LPN LPN
ATI Pediatrics Proctored Exam 2023 with NGN
1. The healthcare provider is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?
- A. (+) Moro reflex
- B. Heart rate is 80 bpm
- C. Respirations are irregular
- D. Uneven head shape
Correct answer: B
Rationale: A heart rate of 80 bpm is least likely to be observed in a normal newborn. The normal heart rate range for a newborn is usually higher than 80 bpm, typically ranging from 120-160 bpm. The Moro reflex (choice A) is a normal newborn reflex, respirations being irregular (choice C) are expected due to the immature respiratory control center, and an uneven head shape (choice D) is common due to molding during vaginal delivery.
2. A new mother asks the nurse when she should begin to breastfeed her newborn. The nurse's best response is:
- A. Within the first half-hour after birth
- B. After the newborn's first bath
- C. When the newborn begins to cry
- D. After administering vitamin K
Correct answer: A
Rationale: Initiating breastfeeding within the first half-hour after birth is crucial for successful breastfeeding and bonding, as recommended by the World Health Organization. This early initiation helps establish breastfeeding and supports the newborn's health by providing colostrum, the nutrient-rich first milk. Choice B, 'After the newborn's first bath,' is incorrect because initiating breastfeeding should not be delayed after birth. Choice C, 'When the newborn begins to cry,' is incorrect as it does not promote timely initiation of breastfeeding. Choice D, 'After administering vitamin K,' is incorrect because breastfeeding initiation should not be delayed for this procedure.
3. Which of the following interventions is NOT appropriate for a hospitalized adolescent?
- A. Allow the adolescent to assist with procedures when possible.
- B. Encourage them to discuss their thoughts and feelings about the hospitalization.
- C. Encourage them to remain in the room throughout the hospitalization to ensure adequate rest periods.
- D. Encourage peer visitation.
Correct answer: C
Rationale: Encouraging the adolescent to remain in the room throughout the hospitalization may lead to social isolation, hinder the adolescent's emotional well-being, and impede their recovery. It is essential for adolescents to have social interaction, engage in meaningful conversations, and receive support from peers to cope with the stress of hospitalization. Choices A, B, and D are appropriate interventions as they promote involvement in care, emotional expression, and social support, which are beneficial for the adolescent's overall well-being during hospitalization.
4. Non-pharmacological techniques can help lower blood pressure. Which of the following is not considered one of these types of techniques?
- A. Dietary changes
- B. Multivitamins
- C. Smoking cessation
- D. Limiting caffeine
Correct answer: B
Rationale: Multivitamins are not typically considered a non-pharmacological technique for lowering blood pressure. While dietary changes, smoking cessation, and limiting caffeine intake can positively impact blood pressure levels, multivitamins are generally not specifically recommended as a primary intervention for this purpose. Dietary changes can include reducing salt intake and increasing potassium-rich foods, which are known to help manage blood pressure. Smoking cessation is crucial due to the negative impact of smoking on blood pressure and overall cardiovascular health. Limiting caffeine intake is advised as excessive caffeine consumption can lead to a temporary increase in blood pressure. Therefore, focusing on lifestyle modifications like healthy eating, smoking cessation, and caffeine reduction is more effective in managing blood pressure than relying on multivitamins.
5. Which pain assessment tool is most appropriate for a 3-month-old hospitalized with a fractured femur?
- A. FLACC scale
- B. Poker chip tool
- C. Number scale
- D. Visual analog scale
Correct answer: A
Rationale: The FLACC scale, which stands for Face, Legs, Activity, Cry, and Consolability, is specifically designed for nonverbal patients like infants and young children. It assesses pain based on observable behaviors such as facial expressions, leg movement, activity level, cry, and the ability to be consoled. In this case, a 3-month-old infant who is unable to communicate verbally would best be assessed using the FLACC scale to determine the level of pain experienced due to a fractured femur. The Poker chip tool, Number scale, and Visual analog scale are not suitable for nonverbal infants and young children as they rely on self-reporting or cognitive abilities that are not yet developed at this age.
Similar Questions
Access More Features
ATI LPN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI LPN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99