ATI Pediatrics Proctored Exam 2023 Quizlet

Questions 55

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ATI RN Test Bank

ATI Pediatrics Proctored Exam 2023 Quizlet Questions

Question 1 of 5

How would you best evaluate the clinical usefulness of a test?

Correct Answer: B

Rationale: When evaluating the clinical usefulness of a test, it is essential to consider the specific needs of clients and discuss these considerations with colleagues. This collaborative approach ensures that the chosen test is appropriate and beneficial for the individuals being assessed.

Question 2 of 5

The nurse is teaching a patient who has a new prescription for spironolactone (Aldactone). Which statement by the patient indicated that the teaching was effective?

Correct Answer: C

Rationale: Spironolactone is a potassium-sparing, aldosterone-blocking diuretic. As such, it can cause endocrine effects, such as gynecomastia, menstrual irregularities, impotence, hirsutism, and deepening of the voice. Patients taking spironolactone should avoid salt substitutes because they contain potassium; high-potassium foods should be avoided with this drug. Ideally, all diuretics should be taken in the morning to prevent nocturia.

Question 3 of 5

A child with nephrotic syndrome has not experienced diuresis after a month on corticosteroids. What protocol can the nurse encourage to induce diuresis?

Correct Answer: B

Rationale: If diuresis has not occurred with corticosteroids in nephrotic syndrome, a diuretic like Furosemide (Lasix) is the appropriate choice to promote diuresis. Furosemide works by increasing urine production and reducing fluid retention. While Ibuprofen is an anti-inflammatory agent, it does not directly induce diuresis. Ciprofloxacin is an antibiotic and is not indicated for promoting diuresis in this scenario. Cyclophosphamide is an immunosuppressant, not an antisuppressant, and is not typically used to induce diuresis in nephrotic syndrome.

Question 4 of 5

Which parental statement at the end of a teaching session by the nurse indicates correct understanding of colostomy stoma care for the infant client?

Correct Answer: C

Rationale: Watching for skin irritation indicates awareness of potential complications and proper colostomy care.

Question 5 of 5

For which patient diagnosis would a prescription for nifedipine be least appropriate?

Correct Answer: C

Rationale: Nifedipine primarily acts as a calcium channel blocker. It lacks significant effects on the calcium channels of the heart, making it ineffective for treating dysrhythmias like Atrial Fibrillation. Nifedipine is commonly used in conditions such as angina pectoris, essential hypertension, and vasospastic angina due to its vasodilatory effects and anti-anginal properties.

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