NURS 328 ATI Questions With
Perfect Solutions 100% Pass
A nurse is preparing to perform a physical examination on a 10-year-old child.
Which of the following interventions should the nurse plan to implement?
a. Allow the child to touch and play with the equipment
b. Play games while performing the physical examination
c. Explain how the equipment works using correct medical terminology
d. Discuss the benefits of performing the examination with the cold - CORRECT
ANSWER-C
rationale: School-age children are interested in learning and building language skills.
Therefore, the nurse should explain the function of the equipment using correct
medical terminology
A nurse is obtaining the blood pressure of a school-age child. Which of the
following actions should the nurse take?
a. Position the arm at the level of the umbilicus while the child is sitting in a chair
b. Release the cuff pressure at a rate of 4 to 5 mmHg per second
,c. Ensure the cuff bladder encircle 50% of the extremity
d. Select a cuff width that covers 40% of the upper arm - CORRECT ANSWER-
D
rationale: A. The arm should be positioned and supported with the cubital fossa at
the level of the heart; B. Cuff pressure release is at a rate of 2-3mmHg; C. The cuff
bladder length encircles 80-100% of upper arm
A nurse is performing an annual physical examination on an adolescent. Which of
the following should the nurse include in the general survey?
a. The adolescent's deep tendon reflexes are 2+ bilaterally
b. The adolescent is able to read small print at a distant of 14 inches
c. The adolescent demonstrates fine motor coordination
d. The adolescent makes good eye contact - CORRECT ANSWER-D
rationale: The general survey includes identifying the client's demeanor, mood, and
interactions with others
A nurse is inspecting the skin of a toddler. Which of the following findings should
the nurse report to the provider?
a. Presence of fine hair on the lower arms and legs
b. Telangiectatic nevi on the back of the neck
c. Mongolian spot across the buttocks
COPYRIGHT ©️ 2025, ALL RIGHTS RESERVED.
,d. Ecchymotic area on the abdomen - CORRECT ANSWER-D
rationale: Although bruising on the extremities is a common finding in children,
bruising in other areas should be investigated to determine the cause
A nurse is preparing to obtain a temperature on an 18-month old toddler during a
well child examination. Which of the following actions should the nurse take?
a. Pull the pinna up and back before placing the tympanic thermometer in the ear
canal
b. Insert the lubricated tip of rectal electronic thermometer 2.5 (1 inch) into the
toddler's rectum
c. Place the tip of the oral electronic thermometer under the toddler's tongue in a
posterior sublingual pocket
d. Place the thermometer tip in the center of the toddler's axilla against their skin -
CORRECT ANSWER-D
A nurse is assessing the reflexes of a 6 month-old infant. Which of the following
reflex findings should the nurse expect?
a. Positive extrusion reflex
b. Negative plantar grasp reflex
c. Positive Babinski reflex
d. Negative sucking reflex - CORRECT ANSWER-C
, rationale: The Babinski reflex is elicited by stroking up the side of the foot and
across the ball of the foot. A positive Babinski reflex is present when this action
causes the toes to fan outwards. This is an expected finding through the first year
of life, after which it begins to fade
A nurse is inspecting the thorax of an infant. Which of the following findings
should the nurse expect?
a. Primarily thoracic movement during inspiration
b. A barrel-shaped chest in which the anterior-posterior are equal
c. Asymmetrical movement of the chest during respirations
d. A chest circumference that is twice the measurement of the head circumference
- CORRECT ANSWER-B
rationale: A barrel-shaped chest is expected in an infant. As the child grows, the
lateral diameter will increase more than the posterior diameter
A nurse is performing a cardiac assessment on a preschooler. The nurse should
plan to auscultate the apical pulse at which of the following precordial landmarks?
a. Along the sternal border at the third intercostal space
b. At the second intercostal space, tot he right of the sternum
c. Left of the midclavicular line at the fourth intercostal space
COPYRIGHT ©️ 2025, ALL RIGHTS RESERVED.
