ATI LPN
Pediatric ATI Proctored Test
1. When managing Akosua Adepa, an eight-year-old diagnosed with Asthma, the nurse will consider the following as complications EXCEPT:
- A. Cor pulmonale
- B. Respiratory arrest
- C. Respiratory distress
- D. Respiratory failure
Correct answer: C
Rationale: When managing a pediatric patient with asthma, the nurse needs to be vigilant about potential complications. While cor pulmonale, respiratory arrest, and respiratory failure are known complications of asthma, respiratory distress is not typically considered a direct complication. Respiratory distress is more of a symptom or a sign of worsening asthma, indicating the need for immediate intervention to prevent progression to more severe complications.
2. Which of the following sugars tastes the sweetest?
- A. Glucose
- B. Sucrose
- C. Galactose
- D. Fructose
Correct answer: D
Rationale: Fructose is known to be the sweetest among naturally occurring sugars. While glucose, sucrose, and galactose also have sweet tastes, fructose is commonly perceived as the sweetest due to its higher level of sweetness. Glucose is a simple sugar found in many carbohydrates; sucrose is table sugar composed of glucose and fructose; galactose is a component of lactose found in dairy products. However, when comparing the sweetness levels of these sugars, fructose stands out as the sweetest.
3. A nurse is caring for a client who has a prescription for vancomycin 1 g IV every 12 hours. The client is scheduled to have the morning dose at 0700. The nurse should schedule the trough level to be drawn at which of the following times?
- A. 2100
- B. 900
- C. 1300
- D. 1800
Correct answer: D
Rationale: The trough level of vancomycin should be drawn just before the next dose is administered, typically about 30 minutes before the scheduled dose. Since the morning dose is at 0700, the trough level should be drawn at 1800. This timing ensures an accurate measurement of the lowest concentration of the drug in the client's system before the next dose is given. Choice A (2100) is too close to the next dose, choice B (900) is too early, and choice C (1300) is also too far from the next dose.
4. A client is admitted to the hospital with a diagnosis of pericarditis. The nurse reviews the client's record for which sign or symptom that differentiates pericarditis from other cardiopulmonary problems?
- A. Anterior chest pain
- B. Pericardial friction rub
- C. Weakness and irritability
- D. Chest pain that worsens with inspiration
Correct answer: B
Rationale: Pericardial friction rub is a distinctive sign of pericarditis, characterized by a scraping or grating sound heard on auscultation, which helps differentiate pericarditis from other cardiopulmonary conditions. While anterior chest pain may be present in various cardiopulmonary issues, it is not specific to pericarditis. Weakness and irritability are nonspecific symptoms that can be seen in many conditions. Chest pain worsening with inspiration is more indicative of pleuritic conditions such as pleurisy or pneumonia, rather than pericarditis.
5. What are the nursing responsibilities when administering intravenous (IV) antibiotics?
- A. Verify the antibiotic dosage and check for allergies
- B. Administer the medication without verification
- C. Do not check for allergies or dosage
- D. Ensure the patient is allergic to antibiotics
Correct answer: A
Rationale: When administering IV antibiotics, it is essential for the nurse to verify the antibiotic dosage and check for any allergies the patient may have. This is crucial to ensure that the correct medication is being given at the proper dose and to prevent potential adverse reactions. Choice B is incorrect because administering medication without verification can lead to errors. Choice C is incorrect as it goes against safe medication administration practices. Choice D is incorrect as the focus should be on checking if the patient has allergies to antibiotics, not ensuring the patient is allergic to them.
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