ATI RN
Nursing Care of Children Final ATI
1. Parents of a hospitalized toddler ask the nurse, "What is meant by family-centered care?" The nurse should respond with which statement?
- A. Family-centered care reduces the effect of cultural diversity on the family
- B. Family-centered care encourages family dependence on the health care system
- C. Family-centered care recognizes that the family is the constant in a child’s life
- D. Family-centered care avoids expecting families to be part of the decision-making process
Correct answer: C
Rationale: Family-centered care emphasizes the importance of the family as the constant in a child's life, involving them in all aspects of care and decision-making.
2. What lab value should a healthcare provider monitor for a patient on warfarin therapy?
- A. Potassium
- B. PT/INR
- C. Sodium
- D. Calcium
Correct answer: B
Rationale: The correct answer is B: PT/INR. When a patient is on warfarin therapy, healthcare providers monitor the PT/INR levels to evaluate the effectiveness of the treatment and assess the risk of bleeding. Monitoring potassium, sodium, or calcium levels is not directly related to warfarin therapy and would not provide the necessary information needed to manage the medication effectively.
3. Mr. Bruno asks what the “normal†allowable salt intake is. Your best response to Mr. Bruno is:
- A. 1 tsp of salt/day with iodine and sprinkle of MSG
- B. 5 gms per day or 1 tsp of table salt/day
- C. 1 tbsp of salt/day with some patis and toyo
- D. 1 tsp of salt/day but no patis and toyo
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.
4. Located in the middle of the brain, what organ is responsible for satiety and hunger?
- A. Medulla Oblongata
- B. Pituitary Gland
- C. Hypothalamus
- D. Parathyroid
Correct answer: C
Rationale: The hypothalamus, located in the middle of the brain, plays a crucial role in regulating hunger and satiety. It contains specific regions that control appetite and feeding behavior. The Medulla Oblongata (Choice A) is responsible for regulating vital functions like heartbeat and breathing, not hunger. The Pituitary Gland (Choice B) is an endocrine gland that secretes hormones but is not primarily involved in hunger regulation. The Parathyroid (Choice D) is responsible for regulating calcium levels in the body and not related to hunger or satiety.
5. A client is receiving imatinib. Which of the following adverse effects should the nurse monitor?
- A. Edema
- B. Constipation
- C. Dry mouth
- D. Urinary retention
Correct answer: A
Rationale: Corrected Rationale: Imatinib is known to cause edema as an adverse effect. The nurse should closely monitor the client for signs of fluid retention, such as swelling of the extremities or weight gain. Edema can indicate potential complications and requires prompt intervention to prevent further issues. Choices B, C, and D are incorrect because they are not typically associated with imatinib use. Constipation, dry mouth, and urinary retention are not commonly reported adverse effects of imatinib therapy.
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