ATI RN
ATI Nursing Care of Children 2019 B
1. The nurse is preparing to admit a 6-year-old child with celiac disease. What clinical manifestations should the nurse expect to observe?
- A. Steatorrhea
- B. All are correct
- C. Malnutrition
- D. Foul-smelling stools
Correct answer: B
Rationale: Celiac disease often presents with steatorrhea, malnutrition, and foul-smelling stools due to the malabsorption of nutrients. Therefore, all the manifestations listed (steatorrhea, malnutrition, foul-smelling stools) are expected in a child with celiac disease. Polycythemia is not associated with celiac disease, making choice B the correct answer.
2. Penalties should be __________ .
- A. Determining the employee's awareness of the policy
- B. Describing the staff nurse's behavior that violated the policy
- C. Progressive
- D. Confrontation
Correct answer: C
Rationale: Penalties for policy violations should be progressive. This means that the disciplinary actions should escalate based on the severity or frequency of the violation. For minor infractions, like smoking in an unauthorized area, a progressive approach may include oral warnings, written warnings, suspension, and termination if the behavior persists. In contrast, major violations, such as theft, may warrant immediate and severe consequences like suspension or termination. Choices A, B, and D are incorrect as they do not address the concept of progressively escalating penalties based on the violation's severity or recurrence.
3. Which of the following lists best illustrates the idea of increasing levels of complexity?
- A. Cells, tissues, organelles, organs, organ systems
- B. Tissues, cells, organs, organelles, organ systems
- C. Organs, organelles, organ systems, cells, tissues
- D. Organelles, cells, tissues, organs, organ systems
Correct answer: Organelles, cells, tissues, organs, organ systems
Rationale: The correct answer is D: Organelles, cells, tissues, organs, organ systems. This list correctly depicts the increasing levels of complexity in biological organization. It starts with organelles, which are subunits within cells, followed by cells, then tissues (groups of cells working together), organs (comprised of different tissues), and finally organ systems (multiple organs working together). Choices A, B, and C are incorrect as they do not follow the logical progression of complexity from smaller units to larger, more complex structures.
4. A student finds that they come down with a sinus infection toward the end of every semester. When this occurs, which stage of stress is the student most likely experiencing?
- A. Alarm reaction stage
- B. Stage of resistance
- C. Stage of exhaustion
- D. Fight-or-flight stage
Correct answer: C
Rationale: The student is most likely experiencing the stage of exhaustion. In this stage, the body's exposure to stress has been prolonged, and adaptive energy has been depleted. As a result, diseases of adaptation, such as the recurrent sinus infection in this case, are more likely to occur. The alarm reaction stage is the initial stage of the stress response, where the body perceives a threat and activates the fight-or-flight response. The stage of resistance is when the body tries to adapt and cope with the stressor. The fight-or-flight response is the immediate reaction to a perceived threat, involving physiological changes to prepare the body to either fight the stressor or flee from it.
5. Which type of lung cancer is strongly associated with exposure to asbestos?
- A. Mesothelioma
- B. Adenocarcinoma
- C. Squamous cell carcinoma
- D. Small cell lung cancer
Correct answer: A
Rationale: The correct answer is Mesothelioma. This type of lung cancer is indeed strongly associated with exposure to asbestos, affecting the lining of the lungs or abdomen. Adenocarcinoma, Squamous cell carcinoma, and Small cell lung cancer are not primarily linked to asbestos exposure, making them incorrect choices for this question.
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