Questions 56

ATI RN

ATI RN Test Bank

ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44 Questions

Extract:

An infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac


Question 1 of 5

A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?

Correct Answer: C

Rationale: A latex-free environment prevents allergies, common in spina bifida due to repeated exposures. Limiting visitors, supine positioning, and contact precautions aren't indicated pre-surgery.

Extract:

Several children who require treatment for pediculosis capitis


Question 2 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 child with pediculosis capitis


Question 3 of 5

A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?

Correct Answer: B

Rationale: Firmly attached white particles (nits) are a definitive sign of pediculosis capitis. Itching is common but less specific, yellow crusts suggest impetigo, and hair loss indicates other conditions like tinea capitis.

Extract:

A school-age child with white flakes that don't brush off the hair and a rash on the back of the child's neck


Question 4 of 5

A school nurse is assessing a school-age child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. The nurse should suspect which of the following disorders?

Correct Answer: D

Rationale: Pediculosis capitis (head lice) presents with nits (white flakes) stuck to hair and neck rash from itching. Folliculitis lacks flakes, tinea capitis causes scaly patches, and impetigo shows sores, not hair flakes.

Extract:

An 8-month-old infant


Question 5 of 5

A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?

Correct Answer: B

Rationale: Sits with pillow props indicates motor delay typical of cerebral palsy, as infants should sit unsupported by 8 months. Tracking objects, pincer grasp, and smiling are normal milestones, not suggestive of the condition.

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