ATI RN
ATI Custom Wn23 NS122 Questions
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 1 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:
The nurse is doing neurovascular checks on a child who has had a cast applied to treat a fracture.
Question 2 of 5
The nurse observes for diminished or absent sensation and numbness or tingling. In doing this, the nurse is monitoring which symptom?
Correct Answer: C
Rationale: Paresthesia, characterized by numbness or tingling, is monitored during neurovascular checks to detect nerve compression from the cast. Pain (
A), paralysis (
B), and pallor (
D) are other symptoms but not the focus of sensation checks.
Extract:
A nurse is reinforcing nutritional teaching with a client who is at 8 weeks of gestation.
Question 3 of 5
Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Increasing folic acid intake prevents neural tube defects, critical in early pregnancy. 750 calories (
A) is excessive, iron limitation (
C) is incorrect, and stopping vitamins (
D) is unsafe.
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 4 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 suggests impaired circulation, a critical finding needing immediate reporting. Immobility (
A), swelling (
B), and non-elevation (
D) are expected or less urgent post-cast application.
Question 5 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.