LPN LPN
Pediatric ATI Proctored Test
1. What advice should a school-age child with type 1 diabetes mellitus follow to prevent hypoglycemia during soccer practice?
- A. Drink a cup of orange juice before soccer practice
- B. Eat twice the amount normally eaten at lunchtime
- C. Take half the amount of prescribed insulin on practice days
- D. Take the prescribed insulin at noontime rather than in the morning
Correct answer: A
Rationale: Drinking orange juice before soccer practice is recommended to prevent hypoglycemia in children with type 1 diabetes. Orange juice contains fast-acting carbohydrates that can quickly raise blood sugar levels if they drop during physical activity. Eating twice the amount normally eaten at lunchtime can lead to hyperglycemia, which is high blood sugar, rather than preventing hypoglycemia. Adjusting insulin doses should only be done under the guidance of a healthcare provider. Taking insulin at noontime rather than in the morning does not directly address preventing hypoglycemia during afternoon soccer practice.
2. Which of the following is not a clinical type of diarrhea?
- A. Acute diarrhea
- B. Bloody diarrhea
- C. Persistent diarrhea
- D. Secretory diarrhea
Correct answer: B
Rationale: Bloody diarrhea is not typically classified as a clinical type of diarrhea. The clinical types of diarrhea commonly include acute, persistent, and secretory diarrhea, which are characterized by different mechanisms and durations. Bloody diarrhea usually indicates the presence of blood in the stool, which can be a sign of various underlying conditions but is not a specific clinical type of diarrhea.
3. 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.
4. When does the onset of type 2 diabetes typically occur?
- A. Occurs after pubertal onset in the majority of cases
- B. Occurs due to parental financial status
- C. Occurs in childhood
- D. Occurs after giving birth
Correct answer: A
Rationale: The onset of type 2 diabetes typically occurs after pubertal onset. It is more commonly diagnosed in adulthood, although it can also develop in younger individuals. Factors such as genetics, lifestyle, and obesity play a significant role in the development of type 2 diabetes.
5. Which of the following is an indication of lower respiratory infection?
- A. Cough
- B. Fever
- C. Inability to lie supine
- D. Shortness of breath
Correct answer: C
Rationale: Inability to lie supine is a significant indication of lower respiratory infection. This symptom often occurs due to breathing difficulties and discomfort experienced by individuals with lower respiratory infections, such as pneumonia or bronchitis. It can be caused by lung inflammation, consolidation, or fluid buildup in the lungs, making lying flat uncomfortable or difficult. Monitoring a patient's ability to lie flat can provide valuable information about the severity and progression of a lower respiratory infection.
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