which artery should you palpate when assessing for a pulse in an unresponsive 6 month old patient
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ATI LPN

LPN Pediatrics

1. Which artery should you palpate when assessing for a pulse in an unresponsive 6-month-old patient?

Correct answer: B

Rationale: When assessing for a pulse in an unresponsive 6-month-old patient, the brachial artery is the recommended site for palpation. This is because the brachial artery is easily accessible and provides a reliable indication of the patient's circulatory status in infants.

2. When assessing a 6-year-old boy with pain in the right lower quadrant of his abdomen, which action should be performed first?

Correct answer: D

Rationale: Palpating the left upper quadrant first is the correct approach when assessing abdominal pain in a child. This method helps to minimize causing additional discomfort to the child and allows for a more accurate assessment of their reaction to palpation. By starting on the left upper quadrant, you can gauge the child's pain response before moving to the area of complaint, which may be more sensitive. This approach is essential for a thorough and less distressing abdominal assessment in pediatric patients.

3. A breastfeeding mother reports to the nurse that her newborn nurses every hour and never seems satisfied. Which advice should the nurse provide?

Correct answer: D

Rationale: The nurse should ensure that the newborn has a proper latch and is effectively nursing. Sometimes, newborns nurse frequently for comfort even when they are effectively latched. It is essential to address the latch first before considering other interventions. Supplementing with formula (Choice A) may decrease the mother's milk supply. Allowing the newborn to nurse for a set time (Choice B) may not address the underlying latch issue. Reducing nursing sessions (Choice C) may lead to decreased milk production and does not address the latch problem.

4. In growing children, growth hormone deficiency results in short stature and very slow growth rates. Short stature may result from which of the following?

Correct answer: A

Rationale: Short stature in growing children can result from anterior pituitary gland hypofunction, which leads to growth hormone deficiency. The anterior pituitary gland plays a crucial role in stimulating the release of growth hormone, and when it is underactive (hypofunction), insufficient growth hormone is produced, resulting in short stature and slow growth rates.

5. What is the main cause or association of Type 2 diabetes?

Correct answer: C

Rationale: Type 2 diabetes is commonly associated with obesity and metabolic syndrome. These conditions are major contributing factors to the development of Type 2 diabetes due to insulin resistance and other metabolic abnormalities linked to excess body weight and unhealthy lifestyle habits.

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