ATI LPN
Pediatric ATI Proctored Test
1. Which of the following is an indication of lower respiratory infection?
- A. Cough
- B. Fever
- C. Inability to lie supine
- D. Shortness of breath
Correct answer: C
Rationale: Inability to lie supine is a significant indication of lower respiratory infection. This symptom often occurs due to breathing difficulties and discomfort experienced by individuals with lower respiratory infections, such as pneumonia or bronchitis. It can be caused by lung inflammation, consolidation, or fluid buildup in the lungs, making lying flat uncomfortable or difficult. Monitoring a patient's ability to lie flat can provide valuable information about the severity and progression of a lower respiratory infection.
2. A nurse is receiving report on four clients. Which of the following clients should the nurse plan to see first?
- A. A client who is NPO and has dry mucous membranes
- B. A client with rotavirus who has been vomiting
- C. A client who has a urinary catheter and cloudy urine
- D. A client who has pneumonia and a new onset of confusion
Correct answer: D
Rationale: The correct answer is D because a client with pneumonia and a new onset of confusion needs immediate evaluation for changes in neurological status. This could indicate a decline in respiratory status or potential complications such as hypoxia or sepsis. Option A, a client who is NPO and has dry mucous membranes, may need intervention but does not indicate an acute change in condition. Option B, a client with rotavirus who has been vomiting, requires assessment and intervention but does not pose an immediate threat to life. Option C, a client with a urinary catheter and cloudy urine, may indicate a urinary tract infection but does not require immediate attention compared to the client with new onset confusion and pneumonia.
3. What is the term for the action of biting, chewing, and breaking up ingested food into smaller particles?
- A. Peristalsis.
- B. Segmentation.
- C. Metabolism.
- D. Mastication.
Correct answer: D
Rationale: The correct answer is D, 'Mastication.' Mastication is the mechanical process of chewing that breaks down food into smaller particles. Peristalsis (choice A) is the involuntary constriction and relaxation of muscles in the gastrointestinal tract that moves food along. Segmentation (choice B) is the mixing movement of the digestive system that helps to break down food and mix it with digestive juices. Metabolism (choice C) refers to the chemical processes that occur within a living organism to maintain life.
4. A healthcare provider is assessing a client who has a heart rate of 40/min. The client is diaphoretic and has chest pain. Which of the following medications should the healthcare provider plan to administer?
- A. Lidocaine
- B. Adenosine
- C. Atropine
- D. Verapamil
Correct answer: C
Rationale: The client presents with bradycardia, diaphoresis, and chest pain, indicating reduced cardiac output. Atropine is the appropriate choice as it increases heart rate by blocking the parasympathetic nervous system. Lidocaine is used for ventricular arrhythmias, Adenosine for supraventricular tachycardia, and Verapamil for controlling heart rate in atrial fibrillation or atrial flutter. These medications are not suitable for the client's current presentation.
5. Which of the following interventions is most appropriate for a client with hyperemesis gravidarum?
- A. Encourage high-calorie meals
- B. Administer intravenous fluids
- C. Provide frequent small meals
- D. Limit fluid intake
Correct answer: B
Rationale: The correct answer is B: Administer intravenous fluids. Hyperemesis gravidarum is severe, persistent nausea and vomiting during pregnancy that can lead to dehydration and electrolyte imbalances. The priority intervention is to administer intravenous fluids to maintain hydration. Encouraging high-calorie meals (Choice A) may exacerbate symptoms due to increased gastric stimulation. Providing frequent small meals (Choice C) may not be effective in severe cases where continuous vomiting occurs. Limiting fluid intake (Choice D) is contraindicated in hyperemesis gravidarum as dehydration is a significant concern.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99