ATI LPN
ATI PN Comprehensive Predictor 2024
1. A nurse is assisting with monitoring a client who is in labor and has spontaneous rupture of membranes following a vaginal examination. The provider reports the client's cervix is dilated to 1 cm with an unengaged presenting part. Which of the following actions should the nurse take?
- A. Encourage the client to bear down
- B. Apply the external fetal monitor
- C. Provide the client with fluids
- D. Administer IV fluids
Correct answer: B
Rationale: In this scenario, with the client's cervix dilated to only 1 cm and an unengaged presenting part, the priority action is to apply the external fetal monitor. This allows for continuous monitoring of the fetal heart rate during early labor, which is crucial for assessing fetal well-being. Encouraging the client to bear down is not appropriate at 1 cm dilation, as it may not be effective and can lead to exhaustion. Providing the client with fluids or administering IV fluids may be necessary for hydration, but the immediate concern is monitoring fetal well-being.
2. A healthcare provider is caring for four clients. Which of the following tasks can the healthcare provider delegate to an assistive personnel?
- A. Perform chest compressions during cardiac resuscitation
- B. Perform a dressing change for a new amputee
- C. Assess the effectiveness of antiemetic medication
- D. Provide discharge instructions
Correct answer: A
Rationale: Performing chest compressions during cardiac resuscitation is a critical life-saving intervention that can be delegated to an assistive personnel during an emergency. This task requires immediate action and basic training, making it appropriate for delegation. Performing a dressing change for a new amputee involves specialized knowledge and skills, typically performed by licensed healthcare providers. Assessing the effectiveness of medication requires critical thinking and decision-making skills that are within the scope of a licensed healthcare provider. Providing discharge instructions involves educating the patient on post-discharge care and follow-up, which is typically done by a healthcare provider to ensure clear communication and understanding.
3. A patient with diabetes insipidus is prescribed desmopressin. What is the primary purpose of this medication?
- A. Increase urine output
- B. Reduce blood sugar levels
- C. Decrease urine output
- D. Lower blood pressure
Correct answer: C
Rationale: Desmopressin is prescribed to decrease urine output in patients with diabetes insipidus. It works by increasing water reabsorption in the kidneys, helping to control fluid balance in the body.
4. A newborn is small for gestational age (SGA). Which of the following findings is associated with this condition?
- A. Moist skin
- B. Protruding abdomen
- C. Gray umbilical cord
- D. Wide skull sutures
Correct answer: D
Rationale: Wide skull sutures are a common finding in newborns who are small for gestational age (SGA) due to reduced intrauterine growth. This occurs because the skull bones do not grow at the same rate as the brain, leading to wider sutures. Moist skin, a protruding abdomen, and a gray umbilical cord are not typically associated with being small for gestational age.
5. Which disease was declared as a target for eradication in the Philippines through Presidential Proclamation No. 4?
- A. Poliomyelitis
- B. Measles
- C. Rabies
- D. Neonatal Tetanus
Correct answer: B
Rationale: Presidential Proclamation No. 4 in the Philippines declared measles as a target for eradication through the Ligtas Tigdas Program. This program aims to eliminate measles, making it the correct choice in this case.
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