ATI RN CONCEPT-BASED PROCTORED EXAM 165 QUESTIONS WITH ANSWERS AND EXPLANATIONS

ATI RN CONCEPT-BASED PROCTORED EXAM 165 QUESTIONS WITH ANSWERS AND EXPLANATIONS The child with Down syndrome should be evaluated for which condition before participating in some sports? a. Hyperflexibility b. Cutis marmorata c. Atlantoaxial instability d. Speckling of iris (Brushfield spots) ---CORRECT ANSWER-- C. Atlantoaxial instability - Children with Down syndrome are at risk for atlantoaxial instability. Before participating in sports that put stress on the head and neck, a radiologic examination should be done. Child with Down Syndrome delayed development ---CORRECT ANSWER-- -nurse should ensure the child is enrolled in an early stimulation program which provides PHYSICAL THERAPY to develop motor skills. manifestations of increased ICP ---CORRECT ANSWER-- -decreased LOC -vomiting (often projectile) -rising bp -increasing pulse pressure -bradycardia -papilledema -fixed and dilating pupils -posturing (decorticate and decerebrate) -HTN -Cheyne-stokes respirations -wide pulse pressure manifestations of acute glaucoma ---CORRECT ANSWER-- -headache -eye pain -rapid onset of elevated IOP -vision alterations -severe pain -photophobia manifestations of DKA ---CORRECT ANSWER-- dehydration, eyeballs soft and sunken eyes, ab pain, anorexia, KUSSMAUL RESPIRATIONS, fruity breath What nursing interventions should take priority on a client with placenta previa at 36 weeks gestation? ---CORRECT ANSWER-- -initiate large-bore IV access Education for preventing child-hood obesity ---CORRECT ANSWER-- -avoid using foods as a reward for good behavior -have healthy foods like fruits and veggies available for snacking -limit television watching to 2hr or less each day -avoid offering juice drinks (high sugar content) positive symptoms of schizophrenia ---CORRECT ANSWER-- Delusions of reference, delusions of persecution, delusions of grandeur, thought broadcasting, though insertion -magical thinking -auditory hallucinations -clang association disorganized thought, disorganized behavior, catatonia negative symptoms of schizophrenia ---CORRECT ANSWER-- -disturbance of affect -blunting (severe reduction in the intensity of affect expression) -flat affect -inappropriate affect (might laugh hysterically while describing someones death) -emotional ambivalence nursing priority for patient with WILMs Tumor ---CORRECT ANSWER-- -avoid palpation of abdomen to avoid tumor rupture What is Wilm's tumor? ---CORRECT ANSWER-- Renal tumor of embryonal origin that is most commonly seen in children 2-5yrs Assoc w/ Beckwith-Wiedemann syndrome (hemihypertrophy, macroglossia, visceromegaly), NF, and WAGR syndrome (Wilms' Aniridia, Genitourinary abnormalities, mental retardation) Nursing intervention for child born at 33wks and is 2 days old ---CORRECT ANSWER-- -position newborn SIDE-LYING or Prone while in nursery. -bathe child in PLAIN WATER ONLY -initiate skin-to-skin contact regardless of age or weight of newborn -lights should be dimmed during the night and at intervals during the day intimate partner violence teaching ---CORRECT ANSWER-- -nurses priority is to provide safety and develop a safety plan. Teaching for minimizing behavioral problems with client who has Alzheimer's disease (AD) ---CORRECT ANSWER-- -briefly leave the room when client becomes agitated -use a soft, calm tone of voice -avoid crowds of people when taking client on outings. manifestations of prenatal complications ---CORRECT ANSWER-- -swelling of finders, face, and sacral area (these are hypertensive conditions like PREECLAMPSIA) PYROSIS ---CORRECT ANSWER-- heartburn; burning sensation in upper abdomen due to reflux of gastric acid leukorrhea ---CORRECT ANSWER-- a profuse, whitish mucus discharge from the uterus and vagina Nursing actions for client with bipolar disorder experiencing mania ---CORRECT ANSWER-- -give client short, firm direction when communicating -encourage frequent rest periods during the day -offer client high-fiber foods and extra fluids -supervise client and give step-by-step directions. risk factors for postpartum hemorrhage ---CORRECT ANSWER-- usual suspects plus: -grand multiparitiy multiple gestation, large infant, polyhydraminos dysfunctional labor, oxytocin induction or augmentation VBAC, general anesthesia therapeutic response lab values for client with ANOREXIA NERVOSA ---CORRECT ANSWER-- -BUN 18mg/dL (norm: 10-20 mg/dL) -hematocrit 40% (norm: 42-52% males; 37-47% female) -Na 138 mEq/dL (norm: 136-145 mEq/dL -K 3.7 (norm: 3.5-5.0 mEq/dL) Nursing action for client receiving IV OXYTOCIN and FHR shows VARIABLE DECELERATIONS ---CORRECT ANSWER-- -administer O2 at 10 L/min via nonrebreather -reposition client to relieve compression to umbilical chord. A nurse is caring for a client who has lung cancer and is exhibiting manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following ndings should the nurse report to the provider? A. Behavioral changes B. Client report of headache C. Urine output 40 mL/hr D. Client report of nausea E. Increased urine specfic gravity ---CORRECT ANSWER-- A. Behavioral changes B. Client report of headache