ATI RN
ATI Custom Wn23 NS122 Questions
Extract:
The nurse is talking with the caregiver of a 13-year-old diagnosed with scoliosis who is being fitted with a brace and appears upset and angry, stating, 'I hate this brace; I hate it already.'
Question 1 of 5
In an effort to support this child, which statement would be the most appropriate for the nurse to make to this child's caregiver?
Correct Answer: A
Rationale: Allowing the child to choose clothing to wear with the brace supports her self-esteem and body image, addressing her emotional distress. Focusing on long-term benefits (
B) dismisses her current feelings, suggesting isolation (
C) may increase distress, and comparing her situation to others (
D) is inappropriate and minimizes her experience.
Extract:
The nurse caring for a child who has been put into a leg cast must be on alert for signs of nerve and muscle damage.
Question 2 of 5
Which symptom might be an early warning signal that the child has developed compartment syndrome?
Correct Answer: D
Rationale: Increasing severe pain is an early sign of compartment syndrome due to pressure within the muscle compartment, requiring urgent reporting. Blue nail beds (
A) indicate cyanosis, a weak femoral pulse (
B) suggests arterial issues, and inability to plantarflex (
C) is less specific than pain.
Extract:
A nurse is collecting data from a 10-month-old infant.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Inability to sit steadily without support at 10 months is a developmental delay, requiring reporting. Not playing peek-a-boo (
B), turning pages (
C), or recognizing objects (
D) are not expected milestones.
Extract:
A nurse is assisting in the care of a client who is in the second stage of labor.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Uterine contractions lasting 2 minutes indicate hyperstimulation, risking fetal distress, and must be reported. Early decelerations (
B), pelvic pressure (
C), and bloody show (
D) are normal in the second stage of labor.
Extract:
A nurse is collecting data from a client who has skeletal traction.
Question 5 of 5
Which of the following findings should the nurse identify as an indication of infection at the pin sites?
Correct Answer: D
Rationale: Fever indicates a systemic infection, likely from the pin sites, requiring urgent attention. Warmth (
A), mild erythema (
B), and serosanguineous drainage (
C) can be normal initially.