ATI RN
ATI Pediatric Proctored Exam 2023
1. Which principle does not follow neuromaturational theory?
- A. The sequence and rate of motor development are consistent among infants
- B. Movement emerges from an interaction and cooperation of many systems
- C. Movement progresses from primitive reflexes to voluntary control
- D. Low-level skills are prerequisites for certain high-level skills
Correct answer: B
Rationale: Neuromaturational theory emphasizes that motor development progresses in a predictable sequence and rate, starting from primitive reflexes to voluntary control. It also states that low-level skills are foundational for higher-level skills. However, the theory does not support the idea that movement solely emerges from an interaction and cooperation of many systems, as it focuses more on the hierarchical development of motor skills.
2. A patient is prescribed sildenafil (Viagra) for erectile dysfunction. What is a key contraindication that the nurse should review with the patient?
- A. History of hypertension
- B. Use of nitrates
- C. Use of antihypertensive medications
- D. History of peptic ulcer disease
Correct answer: B
Rationale: The correct answer is B: 'Use of nitrates.' Sildenafil (Viagra) is contraindicated in patients taking nitrates due to the risk of severe hypotension. Nitrates and sildenafil both act as vasodilators, and their combined use can lead to a dangerous drop in blood pressure. Choices A, C, and D are incorrect because having a history of hypertension, using antihypertensive medications, or having a history of peptic ulcer disease are not key contraindications for sildenafil use.
3. A goal for a client with impaired mobility is to prevent skin breakdown. What nursing intervention would best help the client meet this goal?
- A. Assist the client to orthopneic position
- B. Offer the client a bedpan for toileting
- C. Offer a protein-rich diet
- D. Turn the client every 2 hours
Correct answer: Turn the client every 2 hours
Rationale:
4. The mentally ill person responds positively to the nurse who is warm and caring. This is a demonstration of the nurse’s role as:
- A. counselor
- B. mother surrogate
- C. therapist
- D. socializing agent
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
5. G. Stanley Hall and his student, Arnold Gesell, __________.
- A. discovered that prenatal growth is strikingly similar in many species
- B. launched the normative approach
- C. constructed the first standardized intelligence test
- D. were the forefathers of psychoanalytic theory
Correct answer: B
Rationale: G. Stanley Hall and his student, Arnold Gesell, launched the normative approach. This approach involves studying large numbers of people of different ages and examining the age-related averages of behaviors to establish norms or typical development patterns. These scholars focused on the systematic observation of how and when certain behaviors appear in children. Choices A, C, and D are incorrect because they do not accurately reflect the contributions of G. Stanley Hall and Arnold Gesell in the field of developmental psychology.
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