ATI RN
ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44 Questions
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 1 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:
An adolescent with a lateral curvature of the spine
Question 2 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 child who has acute glomerulonephritis
Question 3 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:
An adolescent who has chronic glomerulonephritis
Question 4 of 5
A nurse is reviewing the laboratory results of an adolescent who has chronic glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Elevated BUN (50 mg/dL) indicates poor kidney function in chronic glomerulonephritis. Normal phosphorus, potassium, and presence of proteinuria are expected.
Extract:
An 11-month-old infant
Question 5 of 5
A nurse is assessing an 11-month-old infant. Which of the following manifestations is associated with a CNS infection?
Correct Answer: C
Rationale: A bulging fontanel signals increased intracranial pressure from CNS infections like meningitis. Oliguria, jaundice, and negative Brudzinski aren't typical signs.