ATI LPN
ATI Pediatrics Proctored Test
1. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct?
- A. Death as a result of SIDS can occur at any time of the day or night.
- B. Certain cases of SIDS are predictable and therefore preventable.
- C. Most cases of SIDS occur in infants younger than 6 months.
- D. SIDS is uncommon in infants older than 1 year of age.
Correct answer: A
Rationale: The correct answer is A. SIDS can occur at any time of the day or night, although it most commonly occurs during sleep. SIDS is sudden and unpredictable, making it challenging to prevent in all cases. While most cases occur in infants younger than 6 months, it is not limited to this age group. SIDS is not uncommon in infants older than 1 year of age, although less common than in younger infants.
2. A nurse is administering lorazepam to a client who is scheduled for surgery within 1 hr. Which of the following actions should the nurse take after administering the medication?
- A. Keep the client awake
- B. Instruct the client not to get out of bed
- C. Encourage the client to drink fluids
- D. Encourage early ambulation
Correct answer: B
Rationale: The correct answer is to instruct the client not to get out of bed. Lorazepam is a sedative that can cause drowsiness and impair coordination. By instructing the client not to get out of bed, the nurse helps prevent falls or injuries that could occur due to the medication's sedative effects. Choice A is incorrect as keeping the client awake may not be necessary and could lead to unnecessary discomfort. Choice C is incorrect as encouraging the client to drink fluids is not directly related to the administration of lorazepam. Choice D is incorrect as early ambulation is not safe immediately after administering a sedative medication.
3. A nurse is preparing to administer a dose of furosemide. Which of the following should the nurse do before administration?
- A. Check potassium levels
- B. Assess blood glucose levels
- C. Monitor respiratory rate
- D. Administer with food
Correct answer: A
Rationale: The correct answer is to check potassium levels before administering furosemide. Furosemide is a diuretic that can cause hypokalemia (low potassium levels) as a side effect. Monitoring potassium levels is crucial to prevent potential complications related to electrolyte imbalance. Assessing blood glucose levels (choice B) is not directly related to furosemide administration. Monitoring respiratory rate (choice C) is important in certain situations, but it is not the priority before administering furosemide. Administering furosemide with food (choice D) is not a requirement as it can be administered regardless of meals.
4. In the most recent edition of Choose Your Foods: Exchange List for Diabetes, the three groups into which foods are arranged are:
- A. fruits and vegetables, breads, and meats.
- B. fats, starches and sugars, and meat and milk.
- C. fruits and vegetables, meat and milk, and starches.
- D. carbohydrates, meat and meat substitutes, and fats.
Correct answer: D
Rationale: The correct answer is D: carbohydrates, meat and meat substitutes, and fats. The most recent edition of Choose Your Foods: Exchange List for Diabetes categorizes foods into these three groups for easier meal planning. Choice A is incorrect because it does not include carbohydrates and groups bread with fruits and vegetables. Choice B is incorrect because it separates carbohydrates into starches and sugars, which are usually counted together in diabetes meal planning. Choice C is incorrect as it does not specifically categorize foods into carbohydrates, meat, and fats as per the latest edition.
5. A client has a new diagnosis of Raynaud's disease. Which of the following instructions should the nurse include?
- A. Increase your intake of foods high in potassium.
- B. Keep your home environment warm.
- C. Elevate your legs when sitting.
- D. Reduce your intake of sodium.
Correct answer: B
Rationale: The correct answer is to keep the home environment warm. Raynaud's disease causes vasospasm in response to cold, so maintaining a warm environment can help prevent attacks. Choices A, C, and D are incorrect. Increasing potassium intake, elevating legs when sitting, or reducing sodium intake are not specific to managing Raynaud's disease.
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