ATI RN
ATI Pediatric Proctored Exam 2023
1. The healthcare provider is preparing medication instructions for a child who has undergone a kidney transplant and is prescribed cyclosporine. The parents ask the provider about the reason for the cyclosporine. Which rationale for this medication should the healthcare provider include in the response?
- A. Suppress rejection
- B. Decrease pain
- C. Improve circulation
- D. Boost immunity
Correct answer: A
Rationale: Cyclosporine is used to suppress the immune system and prevent rejection of the transplanted kidney. It helps to reduce the risk of the body attacking and rejecting the new organ. This medication is crucial in ensuring the success of the kidney transplant by keeping the immune system in check.
2. During synchronized cardioversion on a client in atrial fibrillation, when the machine is activated, and there is a pause, what action should the nurse take?
- A. Wait until the machine discharges
- B. Shout “all clear” and don’t touch the bed
- C. Make sure the client is all right
- D. Increase the joules and re-discharge
Correct answer: B
Rationale: The correct action for the nurse to take when there is a pause after the machine is activated during synchronized cardioversion is to shout “all clear” and ensure that no one is touching the client or the bed to prevent them from being shocked. This step is crucial for the safety of everyone present during the procedure. Choices A, C, and D are incorrect because waiting without confirming safety, focusing on the client's condition only, or increasing joules without safety precautions can lead to potential harm or injury.
3. A client receiving chemotherapy is being taught about infection prevention by a nurse. Which of the following instructions should the nurse include?
- A. Wear a mask when gardening.
- B. Avoid crowds to reduce the risk of infection.
- C. You should take a daily vitamin to prevent infection.
- D. Increase your intake of high-protein foods.
Correct answer: B
Rationale: The correct answer is B: 'Avoid crowds to reduce the risk of infection.' Clients receiving chemotherapy are immunocompromised, so avoiding crowds can help decrease the likelihood of exposure to infections. Wearing a mask when gardening (choice A) is important but not directly related to infection prevention in the context of chemotherapy. Taking a daily vitamin (choice C) may be beneficial for overall health but is not specifically focused on infection prevention. Increasing intake of high-protein foods (choice D) is essential for nutrition but does not directly address infection prevention.
4. A nurse is assessing a client who is experiencing a panic attack. Which of the following findings should the nurse expect?
- A. Bradycardia.
- B. Hypotension.
- C. Chest pain.
- D. Dilated pupils.
Correct answer: D
Rationale: During a panic attack, the sympathetic nervous system is activated, leading to physiological responses such as dilated pupils. Bradycardia (slow heart rate) and hypotension (low blood pressure) are not typically associated with panic attacks. While chest pain can occur during a panic attack due to rapid breathing and muscle tension, dilated pupils are a more specific finding related to sympathetic activation in this context.
5. When providing mouth care to an unconscious client, what is the best position for the client?
- A. Fowler’s position
- B. Side-lying
- C. Supine
- D. Trendelenburg
Correct answer: B
Rationale: The best position for an unconscious client when providing mouth care is the side-lying position. This position helps prevent aspiration by allowing fluids to drain out of the mouth easily, reducing the risk of choking or aspiration pneumonia. Placing the client in a side-lying position also promotes comfort and safety during the procedure. The other options are not ideal for mouth care in an unconscious client: Fowler’s position may increase the risk of aspiration, the supine position can lead to aspiration as well, and Trendelenburg position is not recommended due to potential adverse effects on blood circulation and increased intracranial pressure.
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