ATI RN
ATI Pediatric Proctored Exam
1. Which of the following is not a model centered on occupation?
- A. Canadian Model of Occupational Performance and Engagement
- B. Person-Environment-Occupation-Participation
- C. Biomechanical
- D. Model of Human Occupation
Correct answer: C
Rationale: The correct answer is C, the Biomechanical model. This model focuses on the physical aspects of performance rather than occupation. The Canadian Model of Occupational Performance and Engagement, Person-Environment-Occupation-Participation, and Model of Human Occupation are all occupation-centered models used in occupational therapy. The Biomechanical model is more focused on the physical aspects of movement and performance rather than the broader concept of occupation.
2. A healthcare provider is preparing to administer digoxin to a patient with heart failure. Which of the following lab results should be reviewed before administering the medication?
- A. Potassium level
- B. Calcium level
- C. Hemoglobin level
- D. White blood cell count
Correct answer: A
Rationale: The correct answer is A: Potassium level. Hypokalemia increases the risk of digoxin toxicity. Digoxin can potentiate the effects of low potassium levels, leading to life-threatening arrhythmias. Therefore, it is essential to review the patient's potassium level before administering digoxin. Choices B, C, and D are incorrect because calcium level, hemoglobin level, and white blood cell count are not directly related to the risk of digoxin toxicity.
3. A nurse is calculating a client's expected date of delivery. The client's last menstrual period began on April 12. Using Nagele's rule, what date should the nurse determine to be the client's expected delivery date?
- A. January 19
- B. 325
- C. 105
- D. 112
Correct answer: A
Rationale: Nagele's rule is a method used to calculate the expected delivery date by subtracting 3 months from the first day of the last menstrual period and adding 7 days. In this case, April 12 minus 3 months is January 12, plus 7 days gives January 19. Therefore, the correct answer is A. Choices B, C, and D do not align with the application of Nagele's rule and are incorrect.
4. A client is receiving radiation therapy for cancer. Which of the following skin care instructions should the nurse include in the teaching?
- A. Apply alcohol-free lotions to your skin to prevent dryness.
- B. Avoid exposing the irradiated area to direct sunlight.
- C. Cleanse the irradiated area with mild soap and water.
- D. Apply ice packs to the irradiated area to prevent swelling.
Correct answer: B
Rationale: The correct answer is to avoid exposing the irradiated area to direct sunlight. Direct sunlight can further damage the skin during radiation therapy. Choice A is incorrect because alcohol-based lotions can irritate the skin further. Choice C is incorrect because mild soap and water can be drying to the skin. Choice D is incorrect because applying ice packs can cause additional skin damage during radiation therapy.
5. A nurse suspects a colleague of diverting narcotics. What is the nurse's first course of action?
- A. Confront the colleague directly about the suspicion.
- B. Report the suspicion to the nurse manager.
- C. Ignore the situation unless there is clear evidence.
- D. Keep a record of the colleague's actions for future reference.
Correct answer: B
Rationale: The correct first course of action for a nurse suspecting a colleague of diverting narcotics is to report the suspicion to the nurse manager. Confronting the colleague directly may not be safe and could compromise the investigation. Ignoring the situation is not appropriate as it can pose risks to patient safety. Keeping a record of the colleague's actions is not the primary action to take when drug diversion is suspected; reporting to the nurse manager is crucial for proper investigation and ensuring patient safety.
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