ATI LPN
LPN Pediatrics
1. Why should small children ride in the backseat of a vehicle?
- A. They are much less likely to be ejected from the vehicle.
- B. The back of the front seat will provide a cushion during a crash.
- C. They can experience severe injury or death if the airbag deploys.
- D. Their legs are highly prone to injury from striking the dashboard.
Correct answer: C
Rationale: Small children should ride in the backseat of a vehicle primarily to avoid severe injury or death that may occur if the airbag deploys. In the event of a crash, the force of an airbag deployment can be dangerous for a child seated in the front seat. Placing them in the backseat reduces the risk of serious harm from airbag impact and is a safer seating position for young passengers.
2. When does the onset of type 2 diabetes typically occur?
- A. Occurs after pubertal onset in the majority of cases
- B. Occurs due to parental financial status
- C. Occurs in childhood
- D. Occurs after giving birth
Correct answer: A
Rationale: The onset of type 2 diabetes typically occurs after pubertal onset. It is more commonly diagnosed in adulthood, although it can also develop in younger individuals. Factors such as genetics, lifestyle, and obesity play a significant role in the development of type 2 diabetes.
3. 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.
4. Which position is MOST appropriate for a mother in labor with a prolapsed umbilical cord?
- A. Supine with legs elevated
- B. Supine with hips elevated
- C. Left lateral recumbent
- D. Left side with legs elevated
Correct answer: B
Rationale: The most appropriate position for a mother in labor with a prolapsed umbilical cord is supine with hips elevated. This position helps reduce pressure on the cord, preventing further complications and ensuring optimal blood flow to the fetus.
5. What is the term for a condition where there is a failure of the pituitary to produce sufficient growth hormone to sustain normal growth in children, with 80% of cases being idiopathic? It may present with familial patterns, affecting males more than females.
- A. Cretinism
- B. Growth hormone deficiency
- C. Hypothyroidism
- D. Precocious puberty
Correct answer: B
Rationale: Growth hormone deficiency refers to a condition where there is inadequate production of growth hormone by the pituitary gland. This results in impaired growth in children. While 80% of cases are of unknown cause (idiopathic), some may have familial patterns. It is more common in males than females. Cretinism is a condition of severe hypothyroidism during infancy, not related to growth hormone. Hypothyroidism is a disorder involving low thyroid hormone levels, and precocious puberty is the early onset of puberty. Therefore, the correct answer is 'Growth hormone deficiency.'
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