ATI LPN
ATI Pediatrics Test Bank
1. A postpartum client is being discharged. The nurse should include which information about postpartum depression?
- A. It can occur at any time postpartum
- B. It is a serious condition that requires attention
- C. It can affect the ability to care for the newborn
- D. It may necessitate medical intervention
Correct answer: C
Rationale: Postpartum depression is a serious condition that can impact a mother's ability to care for her newborn. It is crucial for healthcare providers to educate clients about the signs and symptoms of postpartum depression, as it may necessitate medical intervention to ensure the well-being of both the mother and the newborn.
2. A client with a diagnosis of heart failure is receiving digoxin (Lanoxin) and furosemide (Lasix). The LPN/LVN should closely monitor the client for which potential complication?
- A. Hyperkalemia
- B. Hypokalemia
- C. Hypernatremia
- D. Hyponatremia
Correct answer: B
Rationale: The correct answer is B: Hypokalemia. Furosemide is a loop diuretic that promotes the loss of potassium in the urine, potentially leading to hypokalemia. Hypokalemia increases the risk of digoxin toxicity, as digoxin's effects can be potentiated in the presence of low potassium levels. Monitoring for hypokalemia is crucial to prevent adverse effects and maintain the therapeutic effectiveness of digoxin in clients with heart failure. Choices A, C, and D are incorrect because furosemide does not typically cause hyperkalemia, hypernatremia, or hyponatremia. Instead, it commonly leads to hypokalemia due to increased potassium excretion.
3. A nurse is reinforcing teaching about a clear liquid diet. What should the client avoid?
- A. Lemon-lime sports drinks
- B. Orange sherbet
- C. Black coffee
- D. Ginger ale
Correct answer: D
Rationale: The correct answer is D, Ginger ale. A clear liquid diet includes fluids that are see-through and easily digestible. Ginger ale is a carbonated beverage that is allowed on a clear liquid diet. Orange sherbet, choice B, is not suitable for a clear liquid diet as it contains dairy products and solid particles, which are not transparent. Lemon-lime sports drinks, choice A, may contain added colorings or particles that are not allowed on a clear liquid diet. Black coffee, choice C, is also not recommended on a clear liquid diet as it is not a clear liquid and contains substances that may be hard to digest.
4. A nurse is assisting with an in-service about hepatitis A for a group of staff nurses. The nurse should include that hepatitis A is transmitted through which of the following methods?
- A. Airborne droplets
- B. Sexual contact
- C. Contact with contaminated surfaces
- D. Consumption of contaminated food
Correct answer: D
Rationale: The correct answer is D: Consumption of contaminated food. Hepatitis A is primarily transmitted through the ingestion of contaminated food or water. Airborne droplets and sexual contact are not common modes of transmission for hepatitis A. While contact with contaminated surfaces can play a role in the spread of some infections, hepatitis A is not typically transmitted through this route.
5. A nurse in a pediatric clinic is collecting data from a school-age child whose injuries are inconsistent with the parent's stated cause. Which of the following actions should the nurse take?
- A. Provide teaching to the parents
- B. Report suspected abuse to the appropriate agency
- C. Document the injuries and monitor the child
- D. Counsel the parents privately
Correct answer: B
Rationale: In cases where a child's injuries are inconsistent with the parent's stated cause, it raises concerns about possible abuse. The correct action for the nurse in this situation is to report suspected abuse to the appropriate agency. This is a legal and ethical obligation for healthcare professionals when they suspect child abuse. Providing teaching to the parents (Choice A) may not address the immediate safety concerns of the child. Documenting the injuries and monitoring the child (Choice C) is important but reporting suspected abuse takes precedence to ensure the child's safety. Counseling the parents privately (Choice D) may not be effective if abuse is suspected, as the primary focus should be on protecting the child.
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