ATI RN
ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44 Questions
Extract:
A child with several bruises
Question 1 of 5
A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Obtaining a detailed history clarifies bruise origins, guiding whether abuse is suspected. Psychiatrist involvement, separation, or reporting are premature without context.
Extract:
A preschooler with a calcium level of 8.0 mg/dL
Question 2 of 5
A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hypocalcemia (8.0 mg/dL) causes muscle tremors due to nerve excitability. Positive (not negative) Chvostek's sign, dry membranes, and polyuria aren't typical.
Extract:
A school-age child with white flakes that don't brush off the hair and a rash on the back of the child's neck
Question 3 of 5
A school nurse is assessing a school-age child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. The nurse should suspect which of the following disorders?
Correct Answer: D
Rationale: Pediculosis capitis (head lice) presents with nits (white flakes) stuck to hair and neck rash from itching. Folliculitis lacks flakes, tinea capitis causes scaly patches, and impetigo shows sores, not hair flakes.
Extract:
A 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH)
Question 4 of 5
A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant's growth and development?
Correct Answer: B
Rationale: A small electronic toy stimulates cognitive and sensory development safely. Standing risks hip stress, balloons pose hazards, and diaper changes are hygiene, not developmental.
Extract:
An adolescent who has spina bifida and is paralyzed from the waist down
Question 5 of 5
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?
Correct Answer: D
Rationale: Catheterization 4-6 times daily prevents bladder complications in spina bifida. Exercises, hydration, and suppositories are appropriate, but twice-daily catheterization indicates misunderstanding.