ATI RN
ATI Nursing Care of Children 2019 B
1. The nurse is preparing to admit a 5-year-old child with hepatitis A. What clinical features of hepatitis A should the nurse recognize?
- A. The onset is rapid.
- B. Fever occurs early.
- C. All are applicable
- D. Nausea and vomiting are common.
Correct answer: C
Rationale: The correct answer is C. Hepatitis A typically presents with a rapid onset, early fever, and nausea/vomiting. These are common clinical features seen in patients with hepatitis A. A pruritic rash is not commonly associated with hepatitis A, so choice C is incorrect. Choice A and B alone are not sufficient to cover all the clinical features of hepatitis A.
2. A patient is being administered chemotherapeutic agents for the treatment of cancer. Which of the following blood cells will be stimulated by the colony-stimulating factors in response to the effects of the chemotherapy?
- A. White blood cells
- B. Red blood cells
- C. Phagocytes
- D. Myocardial cells
Correct answer: A
Rationale: The correct answer is White blood cells. Colony-stimulating factors stimulate the production of white blood cells in response to the effects of chemotherapy, as it can lead to myelosuppression. Red blood cells are not directly stimulated by colony-stimulating factors. Phagocytes are a type of white blood cell involved in immune responses, but they are not specifically stimulated by colony-stimulating factors. Myocardial cells are cardiac muscle cells and are not directly involved in the response to chemotherapy-induced myelosuppression.
3. Which actions by the nurse demonstrate overinvolvement with patients and their families? (Select all that apply.)
- A. Buying clothes for the patients
- B. Showing favoritism toward a patient
- C. All
- D. Spending off-duty time with patients and families
Correct answer: C
Rationale: Overinvolvement includes personal actions like buying clothes, showing favoritism, and spending off-duty time with patients, which can blur professional boundaries.
4. Which situation denotes a nontherapeutic nurse-patient-family relationship?
- A. The nurse is planning to read a favorite fairy tale to a patient
- B. During shift report, the nurse is criticizing parents for not visiting their child
- C. The nurse is discussing with a fellow nurse the emotional draw to a certain patient
- D. The nurse is working with a family to find ways to decrease the family’s dependence on health care providers
Correct answer: B
Rationale: Criticizing parents or making negative comments about their involvement is nontherapeutic and can damage the nurse-patient-family relationship.
5. Surgical management of ulcerative colitis may be performed to treat which of the following complications?
- A. Gastritis
- B. Bowel herniation
- C. Bowel outpouching
- D. Bowel perforation
Correct answer: D
Rationale: Surgical management of ulcerative colitis may be necessary to treat complications such as bowel perforation.
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