ATI RN
ATI Med Surg Nurs 228 Exam Questions
Extract:
Question 1 of 5
A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The anterolateral thigh is the recommended site for intramuscular injections in toddlers due to well-developed muscles and minimal risk of injury.
Question 2 of 5
A nurse is caring for a child who is dying. Which of the following are findings of impending death? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Cold sensation, difficulty swallowing, tachycardia, and Cheyne-Stokes respirations are common signs of impending death due to circulatory and respiratory changes.
Question 3 of 5
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Oral rehydration therapy is the first-line treatment for dehydration due to diarrhea, effectively restoring fluid and electrolyte balance.
Question 4 of 5
A nurse is assessing an infant who has heart failurWhich of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C
Rationale: Nasal flaring and peripheral edema are signs of respiratory distress and fluid retention in heart failure.
Question 5 of 5
A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: Pulling the pinna downward and straight back is the correct method for infants to straighten the ear canal for proper administration of otic medication.