Questions 43

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ATI Med Surg Nurs 228 Exam Questions

Extract:


Question 1 of 5

A nurse is assessing an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer: B,C

Rationale: Weak femoral pulses and cool lower extremities are expected due to reduced blood flow from the narrowed aorta.

Question 2 of 5

A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: The tape test is the standard diagnostic procedure for Enterobius vermicularis, involving placing clear tape around the anus to collect eggs for microscopic examination.

Question 3 of 5

A nurse is admitting a child who has cystic fibrosis. Which of the following medications should the nurse expect to include in the plan of care? (Select all that apply)

Correct Answer: A,C,D,E

Rationale: Albuterol, tobramycin, dornase alfa, and fat-soluble vitamins address respiratory and nutritional complications of cystic fibrosis.

Question 4 of 5

A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer: C,D

Rationale: Wheezing and a barrel-shaped chest are expected due to airway obstruction and chronic lung changes in cystic fibrosis.

Question 5 of 5

A client who has tested positive for human immunodeficiency virus (HIV) antibodies is admitted to the hospital with Pneumocystis Jiroveci Pneumonia (PCP) and a CD4+ T-Cell count of less than 200 cells/µL. Based on the diagnostic criteria established by the Centers for Disease Control and Prevention (CDC), which statement by the nurse is correct?

Correct Answer: B

Rationale: A CD4+ T-cell count below 200 cells/µL and an opportunistic infection like PCP meet the CDC criteria for an AIDS diagnosis.

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