ATI LPN
LPN Pediatrics
1. After the baby's head delivers, how is it usually tilted?
- A. with the face up.
- B. anteriorly, with the chin up.
- C. posteriorly, to one side.
- D. posteriorly, face down.
Correct answer: C
Rationale: After the baby's head delivers, it is typically tilted posteriorly to one side to help facilitate the delivery of the shoulders. This positioning is important for the safe and smooth delivery of the baby.
2. A nurse is reviewing the record of a client with dementia. Which of the following findings should the nurse prioritize?
- A. Wandering at night
- B. A serum albumin level of 3.5 g/dL
- C. Urinary incontinence
- D. Restlessness and agitation
Correct answer: D
Rationale: Restlessness and agitation in clients with dementia could indicate a worsening condition and should be prioritized. While wandering at night and urinary incontinence are common issues in dementia patients, restlessness and agitation can signal acute distress or an unmet need, requiring immediate attention. Monitoring serum albumin levels is important for overall health but would not be the priority when assessing a client with dementia.
3. The client has been prescribed atorvastatin (Lipitor) for hyperlipidemia. Which instruction should the nurse provide to the client?
- A. Take the medication in the morning with breakfast.
- B. Avoid drinking grapefruit juice while taking this medication.
- C. Increase your intake of dietary fiber while on this medication.
- D. Avoid eating foods high in potassium.
Correct answer: B
Rationale: The correct instruction for the nurse to provide to the client prescribed atorvastatin (Lipitor) for hyperlipidemia is to avoid drinking grapefruit juice while taking this medication. Grapefruit juice can interfere with the metabolism of atorvastatin, leading to an increased risk of side effects. It is crucial for the client to adhere to this instruction to ensure the effectiveness and safety of the treatment. Choices A, C, and D are incorrect because taking the medication with breakfast, increasing dietary fiber intake, and avoiding foods high in potassium are not specific instructions related to atorvastatin therapy for hyperlipidemia.
4. An older adult with a diagnosis of Alzheimer's disease has been experiencing fecal incontinence, with no recent change in stool character noted by the nurse. What is the nurse's most appropriate intervention?
- A. Keep a food diary to identify foods that worsen the client's symptoms
- B. Provide the client with a bland, low-residue diet
- C. Toilet the client on a frequent, scheduled basis
- D. Collaborate with the primary provider to secure an order for loperamide
Correct answer: C
Rationale: The most appropriate intervention for an older adult with Alzheimer's disease experiencing fecal incontinence and no change in stool character is to toilet the client on a frequent, scheduled basis. Scheduled toileting can help manage incontinence by establishing a routine for bowel movements, which may aid in reducing episodes of fecal incontinence.
5. In the year 1980, the World Health Organization declared the Philippines, along with some other countries in the Western Pacific Region, 'free' of which disease?
- A. Pneumonic plague
- B. Poliomyelitis
- C. Smallpox
- D. Anthrax
Correct answer: C
Rationale: The correct answer is C, Smallpox. The World Health Organization declared the Philippines, along with other countries in the Western Pacific Region, 'free' of Smallpox in 1980. The last documented case of Smallpox worldwide was in 1977 in Somalia, leading to the global eradication of the disease.
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