ATI RN
ATI Pediatric Proctored Exam
1. The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid prescription does the nurse anticipate for this child?
- A. 0.9% normal saline (NS)
- B. D5 0.2% (�) normal saline
- C. D5W
- D. Albumin
Correct answer: A
Rationale: Isotonic dehydration requires the administration of normal saline to restore fluid balance.
2. If a nurse is uncomfortable documenting a verbal prescription, what should the nurse do?
- A. Document the prescription without seeking clarification.
- B. Clarify the verbal prescription with the healthcare provider.
- C. Refuse to document the prescription.
- D. Speak with the client's family to clarify the situation.
Correct answer: B
Rationale: When a nurse is uncomfortable documenting a verbal prescription, the best course of action is to clarify the prescription with the healthcare provider. This is crucial to ensure that the information is accurate and to provide safe and appropriate care. Option A is incorrect because blindly documenting without seeking clarification can lead to errors. Option C is incorrect as refusing to document the prescription altogether is not in the best interest of the patient. Option D is also incorrect as speaking with the client's family is not the appropriate step to clarify a verbal prescription; the healthcare provider should be the primary source for this clarification.
3. A nurse is reviewing the medical record of a client who has hypothyroidism. Which of the following findings should the nurse expect?
- A. Weight gain of 1.4 kg (3 lb) in the past 2 weeks.
- B. Exophthalmos.
- C. Tachycardia.
- D. Heat intolerance.
Correct answer: A
Rationale: The correct answer is A. Weight gain can indicate myxedema, which is a symptom commonly seen in hypothyroidism. Exophthalmos (choice B) is actually a characteristic finding of hyperthyroidism, not hypothyroidism. Tachycardia (choice C) and heat intolerance (choice D) are also more indicative of hyperthyroidism rather than hypothyroidism.
4. A nurse is educating a group of older adults in a community center on weight management using the BMI scale. Using the client's height and weight to calculate BMI, which of the following clients has a healthy BMI?
- A. A client with a weight of 128 lb and height of 70 inches
- B. A client with a weight of 150 lb and height of 68 inches
- C. A client with a weight of 200 lb and height of 72 inches
- D. A client with a weight of 133 lb and height of 60 inches
Correct answer: A client with a weight of 128 lb and height of 70 inches
Rationale: To determine a healthy BMI, we need to calculate it using the formula: BMI = weight (lbs) / height^2 (inches) x 703. For choice A, BMI = 128 / (70 x 70) x 703 = 18.38, which falls within the healthy BMI range of 18.5-24.9. Therefore, choice A is correct. Choices B, C, and D have BMIs of 22.8, 27.1, and 26.1, respectively, which are outside the healthy range. Thus, choices B, C, and D are incorrect.
5. What percentage of body weight as fat does a woman with a healthy body composition typically average?
- A. 5%
- B. 15%
- C. 25%
- D. 35%
Correct answer: C
Rationale: A healthy body fat percentage for women typically ranges between 21% and 33%, with 25% being an average healthy body fat percentage. Choice A (5%) is too low for a healthy body fat percentage and is more in line with essential body fat levels. Choice B (15%) is also lower than the typical range for a healthy body fat percentage. Choice D (35%) is too high and would be considered high body fat for women.
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