LPN LPN
ATI Pediatrics Proctored Test
1. When is a newborn considered premature?
- A. Weighs less than 6.5 pounds.
- B. Is born to a heroin-addicted mother.
- C. Is born before 37 weeks gestation.
- D. Has meconium in or around its mouth.
Correct answer: C
Rationale: A newborn is considered premature if it is born before 37 weeks gestation. Premature birth increases the risk of various health problems as the baby may not be fully developed. Choice A is incorrect because the weight alone does not determine prematurity. Choice B is incorrect as it refers to a specific situation but not a direct indicator of prematurity. Choice D is incorrect as the presence of meconium does not solely indicate prematurity.
2. When assessing a geriatric patient who has possibly experienced an acute ischemic stroke, which of the following questions would be MOST appropriate to ask?
- A. When did you first notice the symptoms?
- B. Do you have a history of high blood pressure?
- C. What medications do you take and why?
- D. Have you previously had a heart attack?
Correct answer: A
Rationale: The most appropriate question to ask when assessing a geriatric patient who may have experienced an acute ischemic stroke is when the symptoms were first noticed. This information is crucial for determining the time window for potential treatments like thrombolytic therapy, as prompt intervention is necessary for stroke management. Option B is not as relevant in the acute assessment of stroke, though important for overall health history. Option C is important but may not be as time-sensitive as determining symptom onset. Option D focuses on a different cardiac event, not directly related to the current concern of a possible stroke.
3. How should you assist with the delivery of the baby's head?
- A. Grasping each side of the baby's head and gently pulling to facilitate delivery.
- B. Placing your fingers on the bony part of the skull and applying gentle pressure.
- C. Carefully rotating the baby's head to face up during delivery.
- D. Placing the palm of your hand firmly against the back of the baby's skull.
Correct answer: B
Rationale: To assist with the delivery of the baby's head, the correct technique involves placing your fingers on the bony part of the skull and applying gentle pressure. This method helps guide the baby's head through the birth canal safely and effectively. Choices A, C, and D are incorrect. Grasping and pulling the baby's head, rotating the head, or placing the palm of your hand against the back of the baby's skull can potentially cause harm or complications during delivery.
4. When assisting ventilations in a 4-year-old child with a bag-valve mask, what should the EMT do?
- A. Deliver each breath over 2 to 3 seconds.
- B. Ensure the appropriate mask size is used.
- C. Block the pop-off valve if needed to achieve adequate chest rise.
- D. Reassess the pulse rate after 60 seconds.
Correct answer: C
Rationale: When assisting ventilations in a 4-year-old child with a bag-valve mask, the EMT should block the pop-off valve if needed to achieve adequate chest rise. This action helps ensure effective ventilation and adequate oxygenation in the child. Blocking the pop-off valve allows for better control over the volume of air delivered and can help maintain positive pressure in the airway, assisting in improving oxygenation and ventilation in the child. Choices A, B, and D are incorrect because delivering each breath over 2 to 3 seconds is a general guideline but may need adjustment based on patient response, ensuring the appropriate mask size is important but not the primary concern in this scenario, and reassessing the pulse rate is not directly related to the ventilation technique being discussed.
5. You and your partner are performing CPR on a 2-year-old female in cardiac arrest. During your resuscitation attempt, you should:
- A. hyperventilate her due to severe hypoxia.
- B. attach the AED pads after 5 minutes of high-quality CPR.
- C. perform compressions and ventilations at a ratio of 30:2.
- D. allow the chest to fully recoil between compressions.
Correct answer: D
Rationale: Allowing the chest to fully recoil between compressions is crucial during CPR to ensure proper blood flow. This action allows the heart to refill with blood, enhancing the effectiveness of compressions and circulation. Hyperventilating the patient can lead to decreased cardiac output and is not recommended. Attaching AED pads should be done as soon as possible in a pediatric cardiac arrest situation, ideally within 2 minutes. The correct compression-to-ventilation ratio for pediatric CPR is 30:2, focusing on high-quality compressions to provide adequate perfusion to vital organs.
Similar Questions
Access More Features
ATI LPN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI LPN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99