ATI RN
ATI Pediatric Proctored Exam 2023
1. Before administering a live virus vaccine to a patient taking a glucocorticoid medication, what action should the nurse take?
- A. Continue screening and administer the vaccine if appropriate
- B. Note the contraindication but administer the vaccine regardless
- C. Note the contraindication and clarify the order with the healthcare provider
- D. Withhold the vaccine and inform the department of health
Correct answer: C
Rationale: The correct action for the nurse to take when a patient on glucocorticoid medication is to note the contraindication and clarify the order with the healthcare provider. Glucocorticoids can suppress the immune response, potentially reducing the effectiveness of vaccines. Therefore, it is crucial to consult with the healthcare provider to assess the risks and benefits of administering a live virus vaccine in such circumstances. Administering a live virus vaccine to a patient taking glucocorticoids can increase the risk of developing a viral infection, making it essential to seek guidance from the healthcare provider before proceeding.
2. A parent of a child with oral candidiasis is being taught by a nurse. Which statement by the parent indicates an understanding of the teaching?
- A. I will boil the nipples and pacifiers for 20 minutes each day.
- B. I will stop the medication as soon as the spots disappear.
- C. I will apply an over-the-counter steroid cream to the spots.
- D. I will mix the medication in my child's bottle.
Correct answer: A
Rationale: Boiling the nipples and pacifiers for 20 minutes each day is an appropriate measure to prevent reinfection of oral candidiasis. This practice helps eliminate the Candida fungus from these items, reducing the risk of the child getting reinfected. It is crucial for the parent to follow this hygienic practice consistently to ensure the child's recovery and prevent the spread of the infection.
3. Which urinary diversion procedure is the least damaging to the body image of the adolescent?
- A. Urostomy
- B. Ileal conduit
- C. Nephrostomy
- D. Suprapubic placement
Correct answer: B
Rationale: The correct answer is B: Ileal conduit. The ileal conduit diverts urine to the colon, and the urine is excreted with the feces. Unlike urostomy, nephrostomy, and suprapubic placement, the ileal conduit does not require an external appliance, which can be less damaging to an adolescent's body image.
4. Parents are speaking with the urologist about their son's undescended testicle. Which statement by the child's father causes the nurse to determine he understands the information presented?
- A. An undescended testicle can reduce fertility.
- B. The testicle usually descends spontaneously during the first month of life.
- C. Surgical correction reduces the risk for testicular tumors.
- D. The optimal time to surgically correct the condition is at diagnosis.
Correct answer: A
Rationale: The correct answer is A because an undescended testicle can reduce fertility. Even after surgical correction (orchiopexy), fertility rates may be reduced, especially when one testis remains undescended. The statement in choice B is incorrect as the testicle should have descended into the scrotum by the time the infant is 4-6 months old. While choice C is true that surgical correction can reduce the risk of testicular tumors, the question focuses on the father's understanding of the information presented, which is better reflected in choice A. Choice D is incorrect because the optimal time for surgical correction of an undescended testicle is typically around 6-18 months of age, not necessarily at the time of diagnosis.
5. Which stage of motor learning is illustrated as the toddler attempts to place a shape into a container multiple times using an effective reach and grasp pattern often but makes errors?
- A. Skill Acquisition
- B. Perceptual Learning
- C. Functional Performance
- D. Exploratory Activity
Correct answer: B
Rationale: The correct answer is Perceptual Learning. In this stage, the toddler learns from sensory input and refines their movements over time, even though errors may still occur. This process involves improving coordination and fine-tuning motor skills based on feedback from repeated attempts.
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