ATI LPN
ATI Pediatrics Proctored Test
1. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct?
- A. Death as a result of SIDS can occur at any time of the day or night.
- B. Certain cases of SIDS are predictable and therefore preventable.
- C. Most cases of SIDS occur in infants younger than 6 months.
- D. SIDS is uncommon in infants older than 1 year of age.
Correct answer: A
Rationale: The correct answer is A. SIDS can occur at any time of the day or night, although it most commonly occurs during sleep. SIDS is sudden and unpredictable, making it challenging to prevent in all cases. While most cases occur in infants younger than 6 months, it is not limited to this age group. SIDS is not uncommon in infants older than 1 year of age, although less common than in younger infants.
2. A postpartum client is being discharged. The nurse should include which information about postpartum depression?
- A. It can occur at any time postpartum
- B. It is a serious condition that requires attention
- C. It can affect the ability to care for the newborn
- D. It may necessitate medical intervention
Correct answer: C
Rationale: Postpartum depression is a serious condition that can impact a mother's ability to care for her newborn. It is crucial for healthcare providers to educate clients about the signs and symptoms of postpartum depression, as it may necessitate medical intervention to ensure the well-being of both the mother and the newborn.
3. The nurse is preparing new parents for discharge with their newborn. The father asks the nurse why the baby's head is so pointed and puffy-looking. What is the best response by the nurse?
- A. His head is molded from fitting through the birth canal. It will become more round.
- B. We refer to that as 'cone head,' which is a temporary condition that goes away.
- C. It might mean that your baby sustained brain damage during birth, and could have delays.
- D. I think he looks just like you. Your head is much the same shape as your baby's.
Correct answer: A
Rationale: The corrected response 'His head is molded from fitting through the birth canal. It will become more round.' is the best answer as it explains the physiological reason for the baby's appearance after birth. It reassures the father that the pointed and puffy-looking head is a normal part of the birthing process and will resolve on its own. Choice B is incorrect because while 'cone head' is a term used colloquially, it does not provide a detailed explanation. Choice C is incorrect and should be avoided as it introduces unnecessary worry by suggesting brain damage. Choice D is not an appropriate response as it doesn't address the father's concern or provide accurate information about newborn physiology.
4. Which of the following is not an infectious cause of diarrhea?
- A. Allergy
- B. Bacteria
- C. Parasite
- D. Virus
Correct answer: A
Rationale: The correct answer is A: Allergy. Allergy is not an infectious cause of diarrhea. Diarrhea caused by bacteria, parasites, and viruses is due to infection, while an allergy triggers an immune response that can lead to diarrhea but is not caused by an infectious agent. Choices B, C, and D are incorrect because bacteria, parasites, and viruses are known infectious causes of diarrhea, resulting from infections by these microorganisms.
5. Serwaa, a 26-year-old mother, has brought her daughter to the OPD with signs of lower respiratory tract infection. Which of the following diagnoses is NOT typically associated with lower respiratory tract infections for her daughter?
- A. Pneumonia
- B. Asthma
- C. Bronchiolitis
- D. Coryza
Correct answer: D
Rationale: Coryza, also known as the common cold, is a viral infection that primarily affects the upper respiratory tract and is not typically associated with lower respiratory tract infections. Pneumonia, asthma, and bronchiolitis are conditions that commonly affect the lower respiratory tract, causing symptoms like cough, difficulty breathing, and chest pain.
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