ATI RN
ATI Nursing Care of Children 2019 B
1. What is often the initial sign of acute rheumatic fever in children?
- A. Polyarthritis
- B. Carditis
- C. Erythema marginatum
- D. Sydenham chorea
Correct answer: A
Rationale: Polyarthritis is indeed frequently the initial sign of acute rheumatic fever in children. It presents as joint pain, swelling, and redness. Carditis (inflammation of the heart), Erythema marginatum (a skin rash), and Sydenham chorea (involuntary muscle movements) are typically seen in the later stages of acute rheumatic fever and not as the initial sign.
2. A patient is admitted to the emergency room and is found to have proteinuria, a low serum albumin level, edema, and elevated blood lipids. Which condition do these symptoms typically associate with?
- A. Nephrotic syndrome
- B. Acute kidney injury
- C. Rejection of a kidney transplant
- D. Renal colic
Correct answer: A: Nephrotic syndrome
Rationale: The correct answer is A: Nephrotic syndrome. Nephrotic syndrome is characterized by proteinuria (excess protein in urine), hypoalbuminemia (low serum albumin), edema (swelling due to fluid buildup), and hyperlipidemia (elevated blood lipids). These symptoms occur as a result of damage to the kidneys' filtering units. Acute kidney injury, rejection of a kidney transplant, and renal colic do not present with the same combination of symptoms as nephrotic syndrome. Acute kidney injury typically presents with a sudden decrease in kidney function, resulting in a build-up of waste products in the blood. Rejection of a kidney transplant may present with fever, pain at the transplant site, and changes in urine output. Renal colic usually presents with intense pain in the lower back or side, related to kidney stones.
3. A nursing instructor is observing a nursing student practicing standard precautions. Which observation by the instructor indicates a need for further teaching?
- A. The nursing student wears a gown to change the bed of an incontinent client.
- B. The nursing student washes hands before making contact with the client.
- C. The nursing student washes her hands before glove removal after emptying a Foley bag.
- D. The nursing student changes gloves between tasks and procedures.
Correct answer: C
Rationale: The correct answer is C. The nursing student washing her hands before glove removal after emptying a Foley bag indicates a need for further teaching. Hands should be washed after glove removal to maintain proper infection control. Choice A is correct as wearing a gown when changing the bed of an incontinent client is a standard precaution. Choice B is correct as washing hands before making contact with the client is a good practice. Choice D is correct as changing gloves between tasks and procedures is a standard precaution to prevent the spread of infection.
4. A client in the first trimester of pregnancy who is experiencing nausea is receiving teaching from a nurse. Which of the following instructions should the nurse include in the teaching?
- A. Drink water with meals
- B. Consume small, frequent meals
- C. Eat high-fat foods
- D. Lie down after eating
Correct answer: B
Rationale: The correct instruction for a client in the first trimester of pregnancy experiencing nausea is to consume small, frequent meals. This helps alleviate nausea by preventing an empty stomach and maintaining stable blood sugar levels. Drinking water with meals can sometimes exacerbate nausea, especially in the case of morning sickness. Eating high-fat foods can be heavy on the stomach and worsen nausea. Lying down after eating can lead to reflux and is not recommended, especially for pregnant individuals experiencing nausea.
5. The physician orders 10 gr of aspirin for a patient. The equivalent dose in milligrams is:
- A. 0.6 mg
- B. 10 mg
- C. 60 mg
- D. 600 mg
Correct answer: D
Rationale: To convert grains (gr) to milligrams (mg), you multiply by 60. Therefore, 10 gr of aspirin is equal to 600 mg (10 gr x 60 = 600 mg). So, the correct answer is 600 mg.
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