ATI LPN
ATI Community Health Proctored Exam 2019 Quizlet
1. Civil registries are important sources of data. Which law requires registration of births within 30 days from the occurrence of the birth?
- A. PD 651
- B. Act 3573
- C. RA 3753
- D. RA 3375
Correct answer: A
Rationale: Presidential Decree (P.D.) 651 amended Republic Act (R.A.) 3753, specifically requiring the registration of births within 30 days from their occurrence. This amendment emphasizes the timely and accurate recording of vital statistics, which is crucial for legal and administrative purposes.
2. A client who has a new prosthesis for an above-the-knee amputation of the right leg needs teaching on its use. Which of the following instructions should the nurse include?
- A. Wear the prosthesis for 2 hours at a time
- B. Remove the prosthesis every other day
- C. Apply the prosthesis immediately upon waking each day
- D. Elevate the stump for 24 hours after applying the prosthesis
Correct answer: C
Rationale: The correct instruction is to apply the prosthesis immediately upon waking each day. This helps the client adjust to and maintain mobility. Choice A is incorrect because wearing the prosthesis for only 2 hours at a time may not be sufficient for proper adjustment. Choice B is incorrect as removing the prosthesis every other day is not a standard practice and may hinder the client's mobility. Choice D is incorrect because elevating the stump for 24 hours after applying the prosthesis is unnecessary and not a recommended practice.
3. Physical abuse of a 4-year-old child should be suspected if you observe:
- A. purple and yellow bruises on the thighs.
- B. bruises on the anterior tibial area.
- C. the child clinging to his or her parent.
- D. curious siblings watching you.
Correct answer: A
Rationale: Purple and yellow bruises on protected areas like the thighs are concerning as they indicate bruises in various stages of healing, which is a red flag for physical abuse. Bruises on the anterior tibial area or a child clinging to a parent are not specific signs of physical abuse. Siblings watching you is unrelated to the suspicion of physical abuse in this scenario.
4. A nurse is assessing a newborn who is 10 hours old. Which of the following findings should the nurse report to the provider?
- A. Axillary temperature 36.5°C (97.7°F)
- B. Nasal flaring
- C. Heart rate 158/min
- D. One void since birth
Correct answer: B
Rationale: Nasal flaring can indicate respiratory distress in a newborn, which is a critical finding requiring immediate attention. This may suggest an issue with breathing or lung function. Reporting nasal flaring promptly allows the provider to assess and intervene to ensure the newborn's respiratory status is stable. Choices A, C, and D are within normal parameters for a 10-hour-old newborn and do not indicate an immediate concern. An axillary temperature of 36.5°C (97.7°F) is within the normal range for a newborn. A heart rate of 158/min is typical for a newborn, and one void since birth is an expected finding at this early stage.
5. A client expresses doubt about the benefits of surgery. Which response by the nurse is most appropriate?
- A. Ask the client to explain why they believe the surgery won't help.
- B. Comment on the client's doubt regarding the procedure's benefits.
- C. Assure the client that everything will be fine.
- D. Acknowledge the client's uncertainty about the surgery.
Correct answer: D
Rationale: Option D is the most appropriate response as it acknowledges the client's expressed uncertainty about the surgery. By acknowledging the client's feelings, the nurse validates their concerns and opens the door for further discussion. This approach can help build trust and rapport with the client. Option A focuses more on seeking justification for the client's belief rather than addressing the underlying emotion. Option B, while acknowledging doubt, does not directly address the client's feelings. Option C, although well-intentioned, dismisses the client's concerns without exploring them further.
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