ATI LPN
LPN Pediatrics
1. Which artery should you palpate when assessing for a pulse in an unresponsive 6-month-old patient?
- A. Radial
- B. Brachial
- C. Femoral
- D. Carotid
Correct answer: B
Rationale: When assessing for a pulse in an unresponsive 6-month-old patient, the brachial artery is the recommended site for palpation. This is because the brachial artery is easily accessible and provides a reliable indication of the patient's circulatory status in infants.
2. Which vaccine is typically administered to newborns within the first 24 hours of birth?
- A. Hepatitis B
- B. BCG
- C. OPV
- D. Measles
Correct answer: A
Rationale: The correct answer is A, Hepatitis B. The Hepatitis B vaccine is usually administered to newborns within the first 24 hours of birth to provide protection against Hepatitis B infection. This early vaccination helps prevent transmission of the virus from infected mothers to their babies during childbirth, reducing the risk of chronic liver disease and liver cancer later in life.
3. A nurse is planning care to prevent complications in a client with immobility. Which of the following interventions should the nurse include?
- A. Massage lower extremities daily to prevent DVT
- B. Remove anti-embolism stockings for 3 hours each day
- C. Limit intake of foods high in calcium to prevent renal calculi
- D. Encourage the client to lie supine to prevent constipation
Correct answer: B
Rationale: The correct answer is B because removing anti-embolism stockings for short periods prevents skin breakdown while ensuring that the stockings remain effective in promoting circulation. Choice A is incorrect because massaging lower extremities daily does not prevent DVT; instead, it may dislodge a clot. Choice C is incorrect as limiting intake of foods high in calcium does not prevent renal calculi; rather, it may help reduce the risk of kidney stones. Choice D is incorrect because encouraging the client to lie supine does not prevent constipation; instead, encouraging mobility and adequate fluid intake can help prevent constipation in immobile clients.
4. A client who is postpartum is being taught about breast care by a nurse. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will wear tight-fitting bras to reduce discomfort
- B. I will nurse my baby frequently to prevent engorgement
- C. I will pump my breasts every 4 hours
- D. I will avoid nursing for at least 48 hours
Correct answer: B
Rationale: The correct answer is B. Nursing the baby frequently helps prevent engorgement and discomfort in breastfeeding mothers. Choice A is incorrect because tight-fitting bras can lead to clogged milk ducts and worsen discomfort. Choice C may lead to oversupply issues and is not necessary unless there is a specific indication. Choice D is incorrect as avoiding nursing for extended periods can lead to engorgement and decreased milk supply.
5. A client at 28 weeks of gestation is experiencing preterm labor. Which of the following medications should the nurse plan to administer?
- A. Oxytocin
- B. Nifedipine
- C. Dinoprostone
- D. Misoprostol
Correct answer: B
Rationale: Nifedipine is the correct choice because it is a calcium channel blocker that helps relax the uterus and stop preterm labor. Oxytocin (Choice A) is used to induce labor, not to stop preterm labor. Dinoprostone (Choice C) and Misoprostol (Choice D) are prostaglandins used to induce labor and ripen the cervix, not to stop preterm labor.
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