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. A client receives discharge teaching on a new prescription for lisinopril. Which of the following instructions should be included?
- A. Avoid foods high in potassium.
- B. Take the medication with food.
- C. Increase your intake of salt.
- D. Take the medication at bedtime.
Correct answer: A
Rationale: The correct instruction that should be included when a client receives discharge teaching on a new prescription for lisinopril is to 'Avoid foods high in potassium.' Lisinopril, an ACE inhibitor, can lead to hyperkalemia by reducing potassium excretion. Therefore, clients taking lisinopril should be advised to avoid foods high in potassium to prevent potential complications associated with elevated potassium levels. Choices B, C, and D are incorrect because taking lisinopril with food, increasing salt intake, or taking the medication at bedtime are not specific instructions related to lisinopril therapy and may not be beneficial or necessary for the client's condition.
3. In acute pancreatitis, a client experiencing severe abdominal pain should have which enzyme level closely monitored?
- A. Serum amylase.
- B. Serum sodium.
- C. Serum calcium.
- D. Serum potassium.
Correct answer: A
Rationale: In acute pancreatitis, serum amylase levels should be closely monitored. Elevated serum amylase levels are a key diagnostic marker for acute pancreatitis, aiding in the assessment and management of the patient's condition. Monitoring serum sodium, calcium, or potassium levels is not typically associated with acute pancreatitis and would not provide relevant information for this specific condition.
4. The nutrients involved in metabolic regulation and control include minerals, vitamins, and:
- A. amino acids.
- B. carbohydrates.
- C. fats.
- D. water.
Correct answer: D
Rationale: The correct answer is D, water. Water plays a crucial role in metabolic regulation along with vitamins and minerals. While amino acids, carbohydrates, and fats are essential nutrients for various bodily functions, they are not primarily involved in metabolic regulation and control.
5. A nurse is assessing four clients for fluid balance. Which of the following clients is exhibiting manifestations of dehydration?
- A. A client who has a urine specific gravity of 1.010.
- B. A client who has a weight gain of 2.2 kg (2 lb) in 24 hr.
- C. A client who has a hematocrit of 45%.
- D. A client who has a temperature of 39°C (102°F).
Correct answer: D
Rationale: The correct answer is D because an elevated temperature is a common manifestation of dehydration. Choices A, B, and C are not indicative of dehydration. A urine specific gravity of 1.010 is within normal range, weight gain suggests fluid overload, and a hematocrit of 45% is also within normal limits and not specifically related to dehydration.
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