ATI RN
RN Nursing Care of Children 2019 With NGN
1. The nurse is conducting discharge teaching with the parent of a 7-year-old child with minimal change nephrotic syndrome (MCNS). What statement by the parent indicates a correct understanding of the teaching?
- A. My child needs to stay home from school for at least 1 more month.
- B. I should not add additional salt to any of my child's meals.
- C. My child will not be able to participate in contact sports while receiving corticosteroid therapy.
- D. I should measure my child's urine after each void and report the 24-hour amount to the healthcare provider.
Correct answer: B
Rationale: Avoiding additional salt is crucial to help manage edema in children with MCNS. While monitoring urine output is important, the other statements either misinterpret the need for prolonged school absence or misunderstand the risk associated with contact sports during steroid therapy.
2. Which action represents a primary prevention strategy?
- A. Educating children on the importance of handwashing
- B. Administering vaccines to prevent disease
- C. Screening for early signs of disease
- D. Providing treatment for acute illnesses
Correct answer: B
Rationale: Administering vaccines is a primary prevention strategy because it aims to prevent diseases before they occur by providing immunity against specific pathogens. Educating children on handwashing is important for preventing infections but falls under health promotion rather than primary prevention. Screening for early signs of disease and providing treatment for acute illnesses are considered secondary and tertiary prevention strategies, respectively, as they aim to detect and treat diseases that have already developed to prevent further complications.
3. When interviewing a new member of the psychology department for the university newspaper, the faculty member states, 'many times, people are unaware of the unconscious motivations that drive their overt actions.' This faculty member's views are most similar to the views held by?
- A. F. Skinner.
- B. Carl Rogers.
- C. Wilhelm Wundt.
- D. Sigmund Freud
Correct answer: D
Rationale: The correct answer is D, Sigmund Freud. Freud's psychoanalytic theory emphasized the influence of unconscious motivations on behavior. This aligns with the faculty member's statement about people being unaware of the unconscious drives behind their actions. Choice A, F. Skinner, is incorrect because Skinner focused on observable behavior and reinforcement. Choice B, Carl Rogers, is incorrect as Rogers is associated with humanistic psychology and self-actualization, not unconscious motivations. Choice C, Wilhelm Wundt, is also incorrect as he is known for establishing the first psychology laboratory and structuralism, not unconscious motivations.
4. The nurse assesses a deep wound. The area is covered by black and necrotic tissue. What term would the nurse use when documenting this wound?
- A. Tunnelling
- B. Eschar
- C. Blanching
- D. Cellulitis
Correct answer: Eschar
Rationale:
5. What is the pharmacological class of Lithium?
- A. Antidiabetics, biguanides
- B. Mood stabilizers
- C. Antiarrhythmics, anticonvulsants
- D. Vascular headache suppressants
Correct answer: B
Rationale: Lithium is classified as a mood stabilizer due to its primary use in managing bipolar disorder, where it helps stabilize mood swings and prevent episodes of mania and depression. While it can have other effects on the body, its main therapeutic role lies in its mood-stabilizing properties. Choices A, C, and D are incorrect as lithium is not classified as antidiabetics, biguanides, antiarrhythmics, anticonvulsants, or vascular headache suppressants. Its main pharmacological class is mood stabilizers.
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