Perfect Solutions 100% Pass
A nurse is preparing to perform a physical examination on a 10-year-old child.
Which of the following interventions should the nurse plan to implement?
a. Allow the child to touch and play with the equipment
b. Play games while performing the physical examination
c. Explain how the equipment works using correct medical terminology
d. Discuss the benefits of performing the examination with the cold - CORRECT
ANSWER-C
rationale: School-age children are interested in learning and building language skills.
Therefore, the nurse should explain the function of the equipment using correct
medical terminology
A nurse is obtaining the blood pressure of a school-age child. Which of the
following actions should the nurse take?
a. Position the arm at the level of the umbilicus while the child is sitting in a chair
b. Release the cuff pressure at a rate of 4 to 5 mmHg per second
,c. Ensure the cuff bladder encircle 50% of the extremity
d. Select a cuff width that covers 40% of the upper arm - CORRECT ANSWER-
D
rationale: A. The arm should be positioned and supported with the cubital fossa at
the level of the heart; B. Cuff pressure release is at a rate of 2-3mmHg; C. The cuff
bladder length encircles 80-100% of upper arm
A nurse is performing an annual physical examination on an adolescent. Which of
the following should the nurse include in the general survey?
a. The adolescent's deep tendon reflexes are 2+ bilaterally
b. The adolescent is able to read small print at a distant of 14 inches
c. The adolescent demonstrates fine motor coordination
d. The adolescent makes good eye contact - CORRECT ANSWER-D
rationale: The general survey includes identifying the client's demeanor, mood, and
interactions with others
A nurse is inspecting the skin of a toddler. Which of the following findings should
the nurse report to the provider?
a. Presence of fine hair on the lower arms and legs
b. Telangiectatic nevi on the back of the neck
c. Mongolian spot across the buttocks
COPYRIGHT ©️ 2025, ALL RIGHTS RESERVED.
,d. Ecchymotic area on the abdomen - CORRECT ANSWER-D
rationale: Although bruising on the extremities is a common finding in children,
bruising in other areas should be investigated to determine the cause
A nurse is preparing to obtain a temperature on an 18-month old toddler during a
well child examination. Which of the following actions should the nurse take?
a. Pull the pinna up and back before placing the tympanic thermometer in the ear
canal
b. Insert the lubricated tip of rectal electronic thermometer 2.5 (1 inch) into the
toddler's rectum
c. Place the tip of the oral electronic thermometer under the toddler's tongue in a
posterior sublingual pocket
d. Place the thermometer tip in the center of the toddler's axilla against their skin -
CORRECT ANSWER-D
A nurse is assessing the reflexes of a 6 month-old infant. Which of the following
reflex findings should the nurse expect?
a. Positive extrusion reflex
b. Negative plantar grasp reflex
c. Positive Babinski reflex
d. Negative sucking reflex - CORRECT ANSWER-C
, rationale: The Babinski reflex is elicited by stroking up the side of the foot and
across the ball of the foot. A positive Babinski reflex is present when this action
causes the toes to fan outwards. This is an expected finding through the first year
of life, after which it begins to fade
A nurse is inspecting the thorax of an infant. Which of the following findings
should the nurse expect?
a. Primarily thoracic movement during inspiration
b. A barrel-shaped chest in which the anterior-posterior are equal
c. Asymmetrical movement of the chest during respirations
d. A chest circumference that is twice the measurement of the head circumference
- CORRECT ANSWER-B
rationale: A barrel-shaped chest is expected in an infant. As the child grows, the
lateral diameter will increase more than the posterior diameter
A nurse is performing a cardiac assessment on a preschooler. The nurse should
plan to auscultate the apical pulse at which of the following precordial landmarks?
a. Along the sternal border at the third intercostal space
b. At the second intercostal space, tot he right of the sternum
c. Left of the midclavicular line at the fourth intercostal space
COPYRIGHT ©️ 2025, ALL RIGHTS RESERVED.
