ATI RN
ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44 Questions
Extract:
A toddler who has a fractured right femur and is in Bryant traction
Question 1 of 5
A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When determining that the traction is appropriately assembled, the nurse should observe which of the following?
Correct Answer: D
Rationale: Bryant traction elevates buttocks slightly, with legs vertical at 90 degrees. Slings, skin straps, or pins aren't used; elevation ensures proper alignment.
Extract:
Several children who require treatment for pediculosis capitis
Question 2 of 5
A school nurse conducting a screening for pediculosis capitis identifies several children who require treatment. Which of the following instructions should the nurse give the children's parents?
Correct Answer: D
Rationale: Sealing nonwashable items for 72 hours kills lice. Pets don't carry human lice, alcohol soaking is unnecessary, and insecticides are harmful and ineffective.
Extract:
A school-age child who has a systemic disorder, receiving antibiotics, immunosuppressants, and corticosteroids, with soreness in mouth and white, milky plaque
Question 3 of 5
A nurse is caring for a school-age child who has a systemic disorder and is receiving antibiotics, immunosuppressants, and corticosteroids. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions?
Correct Answer: B
Rationale: Candidiasis (oral thrush) presents as non-removable white plaque, exacerbated by immunosuppression. Dermatitis, herpes, and carcinoma don't match oral symptoms.
Extract:
Children with lead levels needing rescreening
Question 4 of 5
A nurse participating in lead screening at a community center. The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values?
Correct Answer: C
Rationale: A lead level of 4 mcg/dL, slightly above CDC's 3.5 mcg/dL, warrants rescreening in a year if no other risks. Higher levels require immediate action.
Extract:
An adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation
Question 5 of 5
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: A PCA pump provides effective post-scoliosis surgery pain control. Log rolling every 2 hours (not 4), no isolation, and 30-45° elevation are more appropriate.