RN ATI Pediatric Nursing Proctored Exam with NGN 2023 -Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Cessation of nocturnal enuresis. Desmopressin is a medication used to treat diabetes insipidus by decreasing urine output. Nocturnal enuresis is a common symptom of diabetes insipidus due to excessive urine production at night.
Therefore, the cessation of nocturnal enuresis indicates that the medication is effectively reducing urine output in the child.

Choices A, B, and C are unrelated to the effectiveness of desmopressin in treating diabetes insipidus.
Choice A, heart rate of 140/min, is not a specific indicator of desmopressin effectiveness.
Choice B, capillary refill of 3 seconds, is a measure of peripheral perfusion and not directly related to diabetes insipidus.
Choice C, absence of hypoglycemic episodes, is more relevant to diabetes mellitus and not diabetes insipidus.

Correct Answer: D

Rationale: The correct answer is D: Ensure that area rugs have rubber backs. This instruction is important because rugs with rubber backs are less likely to slip, reducing the risk of falls for the older adult post knee replacement surgery.
Choice A is incorrect as wearing shoes at home can increase the risk of falls due to slippery surfaces.
Choice B is incorrect as placing a throw rug over electrical cords can create a tripping hazard.
Choice C is incorrect as marking the edges of the doorway with tape does not address the risk of tripping over rugs.

Correct Answer: C

Rationale: The correct answer is C: Prolonged wound healing. Prednisone is a corticosteroid that can suppress the immune system and delay wound healing due to its anti-inflammatory effects. The nurse should monitor for this adverse effect by assessing the child's wounds regularly for signs of slow or impaired healing. Renal failure (
A) is not a common adverse effect of prednisone. Stevens-Johnson syndrome (
B) is a severe skin reaction usually caused by medications but is not typically associated with prednisone. Hypotension (
D) is not a common adverse effect of prednisone and is more commonly associated with other medications or conditions.

Correct Answer: D

Rationale: The correct answer is D: Ensure that area rugs have rubber backs. This instruction is important to prevent slips and falls, as rubber-backed rugs provide better traction on smooth surfaces, reducing the risk of accidents. Placing throw rugs over electrical cords (
B) can cause tripping hazards. Marking the edges of the doorway with tape (
C) may not be effective and can be unsightly. Encouraging the client to avoid wearing shoes at home (
A) may not directly impact safety. Overall, ensuring area rugs have rubber backs (
D) is the most practical and effective approach to enhancing home safety for a postoperative older adult.

Correct Answer: B

Rationale: The correct answer is B: Oral rehydration solution. This is the most appropriate choice because infants with acute diarrhea are at risk of dehydration due to fluid loss. Oral rehydration solution helps replace lost fluids and electrolytes, preventing dehydration. Children's tea (
A) and white grape juice (
C) are not recommended as they can worsen diarrhea due to their high sugar content. Applesauce (
D) is also not suitable as it may be difficult for the infant to digest during diarrhea. It's important to prioritize rehydration in infants with diarrhea to prevent complications.