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ATI Custom SP23 N23 N240 Exam 3 Ch 11 24 32 43 44

Total Questions : 56

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Question 1:

A home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy.

Which of the following goals is the priority for the nurse to include in the plan of care?

Answer and Explanation

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Question 2:

A nurse is providing teaching to a parent of a preschooler who has eczema.

Which of the following instructions should the nurse include in the teaching?

Answer and Explanation

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Question 3:

A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck extension traction.

Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 4:

A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit.

Which of the following information should the nurse include in the teaching?

Answer and Explanation

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Question 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?

Answer and Explanation

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Question 6:

A nurse is assessing an 8-month-old infant for cerebral palsy.

Which of the following findings is a manifestation of the condition?

Answer and Explanation

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Question 7:

A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate.

Which of the following statements should the nurse make?

Answer and Explanation

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Question 8:

A nurse is caring for a child who has acute glomerulonephritis.

Which of the following actions is the nurse's priority?

Answer and Explanation

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Question 9:

A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called.

The nurse should respond with which of the following common names?

Answer and Explanation

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Question 10:

A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine.

The nurse should expect the provider to document which of the following disorders?

Answer and Explanation

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Question 11:

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8-hour period.

The child weighs 33 lb.

Which of the following actions should the nurse take?

Answer and Explanation

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Question 12:

A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?

Answer and Explanation

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Question 13:

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?

Answer and Explanation

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Question 14:

A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?

Answer and Explanation

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Question 15:

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason
for the nurse's action.

Which of the following responses by the nurse is appropriate?

Answer and Explanation

A
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Question 16:

A nurse is assessing a toddler who has suspected lead poisoning.

Which of the following findings should the nurse expect the client to manifest with acute lead poisoning?

Answer and Explanation

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Question 17:

A nurse is providing care to a mother immediately following a stillbirth delivery.

Which of the following actions should the nurse take first?

Answer and Explanation

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Question 18:

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

Answer and Explanation

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Question 19:

A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?

Answer and Explanation

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Question 20:

A nurse is caring for an infant in a provider's office.

Medical History Provider Visit #1. Heart rate 144/min.

Axillary temperature 39.7° C (103.5°F). Respiratory rate 32/min.

Oxygen saturation 95% on room air. Provider Visit #2 (4 days later).

Axillary temperature 37.4° C (99.3° F). Heart rate 132/min.

Respiratory rate 28/min.

Oxygen saturation 97% on room air.

Which of the following actions should the nurse plan to take? Select the 3 actions the nurse should plan to take.

Answer and Explanation

A
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Question 21:

A nurse is caring for an infant in a provider's office. Medical History Diagnosis: Nurse's Notes Upper respiratory infection Provider prescriptions: Vital Signs • Amoxicillin and clavulanate suspension 225 mg PO twice daily for 10 days Ibuprofen liquid 50 mg PO every 6 to 8 hr, maximum 4 times daily, to treat fever Which of the following actions should the nurse take next to provide appropriate care for the infant?

Answer and Explanation

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Question 22:

A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour.

The nurse should place the client on which of the following diets?

Answer and Explanation

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Question 23:

A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?

Answer and Explanation

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Question 24:

A nurse is caring for a preschool-age child who is dying.

Which of the following findings is an age-appropriate reaction to death by the

child? (Select all that apply).

Answer and Explanation

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Question 25:

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?

Answer and Explanation

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