ATI RN
ATI Nursing Care of Children 2019 B
1. What is the most common symptom of gastroesophageal reflux in infants?
- A. Projectile vomiting
- B. Bilious vomiting
- C. Frequent spitting up
- D. Diarrhea
Correct answer: C
Rationale: Frequent spitting up is indeed a common symptom of gastroesophageal reflux in infants. It is caused by the backward flow of stomach contents into the esophagus, leading to infants regurgitating milk or formula shortly after feeding. Projectile vomiting (choice A) is more commonly associated with conditions like pyloric stenosis rather than gastroesophageal reflux. Bilious vomiting (choice B) often indicates an obstruction in the gastrointestinal tract. Diarrhea (choice D) is not typically a primary symptom of gastroesophageal reflux in infants.
2. What is the main goal of discharge planning?
- A. To ensure that patients are discharged as quickly as possible
- B. To prevent hospital readmissions
- C. To educate patients about their medications
- D. To transition patients from one level of care to another
Correct answer: B
Rationale: The main goal of discharge planning is to prevent hospital readmissions by ensuring patients have a clear and effective plan for post-discharge care. This includes coordinating follow-up appointments, medication management, and providing necessary support services to promote a successful transition from the hospital to home or another care setting. Choices A, C, and D are incorrect because discharge planning is not primarily about speedy discharge, medication education, or transitioning between care levels; its main focus is on preventing readmissions through comprehensive post-discharge care.
3. A nurse assesses a client who is admitted for treatment of fluid overload. Which manifestations should the nurse expect to find? (Select all that do not apply.)
- A. Increased pulse rate
- B. . Distended neck veins
- C. Warm and pink skin
- D. Skeletal muscle weakness
Correct answer: Warm and pink skin
Rationale:
4. What factor has been shown to contribute to poor nutritional health among adolescents?
- A. Most teens choose fruit juice and milk over soda
- B. Many teens consume energy drinks on a regular basis
- C. Teens have busy schedules and rarely drink fluids throughout the day
- D. Teens are more likely to consume low-fat milk
Correct answer: B
Rationale: The correct answer is B because many teens regularly consume energy drinks, which can contribute to poor nutritional health due to their high sugar and caffeine content, leading to unhealthy dietary patterns. Choice A is incorrect because choosing fruit juice and milk over soda would generally be considered a healthier choice. Choice C is incorrect as busy schedules leading to inadequate fluid intake might impact hydration but not necessarily poor nutritional health. Choice D is also incorrect as consuming low-fat milk is not typically a significant factor contributing to poor nutritional health among adolescents.
5. Substance abuse is often present in individuals diagnosed with bipolar disorder. Laura, a 28-year-old with a bipolar disorder diagnosis, chooses to drink alcohol instead of taking her prescribed medications. The nurse caring for this patient recognizes that:
- A. Anxiety may be present.
- B. Alcohol ingestion is a form of self-medication.
- C. The patient is lacking a sufficient number of neurotransmitters.
- D. The patient is using alcohol as a coping mechanism.
Correct answer: B
Rationale: Individuals with bipolar disorder may turn to alcohol as a form of self-medication to cope with their symptoms. This behavior is often seen as an attempt to manage mood swings and alleviate distress. It is important for healthcare providers to address and manage substance abuse issues in patients with bipolar disorder to ensure proper treatment and overall well-being.
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