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ATI Pediatrics Proctored Exam 2023 with NGN
1. The provider is educating the parents of a newborn about circumcision care. Which of the following instructions should be included?
- A. Cleanse the penis with each diaper change using alcohol wipes.
- B. Avoid using petroleum jelly on the circumcision site.
- C. Report any yellowish exudate around the head of the penis.
- D. Use warm water to clean the penis gently during diaper changes.
Correct answer: D
Rationale: The correct instruction for circumcision care is to use warm water to gently clean the penis during diaper changes. Alcohol wipes should be avoided as they can cause irritation. Yellowish exudate around the head of the penis is a normal part of the healing process and does not require reporting unless accompanied by other concerning symptoms. Avoiding petroleum jelly on the circumcision site is important to prevent trapping moisture and bacteria, which can lead to infection.
2. What law mandates the reporting of cases of notifiable diseases by healthcare professionals?
- A. Act 3573
- B. RA 3753
- C. RA 1054
- D. RA 1082
Correct answer: A
Rationale: Act 3573, also known as the Law on Reporting of Communicable Diseases, enacted in 1929, mandates healthcare professionals to report cases of notifiable diseases listed in the law to the nearest health station. This law aims to facilitate early detection, prompt response, and control of communicable diseases to protect public health.
3. A nurse is caring for a client with schizophrenia. Which of the following assessment findings should the nurse expect?
- A. Decreased level of consciousness
- B. Inability to identify common objects
- C. Poor problem-solving ability
- D. Preoccupation with somatic disturbances
Correct answer: C
Rationale: Corrected Rationale: Poor problem-solving ability is a common cognitive symptom of schizophrenia. It affects the client's ability to think clearly and make decisions. Decreased level of consciousness (Choice A) is not a typical assessment finding in schizophrenia. Inability to identify common objects (Choice B) is more indicative of conditions like dementia. Preoccupation with somatic disturbances (Choice D) is characteristic of somatic symptom disorders, not schizophrenia.
4. Which historical figure is honored for working to improve care of the mentally ill in mental health nursing?
- A. Clara Barton
- B. Florence Nightingale
- C. Dorothea Dix
- D. Lillian D. Wald
Correct answer: C
Rationale: Dorothea Dix is the correct answer. She is recognized for her significant contributions in advocating for the improvement of care for the mentally ill. Dix played a crucial role in establishing mental health institutions and reforming the care provided to individuals with mental health conditions. Clara Barton is known for founding the American Red Cross, Florence Nightingale is renowned as the founder of modern nursing, and Lillian D. Wald is recognized for her work in public health nursing. However, none of them are specifically honored for their work in improving care for the mentally ill in mental health nursing, unlike Dorothea Dix.
5. A nurse is preparing to administer furosemide to a client who has a prescription. Which of the following statements by the client indicates a need for further teaching?
- A. I will take my morning pills with food or milk.
- B. I will weigh myself every day.
- C. I will notify the nurse if I have muscle cramps.
- D. I will limit my intake of fish.
Correct answer: D
Rationale: The correct answer is D. There is no need to limit fish intake with furosemide, indicating a misunderstanding of dietary restrictions. Furosemide is a diuretic that helps the body get rid of excess water and salt. Choices A, B, and C are all appropriate actions for a client taking furosemide. Taking morning pills with food or milk can help reduce stomach upset, weighing oneself daily helps monitor fluid retention, and notifying the nurse about muscle cramps can be important due to potential electrolyte imbalances.
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