ATI RN
ATI Nursing Care of Children 2019 B
1. What is the best indicator of fluid balance in a pediatric patient?
- A. Blood pressure
- B. Heart rate
- C. Weight
- D. Urine output
Correct answer: C
Rationale: Weight is the most accurate indicator of fluid balance in pediatric patients. Changes in weight reflect shifts in body fluid levels more directly compared to other parameters. Blood pressure and heart rate may be affected by various factors other than fluid balance. While urine output is important in assessing renal function, it may not provide a comprehensive picture of overall fluid balance in pediatric patients.
2. A manager has a budget request deadline today at 3:00. He stops his work to answer the phone, check emails as they arrive, and speak with staff who stop by his office. As a result, he misses the deadline. What best describes the cause of missing his deadline?
- A. Goal setting
- B. Organization
- C. Time wasters
- D. Assertiveness
Correct answer: C
Rationale: The best choice that describes the cause of the manager missing his deadline is 'Time wasters.' In this scenario, the manager's focus was diverted by tasks like answering the phone, checking emails, and speaking with staff, which are considered time wasters when they prevent him from meeting his deadline. Choices A, B, and D are incorrect in this context. Goal setting was not the issue as the manager was aware of the deadline; organization did not play a significant role as his tasks were interrupted by external factors, and assertiveness was not the cause of missing the deadline.
3. Down syndrome is caused by ________
- A. a chemical imbalance.
- B. a gene on the X chromosome.
- C. possessing an extra X chromosome.
- D. possessing an extra chromosome in chromosome 21.
Correct answer: D
Rationale: Down syndrome is caused by possessing an extra chromosome in chromosome 21, not a chemical imbalance (choice A), a gene on the X chromosome (choice B), or possessing an extra X chromosome (choice C). The presence of an extra copy of chromosome 21, also known as trisomy 21, leads to the characteristic features and health problems associated with Down syndrome.
4. What dietary teaching should be provided to a patient with GERD?
- A. Avoid mint and pepper
- B. Consume liquids with meals
- C. Increase fluid intake with meals
- D. Eat large meals before bed
Correct answer: A
Rationale: The correct dietary teaching for a patient with GERD is to avoid mint and pepper. Mint and pepper can trigger reflux symptoms and increase gastric acid secretion, exacerbating GERD. Choices B and C are not recommended for patients with GERD as consuming liquids with meals and increasing fluid intake during meals can contribute to reflux by distending the stomach. Choice D, eating large meals before bed, can also worsen GERD symptoms by increasing pressure on the lower esophageal sphincter and promoting reflux.
5. After consuming a meal high in fat, the _____ releases _______ to aid in digestion.
- A. stomach, acid
- B. liver, bile
- C. pancreas, bicarbonate
- D. gallbladder, bile
Correct answer: D
Rationale: The gallbladder releases bile into the small intestine to help digest fats. Bile emulsifies fats, breaking them down into smaller droplets for easier digestion. The stomach primarily releases gastric acid, the liver produces bile but stores it in the gallbladder, and the pancreas secretes bicarbonate to neutralize stomach acid in the small intestine. Therefore, choices A, B, and C are incorrect.
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