LPN LPN
Pediatric ATI Proctored Test
1. When evaluating a client's fluid intake and output record, how should fluid intake and urine output relate?
- A. Fluid intake should double the urine output
- B. Fluid intake should be approximately equal to the urine output
- C. Fluid intake should be half the urine output
- D. Fluid intake should be inversely proportional to the urine output
Correct answer: B
Rationale: In assessing a client's fluid intake and output record, it is essential for fluid intake to be approximately equal to the urine output. This balance indicates proper hydration and renal function. Deviations from this balance could signify potential issues that need further investigation and management.
2. Which of the following are classical clinical manifestations that a patient with diabetes mellitus will exhibit EXCEPT?
- A. Polyuria
- B. Polydipsia
- C. Diabetic Ketoacidosis
- D. Weight loss
Correct answer: C
Rationale: The classical clinical manifestations of diabetes mellitus include polyuria (increased urination), polydipsia (excessive thirst), and weight loss. Diabetic ketoacidosis is not a classical manifestation but rather a serious complication that can occur in individuals with uncontrolled diabetes.
3. 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.
4. The healthcare provider assesses the vital signs of a 12-month-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths/minute. Based on this finding, which action is most appropriate?
- A. Administer oxygen
- B. Document the findings
- C. Notify the healthcare provider
- D. Reassess the respiratory rate in 15 minutes
Correct answer: B
Rationale: Documenting the findings is the most appropriate action since a respiratory rate of 35 breaths per minute falls within the normal range for a 12-month-old infant. There is no immediate need for interventions such as administering oxygen or notifying the healthcare provider. Reassessing the respiratory rate in 15 minutes is unnecessary as the rate is within normal limits.
5. What is the appropriate amount of fluid to be administered per hour using an infusion pump?
- A. 108.3mL
- B. 68.75mL
- C. 58.3mL
- D. 1400mL
Correct answer: A
Rationale: The correct answer is 108.3mL. This amount is calculated based on the total daily fluid requirement, ensuring a consistent infusion rate over the hour.
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