ATI LPN
Pediatric ATI Proctored Test
1. Which of the following is not a clinical type of diarrhea?
- A. Acute diarrhea
- B. Bloody diarrhea
- C. Persistent diarrhea
- D. Secretory diarrhea
Correct answer: B
Rationale: Bloody diarrhea is not typically classified as a clinical type of diarrhea. The clinical types of diarrhea commonly include acute, persistent, and secretory diarrhea, which are characterized by different mechanisms and durations. Bloody diarrhea usually indicates the presence of blood in the stool, which can be a sign of various underlying conditions but is not a specific clinical type of diarrhea.
2. You have arrived for your shift on the children's ward and need to assess a 2-year-old who is accompanied by his father. Identify the appropriate strategy to successfully complete a focused assessment:
- A. Allow the child to inspect the equipment for faults before and during assessment
- B. Ask parent to leave room until assessment has been completed
- C. Perform traumatic or invasive procedures first
- D. Have the child sit in parents lap and request assistance if necessary
Correct answer: D
Rationale: Having the child sit in parent's lap can help reduce anxiety and allow for a more accurate assessment.
3. Following an apparent febrile seizure, a 4-year-old boy is alert and crying. His skin is hot and moist. Appropriate treatment for this child includes:
- A. allowing the parents to transport the child.
- B. offering oxygen and providing transport.
- C. rapidly cooling the child in cold water.
- D. keeping the child warm and providing transport.
Correct answer: B
Rationale: After a febrile seizure, the priority is to offer oxygen and provide transport to a medical facility. Oxygen may be necessary to ensure proper oxygenation, and medical evaluation is crucial to determine the cause of the seizure and prevent recurrence. Rapidly cooling the child in cold water is not recommended as it may lead to complications such as hypothermia. Keeping the child warm is also not indicated as the skin is already hot and moist. Therefore, offering oxygen and timely transportation to a healthcare facility is the most appropriate course of action. Allowing the parents to transport the child might delay necessary medical care, and keeping the child warm can exacerbate the existing heat. Rapidly cooling the child in cold water can lead to adverse effects, making it an inappropriate choice.
4. The healthcare provider is assessing a postpartum client who is 1 day post-delivery. Which finding would require immediate intervention?
- A. Lochia rubra with a few small clots
- B. Fundus firm and midline
- C. Temperature of 100.4°F (38°C)
- D. Saturated perineal pad in 15 minutes
Correct answer: D
Rationale: A saturated perineal pad in 15 minutes indicates excessive bleeding, known as postpartum hemorrhage, which is a critical condition requiring immediate intervention to prevent further complications like hypovolemic shock. Monitoring and managing postpartum bleeding are crucial in the early postpartum period to ensure the client's safety and well-being. The other options are normal postpartum findings: lochia rubra with a few small clots is expected in the early postpartum period, a firm and midline fundus indicates proper uterine contraction, and a temperature of 100.4°F (38°C) is within the normal range for the postpartum period.
5. The word hormone is derived from the Greek 'hormao' meaning 'I excite or arouse.' Hormones communicate this effect through their unique chemical structures recognized by specific receptors on their target cells, their patterns of secretion, and their concentrations in the general or local circulation. Which of the following is NOT a function of hormones?
- A. Producing new offspring
- B. Promoting growth and enhancing beauty
- C. Maintaining body temperature
- D. Fighting infections
Correct answer: A
Rationale: Hormones play a crucial role in various bodily functions such as regulating metabolism, growth, and maintaining homeostasis. However, producing new offspring involves reproductive processes controlled by other systems in the body, not directly by hormones.
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