ATI RN
ATI Pediatrics Proctored Exam 2023
1. In the management of heart failure, which diuretic is preferred due to its demonstrated significant mortality reduction in patients with heart failure?
- A. Furosemide (Lasix)
- B. Hydrochlorothiazide (HydroDIURIL)
- C. Spironolactone (Aldactone)
- D. Mannitol (Osmitrol)
Correct answer: C
Rationale: Spironolactone, a potassium-sparing diuretic, is the preferred choice in heart failure due to its cardio-protective effect, leading to reduced mortality in patients with heart failure. It is used to manage both hypertension and edema, making it a valuable option in heart failure treatment.
2. A nurse is caring for a child who has a new diagnosis of osteomyelitis. Which of the following actions should the nurse take?
- A. Administer aspirin for pain.
- B. Apply ice to the affected area.
- C. Monitor the child�s weight daily.
- D. Limit the child's activity.
Correct answer: C
Rationale: The nurse should monitor the child�s weight daily to assess the effectiveness of treatment for osteomyelitis and detect potential complications.
3. Which urinalysis result should the nurse anticipate for a child admitted with acute glomerulonephritis?
- A. Bacteriuria and increased specific gravity
- B. Hematuria and proteinuria
- C. Proteinuria and decreased specific gravity
- D. Bacteriuria and hematuria
Correct answer: B
Rationale: In acute glomerulonephritis, the glomeruli become inflamed, leading to the leakage of red blood cells (hematuria) and proteins (proteinuria) into the urine. These are hallmark findings in this condition due to the damage to the glomerular filtration barrier. Bacteriuria, the presence of bacteria in the urine, is not typically associated with acute glomerulonephritis unless there is a concurrent urinary tract infection. Specific gravity may be normal or decreased due to the loss of proteins in the urine, rather than increased. Therefore, the correct anticipated urinalysis result for a child with acute glomerulonephritis is hematuria and proteinuria.
4. When teaching a parent of a child with contact dermatitis, which instruction should the nurse include?
- A. Apply a thick layer of antibiotic ointment to the affected area.
- B. Rub the skin vigorously with a towel to dry it.
- C. Keep the child's skin dry.
- D. Apply a thin layer of corticosteroid cream to the affected area.
Correct answer: D
Rationale: The correct instruction for a child with contact dermatitis is to apply a thin layer of corticosteroid cream to the affected area. Corticosteroid cream helps reduce inflammation and itching associated with contact dermatitis. It is important to avoid using antibiotic ointment or rubbing the skin vigorously, as these can worsen the condition. Keeping the child's skin dry is generally a good practice, but in the case of contact dermatitis, corticosteroid cream application is more beneficial.
5. Which type of food is the most difficult to swallow?
- A. Raw Vegetables
- B. Strained Fruit
- C. Chopped Meat
- D. Mashed Vegetables
Correct answer: C
Rationale: Chopped meat is the most difficult to swallow as it requires thorough chewing and coordination to avoid swallowing hazards, making it more challenging compared to raw vegetables, strained fruit, and mashed vegetables.
Similar Questions
Access More Features
ATI RN Basic
$69.99/ 30 days
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access
ATI RN Premium
$149.99/ 90 days
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access