ATI LPN
Pediatric ATI Proctored Test
1. What is the main cause or association of Type 2 diabetes?
- A. Mostly associated with autoantibodies
- B. Mostly associated with childhood cancer
- C. Commonly associated with obesity and metabolic syndrome
- D. Commonly associated with overeating
Correct answer: C
Rationale: Type 2 diabetes is commonly associated with obesity and metabolic syndrome. These conditions are major contributing factors to the development of Type 2 diabetes due to insulin resistance and other metabolic abnormalities linked to excess body weight and unhealthy lifestyle habits.
2. A client has a new prescription for alendronate. Which of the following instructions should the nurse include?
- A. Take the medication with a full glass of water.
- B. Lie down for 30 minutes after taking the medication.
- C. Take the medication at bedtime.
- D. Avoid dairy products while taking the medication.
Correct answer: A
Rationale: When taking alendronate, it is important to take the medication with a full glass of water to prevent esophageal irritation. This helps ensure that the medication reaches the stomach and is properly absorbed. Lying down after taking alendronate can increase the risk of esophageal irritation, which is why it is recommended to stay upright for at least 30 minutes after taking the medication. Taking the medication at bedtime or avoiding dairy products are not specific instructions associated with alendronate administration. Therefore, the correct instruction to include is to take the medication with a full glass of water.
3. A nurse is caring for a client with a pressure ulcer and a serum albumin level of 3 g/dL. What should the nurse do first?
- A. Increase the client's protein intake
- B. Consult with a dietitian to improve the client's nutritional status
- C. Administer a protein supplement
- D. Monitor the client's fluid and electrolyte balance
Correct answer: B
Rationale: Consulting with a dietitian is the priority as it ensures that the client receives a comprehensive nutritional assessment and an individualized plan to address the low serum albumin level and pressure ulcer. Increasing protein intake (choice A) and administering a protein supplement (choice C) may be part of the dietitian's recommendations but should not be done without proper assessment and guidance. Monitoring fluid and electrolyte balance (choice D) is important but not the first step in addressing the client's nutritional needs.
4. A nurse is providing teaching to a client who has chronic kidney disease. Which of the following client statements indicates an understanding of the teaching?
- A. I will decrease my intake of foods that are high in phosphorus
- B. I will increase my intake of foods that are high in potassium
- C. I will decrease my intake of foods that are high in iron
- D. I will increase my intake of calcium supplements
Correct answer: A
Rationale: The correct answer is A. Clients with chronic kidney disease should limit their intake of phosphorus because high phosphorus levels can lead to bone disease and cardiovascular problems. Increasing foods high in potassium (choice B) is not recommended as it can be harmful to individuals with kidney disease. Decreasing intake of foods high in iron (choice C) is not specifically indicated for chronic kidney disease. Increasing calcium supplements (choice D) may not be necessary and can potentially lead to hypercalcemia in individuals with kidney disease.
5. A patient with type 2 diabetes is prescribed metformin. What instruction should the nurse provide regarding this medication?
- A. Take the medication on an empty stomach.
- B. Monitor for signs of hypoglycemia.
- C. Take the medication with meals.
- D. Increase intake of simple carbohydrates.
Correct answer: C
Rationale: The correct instruction for a patient prescribed metformin is to take the medication with meals. This helps reduce gastrointestinal side effects commonly associated with metformin. Patients should also be educated about the signs of lactic acidosis, a rare but serious side effect associated with metformin use.
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