ATI RN
ATI Pediatrics Exam Simmons U BSN Questions
Extract:
An adolescent who has spina bifida and is paralyzed from the waist down
Question 1 of 5
Which of the following statements by the client should indicate to the nurse a need for further teaching?
Correct Answer: D
Rationale: The correct answer is D because the client stating "I only need to catheterize myself twice every day!" indicates a need for further teaching. The statement implies a misunderstanding as it is incorrect to catheterize only twice a day. The client should be catheterizing more frequently to prevent urinary retention and related complications.
Explanation for other choices:
A: Using a suppository for bowel movement is a common practice and does not indicate a need for further teaching.
B: Carrying a water bottle to stay hydrated is a positive behavior and does not indicate a need for further teaching.
C: Doing wheelchair exercises while watching TV shows the client is engaging in physical activity, which is beneficial.
Overall, only choice D suggests a misunderstanding that requires clarification.
Extract:
Question 2 of 5
Attention Deficit Hyperactivity Disorder (ADHD) is a disorder characterized by:
Correct Answer: A
Rationale:
Rationale: The correct answer is A because ADHD is characterized by symptoms of inattention, hyperactivity, and impulsivity. Inattention refers to difficulty focusing or staying on task, hyperactivity involves excessive movement or restlessness, and impulsivity pertains to acting without thinking. These three core symptoms are crucial in diagnosing ADHD.
Summary:
B: Can never be well treated - Incorrect, as ADHD can be effectively managed with various interventions such as medication, therapy, and behavior modification techniques.
C: Inability to learn - Incorrect, as individuals with ADHD can learn effectively with appropriate support and accommodations.
D: Excess tiredness, impulsivity, and hyperactivity - Incorrect, as tiredness is not a primary symptom of ADHD, and the combination of symptoms in this choice does not accurately reflect the diagnostic criteria for ADHD.
Extract:
A child who is experiencing a seizure
Question 3 of 5
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Position the child laterally. This is the correct action because it helps maintain an open airway and prevents aspiration. Placing the child on their side also helps in draining saliva or vomit from the mouth, reducing the risk of choking.
Choice B is incorrect as using a padded tongue blade can lead to further injury during a seizure.
Choice C is incorrect as attempting to stop the seizure is not within the nurse's scope of practice and can be dangerous.
Choice D is incorrect as restraining the child's arms can cause harm and does not help in managing the seizure.
Extract:
A patient with reflux
Question 4 of 5
What are the priorities of our care and teaching for the patient with reflux? (Select All that Apply.)
Correct Answer: A,B,D
Rationale: The correct priorities for a patient with reflux are preventing further Urinary Tract Infections (UTIs) as reflux can increase the risk of UTIs, preventing kidney damage as reflux can lead to kidney complications, and teaching about antibiotic usage in case of infection. These priorities directly address the impact of reflux on the urinary system and overall health.
Choices C, E, F, and G are incorrect as they are not directly related to the complications or management of reflux. Brain surgery is not typically indicated for reflux, so choice C is irrelevant.
Choices E, F, and G are left blank as they are not applicable in this context.
Extract:
A toddler who weighs 33 lb
Question 5 of 5
A nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer? (Round to the nearest tenth.)
Correct Answer: 5.6
Rationale:
To calculate the dose: 30 mg/kg/day x toddler's weight in kg (33 lb ÷ 2.2) = total daily dose.
Then divide by 2 for the 12-hour interval. Convert 5 mL of 200 mg/5 mL suspension to mg/mL (200 mg ÷ 5 mL) = 40 mg/mL. Finally, divide the total daily dose by the concentration (total daily dose ÷ concentration) to get the amount in mL to be administered. In this case, it would be 140 mg ÷ 40 mg/mL = 3.5 mL.
Therefore, the correct answer is 5.6 mL, rounded to the nearest tenth. Other choices are incorrect due to errors in calculations or not converting the dose properly.