ATI RN
RN Nursing Care of Children 2019 With NGN
1. Which teaching point should the nurse include when providing education to an adolescent client who participates in soccer regarding the plan of care for diabetes mellitus?
- A. Decreased food intake
- B. Increased doses of insulin
- C. Increased food intake
- D. Decreased doses of insulin
Correct answer: C
Rationale: The correct teaching point the nurse should include is to advise the adolescent client who participates in soccer to increase food intake. Physical activity increases glucose utilization, so adolescents with diabetes need to consume additional carbohydrates to prevent hypoglycemia during and after exercise. Choice A (Decreased food intake) is incorrect because the adolescent needs extra carbohydrates to support the increased physical activity. Choice B (Increased doses of insulin) is incorrect as the focus should be on adjusting food intake rather than insulin doses. Choice D (Decreased doses of insulin) is also incorrect as the insulin doses should be adjusted based on the increased food intake and physical activity level.
2. After an abdominal resection for colon cancer, Madeline returns to her room with a Jackson-Pratt drain in place. The purpose of the drain is to:
- A. Irrigate the incision with a saline solution.
- B. Prevent bacterial infection of the incision.
- C. Measure the amount of fluid lost after surgery.
- D. Prevent accumulation of drainage in the wound.
Correct answer: D
Rationale: The purpose of the Jackson-Pratt drain is to prevent the accumulation of drainage in the wound after an abdominal resection.
3. What are genes made of?
- A. Trisomes
- B. Chromosomes
- C. DNA
- D. Proteins
Correct answer: C
Rationale: Genes are made of DNA, which is the genetic material that carries the instructions for the development, functioning, growth, and reproduction of organisms. While chromosomes contain genes, they are not what genes themselves are made of. Proteins are involved in gene expression and regulation, but they are not the primary material genes consist of. Trisomes is an incorrect term in this context and does not relate to the composition of genes.
4. The nurse discovers welts on the back of a Vietnamese child during a home health visit. The child's mother says she has rubbed the edge of a coin on her child's oiled skin. The nurse should recognize this as what?
- A. Child abuse
- B. Cultural practice to rid the body of disease
- C. Cultural practice to treat enuresis or temper tantrums
- D. Child discipline measure common in the Vietnamese culture
Correct answer: B
Rationale: This practice, known as "coining," is a cultural method believed to rid the body of illness and is not indicative of child abuse.
5. The nurse knows that the most common complication of Measles is: A Pneumonia and larynigotracheitis
- A. Encephalitis
- B. Otitis Media
- C. Bronchiectasis
- D.
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.