ATI RN
ATI Custom Wn23 NS122 Questions
Extract:
A nurse is obtaining the length and weight of a 6-month-old infant.
Question 1 of 5
Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Ensuring a balanced scale (
A), using a covering (
B), weighing in a diaper (
D), and measuring crown to heel (E) ensure accurate, safe measurements. A stadiometer (
C) is for standing height, not infants.
Extract:
An infant suffered from a fracture of the humerus and requires traction that uses pins, wires, and tongs.
Question 2 of 5
What type of traction is this?
Correct Answer: A
Rationale: Skeletal traction uses pins, wires, or tongs to apply force directly to the bone, aligning the humerus fracture. Muscle traction (
B) and joint traction (
C) are not standard terms, and skin traction (
D) uses adhesive or bandages, not pins.
Extract:
A nurse is caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand.
Question 3 of 5
Which of the following findings should the nurse report immediately to the charge nurse?
Correct Answer: C
Rationale: A capillary refill of 4 seconds indicates compromised circulation, requiring immediate reporting to prevent tissue damage. Immobility (
A), swelling (
B), and non-elevation (
D) are concerning but less urgent.
Extract:
A nurse is caring for a client who has been placed in halo traction to immobilize his cervical spine.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Elevating the head of the bed reduces cervical spine pressure and enhances comfort in halo traction. Pelvic girdles (
A) are unrelated, supine positioning (
B) may increase pressure, and foot elevation (
D) is ineffective.
Extract:
The nurse is collecting data from the caregiver of an 8-year-old child who recently started soiling his underwear each day rather than using the toilet to defecate.
Question 5 of 5
This behavior indicates a symptom of:
Correct Answer: B
Rationale: Encopresis is involuntary fecal soiling in a toilet-trained child, matching the description. Encephalopathy (
A), enuresis (
C), and echolalia (
D) involve brain disorders, urination, and speech repetition, respectively.