ATI LPN
ATI Pediatrics Proctored Test
1. When assessing a 30-year-old female in labor, what should the EMT do?
- A. Ask the mother when she is expecting to deliver.
- B. Avoid questioning the patient about her medical history.
- C. Determine the stage of her labor by examining her.
- D. Recall that delivery is imminent if she is crowning.
Correct answer: D
Rationale: During the assessment of a 30-year-old female in labor, the EMT should be aware that delivery is imminent if she is crowning. Crowning indicates that the baby's head is visible at the vaginal opening, signaling that the birth is progressing rapidly and the baby will soon be delivered. This is a critical moment that requires preparedness for the birth process and ensuring a safe delivery environment. Choice A is incorrect because asking the mother when she is expecting to deliver is not relevant when the baby's head is visible at the vaginal opening. Choice B is incorrect as obtaining the patient's medical history is essential for providing appropriate care. Choice C is incorrect because determining the stage of labor by examining the patient is important but recognizing crowning indicates that delivery is imminent and requires immediate action.
2. A client is newly diagnosed with hypothyroidism and prescribed levothyroxine. Which of the following instructions should the nurse include?
- A. Take the medication with food.
- B. Take the medication in the evening.
- C. Take the medication on an empty stomach.
- D. Take the medication only when experiencing symptoms.
Correct answer: C
Rationale: The correct instruction is to take levothyroxine on an empty stomach. This is necessary for proper absorption and effectiveness of the medication. Taking it with food can interfere with absorption. Timing is also crucial; it is usually recommended to take levothyroxine in the morning to prevent potential interactions with food and other medications throughout the day. Taking the medication in the evening may lead to sleep disturbances. Lastly, waiting to take the medication only when symptoms occur is not appropriate as levothyroxine is typically taken regularly to maintain thyroid hormone levels within the body.
3. A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse take?
- A. Restrict protein intake to less than 40 g/day
- B. Initiate seizure precautions for the client
- C. Initiate an infusion of 0.9% sodium chloride at 150 mL/hr
- D. Encourage the client to ambulate twice per day
Correct answer: B
Rationale: The correct action for the nurse to take is to initiate seizure precautions for the client. Severe preeclampsia increases the risk of seizures (eclampsia), making it crucial to prioritize the safety of the client. Restricting protein intake (Choice A) is not the priority in this situation as seizure prevention takes precedence. While maintaining hydration is essential, starting an infusion of 0.9% sodium chloride (Choice C) is not the initial action needed for seizure prevention. Encouraging the client to ambulate (Choice D) may not be safe or appropriate considering the severity of preeclampsia and the risk of seizures.
4. A client is being taught about the use of nitroglycerin. Which of the following should be included?
- A. Take it with food
- B. Place the tablet under the tongue
- C. It can be stored in the refrigerator
- D. It has no side effects
Correct answer: B
Rationale: The correct answer is to place the nitroglycerin tablet under the tongue. Nitroglycerin tablets are meant for sublingual absorption during angina episodes to provide quick relief. Option A is incorrect because nitroglycerin should not be taken with food. Option C is incorrect as nitroglycerin should be stored in a cool, dark place, not in the refrigerator. Option D is incorrect because nitroglycerin can have side effects, including headaches, dizziness, and low blood pressure.
5. After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate?
- A. Irrigate the nasogastric tube with distilled water
- B. Aspirate the gastric contents with a syringe
- C. Administer an antiemetic medication
- D. Insert a new nasogastric tube
Correct answer: B
Rationale: The most appropriate nursing intervention when a client with a nasogastric tube experiences nausea and a decrease in gastric secretions is to aspirate the gastric contents with a syringe. This action helps relieve nausea by removing excess fluid and gas. Option A, irrigating the nasogastric tube with distilled water, is not indicated as it does not address the underlying issue of decreased gastric secretions. Option C, administering an antiemetic medication, may provide symptomatic relief but does not address the mechanical issue of decreased flow in the nasogastric tube. Option D, inserting a new nasogastric tube, is not necessary unless there are specific complications or obstructions in the current tube.
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