ATI RN
ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44 Questions
Extract:
An adolescent with a lateral curvature of the spine
Question 1 of 5
A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?
Correct Answer: C
Rationale: Scoliosis is characterized by lateral spine curvature.
Torticollis involves neck tilting, kyphosis is outward spinal curvature, and lordosis is inward curvature, none describing lateral deviation.
Extract:
A 3-year-old child who weighs 33 lb with 160 mL of urine output over 8 hours
Question 2 of 5
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8-hour period. The child weighs 33 lb. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Urine output of 160 mL over 8 hours for a 15 kg (33 lb) child is within normal (1-2 mL/kg/hr, or 120-240 mL). Continued monitoring is appropriate; notifying the provider, scanning, or rehydrating isn't indicated.
Extract:
A child with pediculosis capitis
Question 3 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:
A group of females who are pregnant
Question 4 of 5
A nurse is teaching about neural tube defects to a group of females who are pregnant. Which of the following disease processes should the nurse include as an example of a neural tube defect?
Correct Answer: C
Rationale: Spina bifida is a neural tube defect involving incomplete spinal closure. Hydrocephalus is fluid buildup, cerebral palsy affects movement, and muscular dystrophy is genetic, none being neural tube defects.
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.