asana a 9 year old girl has the stature of a 4 year old she had been sent to the hospital for management and has been diagnosed with growth hormone de

ATI LPN

Pediatric ATI Proctored Test

1. 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.

2. Which of the following are clinical types of diarrhoea EXCEPT?

A. Acute watery
B. Bloody diarrhoea
C. Persistent diarrhoea
D. Secretory diarrhoea

Correct answer: D

Rationale: Secretory diarrhoea is not a clinical type but a distinct mechanism of diarrhoea characterized by increased electrolyte secretion. Acute watery, bloody, and persistent diarrhoea are recognized clinical types associated with different underlying causes and pathophysiologies. Acute watery diarrhoea is common in infectious gastroenteritis, bloody diarrhoea can be caused by inflammatory conditions or infections, and persistent diarrhoea typically lasts for more than 14 days due to various reasons like infections, malabsorption, or inflammatory bowel diseases.

3. In which of the following situations would the EMT MOST likely deliver a baby at the scene?

A. A tornado has struck and blocked the only route to the hospital.
B. Contractions are 8 to 10 minutes apart and irregular.
C. The amniotic sac has ruptured, and contractions occur regularly.
D. The hospital is 15 miles away, and crowning is not present.

Correct answer: A

Rationale: The EMT may be required to deliver a baby at the scene when external factors like a tornado have blocked the only route to the hospital, making it impossible to reach the medical facility in time for delivery. In such emergencies, the EMT must be prepared to manage the childbirth process until further medical assistance can be obtained.

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 breastfeeding mother is experiencing nipple pain. What should the nurse instruct her to do?

A. Use soap and water to clean her nipples
B. Apply warm compresses to her breasts
C. Ensure the baby is latching on properly
D. Limit breastfeeding to every 4 hours

Correct answer: C

Rationale: When a breastfeeding mother experiences nipple pain, ensuring the baby latches on properly is essential. Proper latch-on technique can help prevent and alleviate nipple pain by ensuring the baby is effectively extracting milk and not causing undue pressure or friction on the nipple. This guidance can promote a more comfortable breastfeeding experience for the mother and improve milk transfer for the baby.