ATI RN
RN Nursing Care of Children Online Practice 2019 A
1. What is a priority intervention for an infant with a temporary colostomy for Hirschsprung disease?
- A. Teaching how to irrigate the colostomy
- B. Protecting the skin around the colostomy
- C. Discussing the implications of a colostomy during puberty
- D. Using simple, straightforward language to prepare the child
Correct answer: B
Rationale: Protecting the skin around the colostomy is crucial to prevent irritation and infection, which are common complications in infants with colostomies. Teaching and discussing long-term implications are important but secondary to immediate skin care needs.
2. A nurse is providing teaching to an older client who has osteoarthritis that is affecting the knees. What statement by the client indicates a correct understanding of the teaching?
- A. I can use either heat or ice to help relieve the discomfort
- B. ‘The purpose of drug therapy is to stop the disease progression.’
- C. ‘I will start a daily running program to get more exercise.’
- D. ‘I should avoid physical activity to prevent further injury.’
Correct answer: I can use either heat or ice to help relieve the discomfort
Rationale:
3. Which lipoprotein carries cholesterol from tissues to the liver for excretion?
- A. Very low-density lipoprotein
- B. Intermediate-density lipoprotein
- C. Low-density lipoprotein
- D. High-density lipoprotein
Correct answer: D
Rationale: The correct answer is D, High-density lipoprotein (HDL). HDL is known as 'good' cholesterol because it helps transport excess cholesterol from tissues back to the liver for removal from the body. Very low-density lipoprotein (VLDL) (choice A) and intermediate-density lipoprotein (choice B) are involved in transporting triglycerides. Low-density lipoprotein (LDL) (choice C) is known as 'bad' cholesterol as it can deposit cholesterol in the walls of arteries.
4. Fat-soluble vitamins are different from water-soluble vitamins because the body is able to store only small amounts of fat-soluble vitamins.
- A. Both the statement and the reason are correct and related.
- B. Both the statement and the reason are correct but are not related.
- C. The statement is correct, but the reason is not correct.
- D. The statement is not correct, but the reason is correct.
Correct answer: C
Rationale: The statement is correct, but the reason is not correct. A major difference between fat-soluble and water-soluble vitamins is that the body is able to store larger amounts of fat-soluble vitamins. Vitamins A and D are stored for long periods; therefore, minor shortages might not be identified until drastic depletion has occurred. Observable signs and symptoms of a dietary deficiency are often not identified until they are in an advanced state. Water-soluble vitamins, on the other hand, are not stored in the body and are excreted in the urine if taken in excess, making it harder to reach toxic levels.
5. In order for one to have a recessive trait (e.g., having red hair), the person must receive?
- A. At least one copy of a recessive gene from a parent
- B. Two copies of a recessive gene, one from each parent
- C. At least one copy of a recessive gene and at least one copy of a dominant gene
- D. At least two copies of a recessive gene from one parent
Correct answer: B
Rationale: Recessive traits are expressed when an individual inherits two copies of the recessive gene, one from each parent. Therefore, the correct answer is B. Choice A is incorrect as one copy of a recessive gene is not sufficient to display a recessive trait. Choice C is incorrect because having at least one copy of a dominant gene is unrelated to expressing a recessive trait. Choice D is incorrect because two copies of a recessive gene must come from both parents, not just one.
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