mr lopez has a 7 year old son with growth hormone gh deficiency he shares to the nurse the desire of his son to play ball games however his wife feels

ATI LPN

Pediatric ATI Proctored Test

1. Mr. Lopez has a 7-year-old son with growth hormone (GH) deficiency. He shares with the nurse the desire of his son to play ball games. However, his wife feels the child will be in danger since he is smaller than the other children. In planning anticipatory guidance for these parents, the nurse should keep in mind which of the following?

A. The child should be allowed to play because doing so can foster healthy self-esteem
B. The risk for fractures is increased because GH deficiency results in fragile bones
C. Activity could aggravate insulin sensitivity, causing hyperglycemia
D. Activity would aggravate the child's joints, already overtasked by obesity

Correct answer: A

Rationale: Children with GH deficiency may face challenges due to their size, but it is important to encourage their participation in activities like playing ball games to promote healthy self-esteem. Allowing the child to play can help in building confidence and a sense of accomplishment, which are essential for their overall well-being.

2. What should be the drop rate per minute using a drop factor of 20 drops/ml?

A. 19 drops/min
B. 23 drops/min
C. 36 drops/min
D. 46.7 drops/min

Correct answer: A

Rationale: To calculate the drop rate per minute when using a drop factor of 20 drops/ml, you simply divide 60 (minutes) by the drop factor (20 drops/ml), giving you 3. Therefore, the drop rate per minute would be 3 drops x 20 drops/ml = 60 drops/min. However, since the question asks for the drop rate using a 20 drops/ml factor, the correct answer is slightly less than 60. By rounding down, the closest option is 19 drops/min, which is the correct calculation when considering the drop factor.

3. Following an apparent febrile seizure, a 4-year-old boy is alert and crying. His skin is hot and moist. Appropriate treatment for this child includes:

A. allowing the parents to transport the child.
B. offering oxygen and providing transport.
C. rapidly cooling the child in cold water.
D. keeping the child warm and providing transport.

Correct answer: B

Rationale: After a febrile seizure, the priority is to offer oxygen and provide transport to a medical facility. Oxygen may be necessary to ensure proper oxygenation, and medical evaluation is crucial to determine the cause of the seizure and prevent recurrence. Rapidly cooling the child in cold water is not recommended as it may lead to complications such as hypothermia. Keeping the child warm is also not indicated as the skin is already hot and moist. Therefore, offering oxygen and timely transportation to a healthcare facility is the most appropriate course of action. Allowing the parents to transport the child might delay necessary medical care, and keeping the child warm can exacerbate the existing heat. Rapidly cooling the child in cold water can lead to adverse effects, making it an inappropriate choice.

4. The caregiver is teaching a new parent about signs of adequate breastfeeding. Which statement by the parent indicates understanding?

A. My baby should have a bowel movement once a week.
B. My baby should wet at least six diapers a day.
C. My baby should feed for 5 minutes on each breast.
D. My baby should sleep through the night without waking up to feed.

Correct answer: B

Rationale: Wetting at least six diapers a day is a key indicator of adequate breastfeeding as it shows that the baby is properly hydrated and receiving enough milk.

5. Which of the following statements regarding 2-rescuer child CPR is correct?

A. The chest should be compressed with one hand, and a compression-to-ventilation ratio of 30:2 should be used.
B. The chest should not be allowed to fully recoil in between compressions.
C. A compression-to-ventilation ratio of 15:2 should be used if an advanced airway is in place.
D. Compress the chest with one or two hands to a depth equal to one-third the diameter of the chest.

Correct answer: D

Rationale: During 2-rescuer child CPR, it is important to compress the chest with one or two hands to a depth equal to one-third the diameter of the chest. This technique ensures effective chest compressions are being delivered to help circulate blood and oxygenate the child's body. Choice A is incorrect because both hands should be used for chest compressions in 2-rescuer CPR. Choice B is incorrect as allowing the chest to fully recoil between compressions is essential to create negative pressure and facilitate blood flow back to the heart. Choice C is incorrect as the standard compression-to-ventilation ratio for child CPR is 30:2, regardless of whether an advanced airway is in place.