ATI RN
ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44 Questions
Extract:
An adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation
Question 1 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.
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 2 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:
A school-age child with possible pediculosis capitis
Question 3 of 5
A school nurse is performing a routine health assessment for a school-age child. Which of the following findings indicates the nurse should investigate further for pediculosis capitis?
Correct Answer: B
Rationale: Pruritus (itching) is a common sign of pediculosis capitis, prompting further lice inspection. Dry patches, baldness, or blisters suggest other conditions like eczema or infections.
Extract:
An 11-month-old infant
Question 4 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 school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour
Question 5 of 5
A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?
Correct Answer: A
Rationale: Low-sodium, fluid-restricted diet reduces edema and fluid retention in glomerulonephritis. Other diets don't address fluid balance or may lack nutritional balance for recovery.