ATI RN
ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44 Questions
Extract:
An adolescent who has spina bifida and is paralyzed from the waist down
Question 1 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.
Extract:
A toddler who has acute nephrotic syndrome
Question 2 of 5
A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Facial edema is a key sign of nephrotic syndrome due to protein loss and fluid retention, requiring reporting. Discharge, appetite, and irritability are less specific.
Extract:
An infant requiring chest compressions
Question 3 of 5
A nurse is preparing to begin chest compressions on an infant. The nurse should perform compressions using which of the following techniques?
Correct Answer: D
Rationale: Compressions at 1/3 chest depth (about 4 cm) ensure circulation without injury in infants. Above nipple line, one hand, or 5 cm depth are incorrect for infant CPR.
Extract:
A child who has been physically abused by a family member
Question 4 of 5
A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?
Correct Answer: C
Rationale: Saying it's not the child's fault reduces guilt and shame, supporting emotional health. Blaming family, discussing with them, or promising secrecy could harm or mislead.
Extract:
A preschooler with a partial-thickness burn on her right forearm
Question 5 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.