ATI RN
ATI Nursing Care of Children
1. Where is the best place to observe for the presence of petechiae in dark-skinned individuals?
- A. Face
- B. Buttocks
- C. Oral mucosa
- D. Palms and soles
Correct answer: C
Rationale: The oral mucosa and conjunctivae are the best places to observe petechiae in dark-skinned individuals because these areas have less pigmentation.
2. What potential risk should the nurse identify as being associated with infliximab (Remicade) in the treatment of rheumatoid arthritis?
- A. Risk for infection
- B. Risk for decreased level of consciousness
- C. Risk for nephrotoxicity
- D. Risk for hepatotoxicity
Correct answer: A
Rationale: The correct answer is A: Risk for infection. Infliximab (Remicade) is a medication used to treat autoimmune conditions like rheumatoid arthritis. One of the main risks associated with infliximab is an increased susceptibility to infections due to its immunosuppressive effects. This drug works by targeting specific proteins in the body's immune system, which can weaken the body's ability to fight off infections. Choices B, C, and D are incorrect because infliximab is not typically associated with decreased level of consciousness, nephrotoxicity, or hepatotoxicity. It is important for healthcare providers to monitor patients on infliximab for signs of infection and educate them on the importance of infection prevention strategies.
3. Gabriel is depressed as he has been looking for a job for the past year without success. Today, his best friend tried to give him two books on job interviews, but he turned down the offer. What concept best explains his reaction?
- A. Observational learning
- B. Insight learning
- C. Learned helplessness
- D. Modeling
Correct answer: C
Rationale: Gabriel's reaction of turning down the offer of job interview books from his friend despite being depressed and unsuccessful in job hunting best fits the concept of learned helplessness. Learned helplessness occurs when individuals believe they have no control over their situation, leading to passivity and feelings of helplessness. In this case, Gabriel's refusal of the books indicates a sense of resignation and belief that his efforts in finding a job will not be successful, reflecting learned helplessness. Observational learning, insight learning, and modeling do not directly align with Gabriel's reaction in this context.
4. The more a mental ability depends on __________ intelligence, the earlier it starts to decline.
- A. fluid
- B. crystallized
- C. emotional
- D. cultural
Correct answer: A
Rationale: The correct answer is A: fluid. Fluid intelligence, which involves problem-solving and reasoning, tends to decline earlier than crystallized intelligence. Crystallized intelligence, on the other hand, involves knowledge and skills acquired over time and is more stable with age. Emotional intelligence and cultural intelligence are not directly related to the decline of mental abilities mentioned in the question, making them incorrect choices.
5. A client has a pulmonary embolism & is started on oxygen. The student nurse asks why the client's oxygen saturation has not significantly improved. What response by the nurse is best?
- A. Breathing so rapidly interferes with oxygenation.
- B. Maybe the client has respiratory distress syndrome.
- C. The blood clot interferes with perfusion in the lungs.
- D. The client needs immediate intubation & mechanical ventilation.
Correct answer: C
Rationale: A large blood clot in the lungs will significantly impair gas exchange & oxygenation. Unless the clot is dissolved, this process will continue unabated.
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