ATI PN NURSING CARE OF CHILDREN PROCTORED LATEST
JUNE 2023
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ATI PN NURSING CARE OF CHILDREN
PROCTORED EXAM
2023
nurse is admitting a 4monthold infant who has heart failure. Which of the following findings isthe nurse's priority? (look at exhibit) Vital
Signs
Temperature 37.5° C (99.5°)
Heart rate 70/min
Respirations 30/min
Birth weight 3.2 kg (7 lb)
Current weight 5.9 (13 lb)
Flow Sheet
3 episodes of
vomiting 6 wet
diapers in 24 hr
Consumed 3 oz concentrated formula every 3 hr
Medication Record
Digoxin 0.5 mcg PO Q12H
Furosemide 20 mg PO
Q12H
a. Episodes of vomiting
b. Formula consumption
c. Weight
d. Temperature
Answer a. Episodes of vomiting. When using the urgent vs. nonurgent approach to client care, the nurse determines that the priority finding is
three episodes of vomiting. This can indicate digoxin toxicity, which requiresimmediate intervention; therefore, thisis the priority finding.
B A 4monthold infant who has heart failure requires 3 to 4 oz of formula every 3 hr to adequately address caloric needs; therefore, there is anotherfinding that is the nurse's priority. A feeding schedule of every 2 hr does not allow sufficient rest time between feedings, and a feeding schedule ofevery 4 hr requires consumption of a higher volume, which is often not tolerated by the infant.
C A weight of 5.9 kg (13 lb) is an expected finding for a 4monthold infant who weighed 3.2 kg (7 lb) at birth; therefore, there is another finding
that is the nurse's priority. The infant should gain 680 g (1.5 lb) per month until the age of 5 months, and double his birth weight at the age of 6
months.
D A temperature of 37.5ºC (99.5ºC) is within the expected reference range for a 4 monthold infant; therefore, there is another finding that is
the nurse's priority.
A nurse is providing discharge teaching to the parents of a 6monthold infant who is postoperative following hypospadiasrepair with a stent
placement. Which of the following instructions should the nurse include in the teaching?
a. "You may bathe your infant in an infant bathtub when you go home."
b. "Apply hydrocortisone cream to yourinfant's penis daily."
c. "You should clamp your infant'sstent twice daily."
d. "Allow the stent to drain directly into your infant's diaper."
VERSION 2
1. What are the main types of consequences for children that are misbehaving?
Answer
Behavior Modification
Reasoning
Scolding
Behavior modification
Consequences
Corporal or physical punishment
Q
2. A nurse is facilitating group therapy and the group is currently in the working phase of group development. What is the primary
focus during this phase?
Answer
It is to to promote problem-solving skills in order to facilitate behavioral
changes. Q
3. A nurse is caring for a client with delirium. What is the onset and clinical manifestations of this disorder?
Answer
Hypo activity syndrome
hyper active symptoms
Inability to concentrate,
Insomnia,
Loss of appetite,
Restlessness,
Confusion
Late manifestations: agitation, hallucinations, misperception
Q
4. A nurse is caring for a client with attention seeking behaviors. Describe attention-seeking behaviors commonly noted in clients
diagnosed with histrionic personality disorder.
Answer
The person tend to present provocative behavior, and influenced easily by others or circumstances [Show Less]