ATI RN
RN Nursing Care of Children Online Practice 2019 A
1. The nurses caring for a child are concerned about the child’s frequent requests for pain medication. During a team conference, a new nurse suggests they consider administering a placebo instead of the usual pain medication to see how the child responds. The team educates the nurse on why this is not appropriate and bases the decision on what knowledge?
- A. This practice is unjustified and unethical.
- B. This practice is effective in determining whether a child’s pain is real.
- C. The absence of a response to a placebo means the child’s pain has an organic basis.
- D. A positive response to a placebo will not occur if the child’s pain has an organic basis.
Correct answer: A
Rationale: The correct answer is A. The use of placebos without the patient’s consent is unethical and goes against the principles of beneficence and autonomy. Choice B is incorrect because using placebos does not provide reliable information about the presence or severity of the pain; it only indicates the response to the placebo itself. Choice C is wrong as the absence of a response to a placebo does not definitively mean that the child’s pain has an organic basis; there could be various reasons for the lack of response. Choice D is also incorrect as individuals may have a positive response to a placebo even if their pain has a significant organic cause. Therefore, the most appropriate response is A, emphasizing the ethical concerns surrounding the use of placebos without informed consent.
2. What role does brain development play in psychopathology?
- A. Brain development has no impact on psychopathology.
- B. Brain development plays a crucial role in the onset of many mental disorders.
- C. Brain development is only linked to physical disabilities, not mental disorders.
- D. Brain development is not associated with mental health.
Correct answer: B
Rationale: Brain development plays a crucial role in the onset of many mental disorders. It affects how the brain processes information and responds to stress, influencing the development of psychopathology. Choice A is incorrect as brain development does impact psychopathology. Choice C is incorrect as brain development is linked to mental disorders as well. Choice D is incorrect as brain development has implications for mental health.
3. __________ theory was the first to stress the influence of the early parent‒child relationship on development.
- A. Darwin’s
- B. Freud’s
- C. Erikson’s
- D. Watson’s Answer: B Page Ref: 15 Skill Level: Remember Topic: Mid-Twentieth-Century Theories Difficulty Level: Easy
Correct answer: B
Rationale: Freud's theory was the first to stress the influence of the early parent‒child relationship on development. Sigmund Freud's psychoanalytic theory emphasized the importance of the child's interactions with caregivers, particularly during the early stages of development, in shaping personality and behavior.
4. A nurse administers insulin for a misread glucose level. What should the nurse monitor for?
- A. Monitor for hypoglycemia
- B. Monitor for hyperglycemia
- C. Monitor for hyperkalemia
- D. Document the incident
Correct answer: A
Rationale: When a nurse administers insulin for a misread glucose level, they should monitor for hypoglycemia. Insulin lowers blood sugar levels, so the patient may experience hypoglycemia if given insulin unnecessarily. Monitoring for hypoglycemia involves observing for symptoms such as shakiness, sweating, dizziness, confusion, and palpitations. Choices B and C are incorrect because administering insulin for a misread glucose level would lower blood sugar levels, resulting in hypoglycemia, not hyperglycemia or hyperkalemia. Choice D is not the immediate priority; the focus should be on patient safety and monitoring for potential adverse effects of the unnecessary insulin.
5. A healthcare provider is providing discharge instructions to a client who is prescribed Prednisone. Which of the following dietary instructions should the healthcare provider include?
- A. Increase your intake of potassium-rich foods.
- B. Increase your intake of dairy products.
- C. Avoid foods high in vitamin K.
- D. Decrease your intake of protein.
Correct answer: A
Rationale: The correct answer is to increase the intake of potassium-rich foods (Choice A). Prednisone can cause potassium depletion, so clients should increase their intake of foods such as bananas, oranges, and spinach. Potassium-rich foods help maintain electrolyte balance and prevent complications associated with low potassium levels, such as muscle weakness and irregular heartbeats. Choices B, C, and D are incorrect because increasing dairy products (Choice B) or avoiding foods high in vitamin K (Choice C) are not specifically related to Prednisone therapy. Decreasing protein intake (Choice D) is also not necessary in this case.