LPN ATI Capstone Womens Health and Pediatrics Proctored Exam

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Sample questions from LPN ATI Capstone Womens Health and Pediatrics Proctored Exam

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A client at 34 weeks of gestation reports a severe headache and blurred vision. Which finding should the practical nurse report to the RN immediately?

   • A.Urinary frequency without dysuria
   • B.Mild ankle edema at the end of the day
   • C.Blood pressure 168/110 mm Hg
   • D.Fetal movement after a meal

   Rationale: A blood pressure of 168/110 mm Hg with headache and visual changes may indicate severe preeclampsia and requires immediate escalation. Mild dependent edema and urinary frequency can occur in pregnancy, but do not explain these warning signs. Fetal movement after a meal is generally reassuring.

2. 2.In the postpartum unit, a client who gave birth 1 hour ago has a boggy uterus and heavy lochia. Which action should the practical nurse take first?

   • A.Place the client in a warm shower
   • B.Offer the client oral fluids
   • C.Document the amount of lochia and reassess in 30 minutes
   • D.Massage the fundus while calling for assistance

   Rationale: A boggy uterus with heavy bleeding suggests uterine atony, and fundal massage is an immediate basic intervention while help is summoned. Oral fluids and a shower do not address the bleeding. Waiting 30 minutes to reassess could delay treatment of postpartum hemorrhage.

3. 3.A parent asks how to reduce the risk of sudden infant death syndrome. Which response is appropriate?

   • A.Place the infant supine for every sleep
   • B.Use a soft pillow to support the infant's head
   • C.Let the infant sleep in an adult bed for easier feeding
   • D.Place the infant prone after feeding

   Rationale: Placing an infant on the back for every sleep is recommended to reduce the risk of sleep-related infant death. Soft pillows and adult beds create suffocation hazards. Prone positioning is not recommended for routine sleep.

4. 4.A client is 30 weeks pregnant and reports reduced fetal movement. Which instructions should the practical nurse reinforce? Select all that apply.

   • A.Count movements at a similar time each day
   • B.Use a home Doppler to decide whether evaluation is needed
   • C.Lie on the side in a quiet place while counting movements
   • D.Wait until the next routine prenatal visit if no movement is felt
   • E.Contact the maternity service if movement remains reduced

   Answer and rationale are in the full material.

5. 5.A toddler with vomiting and diarrhea has dry mucous membranes and fewer wet diapers. Which finding is most concerning for worsening dehydration?

   • A.One episode of crying
   • B.Capillary refill of 4 seconds
   • C.A temperature of 37.2 C
   • D.A soft abdomen

   Answer and rationale are in the full material.