ATI RN
RN Pediatric Nursing 2023 ATI
1. The nurse is reviewing the prescriber�s orders and notes that omeprazole has been order for a patient admitted with acute coronary syndrome (ACS). The nurse should be concerned if this medication is combined with which medication noted on the patient�s record.
- A. Aspirin 81mg daily
- B. Clopidogrel (Plavix) 75mg daily
- C. Heparin 5000 units subQ q12hrs
- D. Metoprolol 50mg q8hrs
Correct answer: B
Rationale: For patients who lack risk factors for GI bleeding, combined use of clopidogrel with a PPI, may reduce the effects of clopidogrel without offering any real benefits and thus should be avoided.
2. Which of the following aspects is the priority focus of nursing management for a client with peritonitis?
- A. Fluid and electrolyte balance
- B. Gastric irrigation
- C. Pain management
- D. Psychosocial issues
Correct answer: A
Rationale: The priority focus of nursing management for a client with peritonitis is fluid and electrolyte balance to prevent shock.
3. During a flu shot clinic, one of the questions the student nurse asks relates to whether the client has a history of Guillain-Barré syndrome. The client asks, 'What is that?' How should the nursing student reply?
- A. A type of paralysis that affects movement on both sides of the body. It may even involve the respiratory muscles.
- B. Swelling of your arm where you got your flu shot and maybe your eyes and lips had some swelling as well.
- C. A degenerative disease where you have trouble walking without the help of a cane or walker.
- D. Influenza-like illness where you had fever and chills for 2 to 3 days after your last flu shot.
Correct answer: A
Rationale: The correct answer is A because Guillain-Barré syndrome is an acute immune-mediated polyneuropathy that can lead to paralysis affecting movement on both sides of the body, and in severe cases, involving the respiratory muscles. Choice B is incorrect as it describes local swelling, not the systemic effects of Guillain-Barré syndrome. Choice C is incorrect as it describes a degenerative disease affecting mobility, not an acute immune-mediated condition like Guillain-Barré syndrome. Choice D is incorrect as it describes flu-like symptoms following a flu shot, which is not the same as Guillain-Barré syndrome.
4. The community/Public Health Bag is:
- A. a requirement for home visits
- B. an essential and indispensable equipment of the community health nurse
- C. contains basic medications and articles used by the community health nurse
- D. a tool used by the Community health nurse is rendering effective nursing procedures during a home visit
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
5. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:
- A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
- B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
- C. I collaborated with the social work services team when I noted that my patient was unhoused.
- D. I taught the newly pregnant mom about necessary vaccinations to have at this time.
Correct answer: C
Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.
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