ATI RN
ATI Nursing Care of Children 2019 B
1. What is an essential nursing care intervention for a neonate with a suspected tracheoesophageal fistula?
- A. Feed glucose water only.
- B. Elevate the patient's head for feedings.
- C. Raise the patient's head and give nothing by mouth.
- D. Avoid suctioning unless the infant is cyanotic.
Correct answer: C
Rationale: Raising the patient’s head and giving nothing by mouth is crucial in managing tracheoesophageal fistula. This intervention helps prevent aspiration and further complications until surgical correction can be performed. Feeding the neonate or suctioning could exacerbate the condition by risking aspiration. Elevating the head for feedings does not address the primary concern of preventing oral intake, making it less appropriate than the correct answer.
2. Which is NOT one of the functions of challenging behaviors?
- A. Avoiding a situation
- B. Escaping from an undesired object or event
- C. Obtaining a desired object or event
- D. Sensory functions
Correct answer: E
Rationale: Challenging behaviors often serve functions related to avoiding, escaping, obtaining, or sensory needs. The question is asking for the function that does not typically apply to challenging behaviors. Choices A, B, C, and D align with the common functions associated with challenging behaviors. Therefore, 'E' is the correct answer as it does not represent a typical function of challenging behaviors.
3. A patient is taking medroxyprogesterone acetate (Provera) for the treatment of endometriosis. What should the nurse include in the patient teaching?
- A. Take the medication with food to prevent gastrointestinal upset.
- B. Avoid prolonged sun exposure while taking this medication.
- C. Take the medication at the same time each day to maintain consistent hormone levels.
- D. Discontinue the medication if side effects occur.
Correct answer: C
Rationale: The correct answer is to take the medication at the same time each day to maintain consistent hormone levels. This is important for the effectiveness of medroxyprogesterone acetate. Choice A is incorrect because medroxyprogesterone acetate does not need to be taken with food. Choice B is irrelevant as sun exposure is not a concern with this medication. Choice D is incorrect as discontinuing the medication without consulting a healthcare provider can lead to adverse effects.
4. Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership __________ than comparison-group agemates.
- A. scored lower in impulsivity and overactivity
- B. had lower academic achievement scores
- C. showed more aggressive behavior
- D. reported less alcohol and drug use
Correct answer: D
Rationale: Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership reported less alcohol and drug use compared to their comparison-group agemates. This indicates that the program may have a positive impact in reducing risky behaviors among adolescents whose mothers received home visits. Choices A, B, and C are incorrect because the extract specifically mentions that the children reported less alcohol and drug use, and there is no mention of impulsivity, overactivity, academic achievement scores, or aggressive behavior in this context.
5. A client has a new prescription for Verapamil to control hypertension. Which of the following instructions should the nurse include?
- A. Increase the amount of dietary fiber in the diet.
- B. Drink grapefruit juice daily to increase vitamin C intake.
- C. Decrease the amount of calcium in the diet.
- D. Withhold food for 1 hr after taking the medication.
Correct answer: A
Rationale: Increasing dietary fiber intake is essential when taking Verapamil to prevent constipation, a common adverse effect of this medication. Verapamil is a calcium channel blocker used to treat hypertension, and dietary fiber helps maintain bowel regularity and prevent constipation that may occur as a side effect of the medication.
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