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ATI PN Mental Health Proctored Exam (15 Versions) (NGN, Latest-2023)/ PN ATI Mental Health Proctored Exam / ATI PN Proctored Mental Health Exam |Complete Document for A.T.I|
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ATI PN Mental Health Proctored Exam (15 Versions) (NGN, Latest-2023)/ PN ATI Mental Health Proctored Exam / ATI PN Proctored Mental Health Exam |Complete Document for A.T.I|
VERSION 1
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations shoul
possible hemolytic transfusion reaction?
a. Laryngeal edema
b. Flank pain
c. Distended neck veins
d. Muscular weakness
Answer- b. Flank pain. The nurse should recognize that flank pain is caused by the breakdown of RBCs and is an indication o
reaction to the blood transfusion.
A- Laryngeal edema is an indication of an allergic reaction to the blood transfusion.
C- Distended neck veins are an indication of circulatory overload, which is a complication of a blood transfusion.
D- Muscle weakness is an indication of an electrolyte disturbance, which is a complication of a blood transfusion.
A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following finding
identify as a potential indication of physical neglect?
a. Resists having an axillary temperature taken
b. Exhibits withdrawal behaviors when her parent leaves
c. Has multiple bruises on her knees
d. Poor personal hygiene
Answer- d. Poor personal hygiene. Poor personal hygiene in a toddler is a potential indication of physical neglect. Because
dependent on their parents for help with hygiene needs, poor personal hygiene indicates a lack of supervision.
A- The toddler has begun to develop a sense of body image and boundaries and can be resistant to intrusive assessments s
mouth or ears, or taking an axillary temperature. Therefore, this finding is not an indication of physical neglect.
B- Separation anxiety is an expected finding for a toddler. The child of this age can become fearful and exhibit regressive b
alone with strangers and separated from her parents; therefore, this finding is not an indication of physical neglect.
C- The 18-month-old toddler has accomplished the gross motor skills of standing and walking and has begun to try to run b
have bruises on her knees. Therefore, this finding is not an indication of physical neglect.
A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of th
should the nurse take?
a. Use surgical asepsis when providing routine care for the child.
b. Administer the measles, mumps, rubella (MMR) vaccine to the child.
c. Screen the child's visitors for indications of infection.
d. Infuse packed RBCs.
Answer- c. Screen the child's visitors for indications of infection. The child who is severely immunocompromised is unable t
to infectious organisms resulting in the potential for overwhelming infection; therefore, the nurse should screen the child's
indications of infection.
A- It is not necessary for the nurse to use surgical asepsis when providing direct care. Strict hand washing and medical asep
to prevent the spread of infection.
B- It is contraindicated for a child who is severely immunocompromised to receive the MMR vaccine because it is a live viru
child may not be able to build adequate antibodies to prevent infection with the organism.
,D- A child who is immunocompromised as a result of chemotherapy will have a decreased neutrophil count. The nurse sho
packed RBCs to the child who is anemic. However, packed RBCs will not increase the child’s neutrophil count.
A nurse is teaching a school-age child who has a severe allergy to bee venom and his parent about epinephrine. Which o
instructions should the nurse include in the teaching?
a. Use a second dose if the first dose of epinephrine does not completely reverse the symptoms.
b. Store unused epinephrine syringes in the refrigerator.
c. Shake the epinephrine syringe prior to use to dissolve the precipitate.
d. Administer the medication subcutaneously in the back of the arm.
Answer- a. Use a second dose if the first dose of epinephrine does not completely reverse the symptoms. A biphasic respon
will appear to recover and then experience a recurrence of symptoms, is possible with some allergic reactions. The nurse s
parent and child to use a second dose if the first dose does not resolve all the symptoms.
B- The nurse should instruct the parent and child to store epinephrine in a dark area at room temperature. Refrigeration o
syringe can result in failure of the injection mechanism to work.
C- The nurse should instruct the child and his parent that the formation of precipitate or a brown coloration to the solution
the medication should be replaced and not used.
D- The nurse should instruct the child and his parent to inject the medication intramuscularly into the anterolateral aspect
A nurse is assessing a school-age child who has appendicitis with possible perforation. The nurse should identify which o
manifestation of peritonitis?
a. Hyperactive bowel sounds
b. Abdominal distention
c. Bradycardia
d. Polyuria
Answer- b. Abdominal distention. The nurse should recognize that abdominal distention is a manifestation of peritonitis. P
inflammation of the lining of the abdominal wall. This inflammation in the abdomen, along with the ileus that develops, ca
distention.
