ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
When assessing a female adolescent for scoliosis, what should the nurse ask the client to do?
Correct Answer: A
Rationale: When assessing a female adolescent for scoliosis, the nurse should ask the client to bend forward at the waist with arms hanging freely. This Adams forward bend test allows the nurse to evaluate the spine for any asymmetry, curvature, or rib hump that may indicate scoliosis. By observing the alignment of the spine while the client is in a forward bent position, the nurse can gather important information to determine if further evaluation or referral to a healthcare provider is necessary.
Question 2 of 5
The nurse is using the FLACC scale to rate the pain level in a 9-month-old. Which is the nurse's best response to the father's question of what the FLACC scale is?
Correct Answer: C
Rationale: The FLACC scale uses observable behavioral and physical responses (facial expression, leg movement, activity, cry, and consolability) to estimate pain.
Question 3 of 5
The age by which the child can make a tower of 9 cubes and imitates circular stroke is
Correct Answer: C
Rationale: This milestone is typically achieved around 36 months.
Question 4 of 5
The laboratory results of a patient with disseminated intravascular coagulation are likely to include:
Correct Answer: D
Rationale: DIC leads to prolonged clotting times due to consumption of clotting factors and platelets.
Question 5 of 5
When performing a newborn assessment, the nurse should measure the vital signs in the following sequence:
Correct Answer: A
Rationale: When performing a newborn assessment, it is important to measure the vital signs in the sequence of pulse, respirations, and temperature. This sequence is recommended because measuring the pulse first provides immediate information on the baby's cardiovascular status, followed by respirations to assess respiratory function, and ending with temperature which can be influenced by the other vital signs. This comprehensive approach helps ensure all vital signs are assessed accurately and in a logical order.