ATI RN
ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44 Questions
Extract:
A child who has hemiplegic cerebral palsy
Question 1 of 5
A home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?
Correct Answer: D
Rationale: Modifying the environment is the priority as it enhances mobility, safety, and independence for a child with hemiplegic cerebral palsy, addressing motor impairments directly. Communication, respite, and self-care are secondary, as they depend on a safe, accessible environment.
Extract:
An adolescent who has scoliosis and requires surgical intervention
Question 2 of 5
A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Which of the following behaviors by the adolescent should the nurse anticipate because it is the most common reaction?
Correct Answer: A
Rationale: Scoliosis surgery often causes body image concerns due to physical changes. Privacy loss, displacement, or identity crisis are less common reactions in adolescents.
Extract:
A toddler who has acute nephrotic syndrome
Question 3 of 5
A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Facial edema is a key sign of nephrotic syndrome due to protein loss and fluid retention, requiring reporting. Discharge, appetite, and irritability are less specific.
Extract:
A child with pediculosis capitis
Question 4 of 5
A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?
Correct Answer: B
Rationale: Firmly attached white particles (nits) are a definitive sign of pediculosis capitis. Itching is common but less specific, yellow crusts suggest impetigo, and hair loss indicates other conditions like tinea capitis.
Extract:
An infant with upper respiratory infection, heart rate 144/min, axillary temperature 39.7°C, respiratory rate 32/min, oxygen saturation 95% on room air at first visit; 4 days later, axillary temperature 37.4°C, heart rate 132/min, respiratory rate 28/min, oxygen saturation 97% on room air
Question 5 of 5
A nurse is caring for an infant in a provider's office. Which of the following actions should the nurse plan to take? Select the 3 actions the nurse should plan to take.
Correct Answer: C,D,E
Rationale: Cleansing with soap and water maintains hygiene, nasal culture identifies infection cause, and zinc oxide prevents rash. No diarrhea or congestion is noted, talcum is unsafe, and frequent diaper changes are assumed.