ATI LPN
ATI Pediatric Medications Test
1. The nurse is planning the care of a hospitalized 4-year-old. The most appropriate technique the nurse can use to reduce the stress of hospitalization for this child is to:
- A. Encourage the child to discuss their feelings.
- B. Encourage peer visitation.
- C. Encourage the child to play with safe medical equipment.
- D. Read a story to the child.
Correct answer: C
Rationale: Encouraging the child to play with safe medical equipment is the most appropriate technique to reduce stress for a hospitalized child. This technique helps familiarize the child with medical equipment in a non-threatening way, empowering them to feel more in control of the environment. Options A, B, and D may be helpful but do not directly address the child's exposure and interaction with the hospital environment, making them less effective in reducing stress in this context.
2. A client is scheduled for a 12-lead ECG. Which of the following actions should the nurse include in the plan of care?
- A. Ensure the client is fasting before the test
- B. Provide a warm blanket for the client
- C. Apply cold compresses to the client's chest
- D. Instruct the client to remain still
Correct answer: D
Rationale: During a 12-lead ECG, the client needs to remain still to obtain accurate readings. Therefore, instructing the client to remain still is essential. Choices A, B, and C are incorrect because fasting is not necessary for an ECG, providing a warm blanket is not a standard procedure, and applying cold compresses may interfere with the ECG results.
3. A gerontological nurse is providing care at a local community health center that serves large black American and white American older adult populations. The nurse is working to develop culturally appropriate programs to meet each group's health needs and notes differences in health status between the groups. Which reason would the nurse most likely identify as accounting for the differences between the populations?
- A. High incidence of violent crime and sexually transmitted diseases in the black population
- B. Reliance on family for health care advice and rejection of formal service agencies in the white population
- C. Cultural preference for unconventional medical treatments like herbal remedies in the white population
- D. Lower standard of living and less access to health care services in the black population
Correct answer: D
Rationale: The correct answer is D. Black older adults historically possess many health problems that have accumulated over a lifetime due to a poor standard of living and limited access to health care services. Option A is incorrect because it presents stereotypes about the black population that are not supported by evidence. Option B is incorrect because it generalizes the behavior of the white population without a strong basis. Option C is incorrect as it also generalizes the white population and does not address the disparities in health status between the two groups.
4. Which vitamin deficiency in the pregnant woman may cause neural tube defects?
- A. Niacin
- B. Riboflavin
- C. Folic Acid
- D. Thiamine
Correct answer: C
Rationale: Neural tube defects are linked to a deficiency in folic acid intake during pregnancy. Adequate folic acid intake is crucial as it significantly reduces the risk of neural tube defects in newborns. Therefore, ensuring pregnant women have sufficient folic acid is essential in preventing this serious birth defect.
5. A nurse is teaching a client who is to undergo total knee arthroplasty about postoperative care. Which of the following instructions should the nurse include?
- A. Apply heat to the affected knee
- B. Avoid placing pillows under the knee
- C. Avoid moving the knee for 2-3 days
- D. Apply ice to the affected knee for 24-48 hours
Correct answer: D
Rationale: The correct answer is to apply ice to the affected knee for 24-48 hours. Applying ice helps to reduce inflammation and pain after knee surgery, promoting healing. Choice A is incorrect because heat is not recommended postoperatively, as it can increase swelling. Choice B is incorrect because pillows should be placed under the knee to keep it elevated. Choice C is incorrect because early mobilization is essential for preventing complications such as blood clots.
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