ATI RN
ATI Pediatric Proctored Exam 2023
1. Which of the following is not considered a part of body language?
- A. Mannerisms
- B. Speech
- C. Posture
- D. Position
Correct answer: B
Rationale: Body language encompasses non-verbal communication cues such as mannerisms, posture, and position. Speech, although a form of communication, is not typically classified as part of body language. Body language mainly refers to gestures, facial expressions, and body movements, which convey messages non-verbally.
2. A nurse is performing an assessment on a client with a suspected diagnosis of acute pancreatitis. The nurse assesses the client, knowing that which of the following is a hallmark sign of this disorder?
- A. Severe abdominal pain relieved by vomiting
- B. Severe abdominal pain that is unrelieved by vomiting
- C. Hypothermia
- D. Epigastric pain radiating to the neck area
Correct answer: B
Rationale: A hallmark sign of acute pancreatitis is severe abdominal pain that is not relieved by vomiting. Nausea and vomiting are common presenting symptoms, with vomitus typically consisting of gastric and duodenal contents. Hypothermia is not a hallmark sign of acute pancreatitis. Fever, typically less than 38 degrees centigrade, is more common. Epigastric pain radiating to the neck area is not a characteristic sign of acute pancreatitis. Therefore, choice B is the correct answer.
3. What is the goal of applied behavior analysis?
- A. outline changes in temperament over the lifespan
- B. eliminate undesirable behaviors and increase desirable responses
- C. examine how we think about ourselves and other people
- D. synthesize information from various sources into a detailed picture of a person's personality
Correct answer: B
Rationale: The correct answer is B: "eliminate undesirable behaviors and increase desirable responses." Applied behavior analysis aims to modify behavior by focusing on eliminating unwanted behaviors and reinforcing desirable ones. It does not primarily deal with changes in temperament (choice A), self-perception (choice C), or personality traits (choice D). The approach involves techniques such as reinforcement to target specific behaviors, rather than broader cognitive processes or personality characteristics.
4. While assessing a client with a tracheostomy, a nurse notes that the tracheostomy tube is pulsing with the heartbeat during a pulse check. No other abnormal findings are noted. What action should the nurse take?
- A. Notify the operating room of a potential emergency case.
- B. No action is required at this time; this pulsation can be a normal finding in some clients.
- C. Remove the tracheostomy tube and ventilate the client using a bag-valve-mask.
- D. Stay with the client and ask someone else to contact the provider immediately.
Correct answer: D
Rationale: The pulsation of the tracheostomy tube with the heartbeat may indicate a tracheoinnominate artery fistula, which can lead to life-threatening hemorrhage if the artery is breached. In this scenario, as there is no active bleeding yet, the nurse should remain with the client and have another person notify the provider immediately. If the client starts to hemorrhage, the nurse should remove the tracheostomy tube and apply pressure at the bleeding site, preparing the client for urgent surgical intervention.
5. A client with a new diagnosis of systemic lupus erythematosus (SLE) is being cared for by a nurse. Which of the following findings should the nurse expect?
- A. Joint pain.
- B. Weight gain.
- C. Butterfly-shaped rash on the face.
- D. Increased appetite.
Correct answer: B
Rationale: The correct answer is B: Weight gain. Weight gain is a common finding in clients with systemic lupus erythematosus due to fluid retention. Joint pain (choice A) is also common in SLE but is not specific to fluid retention. A butterfly-shaped rash on the face (choice C) is a classic symptom of SLE but is not related to fluid retention. Increased appetite (choice D) is less likely in SLE compared to weight gain.
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