ATI RN
ATI Pediatrics Proctored Exam 2023 Quizlet
1. Which statement should the nurse include in the teaching plan for a patient being started on levodopa/carbidopa (Sinemet) for newly diagnosed Parkinson�s disease?
- A. Take medication on a full stomach
- B. Change positions slowly
- C. The drug may cause the urine to be very dilute
- D. Carbidopa has many adverse effects
Correct answer: B
Rationale: Postural hypotension is common early in treatment, so the patient should be instructed to change positions slowly. Administration with meals should be avoided, if possible, because food delays the absorption of the levodopa component. If the patient is experiencing side effects of nausea and vomiting, administration with food may be considered. The levodopa component may darken urine. Carbidopa has no adverse effects of its own.
2. A nurse is reviewing the laboratory values of a client who is taking spironolactone. Which of the following values should the nurse report to the provider?
- A. Sodium 144 mEq/L
- B. Potassium 5.2 mEq/L
- C. Bicarbonate 24 mEq/L
- D. Magnesium 1.9 mEq/L
Correct answer: B
Rationale: The correct answer is B: 'Potassium 5.2 mEq/L.' When a client is taking spironolactone, which is a potassium-sparing diuretic, monitoring potassium levels is crucial. A potassium level of 5.2 mEq/L is higher than normal and can lead to cardiac dysrhythmias, so it should be reported. Choices A, C, and D are within normal ranges and would not be of immediate concern when assessing a client taking spironolactone.
3. What factor is most likely to improve health outcomes in a community?
- A. Access to affordable health care
- B. Community engagement and participation
- C. Implementing health education programs
- D. Strong leadership
Correct answer: B
Rationale: Community engagement and participation play a crucial role in improving health outcomes by ensuring that interventions are relevant and supported by the community. When individuals are actively involved and engaged in health initiatives, it promotes a sense of ownership, increases awareness, and fosters collaboration within the community, ultimately leading to more effective and sustainable health outcomes.
4. A client is being educated by a healthcare provider about Terbutaline. Which of the following statements by the client indicates understanding of the teaching?
- A. This medication will stop my contractions.
- B. This medication will prevent vaginal bleeding.
- C. This medication will promote blood flow to my baby.
- D. This medication will increase my prostaglandin production.
Correct answer: A
Rationale: The correct answer is A. Terbutaline works by blocking beta2-adrenergic receptors, leading to uterine smooth muscle relaxation and stopping contractions. It is commonly used to delay preterm labor. Choice B is incorrect because Terbutaline is not used to prevent vaginal bleeding. Choice C is incorrect because Terbutaline's primary action is not related to promoting blood flow to the baby. Choice D is incorrect because Terbutaline does not increase prostaglandin production; instead, it works by blocking beta2-adrenergic receptors.
5. Which of the following actions should be taken to use a wide base support when assisting a client to get up in a chair?
- A. Bend at the waist and place arms under the client’s arms and lift
- B. Face the client, bend knees, and place hands on the client’s forearm and lift
- C. Spread the feet apart
- D. Tighten the pelvic muscles
Correct answer: C
Rationale: The correct answer is C: Spread the feet apart. When assisting a client to get up in a chair, it is crucial to use a wide base of support to maintain stability and prevent injuries. Spreading the feet apart provides a broader base, increasing balance and support for both the client and the caregiver. This position helps distribute the weight evenly and allows for better control when assisting the client in moving. Choices A, B, and D are incorrect because bending at the waist, placing arms under the client's arms, tightening pelvic muscles, or placing hands on the client's forearm do not provide the necessary wide base support needed for stability and safety during the transfer process.
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