ATI RN
RN Nursing Care of Children 2019 With NGN
1. What should the nurse include in the discharge instructions for the parents of an infant diagnosed with acute otitis media?
- A. Keep the baby in an elevated position during sleep
- B. Administer an antibiotic
- C. Place the baby to sleep with a bottle
- D. Administer acetaminophen (Tylenol) to relieve discomfort
Correct answer: D
Rationale: Acetaminophen (Tylenol) is recommended to help relieve the discomfort associated with acute otitis media, such as pain and fever. Elevating the baby's head during sleep can also help with drainage and relieve pressure, making choice A incorrect. Administering an antibiotic may be necessary for bacterial otitis media but is not usually the first-line treatment for acute otitis media, so choice B is incorrect. Placing the baby to sleep with a bottle can increase the risk of ear infections due to the pooling of milk around the Eustachian tube, so choice C is incorrect.
2. This vaccine content is derived from RNA recombinants.
- A. Measles C. Hepatitis B vaccines
- B. Tetanus toxoids D. DPT
- C.
- D.
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
3. When obtaining a nursing history on a client with a suspected gastric ulcer, which signs and symptoms would the nurse expect to see? Select all that apply.
- A. Epigastric pain at night
- B. Relief of epigastric pain after eating
- C. Vomiting
- D. Weight loss
Correct answer: 1, 3, 4
Rationale: Signs and symptoms of a gastric ulcer include epigastric pain at night, vomiting, and weight loss. Relief of epigastric pain after eating is not typically associated with gastric ulcers.
4. Which intervention should the nurse implement for the client who has an ileal conduit?
- A. Pouch the stoma with a one-inch margin around the stoma
- B. Refer the client to the United Ostomy Association for discharge teaching
- C. Report to the healthcare provider any decrease in urinary output
- D. Monitor the stoma for signs and symptoms of infection every shift
Correct answer: C
Rationale: The correct intervention for a client with an ileal conduit is to report to the healthcare provider any decrease in urinary output. A decrease in urinary output can be indicative of a blockage or other complication, necessitating immediate attention. Choice A is incorrect because pouching the stoma with a margin around it is not directly related to managing complications. Choice B is incorrect as referring the client to an ostomy association may be beneficial for education but is not the immediate action needed for decreased urinary output. Choice D is incorrect because monitoring for infection, although important, is not the priority when dealing with a potential complication like decreased urinary output.
5. One of the following statements is true with regards to the care of clients with depression:
- A. Only mentally ill persons commit suicide
- B. All depressed clients are considered potentially suicidal
- C. Most suicidal person gives no warning
- D. The chance of suicide lessens as depression lessens
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.