ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
History and Physical
6-year-old child
Vomited 3 times in the past 24 hr
Irritable behavior for the past 24 hr
Respiratory infection started 3 days ago
Brudzinski's and Kernig's signs positive
Question 1 of 5
Nurse is planning care for a child during admission to the facility. Which action should the nurse take first?
Correct Answer: D
Rationale: Positive Brudzinski's and Kernig's signs indicate meningitis, making seizure precautions the priority to prevent complications.
Extract:
A nurse is caring for a 9-year-old child at a clinic.
Nurses' Notes
1000:
Child has been brought to the clinic by their parent due to a report of right arm pain. The parent
states that several hours ago the child tripped and fell onto the sidewalk while playing
outside. The child states, "I was running when we were playing. and I tripped over a curb." Child
is supporting their arm across their body.
Assessment
Respirations easy and unlabored, Abdomen non-distended. Right forearm and fingers are
edematous. Ecchymotic area noted on outer aspect of the forearm. Radial pulse +2. Fingers
slightly cool to touch. Child can move fingers and reports a mild "tingling" sensation, Child
verbalizes a pain level of 4 on a scale of 0 to 10, Multiple areas of bruising are noted on lower
extremities in various stages of healing
Vital. Signs
Temperature 36.8°C (98.2° F)
Heart rate 102/min
Respiratory rate 22/min
BP 100/60 mm Hg
Oxygen saturation 98% on room air
Question 2 of 5
Nurse reviews the assessment findings. Which findings require immediate follow-up?
Correct Answer: A,D
Rationale: Edema and coolness in the extremity suggest circulatory impairment, warranting immediate attention.
Extract:
A nurse is caring for a 9-year-old child at a clinic.
Vital Signs
1000:
Temperature 36.8° C (98.2° F)
Heart rate 102/min|
Respiratory rate 22/min
BP 100/60 mm Hg
Oxygen saturation 98% on room air
Question 3 of 5
Nurse determines that the assessment findings are consistent with which of the following conditions?Click to specify if the assessment findings are consistent with a sprain, a fracture, or a dislocation.
| Assessment Findings | Sprain | Fracture | Dislocation |
|---|---|---|---|
| Edema | |||
| Ecchymosis | |||
| Pain level | |||
| Sensation |
Correct Answer: A,B,C,D
Rationale: Edema, ecchymosis, pain, and altered sensation are common in sprains, fractures, and dislocations.
Extract:
The nurse is continuing to care for the child.
Assessment
1000:
Child is alert and appears developmentally appropriate for their age and well nourished.
Respirations easy and unlabored. Abdomen nondistended. Right forearm and fingers are
edematous. Ecchymotic area noted on outer aspect of the forearm. Radial pulse +2. Fingers
slightly cool to touch. Child can move fingers and reports a mild "tingling" sensation. Child
verbalizes a pain level of 4 on a scale of 0 to 10. Abrasion noted on right knee. No active
bleeding. Multiple areas of bruising noted on lower extremities in various stages of healing.
Question 4 of 5
Complete the sentence using the lists of options.The child is at highest risk for developing------------evidenced by the child's-----------
Correct Answer: B,D
Rationale: Circulatory impairment is evidenced by paresthesia (tingling), indicating compromised blood flow.
Extract:
Provider Prescriptions
1030:
Obtain x-rays of right arm, wrist, and elbow.
Question 5 of 5
Drag words from the choices below to fill in each blank.Nurse should anticipate a prescription for--------and-------
Correct Answer: C,D
Rationale: Pain medication and limb immobilization are standard for managing fractures, reducing discomfort and promoting healing.