sex chromosomes. This adds up to a total of 46 chromosomes. Choice B is incorrect as it mentions twenty-one trisomy chromosome pairs, which is not a characteristic of normal human cells. Choice C is also incorrect as it states twenty-one chromosome pairs and two trisomy chromosome pairs, which is not accurate for normal human cells. Choice D is incorrect as it mentions twenty-three chromosome pairs, which is not the correct number for normal human cells.
3. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life-sustaining measures. Which of the following actions should the nurse take?
- A. Arrange for an ethics committee meeting to address the family's concerns
- B. Support the family's decision and initiate life-sustaining measures
- C. Complete an incident report
- D. Encourage the family to contact an attorney
Correct answer: A
Rationale: In this scenario, the nurse should arrange for an ethics committee meeting to address the family's concerns while ensuring the client's wishes are respected. Choosing option A allows for a formal discussion involving healthcare professionals, family members, and possibly a legal expert to navigate the situation ethically and legally. Supporting the family's decision to initiate life-sustaining measures (option B) would disregard the client's advance directives and autonomy. Completing an incident report (option C) is not appropriate in this situation as it does not address the conflict of interest between the family's desires and the client's wishes. Encouraging the family to contact an attorney (option D) may escalate the situation unnecessarily before exploring more ethical and collaborative approaches.
4. Which of the following has the greatest effect on an increase in body weight?
- A. Carbohydrate intake
- B. Protein intake
- C. Fat intake
- D. Total kilocalories
Correct answer: D
Rationale: Total kilocalories have the greatest effect on body weight as they represent the overall energy intake from all macronutrients combined. While the consumption of specific macronutrients like carbohydrates, proteins, and fats can affect weight management, the total calories consumed play the most significant role in determining body weight. Therefore, choices A, B, and C are incorrect as they focus on individual macronutrients rather than the overall energy balance provided by total kilocalories.
5. Which of the following actions will most likely lead to a break in the sterile technique for respiratory isolation?
- A. Opening the patient’s window to the outside environment
- B. Turning on the patient’s room ventilator
- C. Opening the door of the patient’s room leading into the hospital corridor
- D. Failing to wear gloves when administering a bed bath
Correct answer: D
Rationale: Failure to wear gloves during a bed bath can potentially introduce pathogens, compromising the sterile technique necessary for respiratory isolation. Proper hand hygiene and personal protective equipment are crucial to prevent the transmission of infectious agents in such settings.