2023 ATI Clinical Analysis Proctored Exam with Answers (81 Solved Questions)
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Question - 1A nurse is creating a plan of care for a school-age child who has heart disease and has developedheart failure. Which of the following interventions should the nurse include in the plan?Provide small, frequent meals for the child. The metabolic rate of a child who has heartfailure is hight because of poor cardiac function. Therefore, the nurse should provide small, frequentmeals for the child because it helps to conserve energy.Question - 2A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment ofdevelopmental dysplasia of the hip. The nurse should identify that which of the following statementsby the parent indicates an understanding of the teaching?"I will place my infant's diapers under the harness straps". To prevent soiling of theharness, the parent should apply the infant's diaper under the straps.Question - 3A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury(AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurseinclude in the plan?Initiate seizure precautions for the child. A sodium level of 129 mEq/L indicateshyponatremia and places the child at increased risk for neurological deficits and seizure activity. Thenurse should complete a neurologic assessment and implement seizure precautions to maintain thechild's safety.Question - 4A nurse is assessing a school-age child immediately following a perforated appendix repair. Which ofthe following findings should the nurse expect?Absence of peristalsis. The nurse should expect absence of peristalsis immediatelyfollowing a perforated appendix repair, until the bowel resumes functioning.Question - 5A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should thenurse take?Apply topical analgesic cream to the site 1 hr prior to the procedure. The nurse shouldapply a topical analgesic to the lumbar site 1 hr prior to the procedure to decrease the adolescent'spain while the lumbar needle is inserted.Question - 6A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The childsuddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medicationinfusion, which of the following medications should the nurse administer first?Epinephrine. This child is most likely experiencing an anaphylactic reaction to thecefazolin. According to evidence-based practice, the nurse should first administer epinephrine totreat the anaphylaxis. Epinephrine is a beta adrenergic agonist that stimulates the heart, causesvasoconstriction of blood vessels in the skin and mucous membranes, and triggers bronchodilationin the lungs.Question - 7
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