ATI RN
ATI Pediatrics Proctored Exam 2023
1. Which strategy is most likely to promote positive behavior in children?
- A. Providing flexible instructions with no consequences
- B. Limiting opportunities until the child performs adequately
- C. Improving the child's competence and creating a positive environment
- D. Setting strict rules with punishments for misbehavior
Correct answer: C
Rationale: Improving the child's competence and creating a positive environment is the most effective strategy to promote positive behavior in children. This approach focuses on enhancing the child's skills and abilities while fostering a supportive and encouraging atmosphere. By empowering the child and surrounding them with positivity, they are more likely to exhibit positive behaviors as they feel competent, valued, and motivated. This strategy emphasizes support and reinforcement over punitive measures, leading to long-lasting behavioral improvements.
2. During a physical assessment of a hospitalized 5-year-old child, the healthcare provider notes that the foreskin has been retracted and is very tight on the shaft of the penis; they are unable to return it over the head of the penis. What action should the healthcare provider implement?
- A. Forcibly push the foreskin down over the head of the penis.
- B. Place a warm compress on the penis.
- C. Notify the healthcare provider in charge.
- D. Wait a few hours and try again.
Correct answer: C
Rationale: The correct action is to notify the healthcare provider in charge of this occurrence of paraphimosis. Paraphimosis is a urologic emergency where the foreskin is retracted and becomes tight, potentially impeding blood flow to the penis. It is crucial to seek medical intervention promptly to prevent complications.
3. The healthcare provider is providing teaching about Social Development to the parents of a preschooler. Which of the following play activities should the provider recommend for the child?
- A. Playing pat-a-cake
- B. Using a push-pull toy
- C. Creating a scrapbook
- D. Playing dress-up
Correct answer: D
Rationale: During the preschool age, play activities should promote social, mental, and physical development. Playing dress-up encourages imagination, creativity, and social interaction, making it an ideal play activity for preschoolers.
4. What is the last step in interpersonal reasoning?
- A. Choose a response or mode sequence
- B. Gather Feedback
- C. Anticipate
- D. Determine if a mode shift is required
Correct answer: B
Rationale: The last step in interpersonal reasoning involves gathering feedback. Once you have gone through the process of anticipating, choosing a response or mode sequence, and determining if a mode shift is required, the final step is to gather feedback to assess the effectiveness of your interaction and make any necessary adjustments.
5. What is the most important statement to include when teaching a patient who is prescribed metronidazole (Flagyl)?
- A. Take the medication with food.
- B. Avoid alcohol consumption.
- C. If you experience a metallic taste in your mouth, call your doctor.
- D. You can stop taking the medication once you feel better.
Correct answer: B
Rationale: The most crucial statement to include when teaching a patient prescribed metronidazole (Flagyl) is to avoid alcohol consumption. Mixing metronidazole and alcohol can lead to a disulfiram-like reaction, causing severe symptoms such as nausea, vomiting, and headache. Therefore, it is essential to emphasize to the patient the importance of abstaining from alcohol while taking this medication to prevent adverse reactions.
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