ATI RN
ATI Pediatrics Proctored Exam 2023 Quizlet
1. Which statement is not a principle of family-centered care?
- A. Respect family autonomy
- B. Provide flexible services
- C. Collaborate with family members
- D. Set strict rules for families to follow
Correct answer: D
Rationale: Family-centered care focuses on respecting family autonomy, providing flexible services, and collaborating with family members to ensure individualized care. Imposing strict rules contradicts the core principles of family-centered care, which prioritize partnership, communication, and shared decision-making between healthcare providers and families. Therefore, setting strict rules for families to follow goes against the collaborative and individualized nature of family-centered care, making it the statement that is not a principle of this approach.
2. While caring for four different pediatric clients, which child is at the highest risk for dehydration?
- A. 7-year-old child with migraine headaches
- B. 4-year-old child with a broken arm
- C. 2-year-old child with cellulitis of the left leg
- D. 18-month-old child with tachypnea
Correct answer: D
Rationale: The 18-month-old child with tachypnea is at the highest risk for dehydration due to increased insensible water loss associated with rapid breathing.
3. Which medication is most likely to cause serious respiratory depression as a potential adverse reaction?
- A. Morphine
- B. Pentazocine
- C. Hydrocodone
- D. Nalmefene
Correct answer: A
Rationale: Morphine, as a strong opioid agonist, has the highest likelihood of causing serious respiratory depression due to its potent effects on the central nervous system. While Pentazocine and Hydrocodone can also cause respiratory depression, they are less likely to do so compared to morphine. Nalmefene, an opioid antagonist, is used to reverse respiratory depression caused by opioids rather than causing it.
4. A healthcare professional is assessing a child who has a rotavirus infection. Which of the following is an expected manifestation?
- A. Constipation
- B. Vomiting
- C. Jaundice
- D. Abdominal pain
Correct answer: B
Rationale: Vomiting is a common manifestation of rotavirus infection in children. Rotavirus typically presents with symptoms such as watery diarrhea, vomiting, fever, and abdominal pain. Constipation, jaundice, and abdominal pain are less commonly associated with rotavirus infection in children.
5. Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?
- A. Bloody urine
- B. One void since returning from surgery
- C. Bladder spasms responding to pharmacologic intervention
- D. Double diapering from the previous shift
Correct answer: B
Rationale: In a postoperative scenario after the placement of a urethral stent, monitoring the child's voiding frequency is crucial. Having only one void since returning from surgery could indicate potential issues like urinary retention, which necessitates prompt nursing intervention to prevent complications.
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