LPN LPN
Pediatric ATI Proctored Test
1. What is the reason for Asthma in 4-year-old Mabele, as Mrs. Joyce Thomson inquires? How would you explain it?
- A. Asthma occurs due to inflammation of the respiratory tract triggered by infections.
- B. An asthmatic attack can occur when the child is exposed to certain allergens, triggering an allergic reaction in the bronchioles that causes bronchial constriction.
- C. An asthmatic attack is a response to the release of inflammatory mediators to epithelial cells, affecting the autonomic neural control of the airway.
- D. Asthma is not an inborn problem; it involves abnormal growth of the bronchial tree causing restriction.
Correct answer: B
Rationale: Asthma in children like Mabele can be triggered by exposure to allergens, leading to an allergic reaction in the bronchioles. This reaction causes constriction of the bronchial tree, resulting in an asthmatic attack. It is essential for caregivers to identify and minimize exposure to these triggers to manage and prevent asthma episodes effectively.
2. As a nurse caring for Asana, a 9-year-old girl with the stature of a 4-year-old due to growth hormone deficiency, which of the following will be your priority during follow-up visits?
- A. Vital signs monitoring
- B. Height and weight monitoring
- C. Bone age studies
- D. Dietary assessment
Correct answer: B
Rationale: Height and weight monitoring are essential for evaluating the growth progress in a child with growth hormone deficiency. Regular monitoring helps assess the effectiveness of treatment and ensures appropriate growth trajectory for the child.
3. When managing Akosua Adepa, an eight-year-old diagnosed with Asthma, the nurse will consider the following as complications EXCEPT:
- A. Cor pulmonale
- B. Respiratory arrest
- C. Respiratory distress
- D. Respiratory failure
Correct answer: C
Rationale: When managing a pediatric patient with asthma, the nurse needs to be vigilant about potential complications. While cor pulmonale, respiratory arrest, and respiratory failure are known complications of asthma, respiratory distress is not typically considered a direct complication. Respiratory distress is more of a symptom or a sign of worsening asthma, indicating the need for immediate intervention to prevent progression to more severe complications.
4. When does the onset of type 2 diabetes typically occur?
- A. Occurs after pubertal onset in the majority of cases
- B. Occurs due to parental financial status
- C. Occurs in childhood
- D. Occurs after giving birth
Correct answer: A
Rationale: The onset of type 2 diabetes typically occurs after pubertal onset. It is more commonly diagnosed in adulthood, although it can also develop in younger individuals. Factors such as genetics, lifestyle, and obesity play a significant role in the development of type 2 diabetes.
5. A nurse provides medication instructions to a first-time mother. Which statement made by the mother indicates a need for further instructions?
- A. I should mix the medication in the baby food and give it when I feed the child
- B. I should administer the oral medication sitting in an upright position and with the head elevated
- C. I will give my child a toy after giving the medication
- D. I will offer my child a juice drink after swallowing the medication
Correct answer: A
Rationale: Mixing medication in baby food is not recommended as it can alter the taste and the child may refuse food.
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