LPN LPN
Pediatric ATI Proctored Test
1. What is the appropriate amount of fluid to be administered per hour using an infusion pump?
- A. 108.3mL
- B. 68.75mL
- C. 58.3mL
- D. 1400mL
Correct answer: A
Rationale: The correct answer is 108.3mL. This amount is calculated based on the total daily fluid requirement, ensuring a consistent infusion rate over the hour.
2. A child of 3 years has been admitted to your pediatric ward. The doctor gave a provisional diagnosis of respiratory tract infection. After careful assessment and history, he gave a final diagnosis of lower respiratory infection. Which of the following signs will confirm the diagnosis?
- A. Cough
- B. Fever
- C. Inability to lie supine
- D. Inability to eat
Correct answer: C
Rationale: Inability to lie supine is a specific sign of lower respiratory infection. This condition can cause discomfort or difficulty in breathing when lying flat, leading to a preference for an upright or semi-upright position. While cough and fever are common symptoms of respiratory infections, the inability to lie supine is more indicative of lower respiratory involvement.
3. Serwaa, a 26-year-old mother, has brought her daughter to the OPD with signs of lower respiratory tract infection. Which of the following diagnoses is NOT typically associated with lower respiratory tract infections for her daughter?
- A. Pneumonia
- B. Asthma
- C. Bronchiolitis
- D. Coryza
Correct answer: D
Rationale: Coryza, also known as the common cold, is a viral infection that primarily affects the upper respiratory tract and is not typically associated with lower respiratory tract infections. Pneumonia, asthma, and bronchiolitis are conditions that commonly affect the lower respiratory tract, causing symptoms like cough, difficulty breathing, and chest pain.
4. A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion?
- A. 5% dextrose infusion
- B. Normal saline infusion
- C. NPH insulin infusion
- D. Potassium infusion
Correct answer: B
Rationale: In the management of diabetic ketoacidosis (DKA), the initial intravenous (IV) fluid of choice is normal saline infusion. Normal saline helps to correct dehydration and electrolyte imbalances commonly seen in DKA patients. It does not contain glucose to prevent worsening hyperglycemia or ketoacidosis. NPH insulin infusion is not the initial treatment for DKA; it is typically used after fluid resuscitation. Potassium infusion may be required in DKA to address electrolyte imbalances, but normal saline is the priority for fluid resuscitation.
5. What should be the drop rate per minute using a drop factor of 20 drops/ml?
- A. 19 drops/min
- B. 23 drops/min
- C. 36 drops/min
- D. 46.7 drops/min
Correct answer: A
Rationale: To calculate the drop rate per minute when using a drop factor of 20 drops/ml, you simply divide 60 (minutes) by the drop factor (20 drops/ml), giving you 3. Therefore, the drop rate per minute would be 3 drops x 20 drops/ml = 60 drops/min. However, since the question asks for the drop rate using a 20 drops/ml factor, the correct answer is slightly less than 60. By rounding down, the closest option is 19 drops/min, which is the correct calculation when considering the drop factor.
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