ATI RN
ATI Pediatric Proctored Exam 2023
1. The nurse plans to closely monitor for which clinical manifestation after administering furosemide (Lasix)?
- A. Decrease pulse
- B. Decrease temperature
- C. Decrease BP
- D. Decrease respiratory rate.
Correct answer: C
Rationale: High-ceiling diuretics, such as furosemide, are the most effective diuretic agents. They produce more loss of fluid and electrolytes than any others. A sudden loss of fluid can result in decreased BP. When BP drops, the pulse will probably increase rather than decrease.
2. School phobia among kids may be a form of?
- A. Occurs every time when one is in a certain situation
- B. Occurs most of the time when one is in a specific situation
- C. Be unexpected
- D. Expected
Correct answer: C
Rationale: The correct answer is C: 'Be unexpected.' School phobia in children is often associated with separation anxiety disorder, leading to unexpected and intense fear or anxiety about attending school. Choices A and B are incorrect because school phobia does not necessarily occur every time or most of the time when in a specific situation; it is more about the unexpected fear related to attending school. Choice D is also incorrect because school phobia is characterized by an unexpected and overwhelming fear of school, not an expected or anticipated reaction.
3. A client at 14 weeks gestation reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make?
- A. Describe your feelings to me about being pregnant.
- B. You should discuss your feelings with your provider.
- C. Have you discussed these feelings with your partner?
- D. When did you start having these feelings?
Correct answer: A
Rationale: The correct response is to use open-ended questions that allow the client to explore and express their feelings. Choice A encourages the client to describe their feelings, fostering open communication and providing an opportunity for the client to express themselves freely. Choices B and C do not directly address the client's feelings and may not promote open communication. Choice D focuses on the timing of the feelings rather than exploring the feelings themselves, making it a less therapeutic response.
4. The client has recently been diagnosed with irritable bowel syndrome (IBS). Which intervention should the nurse teach the client to reduce symptoms?
- A. Instruct the client to avoid drinking fluids with meals
- B. Explain the need to decrease intake of flatus-forming foods
- C. Teach the client how to perform gentle perianal care
- D. Encourage the client to see a psychologist
Correct answer: B
Rationale: The correct answer is B. Decreasing the intake of flatus-forming foods can help reduce symptoms of bloating and discomfort in IBS. This intervention focuses on dietary modifications that can positively impact the client's condition. Instructing the client to avoid drinking fluids with meals (choice A) may not directly address the underlying cause of IBS symptoms. Teaching perianal care (choice C) is important for hygiene but does not directly address IBS symptoms. Encouraging the client to see a psychologist (choice D) may be beneficial for managing stress or anxiety associated with IBS but does not directly target symptom reduction through dietary changes.
5. Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had __________.
- A. taught women to fear the birth experience
- B. helped women develop breathing techniques to lessen the pain of labor
- C. taught women that medical intervention was unnecessary in childbirth
- D. helped women focus on child rearing rather than childbirth
Correct answer: A
Rationale: Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had taught women to fear the birth experience. They believed that this fear contributed to increased pain during labor and advocated for methods to reduce fear and promote relaxation during childbirth. Choice B is incorrect as the focus is on fear, not on techniques to lessen pain. Choice C is incorrect as the experts did not advocate against medical intervention but rather against unnecessary fear. Choice D is incorrect as the experts aimed to change attitudes towards childbirth, not redirect focus to child rearing.
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