ATI RN
ATI Med Surg Nurs 228 Exam Questions
Extract:
Question 1 of 5
A nurse is completing a pain assessment on an infant. Which of the following pain scales should the nurse use?
Correct Answer: C
Rationale: The FLACC scale is appropriate for infants, assessing pain based on facial expression, leg movement, activity, cry, and consolability.
Question 2 of 5
A nurse is caring for an infant who has just returned from the PACU following cleft lip and palate repair. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Placing the infant upright facilitates breathing and reduces swelling post-cleft repair.
Question 3 of 5
A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Wheezing, nasal flaring, and sternal muscle retraction indicate airway obstruction and respiratory distress in asthma.
Question 4 of 5
A nurse is teaching a guardian of an infant about the administration of oral medications. Which of the following should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Using a dropper, adding flavoring, and using a bottle nipple ensure accurate dosing and comfort for the infant.
Question 5 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.