ATI RN
ATI Pediatric Proctored Exam 2023
1. Which stage of motor learning is illustrated as the toddler attempts to place a shape into a container multiple times using an effective reach and grasp pattern often but makes errors?
- A. Skill Acquisition
- B. Perceptual Learning
- C. Functional Performance
- D. Exploratory Activity
Correct answer: B
Rationale: The correct answer is Perceptual Learning. In this stage, the toddler learns from sensory input and refines their movements over time, even though errors may still occur. This process involves improving coordination and fine-tuning motor skills based on feedback from repeated attempts.
2. A client prescribed Warfarin is receiving discharge instructions from a nurse. Which of the following dietary instructions should the nurse include?
- A. Increase your intake of leafy green vegetables.
- B. Avoid foods high in vitamin K.
- C. Increase your intake of dairy products.
- D. Avoid foods high in iron.
Correct answer: B
Rationale: The correct answer is B: 'Avoid foods high in vitamin K.' Vitamin K can interfere with the effectiveness of Warfarin, an anticoagulant medication. Foods high in vitamin K, such as leafy green vegetables, can reduce the medication's anticoagulant effect. Therefore, clients taking Warfarin should be advised to avoid or consume a consistent amount of foods high in vitamin K to maintain the medication's effectiveness. Choices A, C, and D are incorrect because increasing leafy green vegetables, dairy products, or avoiding foods high in iron are not directly related to the interaction with Warfarin.
3. A client is receiving vecuronium for acute respiratory distress syndrome. Which of the following medications should the nurse anticipate administering with this medication?
- A. Fentanyl
- B. Furosemide
- C. Famotidine
- D. Dexamethasone
Correct answer: Fentanyl
Rationale: Vecuronium is a neuromuscular blocking agent used for muscle relaxation during mechanical ventilation. When administering vecuronium, it is common to also give an opioid analgesic, such as fentanyl, to manage pain and ensure the patient's comfort. Fentanyl is often used in combination with neuromuscular blocking agents to provide balanced anesthesia, making it the appropriate medication to anticipate administering in this scenario.
4. Distinguish between assimilation and accommodation.
- A. Assimilation refers to adjusting our mental frameworks to incorporate new information.
- B. Assimilation is when new experiences are interpreted in terms of existing schemas.
- C. Assimilation is adapting our behaviors to match societal norms.
- D. Assimilation and accommodation are unrelated to cognitive development.
Correct answer: B
Rationale: The correct answer is B. Assimilation is when new experiences are interpreted in terms of existing schemas, meaning individuals try to fit new information into their pre-existing understanding of the world. Accommodation, on the other hand, involves adjusting our schemas to fit new information, which means changing our existing mental frameworks when new information doesn't fit. Choice A is incorrect because it describes accommodation rather than assimilation. Choice C is incorrect as it confuses assimilation with social adaptation. Choice D is incorrect as assimilation and accommodation are fundamental processes in cognitive development, as described by Piaget.
5. By what age does birth weight usually triple?
- A. 1 year
- B. 1 month
- C. 2 years
- D. 6 months
Correct answer: A
Rationale: The correct answer is A: 1 year. By the age of 1 year, a baby’s birth weight typically triples. This period allows for significant growth and development in infants. Choices B, C, and D are incorrect because birth weight does not usually triple by 1 month, 2 years, or 6 months of age, respectively.
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