ATI LPN
ATI Pediatrics Proctored Test
1. When ventilating an apneic 3-year-old child with a bag-valve mask device, what is the MOST important action to take?
- A. Avoid hyperventilation and ensure adequate chest rise.
- B. Squeeze the bag with both hands and use a pediatric mask.
- C. Immediately insert an oropharyngeal airway.
- D. Provide one breath every 3 to 5 seconds.
Correct answer: A
Rationale: When ventilating an apneic child, the most important action is to avoid hyperventilation and ensure adequate chest rise. Hyperventilation can lead to decreased cardiac output and increased intracranial pressure. Adequate chest rise confirms effective ventilation and minimizes the risk of complications. Choice B is incorrect because using both hands to squeeze the bag may not ensure proper ventilation and can lead to complications. Choice C is incorrect as inserting an oropharyngeal airway is not the initial action in ventilating an apneic child with a bag-valve mask. Choice D is incorrect as providing ventilations every 3 to 5 seconds may not be appropriate for effective ventilation in a pediatric patient.
2. Public health services are given free of charge. Is this statement true or false?
- A. The statement is true; it is the responsibility of government to provide these services
- B. The statement is false; people pay indirectly for public health services
- C. The statement may be true or false; depending on the Specific service required
- D. The statement may be true or false; depending on policies of the government concerned.
Correct answer: B
Rationale: Community health services, including public health services, are prepaid paid services, through taxation, for example.
3. A protein that contains all the essential amino acids in the proper proportions is called:
- A. simple
- B. indispensable
- C. complete
- D. complementary
Correct answer: C
Rationale: A complete protein is the term used to describe a protein that contains all the essential amino acids required by the body in the right proportions. This makes choice C the correct answer. Choice A, 'simple,' is incorrect as it does not reflect the concept of essential amino acids. Choice B, 'indispensable,' while related to importance, does not specifically address the presence of all essential amino acids. Choice D, 'complementary,' is also incorrect as it refers to combining proteins to achieve a complete amino acid profile, rather than describing a protein that already contains all essential amino acids.
4. A nurse is caring for a client who has a chest tube following a thoracotomy. Which of the following findings should the nurse report to the provider?
- A. Drainage of 75 mL in the first hour after surgery.
- B. Constant bubbling in the water seal chamber.
- C. Tidaling in the water seal chamber.
- D. Client report of pain at the chest tube insertion site.
Correct answer: B
Rationale: Constant bubbling in the water seal chamber indicates an air leak, which should be reported to the provider. This finding suggests that the chest tube system is not functioning properly, leading to potential complications such as pneumothorax. Drainage of 75 mL in the first hour after surgery is within the expected range for a chest tube. Tidaling in the water seal chamber is a normal fluctuation and indicates proper functioning of the system. Client report of pain at the chest tube insertion site is expected after surgery and can be managed with appropriate pain management measures.
5. A client has a prescription for ranitidine 150 mg PO BID. Available is ranitidine syrup 15 mg/mL. How many mL should the nurse administer each day?
- A. 20 mL
- B. 15 mL
- C. 25 mL
- D. 10 mL
Correct answer: A
Rationale: To administer a total of 300 mg daily (150 mg PO BID), the nurse should give 20 mL of the syrup. This is calculated by dividing the total daily dose (300 mg) by the concentration of the syrup (15 mg/mL), which equals 20 mL. Choice B (15 mL), C (25 mL), and D (10 mL) are incorrect because they do not accurately calculate the required volume of syrup needed to deliver the prescribed dose.
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