ATI RN
ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44 Questions
Extract:
An infant who has myelomeningocele
Question 1 of 5
A nurse is orienting a newly licensed nurse in the care of an infant who has myelomeningocele. Which of the following actions by the new nurse indicates the teaching has been effective?
Correct Answer: A
Rationale: Axillary temperature avoids rectal risks in myelomeningocele. Side-lying or dry dressings risk sac damage, and hip motion is delayed to protect the defect.
Extract:
An 11-month-old infant
Question 2 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.
Extract:
A toddler who has a fractured right femur and is in Bryant traction
Question 3 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 4 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 5 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.