A 2monthold infant is expected to

ATI LPN

ATI LPN Test Bank

A 2-month-old infant is expected to

A. Bang objects together B. Raise hand to chest and hold C. Roll supine to prone D. Sit alone with support

Correct Answer: B

Rationale: Raising hand to chest B is a 2-month milestone, per document p14, 9.

The priority nursing action for a child with epiglottitis is

A. Administer antibiotics B. Ensure airway patency C. Give fluids D. Reduce fever

Correct Answer: B

Rationale: Airway patency B is critical in epiglottitis, per document p22, 5.

The nurse should suspect dehydration in an infant if

A. Eyes are sunken B. Fontanels are bulging C. Skin is warm D. Urine output increases

Correct Answer: A

Rationale: Sunken eyes A indicate dehydration, per document p29, .

The nurse should teach parents of a child with diabetes to recognize

A. Hypoglycemia B. Hyperglycemia C. Ketoacidosis D. All of the above

Correct Answer: D

Rationale: All D are diabetes emergencies, per document p34, 6.

The nurse should monitor a child with a head injury for

A. Pupil response B. Breathing C. Neck stability D. All of the above

Correct Answer: D

Rationale: All D assess head injury, per document p42, 4.

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