ATI RN
ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44 Questions
Extract:
An 8-month-old infant
Question 1 of 5
A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?
Correct Answer: B
Rationale: Sits with pillow props indicates motor delay typical of cerebral palsy, as infants should sit unsupported by 8 months. Tracking objects, pincer grasp, and smiling are normal milestones, not suggestive of the condition.
Extract:
A child who has acute glomerulonephritis
Question 2 of 5
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Daily weight checks monitor fluid retention, the earliest sign of complications in glomerulonephritis, prioritizing fluid balance assessment. Education, diet, and saline locks are important but secondary to fluid status monitoring.
Extract:
A preschooler with a partial-thickness burn on her right forearm
Question 3 of 5
A nurse is caring for a preschooler with a partial-thickness burn on her right forearm. Which of the following findings should the nurse expect?
Correct Answer: C,D,E
Rationale: Partial-thickness burns cause sensitivity, blanching, and blisters due to dermal damage. Intact epidermis and dry surfaces indicate superficial or full-thickness burns.
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 4 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.
Extract:
A child who has impetigo contagiosa
Question 5 of 5
A nurse is preparing to teach a parent how to care for a child who has impetigo contagiosa. Which of the following information should the nurse plan to include in the teaching?
Correct Answer: B
Rationale: Washing clothing in hot water kills bacteria, preventing impetigo spread. Droplet precautions, immunization, and chlorine baths are inappropriate, as impetigo spreads by contact.