A- Hypoactive bowel sounds are a manifestation of peritonitis. The peritoneal inflammation caused by the feces and bacte
perforated appendix results in the development of an ileus, and a decrease in bowel motility.
C- Tachycardia is a manifestation of peritonitis resulting from infection and fluid shifts within the abdomen, which causes h
D- Polyuria occurs with an elevated glucose level and is not a manifestation of peritonitis.
A nurse is reviewing the laboratory report of a 6-year-old child who is receiving chemotherapy. Which of the following la
should the nurse report to the provider?
a. Hgb 8.5 g/dL
b. WBC 9,500/mm3
c. Prealbumin18 mg/dL
d. Platelets 300,000/mm3
Answer- a. Hgb 8.5 g/dL. The child receiving chemotherapy is at risk for anemia due to the chemotherapy effects on the blo
the bone marrow. The development of anemia is diagnosed through laboratory testing of hemoglobin and hematocrit leve
recognize that a hemoglobin level of 8.5 g/dL is below the expected reference range for a 6-year-old child and should be re
provider.
B- The child receiving chemotherapy is at risk for infection due to the myelosuppressing effects of the medication used to t
presence of infection can be evaluated through body temperature, redness, edema, warmth, or drainage of wound or IV si
measurements of WBC and absolute neutrophil counts. A WBC count of 9,500/mm3 is within the expected reference range
,C- The child receiving chemotherapy is at risk for malnutrition as a result of nausea and vomiting, stomatitis, and pain. Nut
evaluated through prealbumin, albumin, and transferrin levels. A prealbumin level 0f 18 mg/dL is within the expected refer
year-old child.
D- The child receiving chemotherapy is at risk for hemorrhage due to the thrombocytopenic effects of the medications use
development of thrombocytopenia is diagnosed through laboratory testing of platelet levels. A platelet count of 300,000/m
expected reference range for a 6-year-old child.
A nurse is caring for a school-age child who is receiving a cefazolin via intermittent IV bolus. The child suddenly develops
the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nu
a. Prednisone
b. Epinephrine
c. Diphenhydramine
d. Albuterol
Answer- b. Epinephrine. This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to eviden
nurse should first administer epinephrine to treat the anaphylaxis. Epinephrine is a beta adrenergic agonist that stimulates
vasoconstriction of blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs.
A- Prednisone is an anti-inflammatory agent that can treat severe inflammation Although it will benefit a child who is havin
reaction, it is not the first medication the nurse should administer.
C- Even though histamines are not the major mediators of an anaphylactic reaction, administering an antihistamine such as
can help to decrease the allergic reaction. However, it is not the first medication the nurse should administer.
D- Albuterol is a beta adrenergic agonist that can treat acute bronchospasms. Although albuterol will improve the child's b
first medication the nurse should administer.
A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacid
performing the respiratory assessment, which of the following findings should the nurse expect?
a. Deep respirations of 32/min
b. Shallow respirations of 10/min
c. Paradoxic respirations of 26/min
d. Periods of apnea lasting for 20 seconds
Answer- a. Deep respirations of 32/min. The nurse should expect deep and rapid respirations in a child who has diabetic ke
respiratory rhythm is the body's attempt to blow off excess carbon dioxide and achieve a state of homeostasis.
B- The nurse should expect shallow respirations in a child who has respiratory depression related to opioid administration
respirations are not an expected finding in a child who has ketoacidosis.
C- The nurse should expect paradoxic respirations in a child who has flail chest. However, paradoxic respirations are not an
child who has ketoacidosis.
D- The nurse should expect periods of apnea in a child who has obstructive sleep apnea. However, periods of apnea are no
in a child who has ketoacidosis.
A nurse is caring for a newly-admitted school-age child who has hypopituitarism. Which of the following medications sh
the provider to recommend to the parents for treating the child's condition?
a. Desmopressin
b. Luteinizing hormone-releasing hormone
c. Recombinant growth hormone
d. Levothyroxine
Answer- c. Recombinant growth hormone. Recombinant growth hormone injections are used to treat hypopituitarism, wh
and results in growth failure. The nurse should expect the provider to recommend this treatment to the child's parents. Th
provide emotional support for the parents as they make a decision about the treatment they feel is best for their child.
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