ATI RN
ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44 Questions
Extract:
A school-age child who has juvenile idiopathic arthritis
Question 1 of 5
A nurse is providing discharge instructions to a parent and their school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Alternate-day prednisone reduces inflammation while minimizing side effects in juvenile arthritis. Naps, staying home, or hourly compresses lack evidence for routine use.
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 2 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 infant who has myelomeningocele
Question 3 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:
A group of females who are pregnant
Question 4 of 5
A nurse is teaching about neural tube defects to a group of females who are pregnant. Which of the following disease processes should the nurse include as an example of a neural tube defect?
Correct Answer: C
Rationale: Spina bifida is a neural tube defect involving incomplete spinal closure. Hydrocephalus is fluid buildup, cerebral palsy affects movement, and muscular dystrophy is genetic, none being neural tube defects.
Extract:
A 17-year-old female client who has severe acne
Question 5 of 5
A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report to the provider?
Correct Answer: A
Rationale: Feelings of isolation may signal depression, a serious isotretinoin side effect requiring immediate reporting. Nosebleeds, pain, and itching are less urgent, though monitored.