ATI RN
RN Nursing Care of Children Online Practice 2019 A
1. The school nurse suspects a testicular torsion in a young adolescent student. What action should the nurse take?
- A. Place a warm moist pack on the scrotal area.
- B. Instruct the adolescent to lie down and elevate the legs.
- C. Refer the adolescent for immediate medical evaluation.
- D. Suggest that the adolescent wear a scrotum-protecting guard.
Correct answer: C
Rationale: Testicular torsion is a surgical emergency requiring immediate medical evaluation. Applying heat or elevating the legs will not alleviate the torsion, and delaying care can lead to testicular necrosis.
2. How should a healthcare provider manage a patient with chronic heart failure?
- A. Monitor daily weight
- B. Provide fluid restriction
- C. Administer diuretics
- D. Monitor intake and output
Correct answer: A
Rationale: Corrected Rationale: Daily weight monitoring is crucial in managing patients with chronic heart failure as it helps assess fluid balance. Monitoring daily weight allows healthcare providers to detect any sudden weight gain, which could indicate fluid retention and worsening heart failure. This intervention helps in adjusting treatment plans promptly. Providing fluid restriction (Choice B) can be a part of managing heart failure but is not the primary intervention mentioned in the question. Administering diuretics (Choice C) is a treatment modality for heart failure but does not encompass the comprehensive approach to patient management. Monitoring intake and output (Choice D) is important but does not specifically address the direct assessment of fluid status as daily weight monitoring does.
3. Which of the following statements best describes the role of a community health nurse?
- A. Provides direct patient care in hospital settings
- B. Conducts health education and community organizing activities
- C. Coordinates care for individuals and families
- D. Advocates for health policies and programs
Correct answer: B
Rationale: The correct answer is B. Community health nurses play a crucial role in conducting health education and community organizing activities within the community. They focus on promoting health, preventing diseases, and improving the overall well-being of the community members by organizing educational programs and initiatives. While they may be involved in coordinating care to some extent, their primary focus lies in health education and community outreach.
4. A client is diagnosed with systemic sclerosis (scleroderma). What symptoms is the first to occur?
- A. Tachycardia
- B. Raynaud’s phenomenon
- C. Intense wrinkle
- D. Joint pain
Correct answer: Raynaud’s phenomenon
Rationale:
5. A nurse is reviewing the laboratory results of a client who has Cushing's disease. The nurse should expect an increase in which of the following laboratory values?
- A. Serum glucose level
- B. Serum potassium level
- C. Serum calcium level
- D. Serum sodium level
Correct answer: A
Rationale: The correct answer is A: Serum glucose level. In Cushing's disease, there is increased cortisol production, leading to elevated blood glucose levels. This occurs due to the role of cortisol in promoting gluconeogenesis and insulin resistance. Choices B, C, and D are incorrect because Cushing's disease is not typically associated with alterations in serum potassium, calcium, or sodium levels.
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